答辩人名称_________________________住所地址_________________________________________
                  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______________________________________________________________________
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                  因_________________ 一案，提出答辩如下:
                  ____________________________________________________________________________________

                  此致
                  _________人民法院

                  附：本答辩状副本__份
                  答辨人_________
                  _____年__月__日