Logement proprietaire - Attestation de loyers a jour

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Attestation de Loyers à jour<o:p></o:p>

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Je soussigné, {{précisez vos prénom et nom}}, propriétaire
du logement situé à {{adresse complète}} , donné en location à {{prénom et nom
du locataire}}, déclare avoir reçu de celui-ci à titre de loyers et de charges
pour la période du {{précisez}} au {{précisez}} les sommes suivantes :

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 <td width=319 valign=top style='width:239.4pt;border:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 Mois
 </td>
 <td width=108 valign=top style='width:81.0pt;border:solid windowtext .5pt;
 border-left:none;mso-border-left-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Loyers dus
 </td>
 <td width=108 valign=top style='width:81.0pt;border:solid windowtext .5pt;
 border-left:none;mso-border-left-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Loyers reçus
 </td>
 <td width=84 valign=top style='width:63.0pt;border:solid windowtext .5pt;
 border-left:none;mso-border-left-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Soldes
 </td>
 </tr>
 <tr>
 <td width=319 valign=top style='width:239.4pt;border:solid windowtext .5pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Janvier 2004
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 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
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 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
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 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 </td>
 <td width=84 valign=top style='width:63.0pt;border-top:none;border-left:none;
 border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
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 border-top:none;mso-border-top-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Février 2004
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 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
 <td width=84 valign=top style='width:63.0pt;border-top:none;border-left:none;
 border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
 </tr>
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 <td width=319 valign=top style='width:239.4pt;border:solid windowtext .5pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Mars 2004
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 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
 <td width=84 valign=top style='width:63.0pt;border-top:none;border-left:none;
 border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
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 <td width=319 valign=top style='width:239.4pt;border:solid windowtext .5pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Avril 2004
 </td>
 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 </td>
 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
 <td width=84 valign=top style='width:63.0pt;border-top:none;border-left:none;
 border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
 </tr>
 <tr>
 <td width=319 valign=top style='width:239.4pt;border:solid windowtext .5pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Mai 2004
 </td>
 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 <td width=84 valign=top style='width:63.0pt;border-top:none;border-left:none;
 border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
 </tr>
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 <td width=319 valign=top style='width:239.4pt;border:solid windowtext .5pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Juin 2004
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 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 </td>
 <td width=84 valign=top style='width:63.0pt;border-top:none;border-left:none;
 border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 </td>
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 <td width=319 valign=top style='width:239.4pt;border:solid windowtext .5pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Juillet 2004
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 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 </td>
 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 </td>
 <td width=84 valign=top style='width:63.0pt;border-top:none;border-left:none;
 border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 border-top:none;mso-border-top-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Août 2004
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 padding:0cm 5.4pt 0cm 5.4pt'>
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 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 </td>
 <td width=84 valign=top style='width:63.0pt;border-top:none;border-left:none;
 border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 </td>
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 <td width=319 valign=top style='width:239.4pt;border:solid windowtext .5pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Septembre 2004
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 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 </td>
 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
 <td width=84 valign=top style='width:63.0pt;border-top:none;border-left:none;
 border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
 </tr>
 <tr>
 <td width=319 valign=top style='width:239.4pt;border:solid windowtext .5pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Octobre 2004
 </td>
 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 </td>
 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
 <td width=84 valign=top style='width:63.0pt;border-top:none;border-left:none;
 border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 </td>
 </tr>
 <tr>
 <td width=319 valign=top style='width:239.4pt;border:solid windowtext .5pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Novembre 2004
 </td>
 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 </td>
 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 </td>
 <td width=84 valign=top style='width:63.0pt;border-top:none;border-left:none;
 border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
 </tr>
 <tr>
 <td width=319 valign=top style='width:239.4pt;border:solid windowtext .5pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Décembre 2004
 </td>
 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
 none;border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 </td>
 <td width=84 valign=top style='width:63.0pt;border-top:none;border-left:none;
 border-bottom:solid windowtext .5pt;border-right:solid windowtext .5pt;
 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
 </tr>
 <tr>
 <td width=319 valign=top style='width:239.4pt;border:solid windowtext .5pt;
 border-top:none;mso-border-top-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'>
 Total 2004
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 padding:0cm 5.4pt 0cm 5.4pt'>
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 <td width=108 valign=top style='width:81.0pt;border-top:none;border-left:
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 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
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 mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
 padding:0cm 5.4pt 0cm 5.4pt'>
 <o:p></o:p>
 </td>
 </tr>
</table>

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Fait à {{lieu}}, le {{date}}

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Signature

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Logement proprietaire - Attestation de loyers a jour