原告名称_____________________________________________________________________

住所地所在地址________________________________________________________________________法定代表人(或代表人)姓名___________________职务___________________电话________________

企业性质____________________________工商登记核准号_____________________________
经营范围和方式_________________________________________________________
开户银行________________________________________帐号__________________________________
被告名称______________________________________________________________________________
住所地____________________________________________________________电话________________
诉讼请求
                  ______________________________________________________________________________________
事实与理由
                  ______________________________________________________________________________________
证据和证据来源，证人姓名和住址
                  ______________________________________________________________________________________
                  此致
                  __________人民法院

                  附：本诉状副本__份
                  起诉人________
                  ____年__月__日