答辩人：______________________________
地址：________________________________
对________________________________________的复议请求，现答辩如下：
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
综上所述， ________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
鉴此，_____________________________________________________________________________________________________
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___________________________________________________________________________________________________________
此致
______________________
（公安机关章）
年 月 日
附：
