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Contenu

<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Deuxi&egrave;me bien visit&eacute; :</span></p>

<table border="0" cellpadding="1" cellspacing="1" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 45%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Type de bien :&nbsp;{% checkbox_tag name=&quot;133be97b&quot; data_label=&quot;Type de bien : Appartement&quot; data_help=&quot;Appartement&quot; %} Appartement&nbsp; &nbsp;{% checkbox_tag name=&quot;3a3036c1&quot; data_label=&quot;Maison individuelle&quot; data_help=&quot;Maison individuelle&quot; %} Maison individuelle&nbsp; &nbsp;{% checkbox_tag name=&quot;14143325&quot; data_label=&quot;Autre type de bien&quot; data_help=&quot;Autre type de bien&quot; %}</span></td>
			<td>{% textinput_tag name=&quot;481b83b9&quot; data_label=&quot;Autre type de bien&quot; data_help=&quot;Autre type de bien&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Adresse du bien :</span><br />
{% textarea_tag name=&quot;43158a17&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Adresse du bien visit&eacute;&quot; data_help=&quot;Adresse du bien visit&eacute;&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</p>

<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Troisi&egrave;me bien visit&eacute; :</span></p>

<table border="0" cellpadding="1" cellspacing="1" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 45%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Type de bien :&nbsp;{% checkbox_tag name=&quot;133be97c&quot; data_label=&quot;Type de bien : Appartement&quot; data_help=&quot;Appartement&quot; %} Appartement&nbsp; &nbsp;{% checkbox_tag name=&quot;3a3036c2&quot; data_label=&quot;Maison individuelle&quot; data_help=&quot;Maison individuelle&quot; %} Maison individuelle&nbsp; &nbsp;{% checkbox_tag name=&quot;14143326&quot; data_label=&quot;Autre type de bien&quot; data_help=&quot;Autre type de bien&quot; %}</span></td>
			<td>{% textinput_tag name=&quot;414e79de&quot; data_label=&quot;Autre type de bien&quot; data_help=&quot;Autre type de bien&quot; maxlength=&quot;50&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Adresse du bien :</span><br />
{% textarea_tag name=&quot;43158a16&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Adresse du bien visit&eacute;&quot; data_help=&quot;Adresse du bien visit&eacute;&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</p>

<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Biens suivants :</span></p>

<p>{% textarea_tag name=&quot;c518c16a&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Biens suivants&quot; data_help=&quot;indiquez pour chaques biens suivants le type de bien et l&#39;adresse&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</p>

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