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Mairie - Certificat de vie

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   <p style="text-align:center"><span style="font-weight:bold;font-size:14pt;font-family:'ComicSansMS-Bold'">ATTESTATION SUR L'HONNEUR</span></p>
   <p dir="ltr" style="text-align:center;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"><span style="font-weight:bold;font-size:14pt;font-family:'ComicSansMS-Bold'">VALANT</span></p>
   <p dir="ltr" style="text-align:center;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"><span style="font-weight:bold;font-size:14pt;font-family:'ComicSansMS-Bold'">CERTIFICAT DE VIE</span></p>
   <p dir="ltr" style="text-align:center;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"><span style="font-size:10.5pt;font-family:'ComicSansMS'">Décret 1277-2000 du 26 décembre 2000</span></p>
   <p dir="ltr" style="text-align:center;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"></p>
   <p dir="ltr" style="text-align:left;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"><span style="font-weight:bold;font-size:11pt;font-family:'ComicSansMS-Bold'">Je soussigné(e) </span><span style="font-weight:bold;font-family:'ComicSansMS-Bold'">: </span><span style="font-weight:bold;font-family:'ComicSansMS-Bold'" lang="fr-FR">(</span><span style="font-size:11pt;font-family:'ComicSansMS'">Madame</span><span style="font-size:11pt;font-family:'ComicSansMS'" lang="fr-FR">) ou</span><span style="font-size:11pt;font-family:'ComicSansMS'"> </span><span style="font-size:11pt;font-family:'ComicSansMS'" lang="fr-FR">(</span><span style="font-size:11pt;font-family:'ComicSansMS'">Monsieur</span><span style="font-size:11pt;font-family:'ComicSansMS'" lang="fr-FR">)</span></p>
   <p dir="ltr" style="text-align:left;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"><span style="font-size:11pt;font-family:'ComicSansMS'">Nom………………………………………………………………………………………………………………………………………………………..</span></p>
   <p dir="ltr" style="text-align:left;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"><span style="font-size:11pt;font-family:'ComicSansMS'">Nom de jeune </span><span style="font-size:11pt;font-family:'ComicSansMS'" lang="fr-FR">f</span><span style="font-size:11pt;font-family:'ComicSansMS'">ille……………………………………………………………………………………………………………………</span></p>
   <p dir="ltr" style="text-align:left;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"><span style="font-size:11pt;font-family:'ComicSansMS'">Prénom(s) ……………………………………………………………………………………né(e) le…………………………………………,</span></p>
   <p dir="ltr" style="text-align:left;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"><span style="font-size:11pt;font-family:'ComicSansMS'">Domicilié(e) ………………………………………………………………………………………………………………………………………….</span></p>
   <p dir="ltr" style="text-align:left;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"><span style="font-size:11pt;font-family:'ComicSansMS'">…………………………………………………………………………………………………………………………………………………………………</span></p>
   <p dir="ltr" style="text-align:left;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"><span style="font-size:11pt;font-family:'ComicSansMS'">à……………………………………………………………………… ,</span></p>
   <p dir="ltr" style="text-align:left;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"><span style="font-weight:bold;font-size:11pt;font-family:'ComicSansMS-Bold'">atteste être toujours en vie à ce jour</span></p>
   <p dir="ltr" style="text-align:left;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"><span style="font-size:11pt;font-family:'ComicSansMS'">Fait le …………………………………………………………… , à…………………………………………………………………… .</span></p>
   <p dir="ltr" style="text-align:left;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"></p>
   <p dir="ltr" style="text-align:center;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"><span style="font-weight:bold;font-size:11pt;font-family:'ComicSansMS-Bold'">Signature de l'intéressé</span></p>
   <p dir="ltr" style="text-align:center;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"><span style="font-size:10pt;font-family:'ComicSansMS'">Attestant l'exactitude des</span></p>
   <p dir="ltr" style="text-align:center;margin-bottom:0.0000in;margin-top:0.0000in;margin-right:0.0000in"><span style="font-size:10pt;font-family:'ComicSansMS'">renseignement ci-dessus</span></p>
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