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			<td colspan="2" style="vertical-align: middle; width: 50%;"><span style="font-weight:600;"><span style="font-family: ITCAvantGardePro; font-size: 12px;">Charges Forfaitaires :</span></span></td>
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			<td style="vertical-align: middle; width: 50%;">{% checkbox_tag name=&quot;a3c7cffc&quot; data_label=&quot;Forfait de charges&quot; data_help=&quot;Forfait de charges&quot; data_ancien_ids=&quot;32316&quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&bull; Forfait de charges&nbsp; &nbsp; &nbsp; &nbsp;</span><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&bull; Montant du forfait de charges :</span></td>
			<td style="width: 50%;">{% textinput_tag name=&quot;e83f0051&quot; data_label=&quot;Montant du forfait de charges&quot; data_help=&quot;Montant du forfait de charges&quot; maxlength=&quot;45&quot; data_ancien_ids=&quot;32449&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Les charges sont &agrave; r&eacute;gler en m&ecirc;me temps que le loyer mensuel.</span></p>

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			<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">D&eacute;tail des charges forfaitaires :</span></p>

<p>{% checkbox_tag name=&quot;e47177f2&quot; data_label=&quot;Taxe d&#39;enl&egrave;vement des ordures m&eacute;nag&egrave;res&quot; data_help=&quot;taxe d&#39;enl&egrave;vement des ordures m&eacute;nag&egrave;res&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"> taxe d&#39;enl&egrave;vement des ordures m&eacute;nag&egrave;res,&nbsp; &nbsp; &nbsp;</span>{% checkbox_tag name=&quot;d06b02a4&quot; data_label=&quot;Eau chaude&quot; data_help=&quot;eau chaude&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"> eau chaude,&nbsp;</span>&nbsp; &nbsp; {% checkbox_tag name=&quot;2c80b04b&quot; data_label=&quot;Eau froide&quot; data_help=&quot;eau froide&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"> eau froide,&nbsp;</span>&nbsp; &nbsp;{% checkbox_tag name=&quot;dd0598eb&quot; data_label=&quot;Consommation&nbsp;&eacute;lectrique&quot; data_help=&quot;consommation&nbsp;&eacute;lectrique&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"> consommation&nbsp;&eacute;lectrique,&nbsp;</span></p>
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			<td>{% checkbox_tag name=&quot;ec000575&quot; data_label=&quot;Autre d&eacute;tail de charges forfaitaires&quot; data_help=&quot;autre d&eacute;tail de charges forfaitaires&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;autre :&nbsp;</span></td>
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			<td>{% textarea_tag name=&quot;ae29ed50&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Autre d&eacute;tail de charges forfaitaires&quot; data_help=&quot;autre d&eacute;tail de charges forfaitaires&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;">&bull; Modalit&eacute;s de r&eacute;vision du forfait de charges. Le forfait de charges fera l&rsquo;objet d&rsquo;une r&eacute;vision annuelle dans les m&ecirc;mes conditions que le loyer principal tel que pr&eacute;vu &agrave; la clause &sect; &quot;condition financi&egrave;re&quot;&nbsp;A 2&deg; &laquo;Modalit&eacute;s de r&eacute;vision&raquo;, soit :</span></p>

<p style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Date de r&eacute;vision :&nbsp;</span>{% dateinput_tag name=&quot;2da68347&quot; data_label=&quot;Date de r&eacute;vision&quot; data_help=&quot;Date de r&eacute;vision du loyer&quot; data_ancien_ids=&quot;32234&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</p>

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			<td style="vertical-align: bottom; width: 40%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Date ou trimestre de r&eacute;f&eacute;rence de l&rsquo;IRL :</span></td>
			<td style="width: 60%; vertical-align: bottom;">{% textinput_tag name=&quot;934aefab&quot; data_label=&quot;Date de r&eacute;f&eacute;rence de l&#39;IRL&quot; data_help=&quot;Date de r&eacute;f&eacute;rence de l&#39;IRL&quot; maxlength=&quot;60&quot; data_ancien_ids=&quot;32182&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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