_________________________________ (full name/prisoner number) ____________________________________ ____________________________________ ____________________________________ (complete mailing address) UNITED STATES DISTRICT COURT FOR THE DISTRICT OF IDAHO ________________________________, Petitioner, v. ________________________________, Respondent (Warden). Case No. (to be assigned by Court) PETITION FOR WRIT OF HABEAS CORPUS (§ 2254 - state custody) I request that the United States District Court grant my Petition and issue a Writ of Habeas Corpus to Respondent based on the following grounds. I. CONVICTION OR SENTENCE BEING CHALLENGED: 1. (a) Name and location of court that entered the judgment of conviction being challenged: _____________________________________________________________________________ (b) Criminal docket or case number (if you know): ____________________________________ (c) Date of the judgment of conviction (if you know): __________________________________ (d) Date of sentencing: __________________________________________________________ (e) Length of sentence: __________________________________________________________ 2. 3. In this case, were you convicted of more than one count or crime? Yes No Identify all counts/crimes of which you were convicted/sentenced in this case: ______________ (Rev. 10/24/2011) Petition for W rit of Habeas Corpus - p. 1 American LegalNet, Inc. www.FormsWorkFlow.com _________________________________________________________________________________ _________________________________________________________________________________ 4. 5. (a) What was your plea? (Check one) Not Guilty Guilty Alford Plea or No Contest If you went to trial, what kind of trial did you have? (Check one) Jury Judge only II. DIRECT APPEAL 1. 2. Did you file a direct appeal from the judgment of conviction? Yes No If you did appeal, provide the following: (a) Name of court that heard your appeal:_____________________________________________ (b) Docket or case number (if you know): ____________________________________________ (c) Result: _____________________________________________________________________ (d) Date of result (if you know): ___________________________________________________ (e) Grounds raised: ______________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ (f) If the Idaho Court of Appeals decided your appeal, did you file a petition for review with the Idaho Supreme Court? Yes No Not applicable. If yes, answer the following: (1) Result: ______________________________________________________________ (2) Date of result (if you know): ____________________________________________ (3) Grounds raised: _______________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Petition for W rit of Habeas Corpus - p. 2 (Rev. 10/24/2011) American LegalNet, Inc. www.FormsWorkFlow.com III. FIRST POST-CONVICTION ACTION 1 If you filed any post-conviction petition, application, or motion concerning this judgment of conviction or sentence in any state court, give the following information: (a) Name of court: ______________________________________________________________ (b) Date of filing (if you know): ___________________________________________________ (c) Type of proceeding: __________________________________________________________ (d) Grounds raised: _____________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 2. Did you file an appeal? Yes No If you did appeal, answer the following: (a) Name of court that heard your appeal:_____________________________________________ (b) Docket or case number (if you know): ____________________________________________ (c) Result: _____________________________________________________________________ (d) Date of result (if you know): ___________________________________________________ (e) Grounds raised: ______________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ (f) If the Idaho Court of Appeals decided your appeal, did you file a petition for review with the Idaho Supreme Court? Yes No Not applicable. If yes, answer the following: (1) Result:_______________________________________________________________ (2) Date of result (if you know): _____________________________________________ (3) Grounds raised:________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Petition for W rit of Habeas Corpus - p. 3 (Rev. 10/24/2011) American LegalNet, Inc. www.FormsWorkFlow.com IV. SECOND POST-CONVICTION ACTION 1. If you filed a second post-conviction petition, application, or motion concerning this judgment of conviction in any state court, give the following information: (a) Name of court:_______________________________________________________________ (b) Date of filing (if you know): ___________________________________________________ (c) Type of proceeding:___________________________________________________________ (d) Grounds raised: ______________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 2. Did you file an appeal? Yes No If you did appeal, answer the following: (a) Name of court that heard your appeal:_____________________________________________ (b) Docket or case number (if you know): ____________________________________________ (c) Result: _____________________________________________________________________ (d) Date of result (if you know): ___________________________________________________ (e) Grounds raised: ______________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ (