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Petition For A Writ Of Habeas Corpus By A Person In Custody - District Of Columbia
| Petition For A Writ Of Habeas Corpus By A Person In Custody Form. This is a District Of Columbia form and can be used in USDC-District of Columbia Federal . |
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R ev. 7/06 C O Hab C orp AO 241 amd. Page 1 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. 2. 3. American LegalNet, Inc. www.FormsWorkflow.com Page 2 4. 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 5. 6. 7. 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 4. 5. American LegalNet, Inc. www.FormsWorkflow.com Page 3 (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: __________________________________________________________ American LegalNet, Inc. www.FormsWorkflow.com 7. Page 4 (6) (c) Date of result: ____________________________________________________ As to any third pet
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