COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. INSTRUCTIONS FOR FILING A : Calendar No. PETITION FOR WRIT OF HABEAS CORPUS UNDER 28 U.S.C. §2254 FOR A PERSON IN STATE CUSTODY : JUDICIAL SUBPOENA Plaintiff(s) 1. WHO SHOULD USE THIS FORM. You should use this packet if you: (1) are in state custody; (2) wish to -against: challenge the fact or duration of your confinement; (3) believe your federal constitutional rights have been violated; and (4) do not have a licensed attorney to represent you. : 2. FILL OUT THE FORM. Petitions must be filed on the attached form. All questions on the form must be : answered truthfully and concisely in the proper space on the form. Additional pages are not permitted except with respect to the facts upon which you rely to support your grounds for relief. Defendant(s) : ...................................................... 3. STATE ONLY FACTS. Your petition must only set forth the facts upon which you rely in support of your petition for relief. No citation of authorities need be furnished. If briefs or arguments are submitted, they should be submitted in the form of a separate memorandum. THE PEOPLE OF THE STATE OF NEW YORK 4. TO TYPE OR PRINT THE PETITION. Your petition must be typed or legibly handwritten. 5. PAPER SIZE. All pleadings and other papers submitted for filing must be on 8 ½” x 11" paper (letter size paper not legal size paper). 6. RESPONDENT. Generally the respondent is the Warden at the institution in which you are confined. 7. FILING FEE. The filing fee of $5.00 must be paid at the time of filing. If you do not have the filing fee, you may GREETINGS: WE COMMAND YOU, pauperis.business and excuses beingforma aside, you and each of you attend before request to proceed in forma that all In requesting to proceed in laid pauperis, you must provide the court , the Honorable information regarding your financial situation the complete the attached forms provided for this purpose. at and Court with located at County of you seek the here must at any recessed in8. room EXHAUSTIONthe STATE COURT REMEDIES . All claims whicho'clock into present noon, andhave first , on OF day of , 20 , at been fairly presented to give evidence as a witness in this action them part of the or adjourned date, to testify andall state courts that have the power to consideron theso that the state courts have the first opportunity to consider each of your claims. This court cannot grant relief unless you have exhausted all available state court remedies. See 28 U.S.C. §2254(b)(1). SECOND OR SUCCESSIVE PETITIONS. There are strict limits a filing second court and petitions which Your failure to comply with this subpoena is punishable as on contempt ofor successivewill make you liable to address issues which have been presented in prior a maximum penalty of corpus all under 28 sustained as a the party on whose behalf this subpoena was issued forpetitions for writ of habeas$50 andfiled damages U.S.C. §2254. See 28 U.S.C. §2244(a), (b). In any event, before a second or successive petition permitted by this result of your failure to comply. 9. section is filed in this district court, the petitioner must obtain authorization from the U.S. Court of Appeals for the Fifth Circuit. See 28 U.S.C. §2244(b)(3). Witness, Honorable , one of the Justices of the Court in PRESENTATION OF ALL CLAIMS . If this is your ,first petition for writ of habeas corpus filed under 28 U.S.C. County, day of 20 10. §2254, please note that you must include all grounds for relief and all facts supporting such grounds for relief in the petition. Failure to include all grounds for relief may result in those grounds not included being barred at a later date. (Attorney must sign above and type name below) 11. SCOPE OF PETITION. Only judgments entered by one court may be challenged in a single petition. If you seek to challenge judgments entered by different courts either in the same or different states, you must file separate petitions as to each court. Attorney(s) for 12. S TATUTE OF LIMITATIONS. A 1 year period of limitation shall apply to an application for writ of habeas corpus filed by a person in state custody. See 28 U.S.C. §2244(d)(1). 13. WHERE TO MAIL. When the petition is fully complete, theOffice and P.O. copies, along with the filing fee original and two Address or application to proceed in forma pauperis must be mailed to: Clerk of Court, United States District Court, Western District of Louisiana, 300 Fannin Street, Suite 1167, Shreveport, Louisiana 71101-3083. 14. DEFICIENT PETITIONS. Petitions which do not conform to these instructions will be returned with a notation Facsimile No.: as to the deficiency. Telephone No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : UNITED STATES DISTRICT COURT No. Calendar WESTERN DISTRICT OF LOUISIANA : JUDICIAL SUBPOENA Plaintiff(s) _______Division -against- : Petitioner’s Name, Prisoner Number : ____________________________ State Court Docket Number Sec.P. Civil Action Number : ______________________ Judge Defendant(s) : ...................................................... VS. THE PEOPLE OF THE STATE OF NEW YORK Respondent (person having custody of petitioner) Magistrate Judge TO PETITION UNDER 28 U.S.C. § 2254 FOR WRIT OF HABEAS CORPUS BY A PERSON IN STATE CUSTODY 1. The GREETINGS: name and address of your present place of confinement: _________________________________________________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before _________________________________________________________________________________ , the Honorable at the Court located at County of________ in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the 2. Are you presently in custody pursuant to the conviction(s) or sentence that you seek to challenge here? Yes ______ No ______ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose to the conviction(s) or sentence you are attacking state: With regard behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a 3. result of your failure to comply. a. The name, address, and parish of the court entering the judgment of conviction: ______________________________________________________________________________ Witness, Honorable , one of the Justices of the ______________________________________________________________________________ Court in County, day of , 20 b. The date c. The length d. of of judgment your of conviction:_________________________________________________ sentence: _______________________________________________________ (Attorney must sign above and type name below) The nature of each offense you were convicted of: ______________________________________ ______________________________________________________________________________ e. Whether you were convicted of each offense following a Attorney(s) plea of: i. Not guilty _______ ii. Guilty iii. Nolo contendere ______ for _______ Office and P.O. Address If you entered a guilty plea to one count or indictment, and a not guilty plea to another count or indictment, give details:___________________________________________________________ Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : f. If you pleaded not guilty, what kind of trial did you have? (check one) : Calendar No. i. Jury ______ ii. g. Judge only ______ Plaintiff(s) -againstDid you testify at trial? Yes ____ No _____ 4. Index No. : JUDICIAL SUBPOENA : : : Statute of Limitations 28 U.S.C. § 2244(d) establishes a 1 year statute of limitations for: an application for a writ of habeas corp us. Is Defendant(s) ...................................................... this application barred by this 1-year period of limitation? YES ______ NO ______ If not, state why not? _____________________________________________________________ ___ THE PEOPLE OF THE STATE OF NEW YORK _____________________________________________________________________________________ TO _____________________________________________________________________________________ _____________________________________________________________________________________ GREETINGS: 5. Grounds for Present Petition WE COMMAND YOU, thatground on which you claim being laid aside, you and each of you attend before State concisely each and every all business and excuses that you are being held unlawfully. Summarize , the Honorable at the Court briefly the facts supporting each ground. You may attach pages stating additional grounds and facts located at County of in room supporting ,same. on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witnessfail this action all grounds in this petition, you will be in to set forth on the part of the WARNING: Absent exceptional circumstances, if you barred from presenting additional grounds at a later date. See 28 U.S.C. § 2244. a. Ground one: ____________________________________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to ______________________________________________________________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. ______________________________________________________________________________ Supporting FACTS (state briefly without citing cases or law) _____________________________ Witness, Honorable , one of the Justices of the ______________________________________________________________________________ Court in County, day of , 20 ______________________________________________________________________________ ______________________________________________________________________________ (Attorney must sign above and type name below) ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Attorney(s) for b. Ground two: __________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Office and P.O. Address Supporting FACTS (state briefly without citing cases or law) _____________________________ ______________________________________________________________________________ Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. ______________________________________________________________________________ : Calendar No. ______________________________________________________________________________ : JUDICIAL SUBPOENA Plaintiff(s) ______________________________________________________________________________ -against: ______________________________________________________________________________ c. Ground three: _______________________________________________________________ : ______________________________________________________________________________ : ______________________________________________________________________________ Supporting FACTS (state briefly without citing cases or law) _____________________________ Defendant(s) : ...................................................... ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK ______________________________________________________________________________ TO ______________________________________________________________________________ ______________________________________________________________________________ d. GREETINGS: Ground four: ___________________________________________________________________ ______________________________________________________________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before ______________________________________________________________________________ , the Honorable at the Court Supporting FACTS (state briefly without citing cases or law) _____________________________ located at County of ______________________________________________________________________________ in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date,______________________________________________________________________________ to testify and give evidence as a witness in this action on the part of the ______________________________________________________________________________ ______________________________________________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to ______________________________________________________________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. ______________________________________________________________________________ 6. Court Witness, Honorable in County, Direct Appeals a. , one of the Justices of the day of , 20 Did you file a direct appeal from your judgment of conviction or sentence? Yes _____ No ____ b. (Attorney must sign above and type name below) If you did file a direct appeal, for you initial appeal, answer the following: i. The name and address of the court where you first appealed: _______________________________________________________________________ Attorney(s) for _______________________________________________________________________ ii. The result of this appeal. _______________________________________________________________________ Office and P.O. Address _______________________________________________________________________ iii. The date of the decision. Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : iv. Index No. The citation and/or docket number of the decision:(if known). Calendar No. v.The : JUDICIAL Plaintiff(s) grounds raised in your present habeas petition that were raised in this direct appeal. SUBPOENA -against: _______________________________________________________________________ _______________________________________________________________________ : _______________________________________________________________________ c. : If you sought review of your appeal by a higher court, answer the following: i. The name and address of the court where you next applied for review: Defendant(s) : ...................................................... _______________________________________________________________________ _______________________________________________________________________ ii. The result of this appeal. THE PEOPLE OF THE STATE OF NEW YORK _______________________________________________________________________ TO _______________________________________________________________________ iii. GREETINGS: The date of the decision. iv. The citation and/or docket number of the decision (if known). WE COMMAND YOU, that all business and excusespetition laid aside, you in this earlier you attend before v. The grounds raised in your present habeas being that were raised and each of application , the Honorable at the Court for review: located at County of in room , on the_______________________________________________________________________ day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the _______________________________________________________________________ _______________________________________________________________________ d. If you filed a petition for certiorari in the U.S. Supreme Court, please answer the following with respect Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to to behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a the party on whose each such petition: result of your failure to comply. i. The result. ii. The date of the result. iv. The grounds raised in your present habeas petition that were raised in this earlier appeal.. (Attorney must sign above and type name below) _______________________________________________________________________ Witness, Honorable iii. The citation and/or docket number (if known). Court in County, day of , 20 , one of the Justices of the _______________________________________________________________________ _______________________________________________________________________ Attorney(s) for 7. Post-Conviction or other Collateral Review a. Other than the direct appeals described above, have you previously filed any petitions, applications, Office and P.O. Address or motions with respect to your judgment of conviction or sentence in the state court? Yes _______ No _________ Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : b. Index No. If so, give the following information with regard to the first petition, application, or motion you filed: : Calendar No. i. The name and address of the court. __________________________________________ : JUDICIAL SUBPOENA Plaintiff(s) _______________________________________________________________________ ii. -againstThe nature of the proceeding. : ______________________________________________ _______________________________________________________________________ : iii. The date it was filed. _____________________________________________________ iv. : The grounds raised in your present habeas petition that were raised. _______________________________________________________________________ Defendant(s) : ...................................................... _______________________________________________________________________ _______________________________________________________________________ v. Did you receive an evidentiary THE PEOPLE OF THE STATE OF NEW YORK hearing? Yes ______ vi. TO The result. No ______ _____________________________________________________________ _______________________________________________________________________ vii. Did you appeal or file an application for review to higher state courts having Yes ______ GREETINGS: viii. jurisdiction? No ______ If not, briefly explain why you did not. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of ix. on theIf so, name the court(s) to which you , at applied, the date of the the result in each court, and in room , day of , 20 o'clock in final noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the the result in each court: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable , one of the Justices of the If you filed a second petition, application, or motion, give the following information with regard to that Court in County, day of , 20 c. filing: i. The name and address of the court. __________________________________________ (Attorney must sign above and type name below) _______________________________________________________________________ ii. The nature of the proceeding. _______________________________________________ _______________________________________________________________________ Attorney(s) for iii. The date it was filed. _____________________________________________________ iv. The grounds raised in your present habeas petition that were raised. _______________________________________________________________________ Office and P.O. Address _______________________________________________________________________ _______________________________________________________________________ Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : v. Did you receive an evidentiary hearing? Yes ______ : vi. The result. Index No. No ______ Calendar No. _____________________________________________________________ : JUDICIAL SUBPOENA Plaintiff(s) _______________________________________________________________________ vii. -against: Did you appeal or file an application for review to higher state courts having jurisdiction? Yes ______ viii. No ______ : If not, briefly explain why you did not. ____________________________________ : _______________________________________________________________________ ix. If so, name the court(s) to which you applied,: the date of the final result in each court, and Defendant(s) ...................................................... the result in each court: THE PEOPLE OF THE STATE OF NEW YORK TO 8. Exhaustion of State Remedies GREETINGS: Generally, any ground that you seek to present here must have first been presented to the state courts. See 28 U.S.C.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before § 2254(b). Attach copies of previous petitions, applications, or motions filed with the state courts where you , the Honorable at the Court presented each of the grounds listed in Part 5. If any of the grounds listed in Part 5 above have not been previously located at County of that has inpresented to the highest the court day of the power to 20 room , on state , consider at state briefly what grounds were not and at any recessed , it, o'clock in the noon, so presented, ora adjourned date,eto testify and give evidence n s a witness in this o t n d g i v y o u r r e a s o as f o r n action onrthe s e n t then g p e part of i t h e m : ____________________________________________________________________________________________ ____________________________________________________________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to ____________________________________________________________________________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. ____________________________________________________________________________________________ Witness, Honorable 9. Prior Petitions Court in Federal HabeasCounty, , one of the Justices of the day of , 20 a. Have you filed any other petition in any federal court where you sought to attack the same b. conviction(s) or sentence you are challenging here? Yes ______ No ______ (Attorney must sign above and type name below) If so, give the following information: i. The name and address of the court where it was filed.________________________ _______________________________________________________________________ Attorney(s) for ii. The docket number. ______________________________________________________ iii. The grounds raised. ______________________________________________________ _______________________________________________________________________ Office and P.O. Address _______________________________________________________________________ _______________________________________________________________________ Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. _______________________________________________________________________ : Calendar No. 10. Other Pending Actions a. : JUDICIAL or federal, as to Do you have any petition or Plaintiff(s) pending in any court, either state SUBPOENA the appeal now -against: judgment you are attempting to attack here? Yes ______ No ______ b. If so, please give the following information: i. The name and address of the court. : __________________________________________ : ______________________________________________________________________________ ii. The docket number of the action.___________________________________________ Defendant(s) : ...................................................... iii. The nature of the proceeding. _________________________________________ ______________________________________________________________________________ THE PEOPLE OF THE STATE OF NEW YORK 11. TO Attorneys Representing Petitioner Give the name and address of each attorney who represented you in the following stages of the judgment attacked herein: a. GREETINGS: At the preliminary hearing. _______________________________________________________ _____________________________________________________________________________________ WE COMMANDarraignment all business and excuses being laid aside, you and each of you attend before b. At the YOU, that and plea. _____________________________________________________ , the Honorable at the Court _____________________________________________________________________________________ located at County of Aton trial. _______________________________________________________________________ in room c. , the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the _____________________________________________________________________________________ d. At sentencing. __________________________________________________________________ _____________________________________________________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to e. On appeal. ____________________________________________________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. _____________________________________________________________________________________ f. In any post-conviction proceeding.__________________________________________________ g. On appeal from any adverse ruling in a post-conviction proceeding. _______________________ Witness, Honorable , one of the Justices of the _____________________________________________________________________________________ Court in County, day of , 20 12. _____________________________________________________________________________________ (Attorney must sign above and type name below) Other Sentences a. Where you sentenced for more than one offense in the same court and at the same time? Yes ______ No ______ b. Attorney(s) for Do you have any future sentence to serve after you complete the sentence imposed by the judgment under attack? Yes ______ No ______ i. If so, give the name and location of the court which imposed the sentence to be served in the Office and P.O. Address future. Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : ii. : JUDICIAL SUBPOENA Give the date and length of the said sentence. Plaintiff(s) iii. Calendar No. -against: Have you filed, or do you contemplate filing, any petition attacking the judgment which imposed the sentence to be served in the future? Yes ______ No ______ : : Wherefore, petitioner prays that the Court grant petitioner relief to which he may be entitled in this proceeding. Defendant(s) : ...................................................... __________________________________________ Signature of Attorney (if any) THE PEOPLE OF THE STATE OF NEW YORK __________________________________________ TO Signature of Petitioner GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com