答辩人名称__________________________________________________________________________
                  所在地址____________________________________________________________________________
                  法定代表人姓名_______________________职务__________________________电话_____________
                  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