T.M.E.P. § 1109.06
Necessary Elements in a Complete Statement of Use
Executive summary:
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1109.06 Necessary Elements in a Complete Statement of Use
A complete statement of use must include the following elements:
(1) a verified statement that the applicant is believed to be the owner of the mark and that the mark is in use in commerce, specifying the date of the applicant's first use of the mark and first use of the mark in commerce, and a listing of those goods or services specified in the notice of allowance on or in connection with which the mark is in use in commerce;
(2) one specimen or facsimile per class of the mark as used in commerce; and
(3) the fee per class required by 37 C.F.R. 2.6.