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<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
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			<td style="width: 62%;"><span style="font-size:16px;"><font face="ITCAvantGardePro"><b>FICHE DE RENSEIGNEMENTS CLIENTS pour l&#39;affaire :</b></font></span></td>
			<td style="width: 38%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">{% textinput_tag name=&quot;a91b9565&quot; data_label=&quot;nom de l&#39;affaire concern&eacute;e&quot; data_map_field=&quot;nomap&quot; data_help=&quot;nom de l&#39;affaire concern&eacute;e&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</span></td>
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</table>

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			<td><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Type de bien :</span></td>
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			<td>{% checkbox_tag name=&quot;d5aab0d1&quot; data_label=&quot;maison&quot; data_map_field=&quot;nomap&quot; data_help=&quot;maison&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;maison</span>&nbsp;{% checkbox_tag name=&quot;7d4c8fdb&quot; data_label=&quot;appartement&quot; data_map_field=&quot;nomap&quot;&nbsp;%}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">appartement&nbsp;</span>{% checkbox_tag name=&quot;287e2fe1&quot; data_label=&quot;fonds de commerce&quot; data_map_field=&quot;nomap&quot; data_help=&quot;fonds de commerce&quot; %}<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">&nbsp;fonds de commerce</span>&nbsp;{% checkbox_tag name=&quot;d3553b25&quot; data_label=&quot;autre&quot; data_map_field=&quot;nomap&quot; %} <span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">autre :</span></td>
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			<td>{% textinput_tag name=&quot;f81407a5&quot; data_label=&quot;Type de bien autre&quot; data_map_field=&quot;nomap&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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</table>

<p style="text-align: justify;"><span style="font-size:16px;"><span class="titre_p" style="font-family: ITCAvantGardePro; font-weight: 900;"><strong>IDENTIFICATION DE CHAQUE CLIENT VENDEUR ET ACQU&Eacute;REUR OU DU B&Eacute;N&Eacute;FICIAIRE EFFECTIF DE L&#39;OP&Eacute;RATION</strong></span></span></p>

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