UNITED STATES COURT OF APPEALS FOR THE FIRST CIRCUIT APPLICATION FOR LEAVE TO FILE A SECOND OR SUCCESSIVE MOTION TO VACATE, SET ASIDE OR CORRECT SENTENCE 28 U.S.C. § 2255 BY A PRISONER IN FEDERAL CUSTODY __________________________________ N am e __________________________________ __________________________________ Place of Confinement __________________________________ ________________________________ Prisoner Number ________________________________ INSTRUCTIONS-READ CAREFULLY (1) This application must be legibly handwritten or typewritten and signed by the applicant under penalty of perjury. Any false statement of a material fact may serve as the basis for prosecution and conviction for perjury. All questions must be answered concisely in the proper space on the form. The Judicial Conference of the United States has adopted the 8 1/2 x 11 inch paper size for use throughout the federal judiciary and directed the elimination of the use of legal size paper. All pleadings must be on 8 1/2 x 11 inch paper; otherwise we cannot accept them. All applicants seeking leave to file a second or successive petition are required to use this form, except in capital (death penalty) cases. In capital cases only, the 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 submit separate petitions, motions, briefs, arguments, etc., that support your application. In accordance with the "Antiterrorism and Effective Death Penalty Act of 1996," as codified at 28 U.S.C. § 2255(b), effective April 24, 1996, before leave to file a second or successive motion can be granted by the United (2) (3) (4) (5) (6) American LegalNet, Inc. www.USCourtForms.com 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. A second or successive motion must be certified as provided in [28 U.S.C.] section 2255 by a panel of the appropriate court of appeals to contain-(1) newly discovered evidence that, if proven and viewed in light of the evidence as a whole, would be sufficient to establish by clear and convincing evidence that no reasonable factfinder would have found the movant guilty of the offense; or (2) a new rule of constitutional law, made retroactive to cases on collateral review by the Supreme Court, that was previously unavailable. (7) When this application is fully completed, the original and four copies must be mailed to: Clerk of Court United States Court of Appeals for the First Circuit John Joseph Moakley Courthouse 1 Courthouse Way, Suite #2500 Boston, Massachusetts 02210 (Rev. 11/02) Page 2 of 7 American LegalNet, Inc. www.USCourtForms.com APPLICATION 1. (a) State and division of the United States District Court which entered the judgment of conviction under attack ________________________________________________________________ ________________________________________________________________ (b) Case Number ____________________________________________________ Date of judgment of conviction ____________________________________________ Length of sentence ___________________ Sentencing Judge __________________ Nature of offense or offenses for which you were convicted: ______________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Related to this conviction and sentence, have you ever filed a motion to vacate in any federal court? 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 motion? Yes ( ) No ( ) (f) Result ______________________________________________________________ ______________________________________________________________________ (g) Date of result ________________________________________________________ 6. As to any second federal motion, give the same information: (a) Name of court _______________________________________________________ (b) Case number ________________________________________________________ (c) Nature of proceeding __________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 2. 3. 4. 5. 5. Page 3 of 7 American LegalNet, Inc. www.USCourtForms.com (d) Grounds raised (list all grounds; use extra pages if necessary):_________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ __________________________________________________________________ (e) Did you receive an evidentiary hearing on your motion? Yes ( ) No ( ) (f) Result ______________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ (g) Date of result ________________________________________________________ 7. As to any third federal motion, give the same information: (a) Name of court _______________________________________