第PAGE\*Arabic\*MERGEFORMAT2页共NUMPAGES\*MERGEFORMAT2页行政起诉状（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