The undersigned ______________ (name), of _________________________ (Company), being the lawful owner of a certain trademark registered in the United States Patent Office under registration number ________________, dated ___________, 19____, for good consideration does hereby sell, transfer and convey all right, title and interest in said trademark and convey all right, title and interest in said trademark and good will attaching thereto, unto ___________________ (Buyer).
Signed under seal this _______________ day of _________,19____.

By:_____________________________

State of-
Country of- Date:

Then personally appeared ________________ who acknowledged the foregoing before me.

[Notary Seal] _______________________________
Notary Public