6 Rule 2.37 — Form 7 February 2002 IN THE IOWA DISTRICT COURT FOR _______________________ COUNTY _________________________, Applicant, Law No. CL _______________________ APPLICATION FOR POSTCONVICTION RELIEF PURSUANT TO IOWA CODE CHAPTER 822 vs. STATE OF IOWA, Respondent. I. Conviction or sentence concerning which postconviction relief is demanded: A. Crime and statute applicant was convicted of violating: ___________________________________________________________________________________________ B. Criminal Case No. _________________________________________________________________________ C. District court and judge that entered judgment of conviction or sentence: ___________________________________________________________________________________________ D. Date of entry of judgment of conviction or sentence: ___________________________________________________________________________________________ E. Sentence: _______________________________________________________________________________ F. Place of confinement: ______________________________________________________________________ G. Plea: _____ Guilty _____ Not Guilty H. Trial: _____ Jury _____ Judge only II. Prior proceedings: A. Conviction or sentence was ________ appealed 1. to ______________________________________________________________________________ court 2. Grounds raised: _________________________________________________________________________ _______________________________________________________________________________________ 3. Result: ________________________________________________________________________________ 4. Date of result: __________________________________________________________________________ B. Other petitions, applications or motions relating to this conviction or sentence in any court, state or federal: 1. Name of court: __________________________________________________________________________ 2. Nature of proceedings: __________________________________________________________________ ________________________________________________________________________________________ 3. Grounds raised: _________________________________________________________________________ ________________________________________________________________________________________ 4. Result: ________________________________________________________________________________ 5. Date of result: __________________________________________________________________________ American LegalNet, Inc. www.FormsWorkflow.com III. Grounds upon which application is based (grounds checked must be fully explained in space below): A. _______ The conviction or sentence was in violation of the Constitution of the United States or the Constitution or laws of this state. B._______ The court was without jurisdiction to impose sentence. C. _______ The sentence exceeds the maximum authorized by law. D. _______ There exists evidence of material facts, not previously presented and heard, that requires vacation of the conviction or sentence in the interest of justice. E. _______ (1) Applicant’s sentence has expired. _______ (2) Applicant’s probation, parole, or conditional release has been unlawfully revoked. _______ (3) Applicant is otherwise unlawfully held in custody or other restraint. F. _______ The conviction or sentence is otherwise subject to collateral attack upon ground(s) of alleged error formerly available under any common law, statutory, or other writ, motion, proceeding, or remedy. Specific explanation of grounds and allegation of facts: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ IV. Facts supporting application within personal knowledge of applicant: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ V. The following documents, exhibits, affidavits, records, or other evidence supporting this application are attached to the application (list): _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ VI. The following documents, exhibits, affidavits, records, or other evidence supporting this application are not attached to the application (list): _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ American LegalNet, Inc. www.FormsWorkflow.com 8 These items are not attached for the following reason(s): _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ VII. Relief desired (state clearly) _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ VIII. I, the undersigned applicant, am________ able to pay court costs and expenses of representation and do ________ desire to have counsel appointed to represent me concerning this application. (If applicant indicates inability to pay court costs and expenses of representation and does desire to have counsel appointed, applicant shall attach a financial statement to this application. See Iowa Code §815.9 and 815.10.) VERIFICATION I, _________________________________, applicant, being first duly sworn, declare to the undersigned authority that the information in this application, including the facts within my personal knowledge set out in division IV and the items listed in division V, is true and correct. ___________________________________ Applicant’s signature ___________________________________ Attorney (if any) for applicant Address: ___________________________________ ___________________________________ State of Iowa, ________________________ County, ss. Subscribed, sworn to, and acknowledged before me by _________________________________ this ____________ day of _______________________ , 20 _____. ___________________________________ Notary public or other officer authorized to take and certify acknowledgements and administer oaths. American LegalNet, Inc. www.FormsWorkflow.com