答辩人________________________________________________________________________ 

　　因____________________________________________________________一案， 

提出答辩如下：_________________________________________________________________ 

___________________________________________________________________ 

　　此致 

　　××人民法院 

                                                答辩人××× 

                                                ×年×月×日 

　　附：本答辩状副本×份 

　　注意： 

　　1

　　2

　　3

　　4