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`Declaration
`
`Applicant requests registration of the above-identified trademark/service mark in the United States
`Patent and Trademark Office on the Principal Register established by the Act of July 5, 1946 (15 U.S.C.
`Section 1051 et seq., as amended). Applicant is the owner of the mark sought to be registered, and is
`using the mark in commerce on or in connection with the goods/services identified above, as evidenced
`by the attached specimen(s) showing the mark as used in commerce.
`
`The undersigned, being hereby warned that willful false statements and the like so made are punishable
`by fine or imprisonment, or both, under 18 U.S.C. Section 1001, and that such willful false statements
`may jeopardize the validity of the form or any resulting registration, declares that he/she is properly
`authorized to execute this form on behalf of the applicant; he/she believes the applicant to be the owner
`of the trademark/service mark sought to be registered; and that all statements made of his/her own
`knowledge are true; and that all statements made on information and belief are believed to be true.
`
`Signature Section:
`
`gnaw
`mxfilM’Q‘N’w
`whammy
`
`Signatory's N
`
`Date Signed:
`Signatory's Phone:
`
`"
`
`-
`
`5
`
`
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