甲方:_____________________________________________
营业执照注册号:___________________________________
法定代表人:_______________________________________
委托代理人:_______________________________________
受委托拆迁单位:___________________________________
营业执照注册号:___________________________________
法定代表人:_______________________________________
乙方:_____________________________________________
法定代表人:_______________________________________
委托代理人:_______________________________________