49 CFR 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].
(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].
[Chief, Section of Administration, Office of Proceedings' Name] Chief, Section of Administration, Office of Proceedings, Surface Transportation Board, Washington, DC.
Dear Section Chief: I have enclosed an original and one copy/counterpart of the document(s) described below, to be recorded pursuant to Section 11301 of Title 49 of the U.S. Code.
This document is a [mortgage, lease, equipment trust, supplement, etc.], a [primary or secondary] document, dated [date].
(If a secondary document)—The primary document to which this is connected is recorded under Recordation No. __.
(If an assignment)—We request that this assignment be cross-indexed.
The names and addresses of the parties to the documents are as follows:
Vendor, Lessor, Mortgagor, etc: [name and address]
Vendee, Lessee, Mortgagee, etc: [name and address].
A description of the equipment covered by the document follows:
[Type of equipment, amount of each, AAR designation if any, identifying marks, road or serial numbers, etc., as outlined in 1177.3(d)(4).]
A fee of ______ is enclosed. Please return the original and any extra copies not needed by the Board for recordation to [party to whom documents should be returned].
A short summary of the document to appear in the index follows: [a short summary as described in 1177.4(a).).
Very truly yours,
[signature of an executive officer of one of the parties, their attorney, or representative in fact.]
Title 49 published on 2012-10-01
no entries appear in the Federal Register after this date.