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<div align="center">刑事申诉状</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 >写明标题；申诉人的基本情况；案由，包括申诉人因什么案件对哪一人民法院的哪一生效判决或裁定提出申诉。</span></span></p>
<p >2</span>．正文。</span></span></p>
<p >写明具体的请求事项；叙述事实与理由；写明提起申请的证据和证据来源、证人姓名和住址。</span></span></p>
<p >3</span>．尾部。</span></span></p>
<p >写明文书致送的人民法院或人民检察院的名称，申诉人的签名及申诉日期。</span></span></p>
<p >4</span>．附项。</span></span></p>
<p >二、格式：</span></span></p>
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text-align:center;line-height:22.0pt;
'>刑事申诉状</span></span></p>
<p >申诉人：</span></span></p>
<p >申诉人因</span><span style='font-size:
12.0pt;font-family:宋体'>××一案，对××人民法院××年×月×日（××）×字第×号刑事判决（或裁定），提出申诉。</span></span></p>
<p >请求事项：</span><u><span>
</span> </u></span></p>
<p >事实与理由：</span><u><span>
</span></u></p>
<p >证据和证据来源，证人姓名和住所：</span><u><span>
</span></u></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 >申诉人：</span><span>
</span></p>
<p align=right >年</span><span> </span>月</span><span> </span>日</span></span></p>
<p class=MsoBodyTextIndent>附：</span>1</span><span style='font-family:宋体;
"Times New Roman"'>．原审判决（或裁定）</span><u><span>
</span></u><span
style='font-family:宋体;"Times New Roman"'>份；</span></p>
<p class=MsoBodyTextIndent>2</span><span style='font-family:
宋体;"Times New Roman"'>．证据材料</span><u><span> </span></u><span
style='font-family:宋体;"Times New Roman"'>份。</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;
'>刑事申诉状</span></span></p>
<p >申诉人：</span>A</span>，男，××岁，×族，××省××县人，待业青年，住××省××县××楼××号。于××年×月×日被××市中级人民法院判处死刑缓期×年执行，剥夺政治权利终身。现在押。</span></span></p>
<p >申诉人A对××市中级人民法院××年×月×日（19××）×中刑初字第××号刑事判决不服，提出申诉。</span></span></p>
<p >请求事项：</span></span></p>
<p >撤销××市中级人民法院（19××）××中刑初字第××号刑事判决，依法对本案重新审理。</span></span></p>
<p >事实与理由：</span></span></p>
<p >（应祥述事实和理由，此略。）因此，××市中级人民法院认定我故意伤害致人死亡罪是错误的。有鉴于此，根据我国《刑事诉讼法》第203条的规定，特向贵院提出申诉，请对此案重新审理，秉公改判。</span></span></p>
<p align=right >此致<span> </span></p>
<p >××市中级人民法院</span></span></p>
<p align=right >申诉人：A</span></span></p>
<p align=right >年<span> </span>月 日</p>
<p >附：申诉状副本1份；</span></span></p>
<p >××市中级人民法院判决书1份。</span></span></span></p>
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