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Petition For Writ Of Habeas Corpus - Person In State Custody (Western Division) Form. This is a Illinois form and can be use in USDC Northern Federal.
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Tags: Petition For Writ Of Habeas Corpus - Person In State Custody (Western Division), Illinois Federal, USDC Northern
IN THE UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF ILLINOIS
WESTERN DIVISION
United States of America ex rel.
__________________________________
(Full name and prison number)
(Include name under which convicted)
PETITIONER
vs.
_____________________________________
(Warden, Superintendent, or authorized
person having custody of petitioner)
RESPONDENT, and
(Fill in the following blank only if judgment
attacked imposes a sentence to commence
in the future)
ATTORNEY GENERAL OF THE STATE OF
_____________________________________
(State where judgment entered)
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CASE NO:_________________________
(Supplied by Clerk of this Court)
Case Number of State Court Conviction:
_________________________________
)
PETITION FOR WRIT OF HABEAS CORPUS –
PERSON IN STATE CUSTODY
1.
Name and location of court where conviction entered: ____________________________________________
____________________________________________________________________________________________
2.
Date of judgment of conviction: ______________________________________________________________
3.
Offense(s) of which petitioner was convicted (list all counts with indictment numbers, if known)
____________________________________________________________________________________________
4.
Sentence(s) imposed: ______________________________________________________________________
5.
What was your plea? (Check one)
(A) Not guilty
(B) Guilty
(C) Nolo contendere
(
(
(
)
)
)
If you pleaded guilty to one count or indictment and not guilty to another count or indictment, give details:
___________________________________________________________________________________________
Revised: 7/20/05
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PART I –
TRIAL AND DIRECT REVIEW
1.
Kind of trial: (Check one):
Jury (
)
Judge only (
2.
Did you testify at trial?
YES (
)
NO
3.
Did you appeal from the conviction or the sentence imposed? YES (
)
(
)
)
NO (
)
(A) If you appealed, give the
(1)
Name of court:
___________________________________________
(2)
Result:
___________________________________________
(3)
Date of ruling:
___________________________________________
(4)
Issues raised:
___________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
(B) If you did not appeal, explain briefly why not:
_________________________________________________________________________________________
4.
Did you appeal, or seek leave to appeal, to the highest state court? YES ( ) NO ( )
(A) If yes, give the
(1)
Result:
__________________________________________________________________
(2)
Date of ruling:
__________________
(3)
Issues raised:
__________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
(B) If no, why not:
5.
_____________________________________________________________________
Did you petition the United States Supreme Court for a writ of certiorari? Yes ( )
No ( )
If yes, give (A) date of petition: _____________ (B) date certiorari was denied:
____________
2
Revised: 7/20/05
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PART II –
COLLATERAL PROCEEDINGS
1.
With respect to this conviction or sentence, have you filed a post-conviction petition in state court?
YES ( )
NO ( )
With respect to each post-conviction petition give the following information (use additional sheets if necessary):
A. Name of court: ____________________________________________________________________
B. Date of filing: ____________________________________________________________________
C. Issues raised:
________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
D. Did you receive an evidentiary hearing on your petition? YES ( )
E. What was the court's ruling?
F. Date of court's ruling:
____________________________________
____________________________________
G. Did you appeal from the ruling on your petition?
H. (a)
If yes, (1) what was the result?
(2) date of decision:
(b)
NO ( )
YES ( )
NO ( )
______________________________
______________________________
If no, explain briefly why not: ________________________________________________________
I. Did you appeal, or seek leave to appeal this decision to the highest state court?
YES ( )
(a)
NO ( )
If yes, (1) what was the result?
(2) date of decision:
(b)
______________________________
______________________________
If no, explain briefly why not: _________________________________________________________
3
Revised: 7/20/05
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2. With respect to this conviction or sentence, have you filed a petition in a state court using any other form of postconviction procedure, such as coram nobis or habeas corpus?
YES ( )
NO ( )
A. If yes, give the following information with respect to each proceeding (use separate sheets if necessary):
1.
Nature of proceeding
2.
Date petition filed
3.
Ruling on the petition
_____________________
4.
Date of ruling
_____________________
5.
If you appealed, what was
the ruling on appeal?
_____________________
6.
Date of ruling on appeal
_____________________
7.
If there was a further appeal,
what was the ruling ?
_____________________
Date of ruling on appeal
_____________________
8.
3.
_____________________
_____________________
With respect to this conviction or sentence, have you filed a previous petition for habeas corpus in federal court?
YES ( ) NO ( )
A. If yes, give name of court, case title and case number: _________________________________________
____________________________________________________________________________________________
B. Did the court rule on your petition? If so, state
(1) Ruling: ________________________________________________________________________
(2)
4.
Date:
______________________
With respect to this conviction or sentence, are there legal proceedings pending in any court, other than this
petition? YES ( )
NO ( )
If yes, explain: ______________________________________________________________________________
___________________________________________________________________________________________
4
Revised: 7/20/05
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PART III –
PETITIONER'S CLAIMS
1. State briefly every ground on which you claim that you are being held unlawfully. Summarize briefly the facts
supporting each ground. You may attach additional pages stating additional grounds and supporting facts. If you fail
to set forth all grounds in this petition, you may be barred from presenting additional grounds later.
BEFORE PROCEEDING IN THE FEDERAL COURT, YOU MUST ORDINARILY FIRST EXHAUST
YOUR STATE COURT REMEDIES WITH RESPECT TO EACH GROUND FOR RELIEF ASSERTED.
(A) Ground one _________________________________________________________________________
Supporting facts (tell your story briefly without citing cases or law):
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
(B) Ground two _________________________________________________________________________
Supporting facts:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
5
Revised: 7/20/05
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(C) Ground three ________________________________________________________________________
Supporting facts:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
(D) Ground four _________________________________________________________________________
Supporting facts:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
2.
Have all grounds raised in this petition been presented to the highest court having jurisdiction?
YES ( )
NO ( )
3. If you answered "NO" to question (2), state briefly what grounds were not so presented and why not:
____________________________________________________________________________________________
____________________________________________________________________________________________
6
Revised: 7/20/05
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PART IV –
REPRESENTATION
Give the name and address, if known, of each attorney who represented you in the following stages of the judgment
attacked herein:
(A) At preliminary hearing _________________________________________________________________
(B) At arraignment and plea ________________________________________________________________
(C) At trial ______________________________________________________________________________
(D) At sentencing ________________________________________________________________________
(E) On appeal ___________________________________________________________________________
(F) In any post-conviction proceeding ________________________________________________________
(G) Other (state): ________________________________________________________________________
PART V –
FUTURE SENTENCE
Do you have any future sentence to serve following the sentence imposed by this conviction?
YES (
)
NO (
)
Name and location of the court which imposed the sentence: __________________________________________
Date and length of sentence to be served in the future ________________________________________________
WHEREFORE, petitioner prays that the court grant petitioner all relief to which he may be entitled in this
proceeding.
Signed on: _________________
(Date)
___________________________________________
Signature of attorney (if any)
I declare under penalty of perjury that the foregoing is true and
correct.
___________________________________________
(Signature of petitioner)
___________________________________________
(I.D. Number)
___________________________________________
(Address)
7
Revised: 7/20/05
American LegalNet, Inc.
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