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<table border="0" cellpadding="1" cellspacing="1" style="width:100%;">
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			<td colspan="4" style="vertical-align: bottom; width: 25%;"><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">CONDITIONS DE LOCATION</span></td>
		</tr>
		<tr>
			<td style="vertical-align: bottom; width: 25%;">
			<ul>
				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Loyer mensuel :</span></li>
			</ul>
			</td>
			<td style="vertical-align: bottom; width: 25%;">{% textinput_tag name=&quot;4f74690f&quot; data_label=&quot;Loyer mensuel&quot; data_map_field=&quot;rent_price&quot; data_help=&quot;Loyer mensuel&quot; maxlength=&quot;25&quot; data_ancien_ids=&quot;2660,7700&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
			<td style="vertical-align: bottom; width: 25%;">
			<ul>
				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Charges </span><span style="font-size:8px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;">(provisions mensuelles) </span></span><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">:</span></li>
			</ul>
			</td>
			<td style="vertical-align: bottom; width: 25%;">{% textinput_tag name=&quot;4338c5c1&quot; data_label=&quot;Charges&quot; data_map_field=&quot;fixed_charges_price&quot; data_help=&quot;Charges&quot; maxlength=&quot;25&quot; data_ancien_ids=&quot;2611,7723&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
		</tr>
		<tr>
			<td style="vertical-align: bottom; width: 25%;">
			<ul>
				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Date de disponibilit&eacute; :</span></li>
			</ul>
			</td>
			<td style="vertical-align: bottom; width: 25%;">{% dateinput_tag name=&quot;16abff31&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;Date de disponibilit&eacute;&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Date de disponibilit&eacute;&quot; data_ancien_ids=&quot;2757,7654&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
			<td style="vertical-align: bottom; width: 25%;">
			<ul>
				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Dur&eacute;e du bail :</span></li>
			</ul>
			</td>
			<td style="vertical-align: bottom; width: 25%;">{% textinput_tag name=&quot;49ac80cd&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;25&quot; data_ancien_ids=&quot;2781,7677&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
		</tr>
	</tbody>
</table>

<table align="center" border="0" cellpadding="1" cellspacing="1" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: top; width: 25%;">
			<ul>
				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Surface habitable</span><span style="font-size:8px;"><span style="font-family: ITCAvantGardePro; font-weight: 200;"> (art. 3-L. 6 juillet 1989)</span></span><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">, en m&egrave;tre carr&eacute; :</span></li>
			</ul>
			</td>
			<td style="vertical-align: top; width: 25%;">{% textinput_tag name=&quot;7b219034&quot; data_label=&quot;Surface habitable&quot; data_map_field=&quot;area&quot; data_help=&quot;Surface habitable&quot; maxlength=&quot;25&quot; data_ancien_ids=&quot;2513,7747&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: top; width: 25%;">
			<ul>
				<li>
				<p><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Effectu&eacute; par :</span></p>
				</li>
			</ul>
			</td>
			<td style="vertical-align: top; width: 25%;">{% textarea_tag name=&quot;2c249f40&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Mesure de superficie habitable effectu&eacute; par &quot; data_map_field=&quot;nomap&quot; data_help=&quot;Mesure superficie habitable effectu&eacute; par &quot; data_ancien_ids=&quot;2562&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%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 25%;">
			<ul>
				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">P&eacute;riodicit&eacute; des paiements :</span></li>
			</ul>
			</td>
			<td style="vertical-align: middle; width: 25%;">{% textinput_tag name=&quot;5dae206d&quot; data_label=&quot;P&eacute;riodicit&eacute; des paiements&quot; data_map_field=&quot;nomap&quot; data_help=&quot;P&eacute;riodicit&eacute; des paiements&quot; maxlength=&quot;25&quot; data_ancien_ids=&quot;2464,7770&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
			<td style="vertical-align: middle; width: 25%;">
			<ul>
				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">D&eacute;p&ocirc;t de garantie :</span></li>
			</ul>
			</td>
			<td style="vertical-align: middle; width: 25%;">{% textinput_tag name=&quot;9bc789fd&quot; data_label=&quot;D&eacute;p&ocirc;t de garantie :&quot; data_map_field=&quot;security_deposit_price&quot; data_help=&quot;D&eacute;p&ocirc;t de garantie :&quot; maxlength=&quot;25&quot; data_ancien_ids=&quot;2415,7793&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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		<tr>
			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Montant et date de versement du dernier loyer acquitt&eacute; par le pr&eacute;c&eacute;dent locataire, le cas &eacute;ch&eacute;ant :&nbsp;</span></td>
		</tr>
		<tr>
			<td>{% textarea_tag name=&quot;b48c9c2f&quot; data_width=&quot;100&quot; rows=&quot;1&quot; data_label=&quot;Montant du dernier loyer et date de versement&quot; data_map_field=&quot;last_rent_paid&quot; data_help=&quot;Montant du dernier loyer et date de versement&quot; data_ancien_ids=&quot;3806,8060&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

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