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<div align="center">民事反诉状</span></font></div>
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<p> 一、现将本文书的制作要点介绍如下：</span></span></p>
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<p >1</span>．首部。</span></span></p>
<p >（</span>1</span>）注明文书名称；（</span>2</span>）反诉人和被反诉人的基本情况。</span></span></p>
<p >2</span>．正文。</span></span></p>
<p >（</span>1</span>）反诉请求；（</span>2</span>）事实和理由；（</span>3</span>）证据。</span></span></p>
<p >3</span>．尾部。</span></span></p>
<p >（</span>1</span>）致送人民法院名称；（</span>2</span>）附项：附上本反诉状副本，并列明证据名称和份数；（</span>3</span>）反诉人答名；（</span>4</span>）反诉日期。</span></span></p>
<p >二、格式：</span></span></p>
<p align=center style='
text-align:center;line-height:22.0pt;
'>反</span><span>
</span><span style='font-size:
14.0pt;font-family:华文楷体;
"Times New Roman"'>诉</span><span> </span><span style='font-size:
14.0pt;font-family:华文楷体;
"Times New Roman"'>状</span></span></p>
<p align=center >（民事被告或刑事自诉案件被告人提起反诉用）</span></span></p>
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<p >反诉人（本诉被告）</span></span></p>
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<p >被反诉人（本诉原告）</span></span></p>
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<p align=center >反诉请求</span></span></p>
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<p align=center >事实与理由</span></span></p>
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<p align=center >证据和证据来源，证人姓名和住址</span></span></p>
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<p >此致</span></span></p>
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<p >人民法院</span></span></p>
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<p >附：本反诉状副本</span><span> </span>份</span></span></p>
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<p align=right >反诉人</span><span>
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<p align=right >年</span><span> </span>月</span><span> </span>日</span></span></p>
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<p ><span
style='font-family:宋体;"Times New Roman"'>注：</span>1</span><span style='font-family:
宋体;"Times New Roman"'>．本反诉状供民事案件被告或刑事自诉案件被告人提起反诉用，用钢笔或笔毛书写。</span></p>
<p >2</span><span style='font-family:宋体;
"Times New Roman"'>．反诉人、被反诉人栏，应写明姓名或名称等基本情况。</span></p>
<p >3</span><span style='font-family:宋体;
"Times New Roman"'>．事实与理由部分的空格不够用时，可增加中页。</span></p>
<p >4</span><span style='font-family:宋体;
"Times New Roman"'>．反诉人署名栏，是公怕，应签名或盖章；是法人或其他组织的，应写明法人或其他组织全称，加盖单位公章。</span></p>
<p >5</span><span style='font-family:宋体;
"Times New Roman"'>．反诉状副本份数，应按被反诉人的人数提交。</span></span></p>
<p class=MsoBodyTextIndent>三、举一范例供制作时参考：</span></span></p>
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text-align:center;line-height:22.0pt;
'>民事反诉状</span></span></p>
<p >反诉人（本诉被告）：</span>A</span>，男，××岁，×族，××省××市人，××市××厂职工，现住××市××区××街××号。</span></span></p>
<p >被反诉人（本诉原告）：B，女，××岁，×族，××省××市人，××市××公司职员，现住××市××区××街××号。</span></span></p>
<p align=center >反诉请求</span></span></p>
<p >1．请求法院判令被反诉人返还应由反诉人合法继承的债权份额；</span></p>
<p >2</span>．判令被反诉人承担诉讼费用。</span></span></p>
<p align=center >事实和理由</span></span></p>
<p >（应祥述事实与理由，此略。）</span></span></p>
<p align=center >证据和证据来源，证人姓名和住址</span></span></p>
<p >1．父亲C遗产清单。</span></p>
<p >2</span>．堂兄</span>D</span>、医生王××书面证言。D，现住××市××区××路××号；王××现住××市××区××路××号。</span></span></p>
<p >3．父亲C生前债务人何××书面证言。何××，现住××市××区××街××号。</span></p>
<p align=right >此致<span> </span></p>
<p >××市××区人民法院</span></span></p>
<p >附：1．反诉状副本×份；</span></span></p>
<p >2</span>．</span>D</span>、王××、何××书面证言各一份；</span></span></p>
<p >3．C遗产清单。</span></p>
<p align=right >反诉人：A </span></span></p>
<p align=right >××年××月××日</span></span></p>
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