The form of the collateral list and a supplement for mobile or manufactured homes must be substantially as follows:
Collateral List For __________________________ County
Lienholder: ______________________________________
Address for Notice: _______________________________
Date: ________________________
Name(s) of Owner(s): Address of Home: _______________
Other Address of Owner(s): _______________________
Zip Code: ___________________
Year of Home: _______________
Make/Model: _________________
Size of Home: _______________
Full Serial Number: ____________.