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<table border="0" cellpadding="1" cellspacing="5" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 24%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Ann&eacute;e de construction :</span></td>
			<td>{% textinput_tag name=&quot;2f552fa4&quot; data_label=&quot;Ann&eacute;e de construction&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Ann&eacute;e de construction&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 24%;">
			<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Surface habitable en m<sup>2</sup>:</span></p>
			</td>
			<td style="width: 80%;">{% textinput_tag name=&quot;7613c61e&quot; data_label=&quot;Surface habitable&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Surface habitable&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 24%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Taxe Fonci&egrave;re par an :</span></td>
			<td style="width: 80%;">{% textinput_tag name=&quot;89a6d2c7&quot; data_label=&quot;Taxe fonci&egrave;re&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Taxe fonci&egrave;re&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 24%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Surface en m<sup>2</sup> :&nbsp;</span></td>
			<td style="width: 80%;">{% textinput_tag name=&quot;09c61546&quot; data_label=&quot;Surface annexe&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Surface annexe&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
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			<td style="vertical-align: middle; width: 24%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Passeport &eacute;nerg&eacute;tique (CPE) :</span></td>
			<td style="vertical-align: middle; width: 80%;">{% textinput_tag name=&quot;1c2722d5&quot; data_label=&quot;Passeport &eacute;nerg&eacute;tique (CPE)&quot; data_map_field=&quot;nomap&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 24%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><b>Autre :</b></span></td>
			<td style="vertical-align: middle; width: 80%;">{% textinput_tag name=&quot;594a986d&quot; data_label=&quot;Autre&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Autre&quot; maxlength=&quot;80&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="1" cellspacing="1" style="width:100%;">
	<tbody>
		<tr>
			<td style="width: 75%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p" style="font-size: 18px; font-weight: 900;">La copropri&eacute;t&eacute; est-elle g&eacute;r&eacute;e par un syndic ?</span>&nbsp;</span></td>
			<td style="text-align: right; width: 20%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% radio_tag name=&quot;72391846&quot; data_label=&quot;Syndic&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Syndic&quot; data_choices=&quot;OUI|oui; NON|non; *NC|non communiqu&eacute; non concern&eacute;;&quot; %}</span>&nbsp;</td>
		</tr>
	</tbody>
</table>

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