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<table border="0" cellpadding="1" cellspacing="1" style="width:100%;">
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			<td colspan="2" style="width: 10%; vertical-align: middle;"><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">CONDITIONS DE LA LOCATION</span><br />
			<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span style="font-weight:900;">Loyer mensuel :</span></span></td>
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			<td style="width: 10%; vertical-align: middle;">
			<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&bull; montant :</span></p>
			</td>
			<td style="width: 90%;">{% textinput_tag name=&quot;8161e2ff&quot; data_label=&quot;Montant du loyer mensuel&quot; data_map_field=&quot;rent_price&quot; data_help=&quot;Montant du loyer mensuel&quot; maxlength=&quot;90&quot; data_ancien_ids=&quot;9374&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
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			<td style="width: 10%; vertical-align: middle;">
			<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&bull; r&eacute;vision :</span></p>
			</td>
			<td style="width: 90%;">{% textinput_tag name=&quot;75b64ada&quot; data_label=&quot;R&eacute;vision du loyer&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;R&eacute;vision du loyer&quot; maxlength=&quot;90&quot; data_ancien_ids=&quot;9398&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%;">
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			<td style="width: 48%; vertical-align: middle;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&bull; indice de r&eacute;f&eacute;rence (selon la date de signature du bail) :</span></td>
			<td style="width: 52%;">{% textinput_tag name=&quot;ae1fa07e&quot; data_label=&quot;Indice de r&eacute;f&eacute;rence&quot; data_map_field=&quot;nomap&quot; maxlength=&quot;50&quot; data_ancien_ids=&quot;9516&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="2" cellspacing="2" style="width: 100%;">
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			<td><span style="font-family: ITCAvantGardePro; font-size: 12px;"><span style="font-weight:900;">Charges :</span><br />
			&bull; Une provision mensuelle avec r&eacute;gularisation annuelle, d&rsquo;un montant de :</span></td>
		</tr>
		<tr>
			<td>{% textarea_tag name=&quot;5ca96a48&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Provision mensuelle de charges&quot; data_map_field=&quot;provisions_charges_price&quot; data_help=&quot;Provision mensuelle&quot; data_ancien_ids=&quot;10017&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="2" cellspacing="2" style="width: 100%;">
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			<td><span style="font-family: ITCAvantGardePro; font-size: 12px;">&bull; Un forfait de charges d&rsquo;un montant de :</span></td>
		</tr>
		<tr>
			<td>{% textarea_tag name=&quot;aac3dc1e&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Forfait de charges&quot; data_map_field=&quot;fixed_charges_price&quot; data_help=&quot;Forfait de charges&quot; data_ancien_ids=&quot;9969&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
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</table>

<p style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Pour les baux soumis &agrave; la loi n&deg; 89-462 du 6/07/89, le forfait de charges n&rsquo;est autoris&eacute; qu&rsquo;en cas de logement lou&eacute; en meubl&eacute; ou &agrave; des colocataires.</span></p>

<table border="0" cellpadding="2" cellspacing="2">
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			<td colspan="3" style="width: 3%; vertical-align: middle;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span style="font-weight:900;">Jouissance :</span><br />
			&bull; Le mandant d&eacute;clare que les biens :</span></td>
		</tr>
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			<td style="width: 3%; vertical-align: middle;">{% checkbox_tag name=&quot;d0bd4cf1&quot; data_label=&quot;Les biens sont libres&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;Libre&quot; %}</td>
			<td style="vertical-align: middle; text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">sont libres&nbsp;de toute location, occupation, r&eacute;quisition ou pr&eacute;avis de r&eacute;quisition.</span></td>
			<td>&nbsp;</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 3%;">{% checkbox_tag name=&quot;5f89e609&quot; data_label=&quot;Les biens seront libres&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;Seront libres&quot; %}</td>
			<td style="vertical-align: middle; text-align: justify; width: 80%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">seront libres&nbsp;de toute location, occupation, r&eacute;quisition ou pr&eacute;avis de r&eacute;quisition&nbsp;le&nbsp;</span></td>
			<td style="width: 30%;">{% dateinput_tag name=&quot;9e92bfba&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;Libre le &quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;Libre le &quot; data_ancien_ids=&quot;10203&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp;</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="2" cellspacing="2">
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			<td style="width: 3%; vertical-align: middle;">{% checkbox_tag name=&quot;0ef2119e&quot; data_label=&quot;Les biens sont lou&eacute;s&quot; data_map_field=&quot;nomap&quot; %}</td>
			<td style="vertical-align: middle; width: 40%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">sont actuellement lou&eacute;s, reprise de gestion le&nbsp;</span></td>
			<td>{% dateinput_tag name=&quot;4e0a6fe4&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;Date de reprise de gestion&quot; data_map_field=&quot;nomap&quot;&nbsp;data_help=&quot;Date de reprise de gestion&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="1" cellspacing="1">
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			<td colspan="2" style="vertical-align: middle; width: 45%;"><span style="font-size:12px;"><span style="font-weight:900;"><span class="titre_p" style="font-family: ITCAvantGardePro;">En cas de logement occup&eacute; :&nbsp;</span></span></span></td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 45%;">
			<ul>
				<li><span style="font-family: ITCAvantGardePro; font-size: 12px;">Montant du loyer indiqu&eacute; au bail :</span></li>
			</ul>
			</td>
			<td style="width: 50%;">{% textinput_tag name=&quot;53b38007&quot; data_label=&quot;Montant du loyer indiqu&eacute; au bail&quot; data_map_field=&quot;rent_price_ref&quot; data_help=&quot;Montant du loyer indiqu&eacute; au bail&quot; maxlength=&quot;50&quot; data_ancien_ids=&quot;3904&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
		</tr>
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			<td style="vertical-align: middle; width: 48%;">
			<ul>
				<li><span style="font-family: ITCAvantGardePro; font-size: 12px;">Montant du loyer actuel :&nbsp;</span></li>
			</ul>
			</td>
			<td style="width: 50%;">{% textinput_tag name=&quot;904e1dbe&quot; data_label=&quot;Montant du loyer actuel&quot; data_map_field=&quot;rent_price&quot; data_help=&quot;Montant du loyer actuel&quot; maxlength=&quot;50&quot; data_ancien_ids=&quot;3709&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
		</tr>
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			<td style="vertical-align: middle; width: 50%;">
			<ul>
				<li><span style="font-family: ITCAvantGardePro; font-size: 12px;">Montant des charges appel&eacute;es en plus du loyer :</span></li>
			</ul>
			</td>
			<td style="width: 50%;">{% textinput_tag name=&quot;b286aad7&quot; data_label=&quot;Montant des charges en plus du loyer&quot; data_map_field=&quot;fixed_charges_price&quot; data_help=&quot;Montant des charges en plus du loyer&quot; maxlength=&quot;50&quot; data_ancien_ids=&quot;3757&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: middle; width: 50%;">
			<ul>
				<li><span style="font-family: ITCAvantGardePro; font-size: 12px;">Montant du dernier loyer pay&eacute; par le locataire pr&eacute;c&eacute;dent :&nbsp;</span></li>
			</ul>
			</td>
			<td style="width: 50%;">{% textinput_tag name=&quot;7015d24e&quot; data_label=&quot;Montant du dernier loyer pay&eacute; par le locataire&quot; data_map_field=&quot;last_rent_paid&quot; data_help=&quot;Montant du dernier loyer pay&eacute; par le locataire&quot; maxlength=&quot;50&quot; data_ancien_ids=&quot;3830&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
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			<ul>
				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Date du dernier&nbsp;versement du pr&eacute;c&eacute;dent locataire :&nbsp;{% dateinput_tag name=&quot;9cc5de64&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;Date de versement du dernier loyer&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Date de versement du dernier loyer&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</span></li>
			</ul>
			</td>
		</tr>
	</tbody>
</table>

<p style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><strong>LE MANDANT remet ce jour au MANDATAIRE une copie du bail en cours.</strong></span></p>

<p style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Par ailleurs, le propri&eacute;taire mandant d&eacute;clare que rien, et notamment aucune servitude, ne fait obstacle &agrave; une jouissance paisible des biens objet des pr&eacute;sentes.</span></p>

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