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再审申请书

2014-09-09 10:57:44 来源: 本站

申请人                 性别                   民族                        出生年月日                     

籍贯                  现住址                                                          联系电话                            

申请人对元氏县人民法院                                         月                    日作出的(                )元民                   初字第      号判决书不服,申请对本案再审。

请求事项:                                                                                                                                                                                                                                               

                                                                                                                                                                                                                               

                                                                                                                                                                                                                                                                                 

事实与理由:                                                                                                                                                                                                                                                           

                                                                                                                                                                                                                                                                                    

                                                                                                                                                                                                                                                                                    

                                                                                                                                                                                                                                                                                   

    此致

元氏县人民法院

附:原审判决书复印件一份

 

 申请人               

   年     月      日


附:2013032562622165.doc

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