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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p" style="font-size: 18px; font-weight: 900;">&Eacute;l&eacute;ments&nbsp;juridiques</span><br />
			Origine de propri&eacute;t&eacute; :&nbsp;</span></td>
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			<td>{% textarea_tag name=&quot;39f2c1c3&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Origine de propri&eacute;t&eacute;&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Origine de propri&eacute;t&eacute;&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;">Servitudes :</span></td>
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			<td>{% textarea_tag name=&quot;b231c55e&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Servitudes&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Servitudes&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;">Assurances (dommages-ouvrage,...) :</span></td>
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			<td>{% textarea_tag name=&quot;eae6209c&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Assurances&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Assurances&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;">Si oui, pr&eacute;ciser l&#39;objet du litige :</span></td>
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			<td>{% textarea_tag name=&quot;ab1db864&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Objet du litige&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Objet du litige&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;">Trace ou pr&eacute;sence de termites et insectes xylophages</span></td>
			<td style="text-align: right;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% radio_tag name=&quot;d0368f79&quot; data_label=&quot;Trace ou pr&eacute;sence de termites et insectes xylophages&quot; data_map_field=&quot;nomap&quot; data_choices=&quot;OUI|oui; NON|non; *NC|non communiqu&eacute; non concern&eacute;;&quot; %}</span></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Pr&eacute;sence d&#39;un risque de champignons lignivores dans votre bien ou &agrave; proximit&eacute; (m&eacute;rule, ...)</span></td>
			<td style="text-align: right;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% radio_tag name=&quot;46f5296a&quot; data_label=&quot;Pr&eacute;sence d&#39;un risque de champignons lignivores dans votre bien ou &agrave; proximit&eacute; (m&eacute;rule, ...)&quot; data_map_field=&quot;nomap&quot; data_choices=&quot;OUI|oui; NON|non; *NC|non communiqu&eacute; non concern&eacute;;&quot; %}</span></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Le bien a-t-il fait l&#39;objet d&#39;indemnisation apr&egrave;s un &eacute;v&egrave;nement reconnu comme catastrophe naturelle ?</span></td>
			<td style="text-align: right;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% radio_tag name=&quot;a504b7d5&quot; data_label=&quot;indemnisations apr&egrave;s une catastrophe naturelle&quot; data_map_field=&quot;nomap&quot; data_help=&quot;apr&egrave;s 1982&quot; data_choices=&quot;OUI|oui; NON|non; *NC|non communiqu&eacute; non concern&eacute;;&quot; %}</span></td>
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