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: ____________.
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