SENTENCE MODIFICATION APPLICATION, MOTION AND ORDER JD-CR-68 Rev. 4-11 Gen. Stat. §§ 53a-39, 54-227 Pr. Bk. Sec. 43-21 Inmate number STATE OF CONNECTICUT SUPERIOR COURT Fill out 3 copies of this form. File 2 copies with the Clerk. File the 3rd copy with prosecuting attorney who presented the case to the trial court. Do not use this form to ask the court for additional jail credit. Instructions to Clerk 1. Do not accept this form if the only relief being sought is additional jail credit. 2. Do not accept this Application if the Defendant indicates being in the custody of the Department of Correction and fails to submit a completed JD-VS-3, Inmate Notice of Application. 3. Stamp form, on filing. File original as pending matter. Give one copy to Presiding Judge. 4. Prepare Judgment in triplicate. After judgment, distribute: The original and one copy to Records Center, one for filing with original Information, and one for filing under date of this order; One copy to defendant or his/her counsel; If the defendant is confined, one copy to the record's office of the correctional facility in which he/she is confined; One copy to probation, if defendant is placed on probation or the existing probation is modified. Docket number State of Connecticut vs. Geographical Area number Date of sentencing Place of sentencing (Town) Date of birth Crime(s) of which the defendant was convicted Original sentence (Specify period of suspension, if any; and fine, if any. If original sentence was modified, so state and also specify new sentence.) Name of Judge entering original sentence Name of jail Date jail sentence began Amount of fine paid, if any Motion For Modification I, the Defendant or the Attorney for the Defendant signing below, affirm that this motion does not apply to any portion of a sentence imposed that is a mandatory minimum sentence for an offense which may not be suspended or reduced by the court and request that the sentence of the defendant be modified by: suspending execution of the unexecuted portion of the jail sentence. Complete the following questions a) Was the defendant sentenced to a definite sentence of more than three years? b) Was a motion for a modification of sentence previously filed in this case? c) Is the Defendant presently in the custody of the Department of Correction? No No No (If yes, the state's atty. must sign below Yes agreeing to seek a review of sentence ) Yes (Date filed) Yes* * If yes, a completed form JD-VS-3, Inmate Notice of Application, is attached to this application as proof of notice to the Office of Victim Services and to the Department of Correction. Reason for request (Attach sheet, if necessary) Dated at (Town) On (Date) Signed (Defendant or Attorney for Defendant) concur with oppose the defendant's I request to seek review of the sentence. On (Date) Signed (State's Attorney)(Complete if defendant sentenced to more than 3 years) Judgment The foregoing motion having been presented to and considered by the Court, 1. The motion for modification is denied. 2. The sentence of said defendant is hereby modified in the following respect(s) only: Execution of the unexecuted portion of the jail sentence is to be suspended on (date) after release the defendant is: committed to the custody of the Probation Officer, for the term of discharged from custody. and (Other) Judgment on motion entered at (Town) On (Date) By order of the court (Name of Judge) Signed (Assistant Clerk) Print Form Reset Form American LegalNet, Inc. www.FormsWorkFlow.com