6. If your answer to 5 was "YES" give the following information for each petition filed:
a. FIRST petition, application or motion.
(1) Name of court ________________________________________________________________
(2) Nature of proceeding (for example, Rule 35(a), Rule 35(c), § 2254 Writ of Habeas Corpus)
________________________________________________________________________________
(3) Claims raised
________________________________________________________________________________
________________________________________________________________________________
(4) Name of attorney if any _________________________________________________________
(5) Did you receive an evidentiary hearing on your petition, application, or motion?
YES
NO
(6) Result _______________________________________________________________________
(7) Date of Result _________________________________________________________________
(8) Did you appeal the result?
YES
NO
i) If you did appeal, what was the result and date of the court's decision (or attach a copy of the
court's opinion or order)?
____________________________________________________________________________
____________________________________________________________________________
ii) If you did not appeal, briefly explain why you did not.
____________________________________________________________________________
____________________________________________________________________________
b. For a second or subsequent petition, please answer the questions listed in (6)(a)(1) through (7)
above. Attach a separate sheet of paper and state at the top that you are listing other motions or
petitions filed in this case.
REQUEST FOR COUNSEL
7. Are you requesting that counsel be appointed to represent you on this petition?
YES
NO If yes, please attached an indigency application (JDF 208).
CLAIMS
Briefly specify every ground on which you claim that you are being held unlawfully.
•
STATE THE FACTS RELATED TO YOUR CLAIM ON ONE PAGE AND PUT ANY LEGAL AUTHORITY
ON A SEPARATE PAGE.
•
YOU SHOULD RAISE IN THIS PETITION ALL THE CLAIMS FOR RELIEF THAT RELATE TO THE
CONVICTION ORSENTENCE UNDER ATTACK. IF YOU DO NOT RAISE ALL CLAIMS HERE, THE
COURT MAY NOT HAVE TO ENTERTAIN LATER MOTIONS FOR SIMILAR RELIEF.
FORM 4 7/04
PETITION FOR POSTCONVICTION RELIEF PURSUANT TO CRIM. P. 35(c)
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