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			<td colspan="2" style="vertical-align: middle; width: 75%;"><span class="titre_p" style="font-family:ITCAvantGardePro;font-size:18px;font-weight:900;">MONTANT DU LOYER</span></td>
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			<td style="vertical-align: middle; width: 75%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Le montant total du loyer mensuel hors charges stipul&eacute; au bail initial est de :</span></td>
			<td style="text-align: right; vertical-align: middle; width: 25%;">{% textinput_tag name=&quot;0d9a8f38&quot; data_label=&quot;loyer mensuel hors charges du bail initial&quot; data_map_field=&quot;rent_price&quot; data_help=&quot;loyer mensuel hors charges du bail initial&quot; maxlength=&quot;25&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: middle; width: 75%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Le montant des charges mensuelles stipul&eacute; au bail initial est de :</span></td>
			<td style="text-align: right; vertical-align: middle; width: 25%;">{% textinput_tag name=&quot;613dcef8&quot; data_label=&quot;montant des charges mensuelles du bail initial &quot; data_map_field=&quot;nomap&quot; data_help=&quot;montant des charges mensuelles du bail initial&quot; maxlength=&quot;25&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: middle; width: 75%;"><span style="font-weight:600;"><span style="font-family: ITCAvantGardePro; font-size: 12px;">Soit un total de loyer mensuel charges comprises du bail initial :</span></span></td>
			<td style="text-align: right; vertical-align: middle; width: 25%;">{% textinput_tag name=&quot;58a0f930&quot; data_label=&quot;loyer total charges comprises&quot; data_map_field=&quot;nomap&quot; data_help=&quot;loyer total charges comprises&quot; maxlength=&quot;25&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;true&quot; %}</td>
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			<td style="vertical-align: middle; width: 75%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Le montant actuel du loyer mensuel hors charges est de :</span></td>
			<td style="text-align: right; vertical-align: middle; width: 25%;">{% textinput_tag name=&quot;4bce3262&quot; data_map_field=&quot;rent_price&quot; maxlength=&quot;25&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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			<td style="vertical-align: middle; width: 75%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Le montant actuel des charges mensuelles est de :</span></td>
			<td style="text-align: right; vertical-align: middle; width: 25%;">{% textinput_tag name=&quot;48be3201&quot; data_label=&quot;montant actuel des charges mensuelles&quot; data_map_field=&quot;nomap&quot; data_help=&quot;montant actuel des charges mensuelles&quot; maxlength=&quot;25&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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<p style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Les modalit&eacute;s de r&eacute;vision du loyer et la nature des charges sont indiqu&eacute;es au bail initial dont LE LOCATAIRE ENTRANT d&eacute;clare avoir parfaite connaissance.</span></p>

<p>{% checkbox_tag name=&quot;bccef5f4&quot; data_label=&quot;Locataire &agrave; jour de paiement &quot; data_map_field=&quot;nomap&quot; data_help=&quot;Locataire &agrave; jour de paiement &quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">LE LOCATAIRE EN PLACE est &agrave; jour du paiement des loyers et des charges.</span></p>

<table border="0" cellpadding="1" cellspacing="1" style="width:100%;">
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			<td style="vertical-align: middle; width: 75%; text-align: justify;">{% checkbox_tag name=&quot;48e1b846&quot; data_label=&quot;Locataire pas &agrave; jour de paiement &quot; data_map_field=&quot;nomap&quot; data_help=&quot;Locataire pas &agrave; jour de paiement &quot; %}&nbsp;<span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">LE LOCATAIRE EN PLACE n&#39;est pas &agrave; jour du paiement du loyer et des charges, sa dette s&#39;&eacute;l&egrave;ve &agrave; ce jour &agrave; :</span></td>
			<td>{% textinput_tag name=&quot;417e6d22&quot; data_label=&quot;dette du locataire actuel&quot; data_map_field=&quot;nomap&quot; data_help=&quot;dette du locataire actuel&quot; maxlength=&quot;25&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
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