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			<p><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">ENGAGEMENT DE CAUTIONNEMENT</span></p>

<p style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Apr&egrave;s avoir re&ccedil;u toute information sur la nature et l&#39;&eacute;tendue des obligations que je contracte,&nbsp;je&nbsp;soussign&eacute;, (nom, pr&eacute;nom)</span></p>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% textarea_tag name=&quot;bc454fcb&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Nom pr&eacute;nom du cautionnaire&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Nom pr&eacute;nom du cautionnaire&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</span></td>
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<ul>
	<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">D&eacute;clare avoir conscience d&rsquo;engager mes biens et revenus personnels par les pr&eacute;sentes ;</span></li>
	<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">D&eacute;clare me porter caution solidaire, sans b&eacute;n&eacute;fice de division ni de discussion, du r&egrave;glement :</span>
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		<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">des loyers et des charges</span></li>
		<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">des imp&ocirc;ts et taxes&nbsp;</span></li>
		<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">des r&eacute;parations locatives</span></li>
		<li style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">des indemnit&eacute;s d&rsquo;occupation &eacute;ventuellement dues apr&egrave;s la r&eacute;siliation du bail de toutes autres indemnit&eacute;s tels des dommages et int&eacute;r&ecirc;ts</span></li>
		<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">de tous int&eacute;r&ecirc;ts&nbsp;dus par <em>(Nom(s), pr&eacute;nom(s),&nbsp;date et lieu de naissance du ou des locataire(s))</em> :&nbsp;</span></li>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% textarea_tag name=&quot;a3f0165c&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Nom(s), pr&eacute;nom(s), date et lieu de naissance du ou des locataire(s)&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</span></td>
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			<td colspan="2" style="vertical-align: middle; width: 15%; text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Pour un montant maximum correspondant &agrave; neuf ans de loyers charges comprises tels que fix&eacute;s dans le bail, et ce, m&ecirc;me en cas de changement de&nbsp;bailleur,&nbsp;en vertu du bail dont la signature aura lieu post&eacute;rieurement, pour lequel un exemplaire me sera transmis et dont les principales caract&eacute;ristiques sont &eacute;num&eacute;r&eacute;es ci-apr&egrave;s :</span></td>
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			<td style="vertical-align: middle; width: 15%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Dur&eacute;e du bail en ann&eacute;e :</span></td>
			<td style="width: 45%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% textinput_tag name=&quot;225993d8&quot; data_label=&quot;Dur&eacute;e&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Dur&eacute;e&quot; maxlength=&quot;45&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</span></td>
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			<td style="vertical-align: bottom; width: 15%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&agrave; compter du</span></td>
			<td style="width: 15%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% dateinput_tag name=&quot;703a0cd6&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;Date d&#39;entree&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Date d&#39;entree&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</span></td>
			<td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">pour les locaux situ&eacute;s dans l&#39;immeuble sis &agrave;</span></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% textarea_tag name=&quot;4ccb7480&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Adresse du bien lou&eacute;&quot; data_map_field=&quot;full_address&quot; data_help=&quot;Adresse du bien lou&eacute;&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</span></td>
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				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Ai not&eacute; que :</span></li>
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				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">le montant repr&eacute;sentant pour la premi&egrave;re ann&eacute;e un loyer<strong> hors charges</strong> de &euro; (en lettres et en chiffres)&nbsp;</span></li>
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			<td style="vertical-align: middle; width: 50%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% textarea_tag name=&quot;3ced8a68&quot; data_label=&quot;Premi&egrave;re ann&eacute;e de loyer hors charges en chiffre et en lettre&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Premi&egrave;re ann&eacute;e de loyer en chiffre et lettre&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</span></td>
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				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">le montant initial du loyer <strong>hors charges</strong> mensuel s&rsquo;&eacute;l&egrave;ve &agrave; &euro; (en lettres et en chiffres)&nbsp;</span></li>
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			<td style="vertical-align: middle; width: 50%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% textarea_tag name=&quot;5f578195&quot; data_label=&quot;Montant initial du loyer hors charges en chiffre et en lettre&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Montant initial du loyer en chiffre et lettre&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</span></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% radio_tag name=&quot;ee794b5a&quot; data_map_field=&quot;nomap&quot; data_help=&quot;provision ou forfait&quot; data_choices=&quot;La provision|la provision; Le forfait|le forfait;&quot; %}</span></td>
			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;mensuel(le) de charges locatives (1)&nbsp;s&#39;&eacute;l&egrave;vent &agrave; &euro; (en lettres et en chiffres) :</span></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% textarea_tag name=&quot;5d04de48&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Montant des charges locatives&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Montant des charges locatives&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</span></td>
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			<td><span style="font-family: ITCAvantGardePro; font-size: 12px;">Les charges locatives et le loyer&nbsp;(1) &eacute;tant payables par :</span></td>
			<td><span style="font-family: ITCAvantGardePro; font-size: 12px;">{% radio_tag name=&quot;4c69ac57&quot; data_label=&quot;Mois ou trimestre&quot; data_map_field=&quot;nomap&quot; data_help=&quot;mois ou trimestre&quot; data_choices=&quot;mois|mois; trimestre|trimestre;&quot; %}</span></td>
			<td><span class="titre_p" style="font-family: ITCAvantGardePro; font-size: 12px;">-</span></td>
			<td><span class="titre_p" style="font-family: ITCAvantGardePro; font-size: 12px;">{% radio_tag name=&quot;af061de9&quot; data_label=&quot;&nbsp;&Eacute;choir ou a terme &eacute;chu&quot; data_map_field=&quot;nomap&quot; data_help=&quot;&agrave; &eacute;choir ou a terme &eacute;chu&quot; data_choices=&quot;&agrave; &eacute;choir|&agrave; echoir; &agrave; terme &eacute;chu|&agrave; terme echu;&quot; %}</span></td>
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			<td colspan="2" style="vertical-align: middle; width: 15%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Le loyer est r&eacute;vis&eacute; chaque ann&eacute;e selon les modalit&eacute;s pr&eacute;vues au bail :</span></td>
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			<td style="vertical-align: middle; width: 15%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Date de r&eacute;vision :</span></td>
			<td style="width: 85%;">{% textinput_tag name=&quot;e2964578&quot; data_label=&quot;Date de r&eacute;vision&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Date de r&eacute;vision&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: middle; width: 35%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Date ou trimestre de r&eacute;f&eacute;rence de l&rsquo;IRL&nbsp;:</span></td>
			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% textinput_tag name=&quot;b47465f5&quot; data_label=&quot;Date ou trimestre de r&eacute;f&eacute;rence&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Date ou trimestre de r&eacute;f&eacute;rence&quot; maxlength=&quot;70&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</span></td>
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