A. Subject to the limitations set forth in this title, any person who
adopts and uses a trademark in this state may file in the Office of
the Secretary of State, on a form to be furnished by the Secretary of
State, an application for registration of that trademark setting
forth, but not limited to, the following information:
1. The name and business address of the person applying for the
registration, and, if a corporation, the state of incorporation;
2. The goods or services in connection with which the mark is used and
the mode or manner in which the mark is used in connection with the
goods or services and the class in which the goods or services are
3. The date when the trademark was first used anywhere and the date
when it was first used in this state by the applicant or his
predecessor in business; and
4. A statement that the applicant is the owner of the trademark and
that no other person has the right to use such trademark in this state
either in the identical form thereof or in such near resemblance
thereto as might be calculated to deceive or to be mistaken therefor.
B. The application shall be signed by the applicant or by a member of
the firm or an officer of the corporation or association applying.
C. The application shall be accompanied by a specimen or facsimile of
D. The application for registration shall be accompanied by a filing
fee of Fifty Dollars ($50.00), payable to the Secretary of State.