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民事起诉状

原 告         性别    民族        出生年月日              

籍贯                 现住址                                

联系电话                            

 

被 告                                                      

法定代表人           职务          

住址                                                        

联系电话                              

 

案由:                    

 

诉讼请求:

  1.                                                                  

  2.                                                                  

  3.                                                                  

  4.                                                                  

事实与理由:

                                                                      

                                                                       

                                                                      

                                                                      

                                                                      

                                                                      

 

此致

    市   区人民法院

 

附:本起诉状副本  

                   

                                       具状人             

                                                  

 

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