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

<p style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Le loyer est payable d&#39;avance au plus tard le 5&egrave;me jour ouvrable de chaque mois par ordre permanent :</span></p>

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			<td style="width: 35%; vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><strong>Loyer mensuel</strong>&nbsp;<em>(en chiffres et en lettres)</em> :</span></td>
			<td style="width: 70%;">
			<p>{% textinput_tag name=&quot;b39ba32b&quot; data_map_field=&quot;rent_price&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</p>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Titulaire compte</span></td>
			<td>{% textinput_tag name=&quot;cfc7c84b&quot; data_label=&quot;nom titulaire compte pour versement du loyer&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">IBAN</span></td>
			<td>{% textinput_tag name=&quot;ffbec222&quot; data_label=&quot;IBAN compte pour versement du loyer&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Swift CODE</span></td>
			<td>{% textinput_tag name=&quot;504a9bd8&quot; data_label=&quot;Swift CODE compte pour versement du loyer&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Si le contrat de bail prend effet en cours de mois, pour la p&eacute;riode du</span></td>
			<td>{% dateinput_tag name=&quot;0e13d0ab&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;date de la prise d&#39;effet du bail&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">au</span></td>
			<td>{% dateinput_tag name=&quot;fd608d8d&quot; data_label=&quot;date de la fin du mois pour le 1er mois de loyer&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: bottom;"><meta charset="utf-8" /><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">le montant du loyer </span></td>
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			<td style="vertical-align: bottom; width: 42%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">au prorata &agrave; verser&nbsp;par le Locataire au Bailleur est de</span></td>
			<td>{% textinput_tag name=&quot;239ac1d7&quot; data_label=&quot;montant du premier loyer &agrave; verser au prorata en chiffres et en lettres&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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<p><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">&nbsp;CHARGES LOCATIVES</span></p>

<p style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Le Locataire s&rsquo;engage &agrave; prendre &agrave; sa charge tous les frais de fonctionnements de la maison dus pendant la p&eacute;riode d&rsquo;occupation des lieux, notamment :</span></p>

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			<td style="width: 30%;"><span style="font-size:14px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"><span class="titre_p"><strong>Consommation Individuelle :</strong></span></span></span></td>
			<td>&nbsp;</td>
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			<td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Eau&nbsp;</span></td>
			<td>{% textinput_tag name=&quot;c2f28db0&quot; data_label=&quot;consommation d&#39;eau &agrave; la charge du locataire&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Mazout / Gaz / Palletts</span></td>
			<td>{% textinput_tag name=&quot;1356e1b4&quot; data_label=&quot;consommation de Mazout / Gaz / Palletts &agrave; la charge du locataire&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Electricit&eacute;</span></td>
			<td>{% textinput_tag name=&quot;cf8dc3e1&quot; data_label=&quot;consommation d&#39;Electricit&eacute; &agrave; la charge du locataire&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Internet / T&eacute;l&eacute;phone/ T&eacute;l&eacute;</span></td>
			<td>{% textinput_tag name=&quot;5c04092e&quot; data_label=&quot;consommation d&#39;Internet / T&eacute;l&eacute;phone/ T&eacute;l&eacute; &agrave; la charge du locataire&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Poubelles (ordures, papier, verres, bio)</span></td>
			<td>{% textinput_tag name=&quot;af0ff002&quot; data_label=&quot;consommation de Poubelles (ordures, papier, verres, bio) &agrave; la charge du locataire&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="width: 30%;"><span style="font-family:ITCAvantGardePro;"><strong><span style="font-size:14px;"><span style="font-weight: 200;">Frais d&#39;entretien annuel et autres :</span></span></strong></span></td>
			<td style="width: 20%;">&nbsp;</td>
			<td style="width: 25%; vertical-align: bottom;">&nbsp;</td>
			<td style="width: 20%;">&nbsp;</td>
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			<td style="width: 35%; vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Chaudi&egrave;re / Syst&egrave;me de chauffage</span></td>
			<td>{% textinput_tag name=&quot;23b571be&quot; data_label=&quot;consommation de Chaudi&egrave;re / Syst&egrave;me de chauffage &agrave; la charge du locataire&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="width: 25%; vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Jardin et ses alentours</span></td>
			<td style="width: 20%;">{% textinput_tag name=&quot;e93f48cd&quot; data_label=&quot;consommation de Jardin et ses alentours &agrave; la charge du locataire&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Ramonage chemin&eacute;es</span></td>
			<td>{% textinput_tag name=&quot;4a459ca3&quot; data_label=&quot;consommation de Ramonage chemin&eacute;es &agrave; la charge du locataire&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="width: 25%; vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Filtre &agrave; eaux</span></td>
			<td style="width: 20%;">{% textinput_tag name=&quot;1885b251&quot; data_label=&quot;consommation de Filtre &agrave; eaux &agrave; la charge du locataire&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Remplacement des filtres (hotte, VMC, ventilations&hellip;)</span></td>
			<td>{% textinput_tag name=&quot;1142edac&quot; data_label=&quot;consommation de Remplacement des filtres &agrave; la charge du locataire&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="width: 25%; vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Sel d&eacute;tartrage</span></td>
			<td style="width: 20%;">{% textinput_tag name=&quot;f7a59de9&quot; data_label=&quot;consommation de Sel d&eacute;tartrage &agrave; la charge du locataire&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Contr&ocirc;le des d&eacute;tecteurs de fum&eacute;e</span></td>
			<td>{% textinput_tag name=&quot;36dabd06&quot; data_label=&quot;consommation de Contr&ocirc;le des d&eacute;tecteurs de fum&eacute;e &agrave; la charge du locataire&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="width: 25%; vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Autre :</span></td>
			<td style="width: 20%;">{% textinput_tag name=&quot;36eb6842&quot; data_label=&quot;autre consommation &agrave; la charge du locataire&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Canalisation et tuyauterie</span></td>
			<td>{% textinput_tag name=&quot;032c8884&quot; data_label=&quot;consommation de canalisation et tuyauterie &agrave; la charge du locataire&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="width: 25%; vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Autre :</span></td>
			<td style="width: 20%;">{% textinput_tag name=&quot;c7f08037&quot; data_label=&quot;autre consommation 2 &agrave; la charge du locataire&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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<p style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Les taxes de canalisation, &eacute;gouts, d&rsquo;eau, d&#39;enl&egrave;vement des d&eacute;chets sont &eacute;galement &agrave; la charge du Locataire. L&#39;imp&ocirc;t foncier et tous autres imp&ocirc;ts et taxes relatives &agrave; la propri&eacute;t&eacute; sont toujours &agrave; charge du Bailleur, conform&eacute;ment aux dispositions l&eacute;gales.<br />
Conform&eacute;ment aux dispositions l&eacute;gales, le Locataire paiera en sus du loyer une avance mensuelle de<em> (en chiffres et en lettres) :</em></span></p>

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			<td style="width: 70%;">{% textinput_tag name=&quot;68f03554&quot; data_label=&quot;montant de l&#39;avance mensuelle des charges en chiffres et en lettres&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">pour le paiement desdites charges.&nbsp;</span></td>
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<p style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Ces avances ne constituent pas un forfait et au minimum une fois par an, les frais feront l&rsquo;objet d&rsquo;un d&eacute;compte d&eacute;finitif pr&eacute;cis et d&eacute;taill&eacute; qui sera pr&eacute;sent&eacute; au Locataire.&nbsp;<br />
Le Bailleur communiquera au Locataire toutes pi&egrave;ces justificatives sur base desquelles le d&eacute;compte a &eacute;t&eacute; &eacute;tabli. &nbsp;<br />
En cas de r&eacute;siliation du pr&eacute;sent contrat de bail, le Bailleur devra, dans les 6 (six) mois suivant la fin du pr&eacute;sent contrat de bail (dans la mesure du possible), pr&eacute;senter au Locataire le d&eacute;compte d&eacute;finitif relatif aux charges. Si le Locataire souhaite un d&eacute;compte plus rapide, des frais de gestions pourront lui &ecirc;tre imput&eacute;s.</span></p>

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			<td style="vertical-align: bottom; width: 65%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Si le contrat de bail prend effet en cours de mois, pour la p&eacute;riode du</span></td>
			<td style="vertical-align: bottom; width: 8%;">{% dateinput_tag name=&quot;0e13d0ab&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;date de la prise d&#39;effet du bail&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: bottom; width: 2%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">au</span></td>
			<td style="width: 8%; vertical-align: bottom;">{% dateinput_tag name=&quot;fd608d8d&quot; data_label=&quot;date de la fin du mois pour le 1er mois de loyer&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: bottom; width: 17%;"><meta charset="utf-8" /><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">l&#39;avance mensuelle </span></td>
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			<td style="width: 65%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">des charges &agrave; verser par le locataire au Bailleur est de <em>(en chiffres et en lettres)</em>&nbsp; :</span></td>
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			<td style="width: 65%;">{% textinput_tag name=&quot;764dacc9&quot; data_label=&quot;montant de l&#39;avance des charges au prorata pour le 1er mois en chiffres et en lettres&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="width: 38%; vertical-align: bottom;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Ledit montant devra &ecirc;tre vers&eacute; au plus tard le</span></td>
			<td>{% dateinput_tag name=&quot;9e63aae3&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;date du versement de la 1&egrave;re avance sur charges&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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