UNITED STATES COURT OF APPEALS FOR THE SECOND CIRCUIT MOTION FOR AN ORDER AUTHORIZING THE DISTRICT COURT TO CONSIDER A SUCCESSIVE OR SECOND MOTION TO VACATE, SET ASIDE OR CORRECT SENTENCE PURSUANT to 28 U.S.C. §§ 2244 (b), 2255(h) BY A PRISONER IN FEDERAL CUSTODY NAME: PLACE OF CONFINEMENT: PRISONER NUMBER: Instructions­Read Carefully (1) This motion must be legibly handwritten or typewritten and signed by the applicant under penalty of perjury. All documents must be on 8˝ x 11 inch paper; the Court will not accept other paper sizes. Any false statements of a material fact may serve as the basis for prosecution and conviction for perjury. (2) All questions must be answered concisely in the proper space on the form. (3) Movant seeking leave to file a second or successive petition is required to use this form. (4) Movant may use additional pages only to explain additional grounds for relief and facts that support those grounds. Separate petitions, motions, briefs, arguments, etc. should not be submitted. (5) In capital cases only, the use of this form is optional, and separate petitions, motions, briefs, arguments may be submitted. Rev. 10..27..2011 American LegalNet, Inc. www.FormsWorkFlow.com (6) Movant must show in the motion to the Court of Appeals that the claim to be presented in a second or successive habeas corpus application is based upon either (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 fact finder would have found the movant guilty of the offense; or a new rule of constitutional law, made retroactive to cases on collateral review by the Supreme Court, that was previously unavailable. (2 ) (7) Send the completed motion, the original and two copies, to: Clerk of Court United States Court of Appeals for the Second Circuit Thurgood Marshall United States Court House 40 Foley Square New York, New York 10007 Rev. 10..27..2011 American LegalNet, Inc. www.FormsWorkFlow.com MOTION 1. (a) State and division of the United States District Court which entered the judgment of conviction under attack __________________________________________________________________ __________________________________________________________________ Case number_______________________________________________________ (b) 2. 3. 4. Date of judgment of conviction ______________________________________________ Length of sentence ______________ Sentencing Judge ___________________________ Nature of offense or offenses for which you were convicted: _______________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Have you taken a direct appeal relating to this conviction and sentence in the federal court? Yes ( ) No ( ) If "yes", please note below: (a) Name of court ________________________________________________________ (b) Case number __________________________________________________________ (c) Grounds raised (list all grounds; use extra pages if necessary) __________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ (d) Result _______________________________________________________________ (e) Date of result _________________________________________________________ 5. 6. 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, complete7 and 8 below as necessary (a) Name of court ________________________________________________________ (b) Case number __________________________________________________________ (c) Nature of proceeding____________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Page 3 American LegalNet, Inc. www.FormsWorkFlow.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 second federal 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)____________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ (e) Did you receive an evidentiary hearing on your motion? Yes ( ) No ( ) (f) Result________________________________________________________________ (g) Date of result__________________________________________________________ As to any third federal motion, give the same information: (a) Name of court _________________________________________________________ (b) Case number __________________________________________________________ (c) Nature of proceeding ___________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ___________________________________