Withdrawal Of Application For Review Of Sentence {JD-CR-171}

WITHDRAWAL OF APPLICATION FOR REVIEW OF SENTENCE JD-CR-171 New 4-15 C.G.S. §§ 51-194 through 51-197 STATE OF CONNECTICUT SUPERIOR COURT SENTENCE REVIEW DIVISION www.jud.ct.gov Inmate Name Name and Judicial District of Sentencing Court Inmate number Docket Number(s) of all cases in my Application for Review of Sentence I withdraw my Application for Review of the sentence imposed in the case(s) listed above. I understand fully that, if the court grants the withdrawal of my Application for Review of my sentence, I will NOT be allowed to file another Application for Review of any sentence already imposed in the case(s) listed above, and I am saying that I DO NOT WANT THE CASE(S) IN MY APPLICATION FOR REVIEW OF SENTENCE TO BE HEARD by the Sentence Review Division of the Superior Court Signature of Inmate Inmate Number Date Location: Middletown, CT, Courtroom 3A Other WITNESS STATEMENT: I acknowledge that the inmate listed above voluntarily signed this Withdrawal of Application for Review of Sentence. SIGNED (Commissioner of the Superior Court/Corrections Official Date Title Printed Name ADA NOTICE The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA. American LegalNet, Inc. www.FormsWorkFlow.com