Certificate Of Death Penalty Case

CERTIFICATE OF DEATH PENALTY CASE UNITED STATES COURT OF APPEALS FOR THE FIRST CIRCUIT CASE INFORMATION CASE NAME DISTRICT COURT CASE NO. DISTRICT OF TYPE OF PROCEEDING G Criminal proceeding. Notice of intent to seek death penalty filed on _________________ ~ 2254 petition filed on _________________ ~ 2255 motion filed on _________________ ~ Other (please specify________________) proceeding initiated on _________________ EXECUTION DATE (If applicable) _________________ LOCATION PARTY INFORMATION NAME OF DEFENDANT/PETITIONER INSTITUTION OF INCARCERATION REG. NO. COUNSEL INFORMATION COUNSEL FOR DEFENDANT/PETITIONER Name Address Name Address Telephone ( Cell phone ( Fax ( ) ) ) Telephone ( Cell phone ( Fax ( ) ) ) American LegalNet, Inc. www.FormsWorkflow.com COUNSEL FOR GOVERNMENT Name Address Name Address Telephone ( Cell phone ( Fax ( ) ) ) Telephone ( Cell phone ( Fax ( ) ) ) Filer's Name Date Filer's Signature Note: The court may periodically request status reports. The parties are under a continuing affirmative obligation to immediately notify the court of any changes or additions to the information contained on this form. Rev. 1/31/05 American LegalNet, Inc. www.FormsWorkflow.com