地税局罚款行政复议申请书申请人：_________________支__________，男，56岁.，汉族，__________省__________县__________乡农民，住_____县__________乡__________村。被申请人：_________________省__________县税务所地址：_________________省__________县__________乡__________街_____号法定代表人：_________________孙___