An affixation affidavit must provide

(1) the name of the manufacturer, the make, the model name, the model year, the dimensions, and the manufacturer's serial number of the manufactured home;

(2) whether the manufactured home is new or used;

(3) a statement that the person executing the affidavit is

(A) the owner of the real property described in the affixation affidavit; or

(B) not the owner of the real property described in the affixation affidavit, and the person

(i) is in possession of the real property under a lease in recordable form that has a term that continues for at least 20 years after the date of execution of the affidavit; and

(ii) the lessor of the real property consents;

(4) if (3)(B)(ii) of this section applies, the consent of the lessor of the real property endorsed on or attached to the affidavit and acknowledged or proved in the manner required for the conveyance to be recorded;

(5) the street address and the legal description of the real property to which the manufactured home is or shall be permanently affixed;

(6) if the manufactured home is not covered by a certificate of title, a statement by the owner to that effect;

(7) an owner's statement under AS 34.85.070;

(8) a statement whether or not the manufactured home is subject to a lien or encumbrance;

(9) if the manufactured home is subject to a lien or encumbrance, a statement giving the name and address of each person who holds a lien or encumbrance on the manufactured home, including each holder of a lien or encumbrance shown on a certificate of title issued by the department, the original principal amount secured by each lien and encumbrance, and a statement that

(A) the lien or encumbrance shall be released; or

(B) each lien or encumbrance on the manufactured home has been released and proof of the release;

(10) if the manufactured home is not covered by a manufacturer's certificate of origin or a certificate of title, a statement by the owner of the manufactured home that the manufactured home is not covered by a manufacturer's certificate of origin or a certificate of title and that the owner of the manufactured home will apply to the department under AS 28.10.264;

(11) a statement that the manufactured home is or will be permanently affixed to the real property; and

(12) the name and address of a person designated for filing the certified copy of the affixation affidavit with the department.