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申请书(特别程序案件使用)

发布时间:2016-08-17 16:36:10


 

申 请 书 

(本申请书为适用特别程序案件使用)

 

 

申请人:          ,性别    ,民族:    ,身份证号:             

出生年月:                ,工作单位:                            

电话:             住址:                            邮编:         

 

被申请人:          ,性别    ,民族:    ,身份证号:             

出生年月:                ,工作单位:                             

电话:             住址:                     邮编:                 

委托代理人:          ,性别    ,民族:    ,身份证号:           

出生年月:                ,工作单位:                             

电话:             住址:                              邮编:        

 

 

请求法院认定                                                                                

 

                                                                               

 

 

(须写明:申请人与被申请人的身份关系、因何原因申请人提出上述申请事项。)               

                                                              

                                                                                        

                                                                                        

                                                                                         

                                                                                        

                                                                                         

                                                                                        

                                                                                                    

                                                                  

                                                                 

                                                                         

                                                                

                                                                 

                                                                                        

                                                                                        

                                                                                         

                                                                                        

                                                                                        

                                                                                                   

                                                                 

                                                                 

 

 

此致
北京市海淀区人民法院

 

 

 

         人:   

 

                              

 

注:1、本申请书供申请宣告失踪或宣告死亡、申请认定公民无民事行为能力、申请认定财产无主等特别程序,用黑色签字笔填写。

2、申请人、被申请人户籍(亲属)关系、被申请人诊断证明、申请人身份证原件、复印件。

 

 

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