(a) At the time of release of a new manufactured home, mobilehome, or commercial coach to any person, the manufacturer shall prepare a certificate of origin, in quadruplicate, on numbered forms prepared by the department which shall contain all of the following:

1. (1) The name and address of the manufacturer or fabricator.
2. (2) The manufacturer’s identification number.
3. (3) The trade name of the manufactured home, mobilehome, or commercial coach.
4. (4) The model name or number of the manufactured home, mobilehome, or commercial coach.
5. (5) The shipping weight of the unit or separate sections of the unit in the case of multisection manufactured homes, mobilehomes, or commercial coaches.
6. (6) The length and width of the unit or separate sections of the unit in the case of multisection manufactured homes, mobilehomes, or commercial coaches.
7. (7) The serial number of the unit or separate sections of the unit in the case of multisection manufactured homes, mobilehomes, or commercial coaches.
8. (8) The date of manufacture.
9. (9) The United States Department of Housing and Urban Development label number or department insignia number affixed to the unit or separate sections of the unit in the case of multisection manufactured homes, mobilehomes, or commercial coaches, as applicable.
10. (10) The date that the ownership was transferred from the manufacturer or fabricator and to whom the ownership is transferred.
11. (11) A certification of facts signed by a responsible agent of the manufacturer or fabricator.
12. (12) The name and business address of any person known to the manufacturer or fabricator who, as to the purchaser, has a purchase money security interest in the manufactured home, mobilehome, commercial coach, or truck camper as contemplated by Section 9103 of the Commercial Code.
13. (13) Any other information as the department may reasonably require.

(b) The manufacturer or fabricator shall forward the original and duplicate copies of the certificate of origin by first-class mail as follows:

1. (1) The original shall be forwarded to the purchase money creditor unless there is none in which event the original shall be forwarded to the purchaser.
2. (2) The first copy shall be forwarded to the department at the address printed on the form.
3. (3) The second copy shall accompany the manufactured home, mobilehome, or commercial coach to its destination.
4. (4) The third copy shall be retained by the manufacturer or fabricator for its permanent records.