民事再审申请书
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<td class=art03 vAlign=top align=left><TABLE style="FONT-SIZE: 9pt; LINE-HEIGHT: 20pt" cellSpacing=0 cellPadding=0 width=550 align=center border=0>
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<TD><STRONG>申请人：</STRONG>__________________________________________<STRONG> </STRONG>（基本情况）</TD></TR>
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<TD> 申请人________对___________________人民法院______年___月___日（______）字第________号___________，申请再审。</TD></TR>
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<TD><STRONG>请求事项：</STRONG></TD></TR>
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<TD> __________________________________________________________________________________<BR> __________________________________________________________________________________<BR>（写明申请人要求人民法院解决的具体问题）</TD></TR>
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<TD><STRONG>事实与理由：</STRONG></TD></TR>
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<TD> __________________________________________________________________________________<BR> __________________________________________________________________________________<BR>（主要阐述申请人对原裁判认定的事实、适用的法律、法规不当之处，以及所作出的判决结果不公之处。）</TD></TR>
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<TD> </TD></TR>
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<TD> 此致</TD></TR>
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<TD> ___________人民法院 </TD></TR>
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<TD> </TD></TR>
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<TD align=right>申请人： ________</TD></TR>
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<TD align=right>_____年___月___日</TD></TR>
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<TD align=right> </TD></TR>
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<TD>附：原审_______________书抄件（或复印件）一份。</TD></TR></TBODY></TABLE></td>
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