Admin - Plateforme Administration Editions Préference

Contient un/plusieurs signataires

Reprise des signataires

Peut etre dupliqué

Nombre maximum de block

Texte du bouton 'ajouter'

Texte du bouton 'supprimer'

Ce block contient un

Contenu

<table border="0" cellpadding="0" cellspacing="0" style="width:100%;">
	<tbody>
		<tr>
			<td>
			<table border="0" cellpadding="5" cellspacing="5" style="width: 100%;">
				<tbody>
					<tr>
						<td style="width: 7%;">&nbsp; 1 |</td>
						<td>Situation et 
						d&eacute;signation du bien</td>
					</tr>
				</tbody>
			</table>

&nbsp;

<table border="1" cellpadding="2" cellspacing="0" style="width:100%;">
				<tbody>
					<tr>
						<td style="padding: 5px; border-color: rgb(234, 211, 195); vertical-align: top;">
						Adresse&nbsp; 
						{% textarea_tag name=&quot;e57f51de&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Adresse du bien&quot; data_map_field=&quot;full_address&quot; data_help=&quot;Adresse du bien&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}
						</td>
					</tr>
				</tbody>
			</table>

<table border="1" cellpadding="2" cellspacing="0" style="width:100%;">
				<tbody>
					<tr>
						<td colspan="5" style="padding:5px;border-color: rgb(234, 211, 195);">D&eacute;signation succincte&nbsp;</td>
					</tr>
					<tr>
						<td style="padding: 5px; border-color: rgb(234, 211, 195); width: 33%;">Nb de pi&egrave;ces :&nbsp;{% textinput_tag name=&quot;305263ab&quot; data_label=&quot;Nb de pi&egrave;ces&quot; data_map_field=&quot;nb_room&quot; maxlength=&quot;10&quot; style=&quot;max-width:100px;min-width:100px;width:100px;&quot; fixedwidth=&quot;100&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
						<td colspan="2" style="padding: 5px; border-color: rgb(234, 211, 195); width: 33%;">&Eacute;tage : {% textinput_tag name=&quot;ec758394&quot; data_label=&quot;&eacute;tage&quot; data_map_field=&quot;floor&quot; maxlength=&quot;10&quot; style=&quot;max-width:100px;min-width:100px;width:100px;&quot; fixedwidth=&quot;100&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
						<td colspan="2" style="padding: 5px; border-color: rgb(234, 211, 195); width: 33%;">Lot n&deg; : {% textinput_tag name=&quot;f512b972&quot; data_label=&quot;Lot n&deg;&quot; data_map_field=&quot;parcel_numero&quot; maxlength=&quot;10&quot; style=&quot;max-width:100px;min-width:100px;width:100px;&quot; fixedwidth=&quot;100&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
					</tr>
					<tr>
						<td colspan="5" style="padding:5px;border-color: rgb(234, 211, 195);">{% textarea_tag name=&quot;ffac3124&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;D&eacute;signation succincte&quot; data_map_field=&quot;realty_name&quot; data_help=&quot;D&eacute;signation succincte&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
					</tr>
					<tr>
						<td colspan="2" rowspan="1" style="padding: 5px; border-color: rgb(234, 211, 195); width: 50%;">{% checkbox_tag name=&quot;a263537f&quot; data_label=&quot;Surface de vente&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Superficie loi Carrez &quot; %}&nbsp;Surface de vente&nbsp;{% textinput_tag name=&quot;ed0bee5c&quot; data_label=&quot;Surface de vente&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Surface de vente&quot; maxlength=&quot;7&quot; style=&quot;max-width:60px;min-width:60px;width:60px;&quot; fixedwidth=&quot;60&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %} m&sup2;</td>
						<td colspan="3" rowspan="1" style="padding: 5px; border-color: rgb(234, 211, 195); width: 50%;">{% checkbox_tag name=&quot;d1b440a8&quot; data_label=&quot;Surface r&eacute;serve&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Surface r&eacute;serve&quot; %}&nbsp;Surface r&eacute;serve&nbsp;{% textinput_tag name=&quot;c0f7e094&quot; data_label=&quot;Surface r&eacute;serve&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Surface r&eacute;serve&quot; maxlength=&quot;7&quot; style=&quot;max-width:60px;min-width:60px;width:60px;&quot; fixedwidth=&quot;60&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %} m&sup2;</td>
					</tr>
					<tr>
						<td colspan="5" style="padding:5px;border-color: rgb(234, 211, 195);">&Eacute;quipements d&rsquo;acc&egrave;s aux technologies de l&rsquo;information et de la communication :&nbsp;{% checkbox_tag name=&quot;1b00d1c2&quot; data_label=&quot;ADSL&quot; data_map_field=&quot;nomap&quot; %}&nbsp;ADSL&nbsp; &nbsp; {% checkbox_tag name=&quot;60c96ed8&quot; data_label=&quot;Fibre&quot; data_map_field=&quot;nomap&quot; %} Fibre</td>
					</tr>
					<tr>
						<td colspan="5" style="padding: 5px; border-color: rgb(234, 211, 195); text-align: justify;">D&eacute;claration du bailleur : le bien, objet des pr&eacute;sentes, a-t-il subi un sinistre ayant donn&eacute; lieu au versement d&rsquo;une indemnit&eacute; d&rsquo;assurance garantissant les risques de catastrophes naturelles ou technologiques, vis&eacute;es &agrave; l&rsquo;art. L 125-2 du Code des Assurances :&nbsp;{% radio_tag name=&quot;ab0c6591&quot; data_label=&quot;le bien a-t-il subi un sinistre ayant donn&eacute; lieu au versement d&rsquo;une indemnit&eacute; d&rsquo;assurance ?&quot; data_map_field=&quot;nomap&quot; data_choices=&quot;Oui|oui; Non|non;&quot; %}</td>
					</tr>
					<tr>
						<td colspan="5" style="padding:5px;border-color: rgb(234, 211, 195);">Local principal :&nbsp; {% radio_tag name=&quot;c24db33e&quot; data_label=&quot;Type de local&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Type de local&quot; data_choices=&quot;Appartement&nbsp; &nbsp;|Appartement; Maison&nbsp; &nbsp;|Maison; Local commercial&nbsp; &nbsp;|Local commercial;&quot; %}</td>
					</tr>
					<tr>
						<td colspan="5" style="padding:5px;border-color: rgb(234, 211, 195);">Usage :&nbsp; {% radio_tag name=&quot;4865ec05&quot; data_label=&quot;Usage&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Usage&quot; data_choices=&quot;Habitation&nbsp; &nbsp; |Habitation; Mixte&nbsp; &nbsp; |Mixte; Professionnel&nbsp; &nbsp; |Professionnel; Commercial&nbsp; &nbsp; |Commercial;&quot; %}</td>
					</tr>
					<tr>
						<td colspan="5" style="padding:5px;border-color: rgb(234, 211, 195);">Annexes :&nbsp; &nbsp;{% checkbox_tag name=&quot;0fcfa0bf&quot; data_label=&quot;Garage&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Garage&quot; %} Garage n&deg; {% textinput_tag name=&quot;a4138xab&quot; data_label=&quot;n&deg; garage&quot; data_map_field=&quot;nomap&quot; data_help=&quot;n&deg; garage&quot; maxlength=&quot;4&quot; style=&quot;max-width:35px;min-width:35px;width:35px;&quot; fixedwidth=&quot;35&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}&nbsp; &nbsp; &nbsp; |&nbsp; &nbsp;{% checkbox_tag name=&quot;0fcfx0bf&quot; data_label=&quot;Cave&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Cave&quot; %}&nbsp;Cave n&deg; {% textinput_tag name=&quot;a4138dab&quot; data_label=&quot;n&deg; cave&quot; data_map_field=&quot;nomap&quot; data_help=&quot;n&deg; cave&quot; maxlength=&quot;4&quot; style=&quot;max-width:35px;min-width:35px;width:35px;&quot; fixedwidth=&quot;35&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}&nbsp; &nbsp; &nbsp; |&nbsp; &nbsp;{% checkbox_tag name=&quot;0fxfx0bf&quot; data_label=&quot;Place de stationnement&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Place de stationnement&quot; %} Place de stationnement n&deg; {% textinput_tag name=&quot;a4138xxb&quot; data_label=&quot;n&deg; Place de stationnement&quot; data_map_field=&quot;nomap&quot; data_help=&quot;n&deg; Place de stationnement&quot; maxlength=&quot;4&quot; style=&quot;max-width:35px;min-width:35px;width:35px;&quot; fixedwidth=&quot;35&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>
	</tbody>
</table>

Mode Simplifié

Version PDF Version mobile