Free Petition for a Writ of Habeas Corpus by a Person in Custody in the District of Columbia - District of Columbia


File Size: 44.8 kB
Pages: 7
Date: July 31, 2007
File Format: PDF
State: District of Columbia
Category: Court Forms - Federal
Word Count: 958 Words, 14,216 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.dcd.uscourts.gov/HabCorpPetition2.pdf

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Preview Petition for a Writ of Habeas Corpus by a Person in Custody in the District of Columbia
R ev. 7/06 C O Hab C orp AO 241 amd.

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UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA __________________________________________ NAME (Under which you were convicted) __________________________________________ PRISON NUMBER __________________________________________ PLACE OF CONFINEMENT/ADDRESS __________________________________________ __________________________________________ __________________________________________

__________________________________________) (Full Name) Petitioner ) ) ) v. ) ) ) __________________________________________) (Name of Warden, Superintendent, Jailor, or ) authorized person having custody of petitioner) ) Respondent )

Civil Action No.: _______________ (To be filled in by Clerk)

PETITION FOR WRIT OF HABEAS CORPUS BY A PERSON IN CUSTODY IN THE DISTRICT OF COLUMBIA INSTRUCTIONS - PLEASE READ CAREFULLY 1. This petition must be legibly handwritten or typed, and signed by the petitioner. Any false statement of material fact may serve as the basis for prosecution and conviction for perjury. All questions must be answered concisely in the proper space on the form. Additional pages are not permitted except with respect to the facts which you rely upon to support your grounds for relief. No citation of authorities need be furnished. If briefs or arguments are submitted, they should be submitted in the form of a separate memorandum. Upon receipt, your petition will be filed if it is in proper order and is accompanied by a $5.00 filing fee. Your check or money order should be made payable to: Clerk, U.S. District Court.

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If you cannot afford to pay the filing fee, you may request permission to proceed in forma pauperis, in which event you must execute the affidavit on the last page, setting forth information establishing your inability to pay the costs. If you wish to proceed in forma pauperis, you must have an authorized officer at the penal institution complete the certificate as to the amount of money and securities on deposit to your credit in any account in the institution. Only sentences imposed by one court may be challenged in a single petition. If you seek to challenge sentences entered by different courts, you must file separate petitions as to each court. When you have completed the form, send the original and one copy to: Clerk, United States District Court for the District of Columbia Room 1225 333 Constitution Avenue, NW Washington, DC 20001 Petitions which do not conform to these instructions may be returned with a notation as to the deficiency. PETITION

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1.

(a)

Name and location of court which imposed the sentence (or detention) of conviction you are challenging: _____________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Date of the sentence (or detention): _________________________________________

2. 3.

(a)

Length of sentence: ____________________________________________________________ ____________________________________________________________________________ Nature of offense involved (all counts): ____________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ (a) What was your plea? (Check one): Not guilty Guilty Nolo Contendere (no contest) Insanity

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(b)

If you entered a guilty plea to one count or charge, and a not guilty plea to another count or charge, give details: ______________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ ______________________________________________________________________

6.

Have you previously filed any petitions, applications, or motions with respect to this sentence in any court? Yes No If your answer to Question 10 was "Yes," give the following information: (a) (1) Name of Court: ___________________________________________________ (2) Nature of the proceedings: __________________________________________ ________________________________________________________________ _______________________________________________________________ _________________________________________________________________ (3) Grounds raised: ___________________________________________________ ________________________________________________________________ _______________________________________________________________ _______________________________________________________________ __________________________________________________________________ (4) Did you receive an evidentiary hearing on your petition, application or motion? Yes No (5) Result: __________________________________________________________ (6) Date of result: ____________________________________________________ (b) As to any second petition, application, or motion, give the same information: (1) Name of Court: ___________________________________________________ (2) Nature of the proceedings: __________________________________________ ________________________________________________________________ _______________________________________________________________ _________________________________________________________________ (3) Grounds raised: ___________________________________________________ ________________________________________________________________ _______________________________________________________________ _______________________________________________________________ __________________________________________________________________ (4) Did you receive an evidentiary hearing on your petition, application or motion? Yes No (5) Result: __________________________________________________________

7.

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(6) (c)

Date of result: ____________________________________________________

As to any third petition, application, or motion, give the same information: (1) Name of Court: ___________________________________________________ (2) Nature of the proceedings: __________________________________________ ________________________________________________________________ _______________________________________________________________ _________________________________________________________________ (3) Grounds raised: ___________________________________________________ ________________________________________________________________ _______________________________________________________________ _______________________________________________________________ __________________________________________________________________ (4) Did you receive an evidentiary hearing on your petition, application or motion? Yes No (5) Result: __________________________________________________________ (6) Date of result: ____________________________________________________ Did you appeal to the highest court having jurisdiction for the result of action taken in any petition, application or motion? (1) First petition, etc." Yes No (2) Second petition, etc.: Yes No (3) Third petition, etc.: Yes No

(d)

(e)

If you did not appeal from the adverse action on any petition, application, or motion, explain briefly why you did not: ____________________________________________ ______________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _______________________________________________________________________

8.

State concisely every ground on which you claim that you are being held unlawfully. Summarize briefly the facts supporting each ground. If necessary, you may attach pages stating additional grounds and facts supporting same.

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A.

GROUND ONE: (a) Supporting FACTS (Do not argue or cite law. Just state the specific facts that support your claim: ____________________________________________________________ _____________________________________________________________________ _______________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _______________________________________________________________________ GROUND TWO: (a) Supporting FACTS (Do not argue or cite law. Just state the specific facts that support your claim: ____________________________________________________________ _____________________________________________________________________ _______________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _______________________________________________________________________ GROUND THREE: (a) Supporting FACTS (Do not argue or cite law. Just state the specific facts that support your claim: ____________________________________________________________ _____________________________________________________________________ _______________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _______________________________________________________________________

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D.

GROUND FOUR: (a) Supporting FACTS (Do not argue or cite law. Just state the specific facts that support your claim: ____________________________________________________________ _____________________________________________________________________ _______________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _______________________________________________________________________ If any of the grounds listed in 8A, B, C, or D were not previously presented in any other court, District of Columbia or Federal, state briefly what grounds were not so presented, and give your reasons for not presenting them: _____________________________________________ ____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ Do you have any petition or appeal pending in any other court, either, District of Columbia or Federal, as to the sentence (or detention) under attack? Yes No (a) If so, give the name and location of the court and case number, if known: ___________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________

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Do you have any future sentence to serve after you complete the sentence (or detention) under attack? Yes No (a) If so, give name and location of court which imposed sentence to be served in the future: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________

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(b) (c)

And give date and length of sentence to be served in future: ______________________ ______________________________________________________________________ Have you filed, or do you contemplate filing, any petition attacking the judgment which imposed the sentence to be served in the future? Yes No

Wherefore, petitioner prays that the Court grant petitioner relief to which he may be entitled in this proceeding. ___________________________________ Petitioner's Signature __________________ Date