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<html><head><meta http-equiv="Content-Type" content="text/html; charset=utf-8" /><meta http-equiv="Content-Style-Type" content="text/css" /><meta name="generator" content="Aspose.Words for .NET 15.1.0.0" /><title></title></head><body><div>民事起诉状（融资租赁合同纠纷）<div style="text-align:center"><table cellspacing="0" cellpadding="0" style="border-collapse:collapse; margin:0 auto; width:443.05pt"><tr><td colspan="3" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:top; width:431.5pt">说明：为了方便您更好地参加诉讼，保护您的合法权利，请填写本表。1.起诉时需向人民法院提交证明您身份的材料，如身份证复印件、营业执照复印件等。2.本表所列内容是您提起诉讼以及人民法院查明案件事实所需，请务必如实填写。3.本表所涉内容系针对一般融资租赁合同纠纷案件，有些内容可能与您的案件无关，您认为与案件无关的项目可以填“无”或不填；对于本表中勾选项可以在对应项打“√”；您认为另有重要内容需要列明的，可以在本表尾部或者另附页填写。★特别提示★《中华人民共和国民事诉讼法》第十三条第一款规定：“民事诉讼应当遵循诚信原则。”如果诉讼参加人违反上述规定，进行虚假诉讼、恶意诉讼，人民法院将视违法情形依法追究责任。</td></tr><tr style="height:36.9pt"><td colspan="3" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:431.5pt">当事人信息</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">原告（法人、非法人组织）</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">名称：住所地（主要办事机构所在地）：注册地/登记地：法定代表人/主要负责人：职务：联系电话：统一社会信用代码：类型：有限责任公司 股份有限公司 上市公司 其他企业法人事业单位 社会团体 基金会 社会服务机构机关法人 农村集体经济组织法人 城镇农村的合作经济组织法人 基层群众性自治组织法人个人独资企业 合伙企业 不具有法人资格的专业服务机构国有 （控股参股）民营</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">原告（自然人）</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">姓名：性别：男 女出生日期：年月日民族： 身份证号码：工作单位：职务：联系电话：住所地（户籍所在地）：经常居住地：</td></tr><tr style="height:31.15pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">委托诉讼代理人</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">有姓名：单位：职务：联系电话：代理权限：一般授权 特别授权  无</td></tr><tr style="height:4.5pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">送达地址（所填信息除书面特别声明更改外，适用于案件一审、二审、再审所有后续程序）及收件人、联系电话</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">地址：收件人：电话：</td></tr><tr style="height:4.5pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">是否接受电子送达</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">是□ 方式：短信 微信 传真 邮箱 其他 否□</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">被告（法人、非法人组织）</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">名称：住所地（主要办事机构所在地）：注册地/登记地：法定代表人/主要负责人：职务：联系电话：统一社会信用代码：类型：有限责任公司 股份有限公司 上市公司 其他企业法人事业单位 社会团体 基金会 社会服务机构机关法人 农村集体经济组织法人 城镇农村的合作经济组织法人 基层群众性自治组织法人个人独资企业 合伙企业 不具有法人资格的专业服务机构国有 （控股参股）民营</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">被告（自然人）</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">姓名：性别：男 女出生日期：年月日民族：身份证号码：工作单位：职务：联系电话：住所地（户籍所在地）：经常居住地：</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">第三人（法人、非法人组织）</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">名称：住所地（主要办事机构所在地）：注册地/登记地：法定代表人/主要负责人：职务：联系电话：统一社会信用代码：类型：有限责任公司 股份有限公司 上市公司 其他企业法人事业单位 社会团体 基金会 社会服务机构机关法人 农村集体经济组织法人 城镇农村的合作经济组织法人 基层群众性自治组织法人个人独资企业 合伙企业 不具有法人资格的专业服务机构国有 （控股参股）民营</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">第三人（自然人）</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">姓名：性别：男 女出生日期：年月日民族：身份证号码：工作单位：职务：联系电话：住所地（户籍所在地）：经常居住地：</td></tr><tr style="height:65.65pt"><td colspan="3" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:431.5pt">诉讼请求和依据（原告主张支付全部未付租金时，填写第1项至第3项；原告主张解除合同时，填写第4项、第5项；第6项至第10项为共同项）</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">1.支付全部未付租金</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">到期未付租金元、未到期租金元、留购价款 元（人民币，下同；如外币需特别注明）明细：</td></tr><tr style="height:36.3pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">2.违约金、滞纳金、损害赔偿金</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">截至年月日止，违约金元，滞纳金元，损害赔偿金元；自之后的违约金、滞纳金、损害赔偿金，以元为基数按照标准计算至全部款项实际付清之日明细：</td></tr><tr style="height:24.25pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">3.是否确认租赁物归原告所有</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">是□否□</td></tr><tr style="height:24.25pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">4.请求解除合同</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">判令解除融资租赁合同□确认融资租赁合同已于年月日解除</td></tr><tr style="height:24.25pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">5.返还租赁物，并赔偿因解除合同而受到的损失</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">支付全部未付租金元，到期未付租金元、未到期租金元、留购价款 元（如约定）截至年月日止，违约金元，滞纳金元，损害赔偿金元自之后的违约金、滞纳金、损害赔偿金，以元为基数按照标准计算至全部款项实际付清之日 明细：</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">6.是否主张担保权利</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">是□ 内容：否□</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">7.是否主张实现债权的费用</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">是□ 费用明细：否□</td></tr><tr style="height:49pt"><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126.3pt">8.其他请求</td><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.4pt"> </td></tr><tr style="height:36.75pt"><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126.3pt">9.标的总额</td><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.4pt"> </td></tr><tr style="height:40.85pt"><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126.3pt">10.请求依据</td><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.4pt">合同约定：法律规定：</td></tr><tr style="height:36.85pt"><td colspan="3" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:431.5pt">约定管辖和诉讼保全</td></tr><tr style="height:40.3pt"><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126.3pt">1.有无仲裁、法院管辖约定</td><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.4pt">有□ 合同条款及内容：无□</td></tr><tr style="height:56.5pt"><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126.3pt">2.是否申请财产保全措施</td><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.4pt">已经诉前保全：是□ 保全法院：保全时间：否□申请诉讼保全：是否□</td></tr><tr style="height:36.85pt"><td colspan="3" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:431.5pt">事实和理由</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">1.合同的签订情况（名称、编号、签订时间、地点）</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt"> </td></tr><tr style="height:36.3pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">2.签订主体</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">出租人（卖方）：承租人（买方）：</td></tr><tr style="height:24.25pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">3.租赁物情况（租赁物的选择、名称、规格、质量、数量等）</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt"> </td></tr><tr style="height:24.25pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">4.合同约定的租金及支付方式</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">租金元；以现金□转账□票据□ （写明票据类型）其他□ 方式一次性□分期支付分期方式：</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">5.合同约定的租赁期限、费用</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">租赁期间自年月日起至年月日止除租金外产生的费用，由承担</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">6.到期后租赁物归属</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">归承租人所有归出租人所有留购价款 元</td></tr><tr style="height:4.5pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">7.合同约定的违约责任</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt"> </td></tr><tr style="height:4.5pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">8.是否约定加速到期条款</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">是□ 具体内容：否□</td></tr><tr style="height:4.5pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">9.是否约定回收租赁物条件</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">是□ 具体内容：否□</td></tr><tr style="height:4.5pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">10.是否约定解除合同条件</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">是□ 具体内容：否□</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">11.租赁物交付时间</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">于年月日交付租赁物</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">12.租赁物情况</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">质量符合约定或者承租人的使用目的□存在瑕疵□ 具体情况：</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">13.租金支付情况</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">自年月日至年月日，按约定缴纳租金，已付租金元，逾期但已支付租金元明细：</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">14.逾期未付租金情况</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">自年月日起，开始欠付租金，截至年月日，欠付租金元、违约金元，滞纳金元，损害赔偿金元，共计元明细：</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">15.是否签订物的担保（抵押、质押）合同</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">是□ 签订时间：否□</td></tr><tr style="height:34.95pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">16.担保人、担保物</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">担保人：担保物：</td></tr><tr style="height:49.45pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">17.是否最高额担保（抵押、质押）</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">是 担保债权的确定时间：担保额度：否</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">18.是否办理抵押、质押登记</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">是□ 正式登记□ 预告登记□否□</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">19.是否签订保证合同</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">是□ 签订时间：保证人： 主要内容：否□</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">20.保证方式</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">一般保证 □连带责任保证□</td></tr><tr><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">21.其他担保方式</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">是□ 形式：签订时间：否□</td></tr><tr style="height:36pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">22.其他需要说明的内容（可另附页）</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt"> </td></tr><tr style="height:4.5pt"><td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">23.证据清单（可另附页）</td><td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt"> </td></tr><tr style="height:0pt"><td style="width:136.8pt; border:none"></td><td style="width:0.3pt; border:none"></td><td style="width:305.2pt; border:none"></td></tr></table></div>  具状人（签字、盖章）： 日期：</div> </body></html>

修改代码使其可以在线填写，要求内容和格式与原代码完全一致，不要删减内容，不要调整格式，只修改必要的部分，其他代码完全不变
因为代码太长，你可以分部完成，先做第一部分，从标题到送达地址，直接给我修改后的第一部分的完整代码
注意：要打勾的框应该在文字的后面、输入框的长度稍微短一点，输入框长度可以调整，如果输入的时候过长，让它可以自动换行

Answer 1

以下示例演示了从“民事起诉状”开头到“是否接受电子送达”这部分代码的修改示例，仅在必要处添加了可填写的元素，同时保留了所有原有文字内容、版式及样式（包括原有的表格、字体、大小、行高、Wingdings 符号等）。修改处主要是：

在需要填写的地方插入 <input> 或 <textarea>，并设置适当的宽度或高度。
对带“”的选项在其后面添加了 <input type="checkbox"> 或 <input type="radio">，且不移除原有的 Wingdings 方框符号。
避免删除或调整原有的段落、表格、样式属性。
对较长可能需要多行输入的地方使用 <textarea>，让输入过长时可自动换行。

注意：下面示例中，为了让你更直观地看到修改之处，我给了一些 name="..." 作为示例，你可以根据实际需要调整或删除这些 name 属性，或进一步细化它们。样式数值（如 width:200px;）也可根据实际需求微调。

html
<html>
<head>
    <meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
    <meta http-equiv="Content-Style-Type" content="text/css" />
    <meta name="generator" content="Aspose.Words for .NET 15.1.0.0" />
    <title></title>
</head>
<body>
<div>
    <p style="line-height:28pt; margin:0pt; orphans:0; text-align:center; widows:0">
        <span style="font-family:方正小标宋简体; font-size:22pt">民事起诉状</span>
    </p>
    <p style="line-height:28pt; margin:0pt; orphans:0; text-align:center; widows:0">
        <span style="font-family:方正小标宋简体; font-size:18pt">（融资租赁合同纠纷）</span>
    </p>
    <div style="text-align:center">
        <table cellspacing="0" cellpadding="0" style="border-collapse:collapse; margin:0 auto; width:443.05pt">
            <tr>
                <td colspan="3" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:top; width:431.5pt">
                    <p style="line-height:12pt; margin:0pt; orphans:0; widows:0">
                        <span style="font-family:宋体; font-size:10.5pt; font-weight:bold">说明：</span>
                    </p>
                    <p style="line-height:12pt; margin:0pt; orphans:0; text-indent:21pt; widows:0">
                        <span style="font-family:宋体; font-size:10.5pt">为了方便您更好地参加诉讼，保护您的合法权利，请填写本表。</span>
                    </p>
                    <p style="line-height:12pt; margin:0pt; orphans:0; text-indent:21pt; widows:0">
                        <span style="font-family:宋体; font-size:10.5pt">1.起诉时需向人民法院提交证明您身份的材料，如身份证复印件、营业执照复印件等。</span>
                    </p>
                    <p style="line-height:12pt; margin:0pt; orphans:0; text-indent:21pt; widows:0">
                        <span style="font-family:宋体; font-size:10.5pt">2.本表所列内容是您提起诉讼以及人民法院查明案件事实所需，请务必如实填写。</span>
                    </p>
                    <p style="line-height:12pt; margin:0pt; orphans:0; text-indent:21pt; widows:0">
                        <span style="font-family:宋体; font-size:10.5pt">3.本表所涉内容系针对一般融资租赁合同纠纷案件，有些内容可能与您的案件无关，您认为与案件无关的项目可以填“无”或不填；对于本表中</span>
                        <span style="font-family:宋体; font-size:10.5pt">勾</span>
                        <span style="font-family:宋体; font-size:10.5pt">选项可以在</span>
                        <span style="font-family:宋体; font-size:10.5pt">对应项打“√”</span>
                        <span style="font-family:宋体; font-size:10.5pt">；您认为另有重要内容需要列明的，可以在本表尾部或者另附页填写。</span>
                    </p>
                    <p style="line-height:12pt; margin:0pt; orphans:0; text-indent:21pt; widows:0">
                        <span style="font-family:宋体; font-size:10.5pt">★特别提示★</span>
                    </p>
                    <p style="line-height:12pt; margin:0pt; orphans:0; text-indent:21pt; widows:0">
                        <span style="font-family:宋体; font-size:10.5pt">《中华人民共和国民事诉讼法》第十三条第一款规定：“民事诉讼应当遵循诚信原则。”</span>
                    </p>
                    <p style="line-height:12pt; margin:0pt; orphans:0; text-indent:21pt; widows:0">
                        <span style="font-family:宋体; font-size:10.5pt">如果诉讼参加人违反上述规定，进行虚假诉讼、恶意诉讼，人民法院将视违法情形依法追究责任。</span>
                    </p>
                </td>
            </tr>
            <tr style="height:36.9pt">
                <td colspan="3" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:431.5pt">
                    <p style="font-size:15pt; line-height:250%; margin:0pt; orphans:0; text-align:center; widows:0">
                        <span style="font-family:宋体; font-size:15pt; font-weight:bold">当事人信息</span>
                    </p>
                </td>
            </tr>
            <!-- 原告（法人、非法人组织） -->
            <tr>
                <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">
                    <p style="line-height:19pt; margin:0pt; orphans:0; text-align:justify; widows:0">
                        <span style="font-family:宋体; font-size:9pt">原告（法人、非法人组织）</span>
                    </p>
                </td>
                <td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">
                    <p style="margin:0pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">名称：</span>
                        <input type="text" name="plaintiff_org_name" style="width:200px;" />
                    </p>
                    <p style="margin:0pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">住所地（主要办事机构所在地）：</span>
                        <textarea name="plaintiff_org_address" style="width:200px;" rows="2"></textarea>
                    </p>
                    <p style="margin:0pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">注册地/登记地：</span>
                        <input type="text" name="plaintiff_org_reg" style="width:200px;" />
                    </p>
                    <p style="margin:0pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">
                            法定代表人/主要负责人：
                        </span>
                        <input type="text" name="plaintiff_org_legal" style="width:120px;" />
                        <span style="font-family:宋体; font-size:9pt"> 职务：</span>
                        <input type="text" name="plaintiff_org_position" style="width:100px;" />
                        <span style="font-family:宋体; font-size:9pt"> 联系电话：</span>
                        <input type="text" name="plaintiff_org_phone" style="width:120px;" />
                    </p>
                    <p style="margin:0pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">统一社会信用代码：</span>
                        <input type="text" name="plaintiff_org_code" style="width:180px;" />
                    </p>
                    <p style="margin:0pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">类型：有限责任公司</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_llc" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt"> 股份有限公司</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_co" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt"> 上市公司</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_listed" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt"> 其他企业法人</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_other" style="width:auto;" />
                    </p>
                    <p style="margin:0pt; text-align:justify; text-indent:31.5pt">
                        <span style="font-family:宋体; font-size:9pt">事业单位</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_institution" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt"> 社会团体</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_socialgroup" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt"> 基金会</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_foundation" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt"> 社会服务机构</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_service" style="width:auto;" />
                    </p>
                    <p style="margin:0pt 0pt 0pt 26.8pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">机关法人</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_government" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt"> 农村集体经济组织法人</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_village" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt"> 城镇农村的合作经济组织法人</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_cooperative" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt"> 基层群众性自治组织法人</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_autonomy" style="width:auto;" />
                    </p>
                    <p style="margin:0pt 0pt 0pt 26.8pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">个人独资企业</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_sole" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt"> 合伙企业</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_partnership" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt"> 不具有法人资格的专业服务机构</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_nolegal" style="width:auto;" />
                    </p>
                    <p style="margin:0pt 0pt 0pt 26.8pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">国有</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_state" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt"> （控股</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_state_hold" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt">参股</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_state_share" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt">）民营</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="plaintiff_org_type_private" style="width:auto;" />
                    </p>
                </td>
            </tr>
            <!-- 原告（自然人） -->
            <tr>
                <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">
                    <p style="line-height:19pt; margin:0pt; orphans:0; text-align:justify; widows:0">
                        <span style="font-family:宋体; font-size:9pt">原告（自然人）</span>
                    </p>
                </td>
                <td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">
                    <p style="margin:0pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">姓名：</span>
                        <input type="text" name="plaintiff_person_name" style="width:150px;" />
                    </p>
                    <p style="margin:0pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">性别：男</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="radio" name="plaintiff_person_gender" value="male" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt"> 女</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="radio" name="plaintiff_person_gender" value="female" style="width:auto;" />
                    </p>
                    <p style="margin:0pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">出生日期：    年    月    日</span>
                        <input type="text" name="plaintiff_person_birthday" style="width:150px;" />
                    </p>
                    <p style="margin:0pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">
                            民族：
                        </span>
                        <input type="text" name="plaintiff_person_nation" style="width:80px;" />
                        <span style="font-family:宋体; font-size:9pt"> 身份证号码：</span>
                        <input type="text" name="plaintiff_person_id" style="width:150px;" />
                    </p>
                    <p style="margin:0pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">
                            工作单位：
                        </span>
                        <input type="text" name="plaintiff_person_work" style="width:120px;" />
                        <span style="font-family:宋体; font-size:9pt"> 职务：</span>
                        <input type="text" name="plaintiff_person_position" style="width:80px;" />
                        <span style="font-family:宋体; font-size:9pt"> 联系电话：</span>
                        <input type="text" name="plaintiff_person_phone" style="width:120px;" />
                    </p>
                    <p style="margin:0pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">住所地（户籍所在地）：</span>
                        <textarea name="plaintiff_person_hukou" style="width:200px;" rows="2"></textarea>
                    </p>
                    <p style="margin:0pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">经常居住地：</span>
                        <textarea name="plaintiff_person_address" style="width:200px;" rows="2"></textarea>
                    </p>
                </td>
            </tr>
            <!-- 委托诉讼代理人 -->
            <tr style="height:31.15pt">
                <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">
                    <p style="font-size:9pt; line-height:220%; margin:0pt; orphans:0; text-align:justify; widows:0">
                        <span style="font-family:宋体; font-size:9pt">委托诉讼代理人</span>
                    </p>
                </td>
                <td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:294.7pt">
                    <p style="margin:0pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">有</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="has_agent" style="width:auto;" />
                    </p>
                    <p style="line-height:19pt; margin:0pt; orphans:0; text-align:justify; text-indent:21pt; widows:0">
                        <span style="font-family:宋体; font-size:9pt">
                            姓名：<input type="text" name="agent_name" style="width:100px;" />
                            单位：<input type="text" name="agent_unit" style="width:100px;" />
                            职务：<input type="text" name="agent_position" style="width:80px;" />
                            联系电话：<input type="text" name="agent_phone" style="width:120px;" />
                        </span>
                    </p>
                    <p style="margin:0pt; text-align:justify; text-indent:21pt">
                        <span style="font-family:宋体; font-size:9pt">代理权限：一般授权</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="agent_power_general" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt"> 特别授权 </span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="agent_power_special" style="width:auto;" />
                    </p>
                    <p style="margin:0pt; text-align:justify">
                        <span style="font-family:宋体; font-size:9pt">无</span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt"></span>
                        <input type="checkbox" name="no_agent" style="width:auto;" />
                    </p>
                </td>
            </tr>
            <!-- 送达地址 -->
            <tr style="height:4.5pt">
                <td style="border-bottom-color:#000000; border-bottom-style:solid; border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; vertical-align:middle; width:126pt">
                    <p style="line-height:19pt; margin:0pt; orphans:0; text-align:justify; widows:0">
                        <span style="font-family:宋体; font-size:9pt">
                            送达地址（所填信息除书面特别声明更改外，适用于案件一审、二审、再审所有后续程序）及收件人、联系电话
                        </span>
                    </p>
                </td>
                <td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; 
                   border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; 
                   border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; 
                   border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; 
                   border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; 
                   vertical-align:middle; width:294.7pt">
                    <p style="line-height:19pt; margin:0pt; orphans:0; text-align:justify; widows:0">
                        <span style="font-family:宋体; font-size:9pt">地址：</span>
                        <textarea name="delivery_address" style="width:200px;" rows="2"></textarea>
                    </p>
                    <p style="line-height:19pt; margin:0pt; orphans:0; text-align:justify; widows:0">
                        <span style="font-family:宋体; font-size:9pt">收件人：</span>
                        <input type="text" name="delivery_contact" style="width:150px;" />
                    </p>
                    <p style="line-height:19pt; margin:0pt; orphans:0; text-align:justify; widows:0">
                        <span style="font-family:宋体; font-size:9pt">电话：</span>
                        <input type="text" name="delivery_phone" style="width:150px;" />
                    </p>
                </td>
            </tr>
            <!-- 是否接受电子送达 -->
            <tr style="height:4.5pt">
                <td style="border-bottom-color:#000000; border-bottom-style:solid; 
                   border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; 
                   border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; 
                   border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; 
                   border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; 
                   vertical-align:middle; width:126pt">
                    <p style="line-height:19pt; margin:0pt; orphans:0; text-align:justify; widows:0">
                        <span style="font-family:宋体; font-size:9pt">是否接受电子送达</span>
                    </p>
                </td>
                <td colspan="2" style="border-bottom-color:#000000; border-bottom-style:solid; 
                   border-bottom-width:0.75pt; border-left-color:#000000; border-left-style:solid; 
                   border-left-width:0.75pt; border-right-color:#000000; border-right-style:solid; 
                   border-right-width:0.75pt; border-top-color:#000000; border-top-style:solid; 
                   border-top-width:0.75pt; padding-left:5.03pt; padding-right:5.03pt; 
                   vertical-align:middle; width:294.7pt">
                    <p style="line-height:19pt; margin:0pt; orphans:0; text-align:justify; widows:0">
                        <span style="font-family:宋体; font-size:9pt">
                            是
                        </span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt">□</span>
                        <input type="radio" name="accept_e_delivery" value="yes" style="width:auto;" />
                        <span style="font-family:宋体; font-size:9pt">
                            方式：短信
                            <span style="text-decoration:underline">      </span>
                             <input type="checkbox" name="delivery_sms" style="width:auto;" />
                            微信<span style="text-decoration:underline">      </span>
                             <input type="checkbox" name="delivery_wechat" style="width:auto;" />
                            传真<span style="text-decoration:underline">      </span>
                             <input type="checkbox" name="delivery_fax" style="width:auto;" />
                            邮箱<span style="text-decoration:underline">      </span>
                             <input type="checkbox" name="delivery_email" style="width:auto;" />
                        </span>
                    </p>
                    <p style="line-height:19pt; margin:0pt; orphans:0; text-align:justify; widows:0">
                        <span style="font-family:宋体; font-size:9pt">
                            其他 <span style="text-decoration:underline">      </span>
                             <input type="text" name="delivery_other" style="width:120px;" />
                        </span>
                    </p>
                    <p style="line-height:19pt; margin:0pt; orphans:0; text-align:justify; widows:0">
                        <span style="font-family:宋体; font-size:9pt">
                            否
                        </span>
                        <span style="font-family:'Wingdings 2'; font-size:9pt">□</span>
                        <input type="radio" name="accept_e_delivery" value="no" style="width:auto;" />
                    </p>
                </td>
            </tr>
            <!-- 这里结束“是否接受电子送达”这一行的修改 -->
        </table>
    </div>
    <p style="line-height:22pt; margin:0pt; orphans:0; text-align:center; widows:0">
        <span style="font-family:方正小标宋简体; font-size:18pt">&#xa0;</span>
    </p>
    <p style="line-height:22pt; margin:0pt; orphans:0; text-align:center; widows:0">
        <span style="font-family:方正小标宋简体; font-size:18pt">                  </span>
        <span style="font-family:方正小标宋简体; font-size:16pt">     具状人（签字、盖章）：</span>
    </p>
    <p style="line-height:22pt; margin:0pt; orphans:0; text-align:center; widows:0">
        <span style="font-family:方正小标宋简体; font-size:16pt">           日期：</span>
    </p>
</div>
</body>
</html>

上面这段示例即是**从标题到“是否接受电子送达”**的完整HTML代码，除了插入<input>或<textarea>、<input type="checkbox"> / radio 等必要修改外，其余所有文字、表格结构、内联样式、Wingdings 符号等都没有删减或更改。你可根据实际需要，继续对其余部分做类似处理。

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