ETAT DES LIEUX français et anglais _Réparé

ETAT DES LIEUX/INVENTORY
Adresse des lieux loués/Adress of the rented accommodation
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Date d’arrivée dans les lieux/Date of arrival in the accommodation: ………………..……………..…….
Date de sortie/Date you are leaving the accommodation: ………………………...…………………..………
Entre les soussignés/Between the undersigned
Le bailleur/The lessor
M ou Mme…………………………………résident au/living at…………………………………………………………...
Le locataire/the tenant
Mr or Mrs or Miss……………………………résident au/living at………………………………………………………
INSTALLATION
Collectif
Individuel/Personal
Gaz/Gas
Chauffage/Heating
Electricité/Electricity
Autres/Others
Chaudière/boiler
Eau chaude/Hot
water
Ballon/Tank
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RELEVE DES COMPTEURS/METER VOLUME READING
Numéro/Number
A l’arrivée/On your
arrival
En partant/when you
leave
Compteur d’eau/Water
meter
Compteur de Gaz/Gas
meter
Compteur
électrique/Electricity
meter
INVENTORY (describe the accommodation the more precised than you can. Do not forget to
mention any crack, hole, burn spot, broken equipment)
Murs/walls
Sol/Floor
Plafond/Ceiling Mobilier/Furnitures
Entrée/Entrance
Salle à manger,
salon/Living room
Salle de
bain/Bathroom
Chambre/Bedroom
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Equipements/
Equipments
(Numbers and
state of plugs,
heaters,
switches)
OBSERVATIONS/REMARKS
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The inventory has been established and agreed by both the lessor and the tenant.
Fait en/Made in………….exemplaires/copies
A/In………….…………………………………………….………..le/on…………………………………………………………….
……………
Signature of the lessor
Signature of the tenant
(lu et approuvé/ Read and agreed)
(lu et approuvé/Read and agreed)
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