民事上诉状(公民)

2015-12-04 | 来源:本站 | 作者:原创 | 浏览数:31932 次

 

 

上诉人:      ,性别:      ,民族:    ,出生日期:XXXXXXXX日出生,住址:                           ,身份证号码:                  ,联系方式:                    。

 

被上诉人:      ,性别:      ,民族:    ,出生日期:XXXXXXXX日出生,住址:                           ,身份证号码:                  ,联系方式:                    。

 

上诉人因与被上诉人之间                           纠纷                                    一案,不服        法院于(写明判决或裁定生效日期)XXXXXXXX日作出的(写明该判决或裁定书的案号)             判决或裁定,现提起上诉。

上诉请求:

1、                                                        

2、                                                         

 

事实和理由:

                                                           

                                                           

                                                           

                                                            

                                                           

                                                           

                                                           

                                                            

                                                           

                                                           

                                                           

(提交证据材料见清单)

     此致

 

            人民法院

 

 

 

 

上诉人:             (签名)

XXXX年XX月XX日