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<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
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			<td><span style="color:#013ca6;"><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">CONDITIONS DU CONTRAT DE LOCATION</span></span></td>
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			<td><span style="color:#013ca6;"><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;"><span style="font-weight:600;"><span style="font-size: 12px;">Bailleur(s) :</span></span></span></span></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Nom et pr&eacute;nom :</span></td>
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			<td>{%&nbsp;textarea_tag name=&quot;087a9c2a&quot;&nbsp;data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Nom et pr&eacute;nom du bailleur&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Nom et pr&eacute;nom du bailleur&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="width: 68%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Adresse :</span></td>
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			<td style="width: 68%;">{% textarea_tag name=&quot;559e227d&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Adresse du bailleur&quot; data_map_field=&quot;adresse&quot; data_help=&quot;Domicile du bailleur&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td><span style="color:#013ca6;"><span style="font-weight:600;"><span style="font-family: ITCAvantGardePro; font-size: 12px;">Colocataires :</span></span></span></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Noms et pr&eacute;noms :</span></td>
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			<td>{% textinput_tag name=&quot;d9e68f9f&quot; data_label=&quot;Noms et pr&eacute;noms des colocataires&quot; data_map_field=&quot;nomap&quot; maxlength=&quot;100&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: middle; width: 15%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Bail en date du :</span></td>
			<td style="vertical-align: middle;">{% dateinput_tag name=&quot;a501e3db&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;Date 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: middle; width: 11%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&agrave; effet du :</span></td>
			<td style="vertical-align: middle;">{% dateinput_tag name=&quot;f7d60ac0&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;Date de prise d&#39;effet du bail&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Date de d&eacute;but&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: middle; width: 23%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">conclu pour une dur&eacute;e de :</span></td>
			<td style="vertical-align: middle;">{% textinput_tag name=&quot;39693a80&quot; data_label=&quot;Dur&eacute;e du bail&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Dur&eacute;e du bail&quot; maxlength=&quot;30&quot; data_ancien_ids=&quot;23129&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;">Adresse du bien lou&eacute; :</span></td>
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			<td>{% textarea_tag name=&quot;4a4e54bf&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_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;">Montant du loyer mensuel en principal en Euros (en lettres) :</span></td>
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			<td>{% textarea_tag name=&quot;67d35bc2&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Montant du loyer mensuel en lettres&quot; data_map_field=&quot;rent_price&quot; data_help=&quot;Montant du loyer mensuel hors charge&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="width: 50%; vertical-align: middle;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Montant du loyer mensuel en principal en Euros (en chiffres) :</span></td>
			<td>{% textinput_tag name=&quot;097100cd&quot; data_label=&quot;Montant mensuel en principal du loyer en chiffres&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Montant mensuel en principal du loyer en chiffres&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: middle; width: 30%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">R&eacute;vision annuelle de loyer fix&eacute;e le :</span></td>
			<td style="width: 10%;">{% textinput_tag name=&quot;ef34f3ce&quot; placeholder=&quot;JJ/MM&quot; data_label=&quot;Date de r&eacute;vision du loyer&quot; data_map_field=&quot;nomap&quot; maxlength=&quot;10&quot; style=&quot;max-width:70px;min-width:70px;width:70px;&quot; fixedwidth=&quot;70&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: middle; width: 60%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;en fonction de la variation de l&#39;indice de r&eacute;f&eacute;rence des loyers (IRL)</span></td>
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			<td style="vertical-align: bottom; width: 17%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">sur la base du&nbsp;</span></td>
			<td>{% textinput_tag name=&quot;fab4ddb4&quot; data_label=&quot;Trimestre de r&eacute;f&eacute;rence de l&#39;IRL&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Trimestre de r&eacute;f&eacute;rence de l&#39;IRL&quot; maxlength=&quot;60&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;">&nbsp;trimestre</span></td>
			<td>{% numberinput_tag name=&quot;55ba75fb&quot; data_label=&quot;ann&eacute;e de l&#39;indice de r&eacute;f&eacute;rence de l&#39;IRL&quot; data_map_field=&quot;nomap&quot; maxlength=&quot;20&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;">(ann&eacute;e).</span></td>
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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Montant de la provision mensuelle sur charges ou du forfait en Euros (en lettres) :</span></td>
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			<td>{% textarea_tag name=&quot;70ab2baa&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Montant de la provision mensuelle sur charges ou du forfait en lettres&quot; data_map_field=&quot;provisions_charges_price&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="width: 65%; vertical-align: middle;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Montant de la provision mensuelle sur charges ou du forfait en Euros (en chiffres) :</span></td>
			<td>{% textinput_tag name=&quot;c3648e73&quot; data_label=&quot;Montant mensuel en principal de la provision sur charges ou du forfait en chiffres&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Montant mensuel en principal de la provision sur charges ou du forfait en chiffres&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;">Montant du d&eacute;p&ocirc;t de garantie en Euros (en lettres) :</span></td>
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			<td>{% textarea_tag name=&quot;82f4b9e1&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Montant du d&eacute;p&ocirc;t de garantie en lettres&quot; data_map_field=&quot;security_deposit_price&quot; data_help=&quot;Montant du d&eacute;p&ocirc;t de garantie &quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="width: 50%; vertical-align: middle;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Montant du d&eacute;p&ocirc;t de garantie en Euros (en chiffres) :</span></td>
			<td>{% textinput_tag name=&quot;47d28f0a&quot; data_label=&quot;Montant du d&eacute;p&ocirc;t de garantie en chiffres&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Montant du d&eacute;p&ocirc;t de garantie en chiffres&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;">Le montant maximum garanti par le garant correspondant &agrave;&nbsp;3 ann&eacute;es&nbsp;de loyers charges comprises&nbsp;en Euros (en lettres) :</span></td>
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			<td>{% textinput_tag name=&quot;e07ef803&quot; data_label=&quot;montant maximum garanti par le garant 3 ann&eacute;es&nbsp;de loyers charges comprises en lettres et en chiffres&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;">Le montant maximum garanti par le garant correspondant &agrave;&nbsp;3 ann&eacute;es&nbsp;de loyers charges comprises&nbsp;en Euros (en chiffres) :</span></td>
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			<td>{% textinput_tag name=&quot;47d28f0b&quot; data_label=&quot;montant maximum garanti par le garant 3 ann&eacute;es&nbsp;de loyers charges comprises en chiffres&quot; data_map_field=&quot;nomap&quot; data_help=&quot;montant maximum garanti par le garant 3 ann&eacute;es&nbsp;de loyers charges comprises en chiffres&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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