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Application For Writ Of Habeas Corpus HC-1 - Georgia

Application For Writ Of Habeas Corpus Form. This is a Georgia form and can be used in Inmate-Habeas Corpus Superior Court Statewide .
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INMATE FORM FOR CIVIL ACTION INSTRUCTIONS ­ READ CAREFULLY (NOTE: O.C.G.A. §9-10-14(a) requires the proper use of this form, and failure to use this form as required will result in the clerk of any court refusing to accept the action for filing.) 1. Any action filed by an inmate of a state or local penal or correctional institution against the state or a local government or against any agency or officer of a state or local government must be filed on the appropriate form or forms promulgated by the Administrative Office of the Courts of Georgia. 2. This application must be legibly handwritten or typewritten, and signed by the petitioner. Any false statement of a material fact may serve as the basis for prosecution for perjury. All questions must be answered concisely in the proper space on the form. 3. O.C.G.A. §42-12-1 et seq. provides that an inmate's institutional account shall be frozen, and funds seized for court costs and fees. Additionally, the filing of frivolous litigation shall result in a deduction from the account. 4. Any inmate may submit with the complaint or other initial pleading any additional matter in any form if the pleading includes the form or forms attached hereto. Material attached to the forms should be legibly handwritten, typewritten, or copied. 5. Upon receipt of the appropriate filing fee or if permission to proceed in forma pauperis has been granted, your petition will be filed if it is in proper order. 6. If the inmate wishes to file an affidavit of indigency, it must be accompanied by a certification from the institution wherein the inmate is incarcerated that the financial statement correctly states the amount of funds in any and all custodial accounts held with the institution. 7. Any Inmate Form for Civil Action which does not conform to these instructions will be returned with a notation as to the deficiency. 8. These forms may be obtained at the Administrative Office of the Courts' website ( or from the Administrative Office of the Courts through the head of the institution in which the inmate is incarcerated. Revised 9 10 14 American LegalNet, Inc. IN THE SUPERIOR COURT OF ___________________________ STATE OF GEORGIA ____________________________________ , Plaintiff ____________________________________ , Inmate Number vs. ____________________________________ , ____________________________________ , ____________________________________, Defendant(s) Civil Action No. _________________________ Nature of Action: _______________________________________ _______________________________________ _______________________________________ INMATE FORM FOR CIVIL ACTION PART I: BACKGROUND INFORMATION ON YOUR CONVICTION 1. Name and location of prison in which you are now confined: ________________________________ _________________________________________________________________________________ 2. Sentence you are now serving: _______________________________________________________ _________________________________________________________________________________ Name and location of court which imposed sentence: _______________________________________ _________________________________________________________________________________ Approximate date your sentence will be completed: ________________________________________ 3. The indictment number or numbers (if known) upon which, and the offense or offenses for which sentence was imposed: a. _______________________________________________________________________________ ________________________________________________________________________________ b. _______________________________________________________________________________ ________________________________________________________________________________ c. _______________________________________________________________________________ ________________________________________________________________________________ 4. Give the approximate date upon which sentence was imposed and the terms of the sentence: a. _______________________________________________________________________________ ________________________________________________________________________________ b. _______________________________________________________________________________ Administrative Office of the Courts (Revised 9 10 14) [1] Form CA 1 American LegalNet, Inc. ________________________________________________________________________________ c. _______________________________________________________________________________ ________________________________________________________________________________ 5. Check whether a finding of guilty was made after a plea of: Guilty Guilty but mentally ill Nolo contendere Not guilty 6. If you were found guilty after a plea of not guilty, check whether the finding was made by: Jury Judge only 7. Did you appeal from the judgment of conviction or the imposition of sentence? Yes No 8. If you did appeal, answer the following: a. The name of each court to which you appealed: 1. ____________________________________________________________________________ 2. ____________________________________________________________________________ 3. ____________________________________________________________________________ b. The result in each such court to which you appealed: 1. ____________________________________________________________________________ 2. ____________________________________________________________________________ 3. ____________________________________________________________________________ c. The approximate date of each such result: 1. ____________________________________________________________________________ 2. ____________________________________________________________________________ 3. ____________________________________________________________________________ d. If known, citations of any written opinion orders entered pursuant to such results: 1. ____________________________________________________________________________ 2. ____________________________________________________________________________ 3. ____________________________________________________________________________ PART II: OTHER LAWSUITS 9. OTHER THAN LAWSUITS ALREADY LISTED in questions 3 through 8, have you ever begun or are you now beginning other lawsuits in federal or state courts dealing with the same facts involved in this action or relating to your impr
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