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<p style="text-align: justify;"><span style="color:#013ca6;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;"><span class="titre_p" style="font-size: 18px; font-weight: 900;">SITUATION - D&Eacute;SIGNATION&nbsp;ET CONSISTANCE DES LOCAUX</span></span></span></p>

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			<td style="width: 20%; vertical-align: middle;">{% checkbox_tag name=&quot;e2da17fa&quot; data_label=&quot;Type de bien : Appartement&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Type de bien : Appartement&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Appartement </span></td>
			<td style="width: 20%; vertical-align: middle;">{% checkbox_tag name=&quot;6a9e5af9&quot; data_label=&quot;Maison&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Type de bien : maison&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Maison</span></td>
			<td style="width: 15%; vertical-align: middle;">{% checkbox_tag name=&quot;1fc0ca35&quot; data_label=&quot;Boutique&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Type de bien : Boutique&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Boutique</span></td>
			<td style="width: 3%; vertical-align: middle;">{% checkbox_tag name=&quot;b11136ac&quot; data_label=&quot;Autre type de bien&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Type de bien : autre&quot; %}</td>
			<td style="width: 50%;">{% textinput_tag name=&quot;8fd6db26&quot; data_label=&quot;D&eacute;signation du type de bien&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Type de bien : autre&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="width: 11%; vertical-align: middle;">{% checkbox_tag name=&quot;3249af04&quot; data_label=&quot;Garage&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Garage&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Garage n&deg;</span></td>
			<td style="width: 9%; vertical-align: middle;">{% textinput_tag name=&quot;97b1adef&quot; rows=&quot;1&quot; data_label=&quot;n&deg; du garage&quot; data_map_field=&quot;nomap&quot; data_help=&quot;n&deg; du garage&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="width: 10%; vertical-align: middle;">{% checkbox_tag name=&quot;42be4a2f&quot; data_label=&quot;Cave&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Cave&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;Cave n&deg;</span></td>
			<td style="width: 10%; vertical-align: middle;">{% textinput_tag name=&quot;b17f2ce7&quot; rows=&quot;1&quot; data_label=&quot;n&deg; de la cave&quot; data_map_field=&quot;nomap&quot; data_help=&quot;n&deg; de la cave&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="width: 3%; vertical-align: middle;">{% checkbox_tag name=&quot;befc1569&quot; data_label=&quot;Autre type de bien 2&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Type de bien 2 : autre&quot; %}</td>
			<td style="width: 12%; vertical-align: middle;">{% textinput_tag name=&quot;b2361d3b&quot; data_label=&quot;D&eacute;signation du type de bien 2&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Type de bien 2 : autre&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: middle; width: 3%;">{% checkbox_tag name=&quot;e96f80e2&quot; data_label=&quot;Autre type de bien 3&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Type de bien 3 : autre&quot; %}</td>
			<td style="width: 50%; vertical-align: middle;">{% textinput_tag name=&quot;9b2bfe57&quot; data_label=&quot;D&eacute;signation du type de bien 3&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Type de bien 3 : autre&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Si location d&rsquo;habitation principale soumise &agrave; la loi 6 juillet 1989, identifiant fiscal du logement et de ses d&eacute;pendances (logement, cave, parking, autres d&eacute;pendances&hellip;) :</span></td>
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			<td>{% textarea_tag name=&quot;b9df3ed&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Num&eacute;ro Identifiant Fiscal du logement&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 style="width: 30%; vertical-align: top;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Num&eacute;ro(s) de lot(s) si copropri&eacute;t&eacute; :</span></td>
			<td style="vertical-align: top;">{% textarea_tag name=&quot;146ef49b&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;n&deg; de lot&quot; data_map_field=&quot;parcel_numero&quot; data_help=&quot;n&deg; de lot&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;">Immeuble sis &agrave;</span></p>

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			<td>{% textarea_tag name=&quot;258bb751&quot; data_width=&quot;100&quot; rows=&quot;4&quot; data_label=&quot;Adresse du bien&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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				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Information sur les &eacute;quipements d&#39;acc&egrave;s aux technologies de l&#39;information et de la communication (loi du 06/07/1989) :</span></li>
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			<td style="width: 80%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% radio_tag name=&quot;1040af40&quot; data_label=&quot;Pr&eacute;sence d&#39;&eacute;quipements d&#39;acc&egrave;s aux technologies de l&#39;information et de la communication (loi du 06/07/89)&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Pr&eacute;sence d&#39;&eacute;quipements d&#39;acc&egrave;s aux technologies de l&#39;information et de la communication (loi du 06/07/89)&quot; data_choices=&quot;oui|oui; non|non;&quot; %}</span></td>
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				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Autres :</span></li>
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			<td>{% textinput_tag name=&quot;00246f39&quot; data_label=&quot;autres informations&quot; data_map_field=&quot;nomap&quot; data_help=&quot;autres informations&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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