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Request By Prisoner Under NY Death Judgment For Appointment Of Counsel - New York

Request By Prisoner Under NY Death Judgment For Appointment Of Counsel Form. This is a New York form and can be used in Northern District District Court Federal .
 Fillable pdf Last Modified 6/20/2005
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NAME:___________________________________Prison Number:_____________________________Place of Confinement:_____________________________________________________________________________________________________________ UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF NEW YORK Petitioner Civil Case Number___________________________ v. REQUEST BY PRISONER UNDER NEW YORK DEATH JUDGMENT FOR APPOINTMENT OF COUNSEL Respondent(s) PURSUANT TO 18 U.S.C. SECTION 3006A I,_____________________________________, request that the Court appoint an attorneyto represen tme in death penalty habeas corpus litigation to be initiated in the federal courts on my behalf. In support of this request, I hereby declare:1. I was sentenced to death in the _____________________________County Court, State of New York,on____________________________________. I am incarcerated at__________________________________________________________Correctional Facility located in ______________________________,New York. 2. My death sentence was affirmed by the New York State Court of Appeals on_______________________________________________. 3. I intend to file a petition for writ of habeas corpus in this Court, alleging federal constitutional errorswhich entitle me to relief from the judgment of death. I need the assistance of counsel in preparing andlitigating the petition. 4. The attorney who represented me in the most recent state court proceedings related to my deathsentence was ____________________________________. He/she has informed me that he/she is notavailable to represent me in federal habeas corpus proceedings.<<<<<<<<<********>>>>>>>>>>>>> 25. I cannot afford to retain an attorney to represent me in these proceedings. I have following assets(include any income, cash and property): ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________and the following debts: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________I DECLARE UNDER PENALTY OF PERJURY THAT THE ABOVE STATEMENTS ARE TRUE AND CORRECT. Date:_____________________________ ___________________________________________ Signature of Petitioner
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