执法局封存扣押行政复议

<p>申请人：__________________、性别____________、年龄____________、职业____________、住址____________、联系电话____________、身份证号码____________。</p> <p>被申请人：________________、性别____________、年龄____________、职业____________、住址____________、联系电话____________、身份证号码____________。</p> <p>申请人因不服被申请人_________________年_________________月_________________日作出的_________________具体行政行为，向_________________机关提出复议申请，要求_________________。</p> <p>事实及理由：</p> <p>1.________________________________</p> <p>2.________________________________</p> <p>此致</p> <p>_______________________行政机关</p> <p>申请人：_________________(签名或盖章)</p> <p>_____年_____月_____日<strong></strong></p>