甲方(買受人)：______________________________________
國籍：________________________________________________
性別：________________________________________________
出生：________________________________________________
住所(址)：__________________________________________
郵編：________________________________________________
聯絡電話：____________________________________________
傳真：________________________________________________
證件型別：身份證□暫住證□護照□永久居留證□營業執照□
證件號碼：____________________________________________
委託代理人：__________________________________________
身份證號碼：__________________________________________
住所(址)：__________________________________________
聯絡電話：____________________________________________
傳真：________________________________________________
乙方(出賣人)：______________________________________
住所：________________________________________________
郵編：________________________________________________
法定代表人：__________
