Form mm18
Form mm18
(1) the applicant/holder has a bona fide intention to use the mark in commerce that the
United States Congress can regulate on or in connection with the goods/services
identified in the international application/subsequent designation;
(2) he/she is properly authorized to execute this declaration on behalf of the
applicant/holder;
(3) he/she believes applicant/holder to be entitled to use the mark in commerce that the
United States Congress can regulate on or in connection with the goods/services
identified in the international application/subsequent designation; and
(4) to the best of his/her knowledge and belief no other person, firm, corporation,
association, or other legal entity has the right to use the mark in commerce, either in
the identical form thereof or in such near resemblance thereto as to be likely, when
used on or in connection with the goods/services of such other person, to cause
confusion, or to cause mistake, or to deceive;
(5) to the best of the signatory’s knowledge, information, and belief, formed after an inquiry
reasonable under the circumstances, the allegations and other factual contentions
made above have evidentiary support.
I declare under penalty of perjury under the laws of the United States of America that all the
foregoing statements are true and correct to the best of my knowledge and belief. I understand
that willful false statements and the like may jeopardize the validity of the application or
document or any registration resulting therefrom, and are punishable by fine or imprisonment,
or both (18 U.S.C. §1001). 35 U.S.C. §25(b).
Signatory’s Title
1 This form contains the exact wording of the declaration of intention to use the mark required by the United
States of America. It should not be amended in any respect. Deletions, modifications or inclusions of text will result
in the declaration being considered as irregular. The United States of America requires that the declaration of
intention to use the mark be made in English, even if the international application or the subsequent designation is in
French or Spanish. Therefore, this form is available in English only.
INSTRUCTION
(1) the applicant/holder or a person with legal authority to bind the applicant/holder; or
(2) a person with firsthand knowledge of the facts and actual or implied authority to act
on behalf of the applicant/holder; or
(3) an attorney who is authorized to practice before the United States Patent and
Trademark Office under 37 C.F.R. §10.1(c), who has an actual written or verbal
power of attorney or an implied power of attorney from the applicant/holder.
Name of applicant/holder: