BUY - SELL - LEASE - EVALUATION - ADMISTRAÃ Ã O - PROPERTIES - LEGAL ASSISTANCE - Le
galisation - WE ARE AFFILIATED TO (SPC) TEL: (092) 634-2594 or 622-3698 MODEL CONTRACT "Laud INSPECTION" Survey performed on land situated at: ADDRESS PROPERTY Owned by Mr (a): NAME Who was leased to Mr (a) Guarantor NAME: NAME This "self survey" was executed by th e undersigned and shall be part of the lease, dated: DATA AGREEMENT, for all int ents and purposes of law. Property condition: () new (x) Good (10) years (() reg ular) months (() bad () excellent () weeks Approximate age of property: ) Days Existing damage: state briefly with "X" only the situation: YES or NO. 01 02 03 04 05 06 07 08 09 Hall, Hall of movement for damage, for damage Stairs, rooms fo r damage, for damage bedrooms, bathrooms any damage, any damage kitchen, there a re other dependencies damage, any damage at external dependencies, for damage (( ((((((() SIM) SIM) SIM) SIM) SIM) SIM) SIM) SIM) SIM (x) NO (x) NO (x) NO (x) NO (x) NO ( x) NO (x) NO (x) NO (x) NO General Description: GENERAL INFORMATION ADDITIONAL STATE PROPERTY: a) Floors go od b) good ceilings, c) good walls d) ports and good) good windows f) good foote rs g) painting in good condition. Overview: POWER PLANTS: a) - sockets, switches and nipples. (In perfect condition). Overview SANITARY FACILITIES: a) - Taps, d ischarges, showers, drains, sinks and toilets. (In perfect condition). (X) Yes G eneral Description (x) YES (x) YES (x) YES (x) YES (x) YES (x) YES (x) YES ((((( (() NO) NO) NO) NO) NO) NO) NO (X) YES () NO () NO Address lessor Logo BUY - SELL - LEASE - EVALUATION - ADMISTRAÃ Ã O - PROPERTIES - LEGAL ASSISTANCE - Le galisation - WE ARE AFFILIATED TO (SPC) TEL: (092) 634-2594 or 622-3698 MODEL CONTRACT OTHER FACILITIES: a) - Frames, glasses, key internal and external, a sink, tiles , box in perfect condition. Overview RELATION OF THE STATE OF EVERY MAGAZINE, fu rniture and fixtures: PORCH: screenhouse In good use and conservation, ceiling l ined in Lambri, cabinets in perfect condition for use and conservation. ROOM: In perfect condition. Painting is in perfect condition Floors: Sintek in perfect c ondition. ROOM 1: in perfect state of conservation and use. Floor is in perfect condition Door, window, grill, footer: Painting in perfect condition: in perfect condition 2 FOURTH: In perfect condition. (X) YES () NO Floor is in perfect condition Door, window, grill, footer: Painting in perfect c ondition: in perfect condition 3 BEDROOM STE C / balcony is in a perfect state o f conservation and use. Floor is in perfect condition Door, windows, railings, f ooter: Painting in perfect condition: in perfect condition Suite with dressing r oom and two closets, toilet suite in perfect condition: in perfect condition. Ba lcony: with screen, in perfect condition. SOCIAL BATHROOM: In perfect condition and operation, with box. Tile is in perfect condition Floors: Ceramic Box in per fect condition: in perfect condition Pia, discharge, toilet, bidet is in perfect condition Door: Shower in perfect condition: in perfect state Cabinet is in per fect condition Address lessor Logo BUY - SELL - LEASE - EVALUATION - ADMISTRAÃ Ã O - PROPERTIES - LEGAL ASSISTANCE - Le galisation - WE ARE AFFILIATED TO (SPC) TEL: (092) 634-2594 or 622-3698 MODEL CONTRACT KITCHEN is in perfect condition and operation. Tile: floor in perfect condition: in perfect condition Lining: gypsum, in perfect condition Sink and faucet is in perfect condition doors, grilles, in perfect condition INTERNAL CIRCULATION: In perfect condition and operation. AREA OF SERVICE: In perfect condition and oper ation. DEP. Employment / WC OF EMPLOYED: Floor ceramics, in perfect condition. F orro in plaster, in perfect condition. Painting is in perfect condition Porta, i n perfect condition. This instrument is an integral part of the Rental Agreement signed between the contracting parties, and the tenant is fully responsible for the safekeeping of the property, as well as your furniture and fixtures, dealin g with any injury damages, recorded at the time of returning the goods. Thus the parties nominate the venue of the District of Manaus to resolve any doubts, ren ouncing any other matter how privileged it is, and signed this into 3 (three) co unterparts of equal content and form, together with the witnesses who also sign. ÂManaus, August 9, 2002. Lessor (the )__________________________________________________ Lessee (the )_________________________________________________ Guarantor (the ):___________________________________________________ WITNESSES: __________________________________ __________________________________ Address lessor