（法人或其他组织提起行政诉讼用）原告：_____________________________________________________所在地址：_____________________________________________________法定代表人（或代表人）：________________________________________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：_________________________ 账号：_____________________被告：_____________________________________________________所在地址：_____________________________________________________案由：_____________________________________________________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__________人民法院起诉人：年 月 日附：本诉状副本___份