{"id":6087,"date":"2024-02-27T13:03:56","date_gmt":"2024-02-27T13:03:56","guid":{"rendered":"https:\/\/www.dana-avocats.fr\/?page_id=6087"},"modified":"2026-09-28T18:11:39","modified_gmt":"2026-09-28T16:11:39","slug":"formulaire-saisie","status":"publish","type":"page","link":"http:\/\/www.dana-avocats.fr\/en\/formulaire-saisie\/","title":{"rendered":"Estimation du gain potentiel \u2013 Pr\u00eat en francs suisses"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6087\" class=\"elementor elementor-6087\" data-elementor-settings=\"{&quot;ha_cmc_init_switcher&quot;:&quot;no&quot;}\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-188bc3d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"188bc3d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a33883d\" data-id=\"a33883d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-946626e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"946626e\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-02ca3cb\" data-id=\"02ca3cb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-c22d1ae\" data-id=\"c22d1ae\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2a6f657 elementor-widget elementor-widget-heading\" data-id=\"2a6f657\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Estimer le gain potentiel de l\u2019annulation de votre pr\u00eat en francs suisses<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-84ebea1 elementor-widget elementor-widget-text-editor\" data-id=\"84ebea1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Vous avez souscrit un pr\u00eat immobilier libell\u00e9 en francs suisses alors que vous perceviez vos revenus en Suisse ? Ce formulaire vous permet d\u2019obtenir gratuitement une premi\u00e8re estimation du gain ou de l\u2019\u00e9conomie envisageable si le juge prononce l\u2019annulation du pr\u00eat.<\/p><p>L\u2019estimation repose sur le m\u00e9canisme des restitutions cons\u00e9cutives \u00e0 l\u2019annulation : la banque restitue les sommes qu\u2019elle a per\u00e7ues, l\u2019emprunteur restitue le capital qui lui a \u00e9t\u00e9 pr\u00eat\u00e9. Les primes d\u2019assurance vers\u00e9es \u00e0 l\u2019assureur n\u2019entrent pas dans les restitutions dues par la banque (<a href=\"\/decisions-obtenues-frontaliers\/\">Cass. 1<sup>re<\/sup> civ., 11 mars 2026, n\u00b0 24-21.018<\/a>).<\/p><p>Pour remplir le formulaire, munissez-vous de votre offre de pr\u00eat, de la notice d\u2019information remise par la banque et de votre dernier relev\u00e9 de pr\u00eat.<\/p><p>Cette estimation, sans engagement, est indicative : elle se fonde sur les seules informations que vous d\u00e9clarez, dont certaines peuvent \u00eatre approximatives (taux variable, conversion entre francs suisses et euros). Elle ne constitue ni une consultation juridique ni une garantie de r\u00e9sultat, chaque dossier restant soumis \u00e0 l\u2019appr\u00e9ciation du juge. Les informations transmises sont adress\u00e9es au cabinet DANA Avocats, qui pourra vous recontacter pour un premier examen de votre situation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-83a31eb elementor-widget elementor-widget-ha-gravityforms happy-addon ha-gravityforms\" data-id=\"83a31eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"ha-gravityforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_16' style='width:16%;'><span>16%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_11_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_11' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><div id=\"field_11_134\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"><label id='gfield_label_11_134' class='gfield_label gform-field-label' for='input_11_134'><span class='gform-field-label__text'>Instagram<\/span><\/label><div class='ginput_container'><input name='input_134' id='input_11_134' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_11_134'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_11_1\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"893b1997\" data-field-span=\"12\"><h3 class=\"gsection_title\">Annulation de pr\u00eat en CHF : estimation du gain potentiel<\/h3><\/div><div id=\"field_11_98\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"d508a7f1\" data-field-span=\"12\">Afin d\u2019estimer le gain potentiel r\u00e9sultant de l\u2019annulation de votre pr\u00eat, nous vous remercions de bien vouloir nous communiquer les informations suivantes : <\/div><fieldset id=\"field_11_65\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gcldf-field gcldf-field-date gcldf-date-format-dmy gfield_trigger_change gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"eb044990\" data-field-span=\"12\"><legend id='gfield_label_11_65' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Quelle est la date de souscription du pr\u00eat ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div id='input_11_65' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_11_65_2_container'><label for='input_11_65_2' id='input_11_65_2_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Jour<\/label><select name='input_65[]' id='input_11_65_2'   aria-required='true'   aria-labelledby=\"input_11_65_2_label gfield_label_11_65\" ><option value=''>Jour<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_11_65_1_container'><label for='input_11_65_1' id='input_11_65_1_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Mois<\/label><select name='input_65[]' id='input_11_65_1'   aria-required='true'  ><option value=''>Mois<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_11_65_3_container'><label for='input_11_65_3' id='input_11_65_3_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Ann\u00e9e<\/label><select name='input_65[]' id='input_11_65_3'   aria-required='true'  ><option value=''>Ann\u00e9e<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_11_104\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"7aae0332\" data-field-span=\"6\"><label id='gfield_label_11_104' class='gfield_label gform-field-label' for='input_11_104'><span class='gform-field-label__text'>NEW : Dur\u00e9e \u00e9coul\u00e9e du pr\u00eat en ann\u00e9es<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_104' id='input_11_104' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_11_104\" \/><\/div><div class='gfield_description' id='gfield_description_11_104'>Dur\u00e9e du pr\u00eat en nombre d'ann\u00e9es<\/div><\/div><div id=\"field_11_66\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"7aae0332\" data-field-span=\"6\"><label id='gfield_label_11_66' class='gfield_label gform-field-label' for='input_11_66'><span class='gform-field-label__text'>Dur\u00e9e \u00e9coul\u00e9e du pr\u00eat<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_66' id='input_11_66' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_11_66\" \/><\/div><div class='gfield_description' id='gfield_description_11_66'>Dur\u00e9e du pr\u00eat en nombre de mois<\/div><\/div><div id=\"field_11_9\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"25f8a52c\" data-field-span=\"6\"><label id='gfield_label_11_9' class='gfield_label gform-field-label' for='input_11_9'><span class='gform-field-label__text'>Montant du pr\u00eat en CHF<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_9' id='input_11_9' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_45\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"25f8a52c\" data-field-span=\"6\"><label id='gfield_label_11_45' class='gfield_label gform-field-label' for='input_11_45'><span class='gform-field-label__text'>Montant du pr\u00eat en EUR<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_45' id='input_11_45' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_67\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"545b7914\" data-field-span=\"6\"><label id='gfield_label_11_67' class='gfield_label gform-field-label' for='input_11_67'><span class='gform-field-label__text'>Les \u00e9ch\u00e9ances de votre pr\u00eat sont \/ \u00e9taient :<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_67' id='input_11_67' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='mensuelles' >mensuelles<\/option><option value='trimestrielles' >trimestrielles<\/option><\/select><\/div><\/div><div id=\"field_11_11\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"545b7914\" data-field-span=\"6\"><label id='gfield_label_11_11' class='gfield_label gform-field-label' for='input_11_11'><span class='gform-field-label__text'>Montant des \u00e9ch\u00e9ances mensuelles en CHF<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_11' id='input_11_11' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_11_11\" \/><\/div><div class='gfield_description' id='gfield_description_11_11'>En cas de taux variable, indiquer un montant moyen<\/div><\/div><div id=\"field_11_68\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7ac2b0e4\" data-field-span=\"6\"><label id='gfield_label_11_68' class='gfield_label gform-field-label' for='input_11_68'><span class='gform-field-label__text'>Montant des \u00e9ch\u00e9ances trimestrielles en CHF<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_68' id='input_11_68' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_11_68\" \/><\/div><div class='gfield_description' id='gfield_description_11_68'>En cas de taux variable, indiquer un montant moyen<\/div><\/div><div id=\"field_11_48\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7ac2b0e4\" data-field-span=\"6\"><label id='gfield_label_11_48' class='gfield_label gform-field-label' for='input_11_48'><span class='gform-field-label__text'>Montant en EUR du capital restant d\u00fb \u00e0 ce jour ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_48' id='input_11_48' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_11_48\" \/><\/div><div class='gfield_description' id='gfield_description_11_48'>Cette information est communiqu\u00e9e sur votre dernier relev\u00e9 bancaire ou sur l'application en ligne de votre banque. <br>\nLe montant en franc suisse doit \u00eatre converti au taux CHF \/ EUR du jour.<br><\/div><\/div><div id=\"field_11_8\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"8fb14de0\" data-field-span=\"6\"><label id='gfield_label_11_8' class='gfield_label gform-field-label' for='input_11_8'><span class='gform-field-label__text'>Dans quelle banque avez-vous souscrit votre pr\u00eat en devise ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_11_8' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Cr\u00e9dit Agricole' >Cr\u00e9dit Agricole<\/option><option value='Cr\u00e9dit Mutuel' >Cr\u00e9dit Mutuel<\/option><option value='Banque Populaire' >Banque Populaire<\/option><option value='Caisse d&#039;Epargne' >Caisse d&#039;Epargne<\/option><option value='BNP' >BNP<\/option><option value='Soci\u00e9t\u00e9 G\u00e9n\u00e9rale' >Soci\u00e9t\u00e9 G\u00e9n\u00e9rale<\/option><option value='CIC' >CIC<\/option><option value='CA-nextbank' >CA-nextbank<\/option><option value='Banque du L\u00e9man' >Banque du L\u00e9man<\/option><option value='Autre' >Autre<\/option><\/select><\/div><\/div><div id=\"field_11_123\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"8fb14de0\" data-field-span=\"6\"><label id='gfield_label_11_123' class='gfield_label gform-field-label' for='input_11_123'><span class='gform-field-label__text'>Notice d&#039;information<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_123' id='input_11_123' type='file' class='large' aria-describedby=\"gfield_upload_rules_11_123 gfield_description_11_123\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_11_123'>Accepted file types: pdf, jpg, png, Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_11_123'><\/div> <\/div><div class='gfield_description' id='gfield_description_11_123'>Merci de t\u00e9l\u00e9charger la notice d'information que la banque vous a remise<\/div><\/div><fieldset id=\"field_11_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"5a6608d3\" data-field-span=\"6\"><legend id='gfield_label_11_54' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Avez-vous effectu\u00e9 des remboursements par anticipation ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_54'>\n\t\t\t<div class='gchoice gchoice_11_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='non'  id='choice_11_54_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_11_54_0 gfield_label_11_54\"   \/>\n\t\t\t\t\t<label for='choice_11_54_0' id='label_11_54_0' class='gform-field-label gform-field-label--type-inline'>non<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='oui'  id='choice_11_54_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_11_54_1' id='label_11_54_1' class='gform-field-label gform-field-label--type-inline'>oui<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_11_131\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"5a6608d3\" data-field-span=\"6\"><legend id='gfield_label_11_131' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Ce ou ces remboursements \u00e9tai(en)t-il(s) :<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_131'>\n\t\t\t<div class='gchoice gchoice_11_131_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='total (vous avez sold\u00e9 le pr\u00eat)'  id='choice_11_131_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_11_131_0 gfield_label_11_131\"   \/>\n\t\t\t\t\t<label for='choice_11_131_0' id='label_11_131_0' class='gform-field-label gform-field-label--type-inline'>total (vous avez sold\u00e9 le pr\u00eat)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_131_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='partiel'  id='choice_11_131_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_11_131_1' id='label_11_131_1' class='gform-field-label gform-field-label--type-inline'>partiel<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_55\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"e289348d\" data-field-span=\"6\"><label id='gfield_label_11_55' class='gfield_label gform-field-label' for='input_11_55'><span class='gform-field-label__text'>Quel est le montant en EUR que vous avez rembours\u00e9 par anticipation ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_55' id='input_11_55' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_11_55\" \/><\/div><div class='gfield_description' id='gfield_description_11_55'>Important : merci de communiquer ici le montant en EUR. \nSi vous n'avez que le montant en CHF, vous pouvez le convertir avec le taux de change 1,10 (estimation)<\/div><\/div><div id=\"field_11_133\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-half gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"e289348d\" data-field-span=\"6\">En cas de remboursement partiel, le calcul exact de votre gain n\u00e9cessite un traitement particulier qui implique une intervention de notre part.<br><br>\nNous vous invitons \u00e0 finaliser ce questionnaire et \u00e0 laisser vos coordonn\u00e9es. <br>\nNous vous contacterons ensuite dans les meilleurs d\u00e9lais.<br><br>\nNous vous remercions de votre compr\u00e9hension. <\/div><fieldset id=\"field_11_130\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"9ecc5a8e\" data-field-span=\"12\"><legend id='gfield_label_11_130' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>A quelle date avez-vous rembours\u00e9 par anticipation ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div id='input_11_130' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_11_130_2_container'><label for='input_11_130_2' id='input_11_130_2_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Jour<\/label><select name='input_130[]' id='input_11_130_2'   aria-required='true'   aria-labelledby=\"input_11_130_2_label gfield_label_11_130\" ><option value=''>Jour<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_11_130_1_container'><label for='input_11_130_1' id='input_11_130_1_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Mois<\/label><select name='input_130[]' id='input_11_130_1'   aria-required='true'  ><option value=''>Mois<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_11_130_3_container'><label for='input_11_130_3' id='input_11_130_3_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Ann\u00e9e<\/label><select name='input_130[]' id='input_11_130_3'   aria-required='true'  ><option value=''>Ann\u00e9e<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_11_62\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"67fe2176\" data-field-span=\"12\"><label id='gfield_label_11_62' class='gfield_label gform-field-label' for='input_11_62'><span class='gform-field-label__text'>Votre E-mail<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_62' id='input_11_62' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_11_27\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"3f042851\" data-field-span=\"12\"><legend id='gfield_label_11_27' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>RGPD<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_27.1' id='input_11_27_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_11_27\" aria-labelledby=\"input_11_27_1_label gfield_label_11_27\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_11_27_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_11_27_1' ><span class='gform-field-label__text'>J\u2019accepte la politique de confidentialit\u00e9.<\/span><\/label><input type='hidden' name='input_27.2' value='J\u2019accepte la politique de confidentialit\u00e9.' class='gform_hidden' \/><input type='hidden' name='input_27.3' value='12' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_11_27'><div class='gfield_consent_description_text gform-theme__no-reset--children' tabindex='0'>Consulter la <a href=\"https:\/\/www.dana-avocats.fr\/legales\/\" target=_blank>politique de confidentialit\u00e9<\/a><\/div><\/div><\/fieldset><div id=\"field_11_125\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"bd3a7257\" data-field-span=\"12\"><h3 class=\"gsection_title\">Zone de calcul des \u00e9ch\u00e9ances<\/h3><\/div><div id=\"field_11_70\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"557c9c9b\" data-field-span=\"12\"><label id='gfield_label_11_70' class='gfield_label gform-field-label' for='input_11_70'><span class='gform-field-label__text'>CALCUL : Montant total des \u00e9ch\u00e9ances en CHF (si MENSUEL)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_70' id='input_11_70' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_69\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"af2dc482\" data-field-span=\"12\"><label id='gfield_label_11_69' class='gfield_label gform-field-label' for='input_11_69'><span class='gform-field-label__text'>CALCUL 1 : Montant total des \u00e9ch\u00e9ances en EUR (SI MENSUEL)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_69' id='input_11_69' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_11_69\" \/><\/div><div class='gfield_description' id='gfield_description_11_69'>Pr\u00eats souscrits AVANT 2011<\/div><\/div><div id=\"field_11_117\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"a304b1ba\" data-field-span=\"12\"><label id='gfield_label_11_117' class='gfield_label gform-field-label' for='input_11_117'><span class='gform-field-label__text'>CALCUL 2 : Montant total des \u00e9ch\u00e9ances en EUR (SI MENSUEL)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_117' id='input_11_117' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_11_117\" \/><\/div><div class='gfield_description' id='gfield_description_11_117'>Pr\u00eats souscrits ENTRE 2011 ET 2015<\/div><\/div><div id=\"field_11_118\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"332a9e43\" data-field-span=\"12\"><label id='gfield_label_11_118' class='gfield_label gform-field-label' for='input_11_118'><span class='gform-field-label__text'>CALCUL 3 : Montant total des \u00e9ch\u00e9ances en EUR (SI MENSUEL)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_118' id='input_11_118' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_11_118\" \/><\/div><div class='gfield_description' id='gfield_description_11_118'>Pr\u00eats souscrits APRES 2015<\/div><\/div><div id=\"field_11_71\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"e9cd2e1b\" data-field-span=\"12\"><label id='gfield_label_11_71' class='gfield_label gform-field-label' for='input_11_71'><span class='gform-field-label__text'>CALCUL : Montant total des \u00e9ch\u00e9ances en CHF (si TRIMESTRIEL)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_71' id='input_11_71' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_106\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"222d5dee\" data-field-span=\"12\"><label id='gfield_label_11_106' class='gfield_label gform-field-label' for='input_11_106'><span class='gform-field-label__text'>CALCUL 1 : Montant total des \u00e9ch\u00e9ances en EUR (SI TRIMESTRIEL)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_106' id='input_11_106' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_11_106\" \/><\/div><div class='gfield_description' id='gfield_description_11_106'>Pr\u00eats souscrits AVANT 2011<\/div><\/div><div id=\"field_11_72\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"ed082937\" data-field-span=\"12\"><label id='gfield_label_11_72' class='gfield_label gform-field-label' for='input_11_72'><span class='gform-field-label__text'>CALCUL 2 : Montant total des \u00e9ch\u00e9ances en EUR (SI TRIMESTRIEL)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_72' id='input_11_72' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_11_72\" \/><\/div><div class='gfield_description' id='gfield_description_11_72'>Pr\u00eats souscrits ENTRE 2011 et 2015<\/div><\/div><div id=\"field_11_107\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"096c3f59\" data-field-span=\"12\"><label id='gfield_label_11_107' class='gfield_label gform-field-label' for='input_11_107'><span class='gform-field-label__text'>CALCUL 3 : Montant total des \u00e9ch\u00e9ances en EUR (SI TRIMESTRIEL)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_107' id='input_11_107' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_11_107\" \/><\/div><div class='gfield_description' id='gfield_description_11_107'>Pr\u00eats souscrits APRES 2015<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_11_57' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Suivant<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_2' class='gform_page' data-js='page-field-id-57' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_11_2' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><div id=\"field_11_51\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"c776f661\" data-field-span=\"12\"><h3 class=\"gsection_title\">Estimation du gain ou de l&#039;\u00e9conomie envisag\u00e9s en cas d&#039;annulation<\/h3><\/div><div id=\"field_11_96\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"1ee3fc50\" data-field-span=\"12\"><\/div><div id=\"field_11_87\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"6295db3c\" data-field-span=\"6\"><label id='gfield_label_11_87' class='gfield_label gform-field-label' for='input_11_87'><span class='gform-field-label__text'>Solde apr\u00e8s annulation (EUR)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_87' id='input_11_87' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_88\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"6295db3c\" data-field-span=\"6\"><label id='gfield_label_11_88' class='gfield_label gform-field-label' for='input_11_88'><span class='gform-field-label__text'>Economie envisag\u00e9e (EUR)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_88' id='input_11_88' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_119\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"c552bdf5\" data-field-span=\"6\"><label id='gfield_label_11_119' class='gfield_label gform-field-label' for='input_11_119'><span class='gform-field-label__text'>Solde apr\u00e8s annulation (EUR)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_119' id='input_11_119' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_102\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"c552bdf5\" data-field-span=\"6\"><label id='gfield_label_11_102' class='gfield_label gform-field-label' for='input_11_102'><span class='gform-field-label__text'>Economie r\u00e9alis\u00e9e (EUR)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_102' id='input_11_102' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_120\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"1144c38c\" data-field-span=\"6\"><label id='gfield_label_11_120' class='gfield_label gform-field-label' for='input_11_120'><span class='gform-field-label__text'>Solde apr\u00e8s annulation (EUR)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_120' id='input_11_120' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_121\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"1144c38c\" data-field-span=\"6\"><label id='gfield_label_11_121' class='gfield_label gform-field-label' for='input_11_121'><span class='gform-field-label__text'>Economie r\u00e9alis\u00e9e (EUR)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_121' id='input_11_121' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_99\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"2ce6910f\" data-field-span=\"12\"><\/div><div id=\"field_11_84\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"8ee348d3\" data-field-span=\"6\"><label id='gfield_label_11_84' class='gfield_label gform-field-label' for='input_11_84'><span class='gform-field-label__text'>Solde apr\u00e8s annulation (EUR)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_84' id='input_11_84' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_89\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"8ee348d3\" data-field-span=\"6\"><label id='gfield_label_11_89' class='gfield_label gform-field-label' for='input_11_89'><span class='gform-field-label__text'>Economie envisag\u00e9e (EUR)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_89' id='input_11_89' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_113\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"687f3056\" data-field-span=\"6\"><label id='gfield_label_11_113' class='gfield_label gform-field-label' for='input_11_113'><span class='gform-field-label__text'>Solde apr\u00e8s annulation (EUR)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_113' id='input_11_113' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_114\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"687f3056\" data-field-span=\"6\"><label id='gfield_label_11_114' class='gfield_label gform-field-label' for='input_11_114'><span class='gform-field-label__text'>Economie envisag\u00e9e (EUR)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_114' id='input_11_114' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_115\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"01e235fa\" data-field-span=\"6\"><label id='gfield_label_11_115' class='gfield_label gform-field-label' for='input_11_115'><span class='gform-field-label__text'>Solde apr\u00e8s annulation (EUR)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_115' id='input_11_115' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_116\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"01e235fa\" data-field-span=\"6\"><label id='gfield_label_11_116' class='gfield_label gform-field-label' for='input_11_116'><span class='gform-field-label__text'>Economie envisag\u00e9e (EUR)<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_116' id='input_11_116' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_11_126\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"7d67abdc\" data-field-span=\"12\"><label id='gfield_label_11_126' class='gfield_label gform-field-label' for='input_11_126'><span class='gform-field-label__text'>Calcul TOTAL \u00e9conomie envisag\u00e9e<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_126' id='input_11_126' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\" aria-describedby=\"gfield_description_11_126\" \/><\/div><div class='gfield_description' id='gfield_description_11_126'>Rassemble en une seule variable l'ensemble des \u00e9conomies calcul\u00e9es. Permet de faire le lien plus facilement avec Hubspot.<\/div><\/div><fieldset id=\"field_11_60\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"0b0e3611\" data-field-span=\"12\"><legend id='gfield_label_11_60' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Pour la suite, souhaitez-vous b\u00e9n\u00e9ficier d&#039;un 1er entretien gratuit en visio-conf\u00e9rence ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_60'>\n\t\t\t<div class='gchoice gchoice_11_60_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='oui'  id='choice_11_60_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_11_60_0 gfield_label_11_60\"   \/>\n\t\t\t\t\t<label for='choice_11_60_0' id='label_11_60_0' class='gform-field-label gform-field-label--type-inline'>oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_60_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='non'  id='choice_11_60_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_11_60_1' id='label_11_60_1' class='gform-field-label gform-field-label--type-inline'>non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_11_74\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\" data-group-id=\"e07a17aa\" data-field-span=\"12\"><strong>Merci.<\/strong> Vous pouvez poursuivre le questionnaire jusqu\u2019\u00e0 son terme : notre cabinet examinera les informations transmises et pourra revenir vers vous par courriel.<\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_11_61' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Pr\u00e9c\u00e9dent<\/button> <button type='button' id='gform_next_button_11_61' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Suivant<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_3' class='gform_page' data-js='page-field-id-61' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_11_3' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><div id=\"field_11_63\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"c030b446\" data-field-span=\"12\"><h3 class=\"gsection_title\">Compl\u00e9tez vos informations personnelles<\/h3><\/div><fieldset id=\"field_11_3\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"16f1b7da\" data-field-span=\"12\"><legend id='gfield_label_11_3' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>A propos de l&#039;emprunteur<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_11_3'>\n                            \n                            <span id='input_11_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_11_3_3' value=''   aria-required='true'     aria-labelledby=\"input_11_3_3_label gfield_label_11_3\"\/>\n                                                    <label for='input_11_3_3' id='input_11_3_3_label' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_11_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_11_3_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_11_3_6' id='input_11_3_6_label' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_11_5\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"a9c6d7b9\" data-field-span=\"12\"><label id='gfield_label_11_5' class='gfield_label gform-field-label' for='input_11_5'><span class='gform-field-label__text'>T\u00e9l\u00e9phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_11_5' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/div><fieldset id=\"field_11_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"fb4e91f6\" data-field-span=\"12\"><legend id='gfield_label_11_30' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Y-a-t-il un co-emprunteur ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_30'>\n\t\t\t<div class='gchoice gchoice_11_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='oui'  id='choice_11_30_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_11_30_0 gfield_label_11_30\"   \/>\n\t\t\t\t\t<label for='choice_11_30_0' id='label_11_30_0' class='gform-field-label gform-field-label--type-inline'>oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='non'  id='choice_11_30_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_11_30_1' id='label_11_30_1' class='gform-field-label gform-field-label--type-inline'>non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_11_31\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"c6eaf236\" data-field-span=\"12\"><legend id='gfield_label_11_31' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>A propos du co-emprunteur<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_11_31'>\n                            \n                            <span id='input_11_31_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_31.3' id='input_11_31_3' value=''   aria-required='false'     aria-labelledby=\"input_11_31_3_label gfield_label_11_31\"\/>\n                                                    <label for='input_11_31_3' id='input_11_31_3_label' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom du co-emprunteur<\/label>\n                                                <\/span>\n                            \n                            <span id='input_11_31_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_31.6' id='input_11_31_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_11_31_6' id='input_11_31_6_label' class='gform-field-label gform-field-label--type-sub '>Nom du co-emprunteur<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_11_6' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Pr\u00e9c\u00e9dent<\/button> <button type='button' id='gform_next_button_11_6' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Suivant<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_4' class='gform_page' data-js='page-field-id-6' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_11_4' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><div id=\"field_11_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"e34323ea\" data-field-span=\"12\"><h3 class=\"gsection_title\">A propos de votre pr\u00eat immobilier<\/h3><\/div><div id=\"field_11_18\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"dd965138\" data-field-span=\"12\"><label id='gfield_label_11_18' class='gfield_label gform-field-label' for='input_11_18'><span class='gform-field-label__text'>Avez-vous souscrit un pr\u00eat in-fine<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_18' id='input_11_18' class='large gfield_select'  aria-describedby=\"gfield_description_11_18\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='non' >non<\/option><option value='oui' >oui<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_11_18'>Un pr\u00eat in fine est un pr\u00eat pour dont le capital se rembourse en une seule fois, \u00e0 l'\u00e9ch\u00e9ance du pr\u00eat. \nLes mensualit\u00e9s du pr\u00eat n'incluent que les int\u00e9r\u00eats.<\/div><\/div><div id=\"field_11_19\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"7f2d6a8d\" data-field-span=\"12\"><label id='gfield_label_11_19' class='gfield_label gform-field-label' for='input_11_19'><span class='gform-field-label__text'>Quel est le placement adoss\u00e9 au pr\u00eat in fine ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_11_19' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='3\u00e8me pilier suisse' >3\u00e8me pilier suisse<\/option><option value='assurance-vie en EUR' >assurance-vie en EUR<\/option><option value='assurance-vie en CHF' >assurance-vie en CHF<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_11_13' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Pr\u00e9c\u00e9dent<\/button> <button type='button' id='gform_next_button_11_13' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Suivant<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_11_5' class='gform_page' data-js='page-field-id-13' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_11_5' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><div id=\"field_11_14\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"313703d0\" data-field-span=\"12\"><h3 class=\"gsection_title\">A propos de votre situation<\/h3><\/div><div id=\"field_11_15\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"d9dd00c2\" data-field-span=\"12\"><label id='gfield_label_11_15' class='gfield_label gform-field-label' for='input_11_15'><span class='gform-field-label__text'>Au moment de la signature du pr\u00eat en devises :<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_15' id='input_11_15' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='vous aviez le statut de frontalier' >vous aviez le statut de frontalier<\/option><option value='vous n&#039;aviez PAS le statut de frontalier' >vous n&#039;aviez PAS le statut de frontalier<\/option><\/select><\/div><\/div><div id=\"field_11_16\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"34e4eb4d\" data-field-span=\"12\"><label id='gfield_label_11_16' class='gfield_label gform-field-label' for='input_11_16'><span class='gform-field-label__text'>Aujourd&#039;hui, quelle est votre situation ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_11_16' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Vous avez le statut de frontalier' >Vous avez le statut de frontalier<\/option><option value='Vous n&#039;avez PAS le statut de frontalier' >Vous n&#039;avez PAS le statut de frontalier<\/option><\/select><\/div><\/div><div id=\"field_11_17\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"44b4eb2f\" data-field-span=\"12\"><label id='gfield_label_11_17' class='gfield_label gform-field-label' for='input_11_17'><span class='gform-field-label__text'>Avez-vous vendu le bien immobilier financ\u00e9 par le pr\u00eat en devise ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_11_17' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='non' >non<\/option><option value='oui' >oui<\/option><\/select><\/div><\/div><div id=\"field_11_39\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"2f1492a9\" data-field-span=\"12\"><label id='gfield_label_11_39' class='gfield_label gform-field-label' for='input_11_39'><span class='gform-field-label__text'>A quelle date ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_11_39' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_11_20\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"9178e6d5\" data-field-span=\"12\"><label id='gfield_label_11_20' class='gfield_label gform-field-label' for='input_11_20'><span class='gform-field-label__text'>Avez-vous perdu votre emploi en Suisse ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_20' id='input_11_20' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='non' >non<\/option><option value='oui' >oui<\/option><\/select><\/div><\/div><div id=\"field_11_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"ec1a04fd\" data-field-span=\"12\"><label id='gfield_label_11_23' class='gfield_label gform-field-label' for='input_11_23'><span class='gform-field-label__text'>A quelle date ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_11_23' type='text' value='' class='large'  aria-describedby=\"gfield_description_11_23\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_11_23'>Indiquez le mois et l'ann\u00e9e si possible, ou seulement l'ann\u00e9e en cas de doute.<\/div><\/div><div id=\"field_11_40\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"d60ff366\" data-field-span=\"12\"><label id='gfield_label_11_40' class='gfield_label gform-field-label' for='input_11_40'><span class='gform-field-label__text'>Avez-vous contact\u00e9 votre banque de mani\u00e8re formelle afin de vous plaindre de l\u2019appr\u00e9ciation du franc suisse par rapport \u00e0 l\u2019euro depuis la souscription du pr\u00eat ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_40' id='input_11_40' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='par email' >par email<\/option><option value='par courrier simple' >par courrier simple<\/option><option value='par courrier recommand\u00e9' >par courrier recommand\u00e9<\/option><option value='je n&#039;ai pas contact\u00e9 ma banque' >je n&#039;ai pas contact\u00e9 ma banque<\/option><\/select><\/div><\/div><div id=\"field_11_41\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"cbd0aa15\" data-field-span=\"12\"><label id='gfield_label_11_41' class='gfield_label gform-field-label' for='input_11_41'><span class='gform-field-label__text'>Je vous remercie de bien vouloir m\u2019adresser ledit courrier ainsi que la r\u00e9ponse de la banque le cas \u00e9ch\u00e9ant.<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_41' id='input_11_41' type='file' class='large' aria-describedby=\"gfield_upload_rules_11_41\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_11_41'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_11_41'><\/div> <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_11_25' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Pr\u00e9c\u00e9dent<\/button> <button type='button' id='gform_next_button_11_25' class='gform_next_button 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l\u2019annulation de votre pr\u00eat en francs suisses Vous avez souscrit un pr\u00eat immobilier libell\u00e9 en francs suisses alors que vous perceviez vos revenus en Suisse ? Ce formulaire vous permet d\u2019obtenir gratuitement une premi\u00e8re estimation du gain ou de l\u2019\u00e9conomie envisageable si le juge prononce l\u2019annulation du pr\u00eat. L\u2019estimation repose &#8230; <a title=\"Estimation du gain potentiel \u2013 Pr\u00eat en francs suisses\" class=\"read-more\" href=\"http:\/\/www.dana-avocats.fr\/en\/formulaire-saisie\/\" aria-label=\"More on Estimation du gain potentiel \u2013 Pr\u00eat en francs suisses\">Read more<\/a><\/p>","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"content-type":"","footnotes":""},"class_list":["post-6087","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pr\u00eat en francs suisses : estimer votre gain potentiel - DANA Avocats<\/title>\n<meta name=\"description\" content=\"Estimation gratuite, indicative et sans engagement, du gain ou de l&#039;\u00e9conomie envisageable en cas d&#039;annulation de votre pr\u00eat immobilier en francs suisses (CHF).\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dana-avocats.fr\/en\/formulaire-saisie\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pr\u00eat en francs suisses : estimer votre gain potentiel - DANA Avocats\" \/>\n<meta property=\"og:description\" content=\"Estimation gratuite, indicative et sans engagement, du gain ou de l&#039;\u00e9conomie envisageable en cas d&#039;annulation de votre pr\u00eat immobilier en francs suisses (CHF).\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.dana-avocats.fr\/en\/formulaire-saisie\/\" \/>\n<meta property=\"og:site_name\" content=\"DANA Avocats\" \/>\n<meta property=\"article:modified_time\" content=\"2026-09-28T16:11:39+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.dana-avocats.fr\\\/formulaire-saisie\\\/\",\"url\":\"https:\\\/\\\/www.dana-avocats.fr\\\/formulaire-saisie\\\/\",\"name\":\"Pr\u00eat en francs suisses : estimer votre gain potentiel - 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