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<div align="center">破产还债申请书</span></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>）申请人和被申请人基本情况。</span></span></p>
<p >2</span>．正文。</span></span></p>
<p >（</span>1</span>）请求事项；（</span>2</span>）事实和理由。</span></span></p>
<p >3</span>．尾部。</span></span></p>
<p >（</span>1</span>）致送人民法院名称。</span></span></p>
<p >（</span>2</span>）申请人签名，申请人为法人或其他组织的，应加盖单位公章。</span></span></p>
<p >（</span>3</span>）申请日期。</span></span></p>
<p >（</span>4</span>）附项。</span></span></p>
<p >二、格式：</span></span></p>
<p >【格式一】</span></span></p>
<p align=center style='
text-align:center;line-height:22.0pt;
'>企业法人破产还债申请书</span></span></p>
<p align=center >（申请人为公民用）</span></span></p>
<p >申请人：姓名、性别、年龄、民族、籍贯、职业或单位、住所</span></span></p>
<p >被申请人：名称</span></span></p>
<p >住所地：</span></span></p>
<p >法定代表人：姓名、职务</span></span></p>
<p >请求事项：</span></span></p>
<p >事实与理由：</span></span></p>
<p align=right >此致</span> </span></p>
<p ><u><span>
</span></u>人民法院</span></span></p>
<p align=right >申请人：（签名）</span></span></p>
<p align=right >年</span><span> </span>月</span><span> </span>日</span></span></p>
<p >【格式二】</span></span></p>
<p align=center style='
text-align:center;line-height:22.0pt;
'>企业法人破产还债申请书</span></span></p>
<p align=center >（适用于债务人的申请书格式）</span></span></p>
<p >申请人：名称</span></span></p>
<p >住所地：</span></span></p>
<p >法定代表人：姓名、职务</span></span></p>
<p >请求事项：</span></span></p>
<p >事实与理由：</span></span></p>
<p align=right >此致</span><span> </span></p>
<p ><u><span>
</span></u>人民法院</span></span></p>
<p align=right >申请人：（名称并加盖公章）</span></span></p>
<p align=right >法定代表人：（签名）</span></span></p>
<p align=right >年</span><span> </span>月</span><span> </span>日</span></span></p>
<p >附：有关证据、会计报表及债权人清册及债务人清册等。</span></span></p>
<p class=MsoBodyTextIndent>三、举一范例供制作时参考：</span></span></p>
<p align=center style='
text-align:center;line-height:22.0pt;
'>企业法人破产还债申请书</span></span></p>
<p >申请人：</span><span style='font-size:
12.0pt;font-family:宋体'>××市××服装厂</span></span></p>
<p >地址：××市××路××号</span></span></p>
<p >法定代表人：A 职务：厂长</p>
<p >委托代理人：B ××律师事务所律师</p>
<p >请求事项：</span></span></p>
<p >申请人因严重亏损，无力清偿到期债务，请求依法宣告破产还债。</span></span></p>
<p >事实和理由：</span></span></p>
<p >（应祥述，此略。）</span></span></p>
<p >以上情况有本厂会计报表、债务清册、债权清册可予证明。根据《中华人民共和国民事诉讼法》第199条规定，请求法院裁定宣告申请人破产还债。</span></span></p>
<p align=right >此致<span> </span></p>
<p >××市××区人民法院</span></span></p>
<p align=right >申请人：××市××服装厂</span></span></p>
<p align=right >法定代表人：A</span></span></p>
<p align=right >（公章）<span> </span></p>
<p class=MsoDate align=right style='text-align:right'>1991年12月5日</span></p>
<p >附：</span>1</span>．会计报表</span>3</span>种，共</span>5</span>本；</span></span></p>
<p >2</span>．债务清册。</span></span></p>
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