UNITED STATES COURT OF APPEALS FOR THE SECOND CIRCUIT MOTION FOR AN ORDER AUTHORIZING THE DISTRICT COURT TO CONSIDER A SUCCESSIVE OR SECOND HABEAS CORPUS APPLICATION PURSUANT to 28 U.S.C. §§ 2244 (b), 2254 BY A PRISONER IN STATE 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. In capital cases only, the use of this form is optional. (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. Page 1 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 was not presented in a prior application and that (1) 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 (a) the facts underlying the claim could not have been discovered previously through the exercise of due diligence; and those facts, 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 fact finder would have found the applicant guilty of the underlying offense. 28 U.S.C. § 2244 (b) (2) (b) (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 Page 2 Rev. 10.27.2011 American LegalNet, Inc. www.FormsWorkFlow.com MOTION 1. (a) Name and location of 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 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 __________________________________________________________ Page 3 5. 6. Rev. 10.27.2011 American LegalNet, Inc. www.FormsWorkFlow.com (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__________________________________________________________ 7. As to any third federal petition, application, or motion, give the same information: (a) Name of court _________________________________________________________ (b) Case number __________________________________________________________ (c) Nature of proceeding ___________________________________________________ ________________________________________________________________________ ________________________________________________________________________ (d) Grounds ra