Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: Lawyer's Bar Number: Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent For Clerk's Use Only SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY Case Number: State of Arizona PETITION FOR POST- CONVICTION RELIEF Defendant's Name (First, MI, Last) STATEMENTS MADE TO THE COURT, UNDER OATH: 1. INFORMATION ABOUT ME, the DEFENDANT / PETITIONER: Name: Address: Date of Birth: Prison/Inmate Number (if any): 2. CURRENT INFORMATION ABOUT MY SENTENCE: Defendant / Petitioner is now: On Community Supervision On Parole On Probation Confined in (name of prison/jail):______________________________________________ 3. REASON(S) FOR REQUESTED RELIEF: Defendant / Petitioner is eligible for relief because of the following reason(s) (Place a check mark next to the reason(s) that apply to your case): The introduction at trial of evidence obtained pursuant to an unlawful arrest. The introduction at trial of evidence obtained by an unconstitutional search and seizure. The introduction at trial of an identification obtained in violation of constitutional rights. The introduction at trial of a coerced confession. � Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 1 of 4 CRPCR11f - 060616 American LegalNet, Inc. www.FormsWorkFlow.com Case Number:____________________ The introduction at trial of a statement obtained in the absence of a lawyer at a time when representation is constitutionally required. Any other infringement of the right against self-incrimination. The denial of the constitutional right to representation by a competent lawyer at every critical stage of the proceeding. The unconstitutional suppression of evidence by the state. The unconstitutional use of perjured testimony by the state. An unlawfully induced plea of guilty or no contest. Violation of the right not to be placed twice in jeopardy for the same offense. The abridgement of any other right guaranteed by the constitution or the laws of this state, or the constitution of the United States, including a right that was not recognized as existing at the time of the trial if retrospective application of that right is required. The existence of newly discovered material which requires the court to vacate the conviction or sentence. [Specify when the defendant / petitioner learned of these facts for the first time, and show how they would have affected the trial.] The lack of jurisdiction of the court which entered the conviction or sentence. The use by the state in determining sentence of a prior conviction obtained in violation of the United States or Arizona constitutions. Sentence imposed other than in accordance with the sentencing procedures established by rule and statute. Being held beyond the term of sentence or after parole or probation has been unlawfully revoked. The failure of the judge at sentencing to advise defendant / petitioner of his/her right to appeal, and the procedures for doing so. The failure of defendant / petitioner's attorney to file a timely notice of appeal after being instructed to do so. The obstruction by state officials of the right to appeal. Any other ground within the scope of Rule 32, Arizona Rules of Criminal Procedure (Please specify the grounds below): � Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 2 of 4 CRPCR11f - 060616 American LegalNet, Inc. www.FormsWorkFlow.com Case Number:____________________ 4. SUPPORTING FACTS: The facts in support of the alleged error(s) upon which this petition is based are contained below and in the Attachment: [State facts clearly and fully; citations or discussions of authorities need not be included]. 5. SUPPORTING EXHIBITS: A. The following exhibits are attached in support of this Petition: � � � Affidavits (Exhibit(s) # ____________________________________________________ Records (Exhibit(s) # _____________________________________________________ Other Supporting evidence (Exhibit(s) # ______________________________________ B. No affidavits, records, or other supporting evidence are attached because (state reason(s) below): 6. OTHER ACTIONS TO SECURE RELIEF: The Petitioner / Defendant has taken the following actions to secure relief from his/her convictions or sentences: (Place a check mark in the appropriate box below) A. Direct Appeal: YES or appeals, number, and result: NO If YES, list the courts to which the appeals were taken, date of B. Previous Rule 32 Proceedings: YES or NO If YES, name the court in which such petitions were filed, dates, numbers, and results including all appeals from decisions on such petitions: C. Previous Habeas Corpus or Special Action Proceedings in the Courts of Arizona: YES or NO If YES, name the court(s) in which such petitions were filed, dates, numbers, and results including all appeals from decisions on such petitions: � Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 3 of 4 CRPCR11f - 060616 American LegalNet, Inc. www.FormsWorkFlow.com Case Number:____________________ D. Habeas Corpus or Other Petitions in Federal Courts: YES or NO If YES, name the districts in which petitions were filed, dates, court numbers � civil action or miscellaneous, and results, including all appeals from decisions on such petitions: 7. NEW ISSUE(s): The issue(s) which are raised in this petition have not been raised nor finally decided before this time because: 8. POST-CONVICTION RELIEF REQUESTED: Because of the reasons stated in the above Petition, the relief which I the Defendant / Petitioner request is: (Place a check mark in the appropriate box): A. B. C. D. E. Release from custody and discharge. A new trial. Correction of Sentence. The right to file a delayed appeal. Other relief (specify): DECLARATION: I declare under penalty of perjury that the information contained in this form and in any attachments is true to the best of my knowledge or belief. _______________ Date ___________________________________________ Defendant's Signature � Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 4 of 4 CRPCR11f - 060616 American LegalNet, Inc. www.FormsWorkFlow.com