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{\pntxtb (}{\pntxta )}}\pard\plain \s28\qc \li0\ri1134\sl-240\slmult0\keep\widctlpar\nooverflow\faroman\rin1134\lin0\itap0 \cbpat8 \b\f31\fs24\lang1036\langfe1036\cgrid\langnp1036\langfenp1036 {\f1 ATTESTATION
\par }\pard\plain \qj \li0\ri1134\sl-240\slmult0\widctlpar\nooverflow\faroman\rin1134\lin0\itap0 \f4\fs24\lang1036\langfe1036\cgrid\langnp1036\langfenp1036 {\f1\uldb
\par
\par }\pard \qj \li0\ri1134\sl-240\slmult0\widctlpar\nooverflow\faroman\rin1134\lin0\itap0 {\f1\uldb
\par }\pard \qj \li0\ri1134\sl-240\slmult0\widctlpar\nooverflow\faroman\rin1134\lin0\itap0 {\f1\uldb
\par }\pard\plain \s22\qj \li0\ri1134\sl-240\slmult0\widctlpar\nooverflow\faroman\rin1134\lin0\itap0 \f4\fs24\lang1036\langfe1036\cgrid\langnp1036\langfenp1036 {\f1 IMPORTANT : L'attestation qui sera \'e9crite, dat\'e9e et sign\'e9
e de la main de son auteur, devra \'eatre accompagn\'e9e d'une photocopie d'un document officiel justifiant l'identit\'e9 du signataire et comportant sa signature.
\par }\pard\plain \qj \li0\ri1134\sl-240\slmult0\widctlpar\nooverflow\faroman\rin1134\lin0\itap0 \f4\fs24\lang1036\langfe1036\cgrid\langnp1036\langfenp1036 {\f1\uldb
\par
\par }\pard \qj \li0\ri1134\sl-240\slmult0\widctlpar\nooverflow\faroman\rin1134\lin0\itap0 {\f1\uldb
\par }\pard \qj \li0\ri1134\sb240\sa240\sl-240\slmult0\widctlpar\nooverflow\faroman\rin1134\lin0\itap0 {\f1 Je soussign\'e9,
\par }\pard\plain \s22\qj \li0\ri1134\sl-240\slmult0\widctlpar\nooverflow\faroman\rin1134\lin0\itap0 \f4\fs24\lang1036\langfe1036\cgrid\langnp1036\langfenp1036 {\f1
\par
\par }\pard \s22\qj \li0\ri1134\sl-240\slmult0\widctlpar\nooverflow\faroman\rin1134\lin0\itap0 {\f1 NOM : Pr\'e9noms :
\par
\par
\par
\par Date et lieu de naissance :
\par
\par
\par Parent ou alli\'e9 avec un des parties : OUI - NON
\par
\par Eventuellement laquelle :
\par
\par
\par Employ\'e9 ou collaborateur de l'une des parties : OUI - NON
\par
\par Eventuellement laquelle :
\par
\par
\par Ayant des int\'e9r\'eats communs (associ\'e9s, relations d'affaires...) avec l'un des parties : OUI - NON
\par
\par Eventuellement laquelle :
\par
\par
\par
\par
\par
\par }\pard\plain \qj \li0\ri1134\sb240\sa240\sl-240\slmult0\widctlpar\nooverflow\faroman\rin1134\lin0\itap0 \f4\fs24\lang1036\langfe1036\cgrid\langnp1036\langfenp1036 {\f1 Reconnais avoir pris connaissance de ce que la pr\'e9sente attestation est \'e9
tablie en vue de production en Justice et qu'une fausse attestation de ma part m'expose \'e0 des sanctions p\'e9nales.
\par }\pard\plain \s22\qj \li0\ri1134\sl-240\slmult0\widctlpar\nooverflow\faroman\rin1134\lin0\itap0 \f4\fs24\lang1036\langfe1036\cgrid\langnp1036\langfenp1036 {\f1 Atteste avoir personnellement constat\'e9 les faits suivants :
\par }\pard \s22\qj \li0\ri1134\sl-240\slmult0\widctlpar\nooverflow\faroman\rin1134\lin0\itap0 {\f1
\par
\par }\pard\plain \qj \li0\ri1134\sb240\sa240\sl-240\slmult0\widctlpar\nooverflow\faroman\rin1134\lin0\itap0 \f4\fs24\lang1036\langfe1036\cgrid\langnp1036\langfenp1036 {\f1
\par }}
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