Free AO 241 - Petition for Writ of Habeas Corpus - Indiana

OAO 241 (Rev. 12/04) (Rev. 09/06/2005 INND)

Page 1

Petition for Relief From a Conviction or Sentence By a Person in State Custody
(Petition Under 28 U.S.C. § 2254 for a W rit of Habeas Corpus) Instructions 1. To use this form, you must be a person who is currently serving a sentence under a judgment against you in a state court. You are asking for relief from the conviction or the sentence. This form is your petition for relief. You may also use this form to challenge a state judgment that imposed a sentence to be served in the future, but you must fill in the name of the state where the judgment was entered. If you want to challenge a federal judgment that imposed a sentence to be served in the future, you should file a motion under 28 U.S.C. § 2255 in the federal court that entered the judgment. Make sure the form is typed or neatly written. You must tell the truth and sign the form. If you make a false statement of a material fact, you may be prosecuted for perjury. Answer all the questions. You do not need to cite law. You may submit additional pages if necessary. If you do not fill out the form properly, you will be asked to submit additional or correct information. If you want to submit a brief or arguments, you must submit them in a separate memorandum. You must pay a fee of $5. If the fee is paid, your petition will be filed. If you cannot pay the fee, you may ask to proceed in forma pauperis (as a poor person). To do that, you must fill out the last page of this form. Also, you must submit a certificate signed by an officer at the institution where you are confined showing the amount of money that the institution is holding for you. If your account exceeds $ 7. 15.00 , you must pay the filing fee.

2.

3. 4.

5.

6.

In this petition, you may challenge the judgment entered by only one court. If you want to challenge a judgment entered by a different court (either in the same state or in different states), you must file a separate petition. W hen you have completed the form, send the original and two copies to the appropriate Clerk's office:

8.

District Court Clerk's Office 1300 S. Harrison St. Fort W ayne, IN 46802 District Court Clerk's Office 204 S. Main St Room 102 South Bend, IN 46601

District Court Clerk's Office 5400 Federal Plaza Hammond, IN 46320 District Court Clerk's Office 230 North Fourth Street P.O. Box 1498 Lafayette, IN 47901

9.

CAUTION: You must include in this petition all the grounds for relief from the conviction or sentence that you challenge. And you must state the facts that support each ground. If you fail to set forth all the grounds in this petition, you may be barred from presenting additional grounds at a later date. CAPITAL CASES: If you are under a sentence of death, you are entitled to the assistance of counsel and should request the appointment of counsel.

10.

OAO 241 (Rev. 12/04) (Rev. 09/06/2005 INND)

Page 2

PETITION UNDER 28 U.S.C. § 2254 FOR WRIT OF HABEAS CORPUS BY A PERSON IN STATE CUSTODY United States District Court Name (under which you were convicted): District: Northern District of Indiana Docket or Case No.:

Place of Confinement :

Prisoner No.:

PETITION

1.

(a) Name and location of court that entered the judgment of conviction you are challenging:

(b) Criminal docket or case number (if you know): 2. 3. 4. Date of the judgment of conviction (if you know): Length of sentence: (a) W hat was your plea? (Check one)

' '

(1) (2)

Not guilty Guilty

' '

(3) (4)

Nolo contendere (no contest) Insanity plea

(b) If you entered a guilty plea to one count or charge and a not guilty plea to another count or charge, what did you plead guilty to and what did you plead not guilty to?

(c) If you went to trial, what kind of trial did you have? (Check one)

'
5.

Jury

'

Judge only

Did you testify at a pretrial hearing, trial, or a post-trial hearing?

'
6.

Yes

'

No

Did you appeal from the judgment of conviction?

'
7.

Yes

'

No

If you did appeal, answer the following: (a) Name of court: (b) Docket or case number (if you know): (c) Result:

OAO 241 (Rev. 12/04) (Rev. 09/06/2005 INND)

Page 3

(d) Date of result (if you know): (e) Grounds raised:

(f) Did you seek further review by a higher state court? If yes, answer the following: (1) Name of court: (2) Docket or case number (if you know): (3) Result:

'

Yes

'

No

(4) Date of result (if you know): (5) Grounds raised:

(g) Did you file a petition for certiorari in the United States Supreme Court? If yes, answer the following: (1) Docket or case number (if you know): (2) Result:

'

Yes

'

No

(3) Date of result (if you know): 8. Other than the direct appeals listed above, have you previously filed any other petitions, applications, or motions concerning this judgment of conviction in any state court? 9. If your answer to Question 8 was "Yes," give the following information: (a) (1) Name of court: (2) Docket or case number (if you know): (3) Date of filing (if you know): (4) Nature of the proceeding: (5) Grounds raised:

' Yes

'

No

OAO 241 (Rev. 12/04) (Rev. 09/06/2005 INND)

Page 4

(6) Did you receive a hearing where evidence was given on your petition, application, or motion?

'

Yes

'

No

(7) Result: (8) Date of result (if you know): (b) If you filed any second petition, application, or motion, give the same information: (1) Name of court: (2) Docket or case number (if you know): (3) Date of filing (if you know): (4) Nature of the proceeding: (5) Grounds raised:

(6) Did you receive a hearing where evidence was given on your petition, application, or motion?

'

Yes

'

No

(7) Result: (8) Date of result (if you know): (c) If you filed any third petition, application, or motion, give the same information: (1) Name of court: (2) Docket or case number (if you know): (3) Date of filing (if you know): (4) Nature of the proceeding: (5) Grounds raised:

(6) Did you receive a hearing where evidence was given on your petition, application, or motion?

'

Yes

'

No

(7) Result:

OAO 241 (Rev. 12/04) (Rev. 09/06/2005 INND)

Page 5

(8) Date of result (if you know): (d) Did you appeal to the highest state court having jurisdiction over the action taken on your petition, application, or motion? (1) First petition: (2) Second petition: (3) Third petition:

' ' '

Yes Yes Yes

' ' '

No No No

(e) If you did not appeal to the highest state court having jurisdiction, explain why you did not:

10.

Have you previously filed any type of petition, application, or motion in a federal court regarding the conviction that you challenge in this petition?

'

Yes

'

No

If "Yes," state the name and location of the court, the docket or case number, the type of proceeding, the issues raised, the date of the court's decision, and the result for each petition, application, or motion filed. Attach a copy of any court opinion or order, if available.

11.

Do you have any petition or appeal now pending (filed and not decided yet) in any court, either state or federal, for the judgment you are challenging?

'

Yes

'

No

If "Yes," state the name and location of the court, the docket or case number, the type of proceeding, and the issues raised.

(2) If you did not raise this issue in your direct appeal, explain why:

(d) Post-Conviction Proceedings: Did you raise this issue through a post-conviction motion or petition for habeas corpus in a state trial court?

'

Yes

'

No

OAO 241 (Rev. 12/04) (Rev. 09/06/2005 INND)

Page 6

12. GROUND ONE:

(a) Supporting facts (Do not argue or cite law. Just state the specific facts that support your claim.):

(b) If you did not exhaust your state remedies on Ground One, explain why:

(c)

Direct Appeal of Ground One: (1) If you appealed from the judgment of conviction, did you raise this issue? (2) If you did not raise this issue in your direct appeal, explain why:

'

Yes

'

No

(d)

Post-Conviction Proceedings: (1) Did you raise this issue through a post-conviction motion or petition for habeas corpus in a state trial court?

'
GROUND TW O:

Yes

'

No

(a) Supporting facts (Do not argue or cite law. Just state the specific facts that support your claim.):

(b) If you did not exhaust your state remedies on Ground Two, explain why:

(c)

Direct Appeal of Ground Two:

OAO 241 (Rev. 12/04) (Rev. 09/06/2005 INND)

Page 7

(1) If you appealed from the judgment of conviction, did you raise this issue? (2) If you did not raise this issue in your direct appeal, explain why:

'

Yes

'

No

(d)

Post-Conviction Proceedings: (1) Did you raise this issue through a post-conviction motion or petition for habeas corpus in a state trial court?

' '
GROUND THREE.:

Yes Yes

' '

No No

(a) Supporting facts (Do not argue or cite law. Just state the specific facts that support your claim.):

(b) If you did not exhaust your state remedies on Ground Three, explain why:

(c)

Direct Appeal of Ground Three: (1) If you appealed from the judgment of conviction, did you raise this issue? (2) If you did not raise this issue in your direct appeal, explain why:

'

Yes

'

No

(d)

Post-Conviction Proceedings: (1) Did you raise this issue through a post-conviction motion or petition for habeas corpus in a state trial court?

'

Yes

'

No

(2) If your answer to Question (d)(1) is "Yes," state: Type of motion or petition: GROUND FOUR:

(a) Supporting facts (Do not argue or cite law. Just state the specific facts that support your claim.):

OAO 241 (Rev. 12/04) (Rev. 09/06/2005 INND)

Page 8

(b) If you did not exhaust your state remedies on Ground Four, explain why:

(c)

Direct Appeal of Ground Four: (1) If you appealed from the judgment of conviction, did you raise this issue? (2) If you did not raise this issue in your direct appeal, explain why:

'

Yes

'

No

(d)

Post-Conviction Proceedings: (1) Did you raise this issue through a post-conviction motion or petition for habeas corpus in a state trial court?

'

Yes

'

No

(2) If your answer to Question (d)(1) is "Yes," state: Type of motion or petition: 13. Give the name and address, if you know, of each attorney who represented you in the following stages of the judgment you are challenging: (a) At preliminary hearing:

(b) At arraignment and plea:

(c) At trial:

(d) At sentencing:

OAO 241 (Rev. 12/04) (Rev. 09/06/2005 INND)

Page 9

(e) On appeal:

(f) In any post-conviction proceeding:

(g) On appeal from any ruling against you in a post-conviction proceeding:

14.

Do you have any future sentence to serve after you complete the sentence for the judgment that you are challenging?

'

Yes

'

No

(a) If so, give name and location of court that imposed the other sentence you will serve in the future:

(b) Give the date the other sentence was imposed: (c) Give the length of the other sentence: (d) Have you filed, or do you plan to file, any petition that challenges the judgment or sentence to be served in the future?

'

Yes

'

No § 2244(d) provides in

The Antiterrorism and Effective Death Penalty Act of 1996 ("AEDPA") as contained in 28 U.S.C. part that: (1)

A one-year period of limitation shall apply to an application for a writ of habeas corpus by a person in custody pursuant to the judgment of a State court. The limitation period shall run from the latest of (A) the date on which the judgment became final by the conclusion of direct review or the expiration of the time for seeking such review; the date on which the impediment to filing an application created by State action in violation of the Constitution or laws of the United States is removed, if the applicant was prevented from filing by such state action; the date on which the constitutional right asserted was initially recognized by the Supreme Court, if the right has been newly recognized by the Supreme Court and made retroactively applicable to cases on collateral review; or the date on which the factual predicate of the claim or claims presented could have been discovered through the exercise of due diligence.

(B)

(C)

(D)

(2)

The time during which a properly filed application for State post-conviction or other collateral review with respect to the pertinent judgment or claim is pending shall not be counted toward any period of limitation under this subsection.

15.

TIM ELINESS OF PETITION: If your judgment of conviction became final over one year ago, you must explain the one-year statute of limitations as contained in 28 U.S.C. § 2244(d) does not bar your petition.

OAO 241 (Rev. 12/04) (Rev. 09/06/2005 INND)

Page 10

Therefore, petitioner asks that the Court grant the following relief:

or any other relief to which petitioner may be entitled.

Signature of Attorney (if any)

I declare (or certify, verify, or state) under penalty of perjury that the foregoing is true and correct and that this Petition for W rit of Habeas Corpus was placed in the prison mailing system on (month, date, year).

Executed (signed) on

(date).

Signature of Petitioner

If the person signing is not petitioner, state relationship to petitioner and explain why petitioner is not signing this petition.