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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
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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.
€Manaus, August 9, 2002.
Lessor (the )__________________________________________________
Lessee (the )_________________________________________________
Guarantor (the ):___________________________________________________ WITNESSES:
__________________________________
__________________________________
Address lessor

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