Jiminian Law PLLC Trademark Intake Form

Name of person completing this form and authorizing the filing:*

First NameLast Name

Title, if any ( for ex. CEO, President, Secretary, etc. - Note to partnerships: General Partner only):

Are you acting on behalf of a company or as an individual (note - if you are doing this for your company then click on "Company":*

CompanyIndividual

E-mail:*

Phone Number:*

Area CodePhone Number

Fax Number

Area CodeFax Number

Individual Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Name of Business:*

Entity Type (C for C/S Corporation, LLC for Limited Liability Company, P for General/Limited/Limited Liability Partnership, SP for Sole Proprietor, etc.):*

State of Formation or Organization:*

Business Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Website:

Please choose the trademark service(s) you seek:*

A basic clearance search (limited to USPTO and web data)Preparing, filing and docketing a US trademark registration application (includes a basic clearance search)Preparing and filing a declaration of use & incontestability under Sections 8 & 15 (due 5-6 years after registration)Preparing and filing a declaration of use and application for renewal under Sections 8 & 9 (due 10 years after registration)Other

Brief description of goods and/or services of the trademark (i.e. describe what services/goods marks will be used or in connection with):*

Please include a brief description of the goods and/or services provided under the intended mark. If you wish to register your mark for goods and services or for different goods or services, provide a separate description for each. Begin with your primary business purpose and/or product or service use and then move to secondary classes of goods and services as necessary. (For ex. "1) clothing, namely, t-shirts, pants, and gloves 2) food, particularly, nutrition bars." You are not required to choose additional classes of goods or services now, but it is recommended to do so in the future to protect your interests.

Information about your trademark: *

Please enter the trademark/trade name that is the subject of this intake form in quotation marks, for example: Please register the following trade name, "Jiminian Law PLLC". The standard character format can be used to register word(s), letter(s), number(s) or any combination thereof, without claim to any particular font, style, or color, and absent any design element. If you wish for me to prepare your trademark registration application based on your design/logo, please complete this form and upload a file with the design using the "Logo/design drawing" button below this box.

In what manner will the mark be used on or in connection with goods or services:*

on labels attached to goodsin advertisements for servicesOther

Logo/Design drawing (jpeg/jpg only):

Upload a File

To register a logo or design, please upload a high-quality JPEG file of your design drawing here. Please NOTE: mark images should not include the trademark, service mark or registration symbols (TM, SM,®). These symbols can only appear on specimens. Submit mark images with as little white space around the logo or design as possible. Unless a color image is being submitted for a mark wherein color is claimed as a feature of the mark, the mark image should be just black-and-white, with no gray areas.

Status of trademark:*

The desired trademark is currently "in use," ORThe mark is not in use but the applicant "intends to use" the mark

PLEASE NOTE: "IN USE" means that you have made good faith or bona fide uses of your trademark in the ordinary course of trade. One time use is not enough, however. As for "INTENT TO USE" that means that although you have not yet used the mark, you intend to do so in the future. In this situation, you may file based on a good faith or bona fide intent to use the mark in commerce. While you do not have to used the mark before filing the application, you MUST begin actually using the mark in commerce AFTER filing the application based on "INTENT TO USE." Before the USPTO will register the mark, you must file another form known as "ALLEGATION OF USE" to establish that use has begun. Then you must keep using the mark and file a "STATEMENT OF USE" within 3 years of of the date the "NOTICE OF ALLOWANCE" issues. Otherwise, the USPTO will NOT register a mark, if after 3 years or 36 months of the mailing date of the "NOTICE OF ALLOWANCE," no "STATEMENT OF USE" has been filed.

If the mark is "in use," please write the date of first use:*

MonthDayYear

Is the mark still "in use?"*

YesNo

If mark is no longer "in use," when was the mark last used?*

MonthDayYear

If the mark is not "in use," when do you plan to use the mark:*

MonthDayYear

Interstate commerce use (i.e. the use between 2 or more U.S. states and/or between the U.S. and another country):*

Applicant has used the mark in interstate commerce, orApplicant has NOT used the mark in interstate commerce but intends to do so

If you have used in interstate commerce, please enter date that you first used it in interstate commerce:*

MonthDayYear

Is the mark still being used in interstate commerce:*

YesNo

If the mark is no longer being used in commerce, when was the date of last use:*

MonthDayYear

If you have used in interstate commerce, enter the type of use (for ex., packaging materials, shipping, advertising, etc.) and whether you have specimens of usage:*

A SPECIMEN is a real-life sample of how you are actually using your mark with the goods and/or services identified in your application in the marketplace (e.g., on your product packaging or website). Upload a specimen sample or enter a weblink of your specimen below.

List any current trademark registrations, if any, and what state or foreign government it has been filed in:

If you have "Specimen(s)" of your mark, upload it as a jpg, jpeg or pdf (please note that if your specimen is a website use the tab below):

Upload a File (max 4)

A SPECIMEN is a real-life sample of how you are actually using your mark with the goods and/or services identified in your application in the marketplace (e.g., on your product packaging or website).

Web Link(s) for Specimen:

Comments or questions:

Are you interested in an intellectual property strategy for your trademarks and copyrights?*

YesNoI don't know, tell me more

DISCLAIMER. Danny Jiminian may review the information you submit for contact and intake purposes as described on this website. Your use of this form for communication with Jiminian Law PLLC does not establish an attorney-client relationship. Danny Jiminian's review of the information you send will not preclude him from representing any other client if confidential information is sent through this form. Furthermore, Danny Jiminian may email you additional informative content that may be helpful to your business or project. Please check one:*

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Jiminian Law PLLC Trademark Client Intake Form