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                                         OFFICE OF SECRETARY OF STATE 
                                                CORPORATIONS DIVISION                                          
                                                2 Martin Luther King Jr. Dr. SE 
                                                      Suite 313 West Tower 
                                                      Atlanta, Georgia 30334 
                                                        (404) 656-2817 
                                                        http://sos.ga.gov/ 
Secretary of State 
        
                                                     ASSIGNMENT FORM 
                                            TRADEMARK OR SERVICE MARK                                      FILING  EE  F :$15.00 

IN COMPLIANCE WITH THE REQUIREMENTS OFO.C.G.A.ยง10-1-446,        THE UNDERSIGNED ,  HAVING ADOPTED AND USED A TRADEMARK 
OR SERVICE MARK IN THIS STATE FOR PURPOSES PROVIDED IN THAT CODE CHAPTER ,DOES HEREBY CERTIFY THE FOLLOWING    : 
  
 1.  ____________________________________________________________________________________________________ 
     ASSIGNOR (CURRENT REGISTERED  WNERO      ) 
  
 2.  ____________________________________________________________________________________________________ 
     PRINCIPAL BUSINESS  DDRESSA    
  
 3.  ____________________________________________________________________________________________________ 
     ASSIGNEE (NEW OWNER      ) 
                                 IF AN ENTITY ,ENTER STATE OR COUNTRY OF FORMATION :____________________________________ 
  
 4.  ____________________________________________________________________________________________________ 
     PRINCIPAL BUSINESS  DDRESSA    
      
     ________________________________________________                 ________________________________________________ 
     PRIMARY EMAIL ADDRESS                                            SECONDARY EMAIL ADDRESS 
  
 5.  ____________________________________________________________________________________________________ 
     MARK NAME    
                               A.  ______________________________________                                            
                                 REGISTRATION NUMBER        
  
                               B.  ______________________________________                                   
                                 INITIAL REGISTRATION  ATED    
  
                               C.  ______________________________________ 
                                 EXPIRATION DATE      
  
 BE IT KNOWN FOR AND IN CONSIDERATION OF MONIES ,AND/OR OTHER GOOD AND VALUABLE CONSIDERATION TO IT IN HAND PAID ,
 THE RECEIPT OF WHICH IS HEREBY ACKNOWLEDGED ,SAID ASSIGNOR DOES HEREBY SELL AND,      OR/ ASSIGN  AND, OR/TRANSFER UNTO 
 SAID ASSIGNEE THE ENTIRE RIGHT  TITLE, AND INTEREST IN AND TO THE SAID MARK AND REGISTRATION THEREOF TOGETHER,WITH 
 THE GOOD WILL OF THE BUSINESS IN WHICH THE MARK IS USED OR WITH THAT PART OF THE GOOD WILL OF THE BUSINESS 
 CONNECTED WITH THE USE OF AND SYMBOLIZED BY THE MARK. 
  
 SIGNATURE OF ASSIGNOR   /OWNER: ____________________________________________________ 
                                  
 PRINT OR TYPE NAME:             ____________________________________________________ 
  
 TITLE (IF SIGNING FOR ENTITY):  ____________________________________________________ 
  
 EMAIL:                          ____________________________________________________ 
  
 Return this completed form and a $15.00 filing fee to the Secretary of State at the above address before the expiration date. Fees are 
 non-refundable and non-transferable. 
                 
                                                                                                             FORM TM03 
                                                                                                               (Rev. 6/2019) 
            






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