Free Application for Stay of Execution - Oregon

UNITED STATES DISTRICT COURT DISTRICT OF OREGON

Plaintiff, v. CV.

Defendant.

Application for Writ of Habeas Corpus; Application for Appointment of Counsel; and Request for Stay of Execution 1. My name is John Doe, and I am a prisoner in state custody under a sentence of death.

I was convicted and sentenced in the Multnomah County Circuit Court. My death sentence was affirmed by the Oregon Supreme Court on January 4, 1997, and my scheduled execution date is set for March 9, 1998. 2. including1: Claim (1): Claim (2): Claim (3): I was tried and I am being held in violation of my federal constitutional rights,

3.

My lawyer in the most recent state court proceedings related to my conviction and

1

State at least one federal ground fo r relief.

death sentence has informed me that he is unable to represent me in this proceeding. I cannot afford to hire an lawyer. Therefore, I request that the court appoint a lawyer to represent me in my petition for writ of habeas corpus in this court. 4. I also ask that the court stay my execution until a lawyer has been appointed and that

the court also allow me to amend my petition after my new lawyer has had a chance to help me. 5. DATED this I declare under penalty of perjury that the foregoing is true and correct. day of , 20 .

Signature of Prisoner Typed or handwritten name Prisoner ID number Mailing Address, City, State and Zip Code