---
kind: "section"
citation: "49 C.F.R. § 1177.4"
title: "49"
number: "1177.4"
heading: "Sample forms."
url: "https://uscodex.org/cfr/49/1177.4"
---

# §1177.4. Sample forms.

- (a) **Sample short summary for the Index.**
  - (1) **Primary documents.** [Type of document] between [name and address of lessor, mortgagor, bailor, etc.] and [name and address of lessee, mortgagee, bailee, etc.] dated [date], and covering [briefly list amount and types of equipment].
  - (2) **Secondary documents.**
    - (i) If an assignment—Assignment between [name and address of assignor] and [name and address of assignee] dated [date of assignment] and covering [list amount and types of equipment], and connected to [type of document primary document is] with Recordation No. [recordation number of the primary document if known, at time recorded].
    - (ii) **Other secondary documents—** [Type of document] to [type of primary document] with Recordation No. [Recordation number of the primary document], dated [date of amendment, supplement, release, etc.] and covering [list amount and types of equipment].
- (b) **Sample Letter of Transmittal.**

## Notes

### Amendments

[46 FR 54946, Nov. 5, 1981, as amended at 64 FR 53268, Oct. 1, 1999; 74 FR 52910, Oct. 15, 2009; 91 FR 4856, Feb. 3, 2026]

### Authority

Authority: 49 U.S.C. 1321, 11301.

### Source

Source: 46 FR 54946, Nov. 5, 1981, unless otherwise noted. Redesignated at 47 FR 49592, Nov. 1, 1982.

### Amendments

[46 FR 54946, Nov. 5, 1981, as amended at 64 FR 53268, Oct. 1, 1999; 74 FR 52910, Oct. 15, 2009; 91 FR 4856, Feb. 3, 2026]