A ground rent agreement, made pursuant to this chapter, may be incorporated into the deed, ground lease, or other instrument of transfer in the following form: 
 This deed is subject to annual ground rent or charge as follows: 
 1.  Date of agreement; 
 2.  Parties: 
 Obligor — 
 Obligee —; 
 3.  Ground rent and any future adjustments to it; 
 4.  When payable; 
 5.  Duration; 
 6.  Redemption price, if agreed on.