UNITED STATES COURT OF APPEALS FOR THE FIRST CIRCUIT APPLICATION FOR LEAVE TO FILE A SECOND OR SUCCESSIVE HABEAS CORPUS PETITION 28 U.S.C. §2244(b) BY A PRISONER IN STATE CUSTODY ___________________________ Nam e ______________________________________ ______________________________________ Place of Confinement ______________________________________ ___________________________________ Prison er Nu m ber ___________________________________ INSTRUCTIONS-READ CAREFULLY (1) This application must be legibly handw ritten or typew ritten and signed by t he applicant under penalty of perjury. Any f alse statement of a material fact may serve as the basis for prosecut ion and convict ion for perjury. All questions must be answ ered concisely in the proper space on the form. The Judicial Conference of the United States has adopted t he 8 1/2 x 11 inch paper size for use throughout the f ederal judiciary and directed the elimination of the use of legal size paper. All pleadings must be on 8 1 /2 x 11 inch paper; otherw ise w e cannot accept t hem. All applicants seeking leave to file a second or successive petition are required to use this f orm, except in capit al (death penalty) cases. In capital cases only, t he use of this form is optional. Additional pages are not permitted except with respect to additional grounds for relief and facts which you rely upon to support those grounds. You may submit separate petitions, motions, briefs, arguments, etc., that support your application. (2) (3) (4) (5) American LegalNet, Inc. www.USCourtForms.com (6) A claim presented in a second or successive habeas corpus application under 28 U.S.C. § 2254 that was presented in a prior application shall be dismissed. In accordance with the "Anti-Terrorism and Effective Death Penalty Act of 1996," as codified at 28 U.S.C. § 2244(b), effective April 24, 1996, before leave to file a second or successive petition can be granted by the United States Court of Appeals, it is the applicant's burden to make a prima facie showing that he satisfies either of the two conditions stated below and in 28 U.S.C. § 2244(b). [A] claim presented in a second or successive habeas corpus application under [28 U.S.C.] section 2254 that was not presented in a prior application shall be dismissed unless-(A) the applicant shows that the claim relies on a new rule of constitutional law, made retroactive to cases on collateral review by the Supreme Court, that was previously unavailable; or (B) (i) the factual predicate for the claim could not have been discovered previously through the exercise of due diligence; and (ii) the facts underlying the claim, if proven and viewed in light of the evidence as a whole, would be sufficient to establish by clear and convincing evidence that, but for constitutional error, no reasonable factfinder would have found the applicant guilty of the underlying offense. (7) (8) When this application is fully completed, the original and four copies, with proof of service on all parties through counsel, must be mailed to: Clerk of Court United States Court of Appeals for the First Circuit United States Courthouse 1 Courthouse Way, Suite #2500 Boston, Massachusetts 02210 Page 2 of 7 American LegalNet, Inc. www.USCourtForms.com APPLICATION 1. (a) (b) 2. 3. 4. Name and location of court which entered the judgment of conviction under attack_____________________________________________________ Case Number _______________________________________________ Date of judgment of conviction _______________________________________ Length of sentence _____________ Sentencing Judge ____________________ Nature of offense or offenses for which you were convicted:_______________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Have you ever filed a post-conviction petition, application, or motion for collateral relief in any federal court related to this conviction and sentence? Yes ( ) No ( ) If "yes", how many times? ______________ if more than one, complete 6 and 7 below as necessary) (a) Name of court ________________________________________________________ (b) Case Number ________________________________________________________ (c) Nature of proceeding ___________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ (d) Grounds raised (list all grounds; use extra pages if necessary) __________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ______________________________________________________________ (e) Did you receive an evidentiary hearing on your petition, application, or motion? Yes ( ) No ( ) (f) Result _______________________________________________________________ ______________________________________________________________________ (g) Date of result ________________________________________________________ As to any second federal petition, application, or motion, give the same information: (a) Name of court ________________________________________________________ (b) Case number _________________________________________________________ (c) Nature of proceeding ___________________________________________________ _______________________________________________________________________ _______________________________________________________________________ (d) Grounds raised (list all grounds; use extra pages if necessary) __________________ _______________________________________________________________________ _______________________________________________________________________ Page 3 of 7 5. 6. American LegalNet, Inc. www.USCourtForms.com ______________________________________________________________________ ______________________________________________________________________ (e) Did you receive an evidentiary hearing on your petition, application,