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VENDEUR 1VENDEUR 2Nom /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA4AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBP
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FORMTEXT Prénom(s) /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA6AFsAZgBmAGwAZABuAGEAbQBlAD0AUABS
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FORMTEXT Date et lieu de naissance /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
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FORMTEXT Commune et Code Postal /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
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FORMTEXT Profession /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA4AFsAZgBmAGwAZABuAGEAbQBlAD0AUABS
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FORMTEXT Nationalité /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA6AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBB
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FORMTEXT Si vous êtes étranger, joindre la copie de votre carte de résident et de votre acte de naissance traduit en français./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
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FORMCHECKBOX Célibataire/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
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FORMCHECKBOX Veuf(ve)/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Marié(e)Date du mariage /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
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FORMTEXT Commune et Code postal /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
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FORMTEXT Si vous avez établi un contrat de mariage ou une déclaration de loi applicable Convention de La Haye, joindre la copie. Pays de 1re résidence fixe après mariage /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Divorcé(e)Par jugement du tribunal de /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
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FORMTEXT En date du /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
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FORMTEXT /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
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FORMCHECKBOX En instance de divorce/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez souscrit un PACS encore en vigueurJoindre la copie + copie de la déclaration au greffe ou le récépissé d’enregistrement par le notaire /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez souscrit un PACS que vous avez dénoncéJoindre la copie de la dénonciation./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous êtes commerçant, artisan, ou dirigeant de sociétéJoindre un justificatif de votre immatriculation au registre du commerce et des sociétés./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous êtes en état de redressement judiciaire, liquidation de biens, cessation de paiement/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez saisi la commission de surendettement des particuliersCOORDONNEES AUXQUELLES L’ETUDE PEUT VOUS JOINDREAdresse postale /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA5AFsAZgBmAGwAZABuAGEAbQBlAD0AQQBE
AFIAMQBfADAAMQBfADEAXwAxADEAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8ATQB1AGwA
dABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAEgAxAGUAcgAgAHAAYQByAHQAaQBl
ACAAYQBkAHIAZQBzAHMAZQAAAAoARQBuAHQAcgB5AE0AYQBjAHIAbwAAAAkARQB4AGkAdABNAGEA
YwByAG8AAAA=
FORMTEXT /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA+AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwARABPAE0AXwAwADEAXwAxAF8AMQAyAF0ADQAKAFYAMQAyAKQALwBQAGEAcgB0AGkAZQA9ADAA
MQAvAE0AdQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAABEAVgBpAGwAbABl
ACAAZAB1ACAAZABvAG0AaQBjAGkAbABlAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgA
aQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT téléphone domicile /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARABPAE0AXwAwADEAXwAxAF8AMQAzAF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAA4AUAByAOkAbgBvAG0AcwAg
AGMAbABpAGUAbgB0AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIA
bwAAAA==
FORMTEXT téléphone travail /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0AUABSAE8ARgBfADAAMQBfADEAXwAxADQAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8A
TQB1AGwAdABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAAAAAAAoARQBuAHQAcgB5
AE0AYQBjAHIAbwAAAAkARQB4AGkAdABNAGEAYwByAG8AAAA=
FORMTEXT téléphone portable /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARwBTAE0AXwAwADEAXwAxAF8AMQA1AF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0AHIAeQBN
AGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT e-mail /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA6AFsAZgBmAGwAZABuAGEAbQBlAD0ARQBN
AEEASQBMAF8AMAAxAF8AMQBfADEANgBdAA0ACgCkAC8AUABhAHIAdABpAGUAPQAwADEALwBNAHUA
bAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdAByAHkATQBh
AGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT fax /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARgBBAFgAXwAwADEAXwAxAF8AMQA3AF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0AHIAeQBN
AGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT Relevé d’identité bancaire (RIB) – merci de nous le fournirVous êtes résident fiscal ://///2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Français/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX EtrangerNom /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA5AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBP
AE0AVQBfADAAMQBfADIAXwAxADgAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8ATQB1AGwA
dABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAACgBOAG8AbQAgAGMAbABpAGUAbgB0
AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Prénom(s) /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0AUABS
AEUATgBPAE0AXwAwADEAXwAyAF8AMQA5AF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAA4AUAByAOkAbgBvAG0AcwAg
AGMAbABpAGUAbgB0AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIA
bwAAAA==
FORMTEXT Date et lieu de naissance /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
AFQATgBBAF8AMAAxAF8AMgBfADIAMABdAA0ACgBkADgApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8A
TQB1AGwAdABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAEQBEAGEAdABlACAAZABl
ACAAbgBhAGkAcwBzAGEAbgBjAGUAAAAKAEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQA
TQBhAGMAcgBvAAAA
FORMTEXT Commune et Code Postal /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwATgBBAF8AMAAxAF8AMgBfADIAMQBdAA0ACgBWADEAMgCkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAASAFYAaQBsAGwAZQAg
AGQAZQAgAG4AYQBpAHMAcwBhAG4AYwBlAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgA
aQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Profession /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA5AFsAZgBmAGwAZABuAGEAbQBlAD0AUABS
AE8ARgBfADAAMQBfADIAXwAyADIAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8ATQB1AGwA
dABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAACgBQAHIAbwBmAGUAcwBzAGkAbwBu
AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Nationalité /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBB
AFQASQBPAE4AXwAwADEAXwAyAF8AMgAzAF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAsAQwBvAGQAZQAgAEEAcgBy
AOoAdAAuAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Si vous êtes étranger, joindre la copie de votre carte de résident et de votre acte de naissance traduit en français./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Célibataire/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Veuf(ve)/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Marié(e)Date du mariage /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
AFQATQBBAFIAXwAwADEAXwAyAF8AMgA0AF0ADQAKAGQAOACkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Commune et Code postal /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwATQBBAF8AMAAxAF8AMgBfADIANQBdAA0ACgBWADEAMgCkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Si vous avez établi un contrat de mariage ou une déclaration de loi applicable Convention de La Haye, joindre la copie. Pays de 1re résidence fixe après mariage /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Divorcé(e)Par jugement du tribunal de /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA+AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwARABJAFYAXwAwADEAXwAyAF8AMgA2AF0ADQAKAFYAMQAyAKQALwBQAGEAcgB0AGkAZQA9ADAA
MQAvAE0AdQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0
AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT En date du /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
AFQARABJAFYAXwAwADEAXwAyAF8AMgA3AF0ADQAKAGQAOACkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX En instance de divorce/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez souscrit un PACS encore en vigueurJoindre la copie + copie de la déclaration au greffe ou le récépissé d’enregistrement par le notaire /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez souscrit un PACS que vous avez dénoncéJoindre la copie de la dénonciation./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous êtes commerçant, artisan, ou dirigeant de sociétéJoindre un justificatif de votre immatriculation au registre du commerce et des sociétés./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous êtes en état de redressement judiciaire, liquidation de biens, cessation de paiement/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez saisi la commission de surendettement des particuliersCOORDONNEES AUXQUELLES L’ETUDE PEUT VOUS JOINDREAdresse postale /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA5AFsAZgBmAGwAZABuAGEAbQBlAD0AQQBE
AFIAMQBfADAAMQBfADIAXwAyADgAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8ATQB1AGwA
dABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAEgAxAGUAcgAgAHAAYQByAHQAaQBl
ACAAYQBkAHIAZQBzAHMAZQAAAAoARQBuAHQAcgB5AE0AYQBjAHIAbwAAAAkARQB4AGkAdABNAGEA
YwByAG8AAAA=
FORMTEXT /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA+AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwARABPAE0AXwAwADEAXwAyAF8AMgA5AF0ADQAKAFYAMQAyAKQALwBQAGEAcgB0AGkAZQA9ADAA
MQAvAE0AdQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAABEAVgBpAGwAbABl
ACAAZAB1ACAAZABvAG0AaQBjAGkAbABlAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgA
aQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT téléphone domicile /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARABPAE0AXwAwADEAXwAyAF8AMwAwAF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAA4AUAByAOkAbgBvAG0AcwAg
AGMAbABpAGUAbgB0AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIA
bwAAAA==
FORMTEXT téléphone travail /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0AUABSAE8ARgBfADAAMQBfADIAXwAzADEAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8A
TQB1AGwAdABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAAAAAAAoARQBuAHQAcgB5
AE0AYQBjAHIAbwAAAAkARQB4AGkAdABNAGEAYwByAG8AAAA=
FORMTEXT téléphone portable /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARwBTAE0AXwAwADEAXwAyAF8AMwAyAF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0AHIAeQBN
AGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT e-mail /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA6AFsAZgBmAGwAZABuAGEAbQBlAD0ARQBN
AEEASQBMAF8AMAAxAF8AMgBfADMAMwBdAA0ACgCkAC8AUABhAHIAdABpAGUAPQAwADEALwBNAHUA
bAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdAByAHkATQBh
AGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT fax /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARgBBAFgAXwAwADEAXwAyAF8AMwA0AF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0AHIAeQBN
AGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT Relevé d’identité bancaire (RIB) – merci de nous le fournirVous êtes résident fiscal ://///2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Français/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Etranger/////4AAAAAAAAAAAAAMAFYARQBOAFQARQAgAEQASQBWAEUAUgBTAAAAAAAAACoAWwBmAGYAbABk
AG4AYQBtAGUAPQAjAFIARQBGAEQATwBfAEQARQBTAFQAXwAxAF8AMwA1AF0ADQAKAA0ACgBJAGQA
QQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0
AE0AYQBjAHIAbwAAAA==
FORMTEXT VENTE DIVERS//////4AAAAAAAAAAAAAHADEAMAAwADcAOAA1ADcAAAAAAAAAKgBbAGYAZgBsAGQAbgBhAG0AZQA9
ACMATgBVAE0ARABPAF8ARABFAFMAVABfADEAXwAzADYAXQANAAoADQAKAEkAZABBAGMAdABpAG8A
bgA9ADEApAAAAAAAAAAKAEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBv
AAAA
FORMTEXT 1007857//////4AAAAAAAAAAAAACAE8AVAAAAAAAAAAqAFsAZgBmAGwAZABuAGEAbQBlAD0AIwBSAEUARgBO
AE8AXwBEAEUAUwBUAF8AMQBfADMANwBdAA0ACgANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAA
AAAAAAoARQBuAHQAcgB5AE0AYQBjAHIAbwAAAAkARQB4AGkAdABNAGEAYwByAG8AAAA=
FORMTEXT OT//////4AAAAAAAAAAAAACAE8AVAAAAAAAAAAqAFsAZgBmAGwAZABuAGEAbQBlAD0AIwBSAEUARgBD
AEwAXwBEAEUAUwBUAF8AMQBfADMAOABdAA0ACgANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAA
AAAAAAoARQBuAHQAcgB5AE0AYQBjAHIAbwAAAAkARQB4AGkAdABNAGEAYwByAG8AAAA=
FORMTEXT OTCOPROPRIÉTÉMerci de joindre copie des procès-verbaux des trois dernières assemblé&es (ou de celles qui ont eu lieu depuis votre acquisition, Si celle-ci est plus récente).Votre copropriété fait-elle l’objet d’une division en volume ?/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonVotre copropriété fait-elle l’objet d’un lotissement ?/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, existe-t-il une association syndicale/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, préciser le nom et les coordonnéesdu président : /////4AAAAAAAAAAAAAAAAAAAAAAAA0AWwBmAGYAbABkAG4AYQBtAGUAPQBdAA0ACgAAAAAAAAAK
AEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT La copropriété est-elle gérée par un syndic ?/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, préciser ses nom et adresse : /////4AAAAAAAAAAAAAAAAAAAAAAAA0AWwBmAGYAbABkAG4AYQBtAGUAPQBdAA0ACgAAAAAAAAAK
AEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT Nous adresser le dernier relevé de charges trimestriel.Si non, existe-t-il une assurance pour l’ensemble de l’immeuble,et en particulier les parties communes/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, joindre copie.Etes-vous en possession du règlement de copropriété et de seséventuels modificatifs ?/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, merci de les joindre. Si non, l’étude devra en demander des copies à vos frais auprès de la Conservation des hypothèques.Merci de nous adresser la copie des plans des étages où se situent les biens vendusAvez-vous connaissance de difficultés particulières au sein de la copropriété devant faire l’objet de conventions particulières entre vous et votre acquéreur ?(procès en cours, etc.)/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, merci d’indiquer lesquelles : /////4AAAAAAAAAAAAAAAAAAAAAAAA0AWwBmAGYAbABkAG4AYQBtAGUAPQBdAA0ACgAAAAAAAAAK
AEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT Avez-vous engagé une procédure contre la copropriété, ou la copropriété a-t-elle engagé une procédure contre vous ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, joindre une note à ce sujetExiste-t-il un dégât des eaux en cours de traitement par la compagnie d’assurances ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, qu’avez-vous convenu à ce sujet avec votre acquéreur : /////4AAAAAAAAAAAAAAAAAAAAAAAA0AWwBmAGYAbABkAG4AYQBtAGUAPQBdAA0ACgAAAAAAAAAK
AEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT Existe-t-il un fonds travaux et/ou un emprunt Copropriété ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonTRAVAUXAvez-vous réalisé des travaux dans votre appartement qui auraient modifié l’aspect extérieur de l’immeuble et/ou auraienttouché aux parties communes (par exemple, percementde murs porteurs, création d’une loggia, déplacementde canalisations, surcharge d’une terrasse, agrandissementsur une partie du couloir…) ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, préciser lesquelles : /////4AAAAAAAAAAAAAAAAAAAAAAAA0AWwBmAGYAbABkAG4AYQBtAGUAPQBdAA0ACgAAAAAAAAAK
AEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT Avez-vous modifié l’affectation de certainsde vos locaux ? (transformation à un usage autreque celui prévu au règlement de copropriété…) ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonAvez-vous divisé ou réuni certains lots ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonCes travaux et transformations ont-ils fait l’objet d’une autorisation de la part de la copropriété ou de l’administration ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, joindre copie des ces autorisations(copie du dossier de la demande et de la réponse)IMPÔTS LOCAUX (DÉCLARATION H) À l’issue de ces travaux et(ou) de ces aménagements, avez-vous déposé une déclaration auprès de votre Centre des Impôts (service du cadastre) ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonDIAGNOSTICS TECHNIQUESNous transmettre le dossier de diagnostic technique (surface, amiante, termites, plomb, DPE, ERNT, gaz, électricité notamment…). Le diagnostiqueur vous a-t-il indiqué des parties non visitéesdans le bien vendu ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonDIAGNOSTIC MERULESUn diagnostic mérules a-t-il été effectué ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, joindre copie du diagnosticPRÊTS - HYPOTHÈQUESUne procédure de saisie immobilière est-elle en cours sur le bien à vendre ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonAvez-vous souscrit un ou plusieurs prêts avec hypothèque sur le bien à vendre ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonAvez-vous un crédit-relais dans l’attente de la vente de ce bien ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonLe bien a-t-il été donné en garantie hypothécaire au profit du Trésor public pour bénéficier d’un délai de paiement (droits de succession…) ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, joindre pour chacun de ces prêts un document indiquant l’adresse de la banque et les références du prêt pour que le notaire puisse demander un décompte des sommes restant dues, ou une attestation du fait qu’ils sont remboursés.PLUS-VALUESLe bien vendu constitue-t-il votre résidence principale ?/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, depuis quand ? /////4AAAAAAAAAAAAAAAAAAAAAAAA0AWwBmAGYAbABkAG4AYQBtAGUAPQBdAA0ACgAAAAAAAAAK
AEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT Si non, répondre aux questions suivantes :Le vendez-vous pour remployer le prix dans l’achat de votre résidence principale ?/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonÊtes-vous retraité ou invalide de condition modeste ?/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi le bien n’est pas actuellement votre résidence principale, avez-vous effectué des travaux de surélévation, de construction ou d’amélioration ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Non(ne sont pas décomptés les travaux d’entretien et de réparation)Si vous avez reçu le bien par donation ou succession, avez-vous payé vous-même les droits de mutation ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, joindre la copie de la déclaration fiscale de succession ou l’acte de donation.Dans tous les cas, joindre la copie du compte notarial concernant l’acquisition.ACTIVITÉ PROFESSIONNELLE DANS LE BIENAvez-vous exercé une activité professionnelle dans le bien ?/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, existe-t-il des incidences comptables pour l’entreprise exercée ?/////4AAAAAAAAAAAAAAAAAAAAAAAA0AWwBmAGYAbABkAG4AYQBtAGUAPQBdAA0ACgAAAAAAAAAK
AEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT CONTRATS EXISTANT SUR LE BIENOCCUPATION (BAUX) Le bien vendu sera-t-il libéré de toute occupation le jour de la vente ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi l’appartement est vendu occupé, joindre, outre la copie du bail et de toutes ses annexes et avenants, la dernière quittance de loyer et le montant du dépôt de garantie.Le bien vendu a-t-il été loué précédemment ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, joindre la copie du bail ainsi que l’original de la lettre de congé donné par le locataire, ou du congé donné par vos soins.La vente que vous réalisez est-elle la première depuis la mise en copropriété de l’immeuble ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonALARME L’appartement fait-il l’objet d’un contrat d’alarme ou d’intervention ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, joindre copie du contrat avec les montants à jour du coût des prestations. Il faudra prévoir de transmettre à l’acquéreur tous les éléments nécessaires au fonctionnement du système.AVANTAGE FISCALLe bien a-t-il fait l’objet d’un engagement de location lié à un avantage fiscal ? (lois Besson, Malraux, Robien, Duflot, Pinel…subventions ANAH)/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui,lequel : /////4AAAAAAAAAAAAAAAAAAAAAAAA0AWwBmAGYAbABkAG4AYQBtAGUAPQBdAA0ACgAAAAAAAAAK
AEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT L’engagement de location est-il terminé ?/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonAUTRES CONTRATS L’appartement fait-il l’objet d’autres contrats ? (entretien de chaudière, ramonage, dératisation, etc.) /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonLe cas échéant, joindre copie de ceux qui peuvent être repris par l’acquéreur. Certains équipements font-ils encore l’objet de garanties ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonLe cas échéant, joindre copie des factures ou certificats de garantie.SINISTRE INDEMNISÉY a-t-il eu une indemnisation d’assurance d’un sinistre survenu à votre immeuble ayant été reconnu comme catastrophe naturelle (un arrêté de classement de catastrophe naturelle est obligatoire) :- avant que vous soyez propriétaire ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Non- depuis que vous êtes propriétaire ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonTVAAvez-vous bénéficié d’un mécanisme de récupération de la TVA lors de l’achat du bien ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonAvez-vous bénéficié d’un régime particulier de TVA lors de l’achat du bien ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonDÉFICIT FONCIERLe bien a-t-il généré des déficits fonciers sur les exercices antérieurs qui auraient été imputés sur votre revenu global ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonBIEN DÉTENU PAR UNE SOCIÉTÉ CIVILESI le bien est détenu par une société civile, cette société est-elle : – soumise à l’impôt sur le revenu (IR) /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Non– soumise à l’impôt sur les sociétés (IS) /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonSi oui, joindre les derniers bilans et le compte de résultat.Dans tous les cas : joindre les statuts à jour, l’indication des associés actuels, leur domicile fiscal et le pourcentage des parts détenues.MOTIVATION DE LA CESSIONPour quelles raisons vendez-vous ?/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Mobilité professionnelle/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Evènement familial - mariage/pacs/divorce- naissance/décès (rayer la mention inappropriée)/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Transfert d’épargne pour /////4AAAAAAAAAAAAAAAAAAAAAAAA0AWwBmAGYAbABkAG4AYQBtAGUAPQBdAA0ACgAAAAAAAAAK
AEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Autre cause (préciser) /////4AAAAAAAAAAAAAAAAAAAAAAAA0AWwBmAGYAbABkAG4AYQBtAGUAPQBdAA0ACgAAAAAAAAAK
AEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT EQUIPEMENTLe bien vendu comporte-il :- un w.-c. de type sanibroyeur ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Non- un raccordement à la fibre optique ? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Non- un ou plusieurs détecteurs de fumée? /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Oui/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX NonOBSERVATIONS OU PARTICULARITÉSIndiquez les particularités qu’il vous paraît utile de porter à la connaissance de votre acquéreur, ou qui peuvent aider au bon déroulement du dossier : /////4AAAAAAAAAAAAAAAAAAAAAAAA0AWwBmAGYAbABkAG4AYQBtAGUAPQBdAA0ACgAAAAAAAAAK
AEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT Fait à /////4AAAAAAAAAAAAAAAAAAAAAAAA0AWwBmAGYAbABkAG4AYQBtAGUAPQBdAA0ACgAAAAAAAAAK
AEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT Le 9 octobre 2018(à dater et signer par chacun des vendeurs) « Conformément à la loi ˝Informatique et Libertés˝ du 6 janvier 1978 modifiée, l’office notarial dispose d’un traitement informatique pour l’accomplissement des activités notariales, notamment de formalités d’actes. À cette fin, l’office est amené à enregistrer des données vous concernant et à les transmettre à certaines administrations. En vertu des articles 38 et suivants de la loi précitée, vous pouvez exercer vos droits d’accès et de rectification aux données vous concernant auprès du présent office notarial. »AUTRES VENDEURSNom /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA5AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBP
AE0AVQBfADAAMQBfADMAXwAzADkAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8ATQB1AGwA
dABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAACgBOAG8AbQAgAGMAbABpAGUAbgB0
AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Prénom(s) /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0AUABS
AEUATgBPAE0AXwAwADEAXwAzAF8ANAAwAF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAA4AUAByAOkAbgBvAG0AcwAg
AGMAbABpAGUAbgB0AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIA
bwAAAA==
FORMTEXT Date et lieu de naissance /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
AFQATgBBAF8AMAAxAF8AMwBfADQAMQBdAA0ACgBkADgApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8A
TQB1AGwAdABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAEQBEAGEAdABlACAAZABl
ACAAbgBhAGkAcwBzAGEAbgBjAGUAAAAKAEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQA
TQBhAGMAcgBvAAAA
FORMTEXT Commune et Code Postal /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwATgBBAF8AMAAxAF8AMwBfADQAMgBdAA0ACgBWADEAMgCkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAASAFYAaQBsAGwAZQAg
AGQAZQAgAG4AYQBpAHMAcwBhAG4AYwBlAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgA
aQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Profession /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA5AFsAZgBmAGwAZABuAGEAbQBlAD0AUABS
AE8ARgBfADAAMQBfADMAXwA0ADMAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8ATQB1AGwA
dABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAACgBQAHIAbwBmAGUAcwBzAGkAbwBu
AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Nationalité /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBB
AFQASQBPAE4AXwAwADEAXwAzAF8ANAA0AF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAsAQwBvAGQAZQAgAEEAcgBy
AOoAdAAuAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Si vous êtes étranger, joindre la copie de votre carte de résident et de votre acte de naissance traduit en français./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Célibataire/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Veuf(ve)/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Marié(e)Date du mariage /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
AFQATQBBAFIAXwAwADEAXwAzAF8ANAA1AF0ADQAKAGQAOACkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Commune et Code postal /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwATQBBAF8AMAAxAF8AMwBfADQANgBdAA0ACgBWADEAMgCkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Si vous avez établi un contrat de mariage ou une déclaration de loi applicable Convention de La Haye, joindre la copie. Pays de 1re résidence fixe après mariage /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Divorcé(e)Par jugement du tribunal de /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA+AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwARABJAFYAXwAwADEAXwAzAF8ANAA3AF0ADQAKAFYAMQAyAKQALwBQAGEAcgB0AGkAZQA9ADAA
MQAvAE0AdQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0
AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT En date du /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
AFQARABJAFYAXwAwADEAXwAzAF8ANAA4AF0ADQAKAGQAOACkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX En instance de divorce/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez souscrit un PACS encore en vigueurJoindre la copie + copie de la déclaration au greffe ou le récépissé d’enregistrement par le notaire /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez souscrit un PACS que vous avez dénoncéJoindre la copie de la dénonciation./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous êtes commerçant, artisan, ou dirigeant de sociétéJoindre un justificatif de votre immatriculation au registre du commerce et des sociétés./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous êtes en état de redressement judiciaire, liquidation de biens, cessation de paiement/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez saisi la commission de surendettement des particuliersCOORDONNEES AUXQUELLES L’ETUDE PEUT VOUS JOINDREAdresse postale /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA5AFsAZgBmAGwAZABuAGEAbQBlAD0AQQBE
AFIAMQBfADAAMQBfADMAXwA0ADkAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8ATQB1AGwA
dABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAEgAxAGUAcgAgAHAAYQByAHQAaQBl
ACAAYQBkAHIAZQBzAHMAZQAAAAoARQBuAHQAcgB5AE0AYQBjAHIAbwAAAAkARQB4AGkAdABNAGEA
YwByAG8AAAA=
FORMTEXT /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA+AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwARABPAE0AXwAwADEAXwAzAF8ANQAwAF0ADQAKAFYAMQAyAKQALwBQAGEAcgB0AGkAZQA9ADAA
MQAvAE0AdQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAABEAVgBpAGwAbABl
ACAAZAB1ACAAZABvAG0AaQBjAGkAbABlAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgA
aQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT téléphone domicile /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARABPAE0AXwAwADEAXwAzAF8ANQAxAF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAA4AUAByAOkAbgBvAG0AcwAg
AGMAbABpAGUAbgB0AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIA
bwAAAA==
FORMTEXT téléphone travail /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0AUABSAE8ARgBfADAAMQBfADMAXwA1ADIAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8A
TQB1AGwAdABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAAAAAAAoARQBuAHQAcgB5
AE0AYQBjAHIAbwAAAAkARQB4AGkAdABNAGEAYwByAG8AAAA=
FORMTEXT téléphone portable /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARwBTAE0AXwAwADEAXwAzAF8ANQAzAF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0AHIAeQBN
AGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT e-mail /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA6AFsAZgBmAGwAZABuAGEAbQBlAD0ARQBN
AEEASQBMAF8AMAAxAF8AMwBfADUANABdAA0ACgCkAC8AUABhAHIAdABpAGUAPQAwADEALwBNAHUA
bAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdAByAHkATQBh
AGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT fax /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARgBBAFgAXwAwADEAXwAzAF8ANQA1AF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0AHIAeQBN
AGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT Relevé d’identité bancaire (RIB) – merci de nous le fournirVous êtes résident fiscal ://///2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Français/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX EtrangerNom /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA5AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBP
AE0AVQBfADAAMQBfADQAXwA1ADYAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8ATQB1AGwA
dABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAACgBOAG8AbQAgAGMAbABpAGUAbgB0
AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Prénom(s) /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0AUABS
AEUATgBPAE0AXwAwADEAXwA0AF8ANQA3AF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAA4AUAByAOkAbgBvAG0AcwAg
AGMAbABpAGUAbgB0AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIA
bwAAAA==
FORMTEXT Date et lieu de naissance /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
AFQATgBBAF8AMAAxAF8ANABfADUAOABdAA0ACgBkADgApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8A
TQB1AGwAdABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAEQBEAGEAdABlACAAZABl
ACAAbgBhAGkAcwBzAGEAbgBjAGUAAAAKAEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQA
TQBhAGMAcgBvAAAA
FORMTEXT Commune et Code Postal /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwATgBBAF8AMAAxAF8ANABfADUAOQBdAA0ACgBWADEAMgCkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAASAFYAaQBsAGwAZQAg
AGQAZQAgAG4AYQBpAHMAcwBhAG4AYwBlAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgA
aQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Profession /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA5AFsAZgBmAGwAZABuAGEAbQBlAD0AUABS
AE8ARgBfADAAMQBfADQAXwA2ADAAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8ATQB1AGwA
dABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAACgBQAHIAbwBmAGUAcwBzAGkAbwBu
AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Nationalité /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBB
AFQASQBPAE4AXwAwADEAXwA0AF8ANgAxAF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAsAQwBvAGQAZQAgAEEAcgBy
AOoAdAAuAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Si vous êtes étranger, joindre la copie de votre carte de résident et de votre acte de naissance traduit en français./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Célibataire/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Veuf(ve)/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Marié(e)Date du mariage /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
AFQATQBBAFIAXwAwADEAXwA0AF8ANgAyAF0ADQAKAGQAOACkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Commune et Code postal /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwATQBBAF8AMAAxAF8ANABfADYAMwBdAA0ACgBWADEAMgCkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Si vous avez établi un contrat de mariage ou une déclaration de loi applicable Convention de La Haye, joindre la copie. Pays de 1re résidence fixe après mariage /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Divorcé(e)Par jugement du tribunal de /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA+AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwARABJAFYAXwAwADEAXwA0AF8ANgA0AF0ADQAKAFYAMQAyAKQALwBQAGEAcgB0AGkAZQA9ADAA
MQAvAE0AdQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0
AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT En date du /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
AFQARABJAFYAXwAwADEAXwA0AF8ANgA1AF0ADQAKAGQAOACkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX En instance de divorce/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez souscrit un PACS encore en vigueurJoindre la copie + copie de la déclaration au greffe ou le récépissé d’enregistrement par le notaire /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez souscrit un PACS que vous avez dénoncéJoindre la copie de la dénonciation./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous êtes commerçant, artisan, ou dirigeant de sociétéJoindre un justificatif de votre immatriculation au registre du commerce et des sociétés./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous êtes en état de redressement judiciaire, liquidation de biens, cessation de paiement/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez saisi la commission de surendettement des particuliersCOORDONNEES AUXQUELLES L’ETUDE PEUT VOUS JOINDREAdresse postale /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA5AFsAZgBmAGwAZABuAGEAbQBlAD0AQQBE
AFIAMQBfADAAMQBfADQAXwA2ADYAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8ATQB1AGwA
dABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAEgAxAGUAcgAgAHAAYQByAHQAaQBl
ACAAYQBkAHIAZQBzAHMAZQAAAAoARQBuAHQAcgB5AE0AYQBjAHIAbwAAAAkARQB4AGkAdABNAGEA
YwByAG8AAAA=
FORMTEXT /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA+AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwARABPAE0AXwAwADEAXwA0AF8ANgA3AF0ADQAKAFYAMQAyAKQALwBQAGEAcgB0AGkAZQA9ADAA
MQAvAE0AdQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAABEAVgBpAGwAbABl
ACAAZAB1ACAAZABvAG0AaQBjAGkAbABlAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgA
aQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT téléphone domicile /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARABPAE0AXwAwADEAXwA0AF8ANgA4AF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAA4AUAByAOkAbgBvAG0AcwAg
AGMAbABpAGUAbgB0AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIA
bwAAAA==
FORMTEXT téléphone travail /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0AUABSAE8ARgBfADAAMQBfADQAXwA2ADkAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8A
TQB1AGwAdABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAAAAAAAoARQBuAHQAcgB5
AE0AYQBjAHIAbwAAAAkARQB4AGkAdABNAGEAYwByAG8AAAA=
FORMTEXT téléphone portable /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARwBTAE0AXwAwADEAXwA0AF8ANwAwAF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0AHIAeQBN
AGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT e-mail /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA6AFsAZgBmAGwAZABuAGEAbQBlAD0ARQBN
AEEASQBMAF8AMAAxAF8ANABfADcAMQBdAA0ACgCkAC8AUABhAHIAdABpAGUAPQAwADEALwBNAHUA
bAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdAByAHkATQBh
AGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT fax /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARgBBAFgAXwAwADEAXwA0AF8ANwAyAF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0AHIAeQBN
AGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT Relevé d’identité bancaire (RIB) – merci de nous le fournirVous êtes résident fiscal ://///2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Français/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX EtrangerNom /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA5AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBP
AE0AVQBfADAAMQBfADUAXwA3ADMAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8ATQB1AGwA
dABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAACgBOAG8AbQAgAGMAbABpAGUAbgB0
AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Prénom(s) /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0AUABS
AEUATgBPAE0AXwAwADEAXwA1AF8ANwA0AF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAA4AUAByAOkAbgBvAG0AcwAg
AGMAbABpAGUAbgB0AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIA
bwAAAA==
FORMTEXT Date et lieu de naissance /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
AFQATgBBAF8AMAAxAF8ANQBfADcANQBdAA0ACgBkADgApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8A
TQB1AGwAdABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAEQBEAGEAdABlACAAZABl
ACAAbgBhAGkAcwBzAGEAbgBjAGUAAAAKAEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQA
TQBhAGMAcgBvAAAA
FORMTEXT Commune et Code Postal /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwATgBBAF8AMAAxAF8ANQBfADcANgBdAA0ACgBWADEAMgCkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAASAFYAaQBsAGwAZQAg
AGQAZQAgAG4AYQBpAHMAcwBhAG4AYwBlAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgA
aQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Profession /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA5AFsAZgBmAGwAZABuAGEAbQBlAD0AUABS
AE8ARgBfADAAMQBfADUAXwA3ADcAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8ATQB1AGwA
dABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAACgBQAHIAbwBmAGUAcwBzAGkAbwBu
AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Nationalité /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBB
AFQASQBPAE4AXwAwADEAXwA1AF8ANwA4AF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAsAQwBvAGQAZQAgAEEAcgBy
AOoAdAAuAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Si vous êtes étranger, joindre la copie de votre carte de résident et de votre acte de naissance traduit en français./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Célibataire/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Veuf(ve)/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Marié(e)Date du mariage /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
AFQATQBBAFIAXwAwADEAXwA1AF8ANwA5AF0ADQAKAGQAOACkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Commune et Code postal /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwATQBBAF8AMAAxAF8ANQBfADgAMABdAA0ACgBWADEAMgCkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Si vous avez établi un contrat de mariage ou une déclaration de loi applicable Convention de La Haye, joindre la copie. Pays de 1re résidence fixe après mariage /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Divorcé(e)Par jugement du tribunal de /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA+AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwARABJAFYAXwAwADEAXwA1AF8AOAAxAF0ADQAKAFYAMQAyAKQALwBQAGEAcgB0AGkAZQA9ADAA
MQAvAE0AdQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0
AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT En date du /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
AFQARABJAFYAXwAwADEAXwA1AF8AOAAyAF0ADQAKAGQAOACkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX En instance de divorce/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez souscrit un PACS encore en vigueurJoindre la copie + copie de la déclaration au greffe ou le récépissé d’enregistrement par le notaire /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez souscrit un PACS que vous avez dénoncéJoindre la copie de la dénonciation./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous êtes commerçant, artisan, ou dirigeant de sociétéJoindre un justificatif de votre immatriculation au registre du commerce et des sociétés./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous êtes en état de redressement judiciaire, liquidation de biens, cessation de paiement/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez saisi la commission de surendettement des particuliersCOORDONNEES AUXQUELLES L’ETUDE PEUT VOUS JOINDREAdresse postale /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA5AFsAZgBmAGwAZABuAGEAbQBlAD0AQQBE
AFIAMQBfADAAMQBfADUAXwA4ADMAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8ATQB1AGwA
dABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAEgAxAGUAcgAgAHAAYQByAHQAaQBl
ACAAYQBkAHIAZQBzAHMAZQAAAAoARQBuAHQAcgB5AE0AYQBjAHIAbwAAAAkARQB4AGkAdABNAGEA
YwByAG8AAAA=
FORMTEXT /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA+AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwARABPAE0AXwAwADEAXwA1AF8AOAA0AF0ADQAKAFYAMQAyAKQALwBQAGEAcgB0AGkAZQA9ADAA
MQAvAE0AdQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAABEAVgBpAGwAbABl
ACAAZAB1ACAAZABvAG0AaQBjAGkAbABlAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgA
aQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT téléphone domicile /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARABPAE0AXwAwADEAXwA1AF8AOAA1AF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAA4AUAByAOkAbgBvAG0AcwAg
AGMAbABpAGUAbgB0AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIA
bwAAAA==
FORMTEXT téléphone travail /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0AUABSAE8ARgBfADAAMQBfADUAXwA4ADYAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8A
TQB1AGwAdABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAAAAAAAoARQBuAHQAcgB5
AE0AYQBjAHIAbwAAAAkARQB4AGkAdABNAGEAYwByAG8AAAA=
FORMTEXT téléphone portable /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARwBTAE0AXwAwADEAXwA1AF8AOAA3AF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0AHIAeQBN
AGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT e-mail /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA6AFsAZgBmAGwAZABuAGEAbQBlAD0ARQBN
AEEASQBMAF8AMAAxAF8ANQBfADgAOABdAA0ACgCkAC8AUABhAHIAdABpAGUAPQAwADEALwBNAHUA
bAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdAByAHkATQBh
AGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT fax /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARgBBAFgAXwAwADEAXwA1AF8AOAA5AF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0AHIAeQBN
AGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT Relevé d’identité bancaire (RIB) – merci de nous le fournirVous êtes résident fiscal ://///2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Français/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX EtrangerNom /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA5AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBP
AE0AVQBfADAAMQBfADYAXwA5ADAAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8ATQB1AGwA
dABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAACgBOAG8AbQAgAGMAbABpAGUAbgB0
AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Prénom(s) /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0AUABS
AEUATgBPAE0AXwAwADEAXwA2AF8AOQAxAF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAA4AUAByAOkAbgBvAG0AcwAg
AGMAbABpAGUAbgB0AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIA
bwAAAA==
FORMTEXT Date et lieu de naissance /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
AFQATgBBAF8AMAAxAF8ANgBfADkAMgBdAA0ACgBkADgApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8A
TQB1AGwAdABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAEQBEAGEAdABlACAAZABl
ACAAbgBhAGkAcwBzAGEAbgBjAGUAAAAKAEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQA
TQBhAGMAcgBvAAAA
FORMTEXT Commune et Code Postal /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwATgBBAF8AMAAxAF8ANgBfADkAMwBdAA0ACgBWADEAMgCkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAASAFYAaQBsAGwAZQAg
AGQAZQAgAG4AYQBpAHMAcwBhAG4AYwBlAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgA
aQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Profession /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA5AFsAZgBmAGwAZABuAGEAbQBlAD0AUABS
AE8ARgBfADAAMQBfADYAXwA5ADQAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8ATQB1AGwA
dABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAACgBQAHIAbwBmAGUAcwBzAGkAbwBu
AAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Nationalité /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBB
AFQASQBPAE4AXwAwADEAXwA2AF8AOQA1AF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAsAQwBvAGQAZQAgAEEAcgBy
AOoAdAAuAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Si vous êtes étranger, joindre la copie de votre carte de résident et de votre acte de naissance traduit en français./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Célibataire/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Veuf(ve)/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Marié(e)Date du mariage /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
AFQATQBBAFIAXwAwADEAXwA2AF8AOQA2AF0ADQAKAGQAOACkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Commune et Code postal /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwATQBBAF8AMAAxAF8ANgBfADkANwBdAA0ACgBWADEAMgCkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT Si vous avez établi un contrat de mariage ou une déclaration de loi applicable Convention de La Haye, joindre la copie. Pays de 1re résidence fixe après mariage /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Divorcé(e)Par jugement du tribunal de /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA+AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwARABJAFYAXwAwADEAXwA2AF8AOQA4AF0ADQAKAFYAMQAyAKQALwBQAGEAcgB0AGkAZQA9ADAA
MQAvAE0AdQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0
AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT En date du /////4AAAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0ARABB
AFQARABJAFYAXwAwADEAXwA2AF8AOQA5AF0ADQAKAGQAOACkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX En instance de divorce/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez souscrit un PACS encore en vigueurJoindre la copie + copie de la déclaration au greffe ou le récépissé d’enregistrement par le notaire /////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez souscrit un PACS que vous avez dénoncéJoindre la copie de la dénonciation./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous êtes commerçant, artisan, ou dirigeant de sociétéJoindre un justificatif de votre immatriculation au registre du commerce et des sociétés./////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous êtes en état de redressement judiciaire, liquidation de biens, cessation de paiement/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Vous avez saisi la commission de surendettement des particuliersCOORDONNEES AUXQUELLES L’ETUDE PEUT VOUS JOINDREAdresse postale /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA6AFsAZgBmAGwAZABuAGEAbQBlAD0AQQBE
AFIAMQBfADAAMQBfADYAXwAxADAAMABdAA0ACgCkAC8AUABhAHIAdABpAGUAPQAwADEALwBNAHUA
bAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAASADEAZQByACAAcABhAHIAdABp
AGUAIABhAGQAcgBlAHMAcwBlAAAACgBFAG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0A
YQBjAHIAbwAAAA==
FORMTEXT /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA/AFsAZgBmAGwAZABuAGEAbQBlAD0AVgBJ
AEwARABPAE0AXwAwADEAXwA2AF8AMQAwADEAXQANAAoAVgAxADIApAAvAFAAYQByAHQAaQBlAD0A
MAAxAC8ATQB1AGwAdABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAEQBWAGkAbABs
AGUAIABkAHUAIABkAG8AbQBpAGMAaQBsAGUAAAAKAEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUA
eABpAHQATQBhAGMAcgBvAAAA
FORMTEXT téléphone domicile /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARABPAE0AXwAwADEAXwA2AF8AMQAwADIAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8A
TQB1AGwAdABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAADgBQAHIA6QBuAG8AbQBz
ACAAYwBsAGkAZQBuAHQAAAAKAEUAbgB0AHIAeQBNAGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMA
cgBvAAAA
FORMTEXT téléphone travail /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA9AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0AUABSAE8ARgBfADAAMQBfADYAXwAxADAAMwBdAA0ACgCkAC8AUABhAHIAdABpAGUAPQAwADEA
LwBNAHUAbAB0AGkAPQBPAA0ACgBJAGQAQQBjAHQAaQBvAG4APQAxAKQAAAAAAAAACgBFAG4AdABy
AHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMTEXT téléphone portable /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARwBTAE0AXwAwADEAXwA2AF8AMQAwADQAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8A
TQB1AGwAdABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAAAAAAAoARQBuAHQAcgB5
AE0AYQBjAHIAbwAAAAkARQB4AGkAdABNAGEAYwByAG8AAAA=
FORMTEXT e-mail /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA7AFsAZgBmAGwAZABuAGEAbQBlAD0ARQBN
AEEASQBMAF8AMAAxAF8ANgBfADEAMAA1AF0ADQAKAKQALwBQAGEAcgB0AGkAZQA9ADAAMQAvAE0A
dQBsAHQAaQA9AE8ADQAKAEkAZABBAGMAdABpAG8AbgA9ADEApAAAAAAAAAAKAEUAbgB0AHIAeQBN
AGEAYwByAG8AAAAJAEUAeABpAHQATQBhAGMAcgBvAAAA
FORMTEXT fax /////4ABAAAAAAAAAAAFAAIgAiACIAIgAiAAAAAAAAA8AFsAZgBmAGwAZABuAGEAbQBlAD0ATgBV
AE0ARgBBAFgAXwAwADEAXwA2AF8AMQAwADYAXQANAAoApAAvAFAAYQByAHQAaQBlAD0AMAAxAC8A
TQB1AGwAdABpAD0ATwANAAoASQBkAEEAYwB0AGkAbwBuAD0AMQCkAAAAAAAAAAoARQBuAHQAcgB5
AE0AYQBjAHIAbwAAAAkARQB4AGkAdABNAGEAYwByAG8AAAA=
FORMTEXT Relevé d’identité bancaire (RIB) – merci de nous le fournirVous êtes résident fiscal ://///2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Français/////2UAAAAUAAAAAAAAAAAAAAANAFsAZgBmAGwAZABuAGEAbQBlAD0AXQANAAoAAAAAAAAACgBF
AG4AdAByAHkATQBhAGMAcgBvAAAACQBFAHgAaQB0AE0AYQBjAHIAbwAAAA==
FORMCHECKBOX Etrangeravril 2018 PAGE 1