CR-258, 08/11 Petition for Sentence Adjustment 247973.195, Wis. Stats. 247973.195, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY State of Wisconsin, Plaintiff - vs - me Date of Birth Amended Petition for Sentence Adjustment 247 973.195, Wis. Stats. Case No. Count No. 1. I was sentenced for a crime of , on [ D ate] . The total length of my bifurcated sentence on this count is years, months. My initial term of confinement on this count is years, months. My initial term of extended supervision on this count is years, months. 2. I am not serving a sentence on this count for a Class A or a Class B felony. 3. I have not filed a Petition for Sentence A djustment under 247973.198, Wis. Stats. , within the last year for my sentence on this count . 4. I have not previously requested sentence adjustment under 247973 .195, Wis. Stats., on this count and I now request sentence adjustment . 5. I have served the applicable percentage of my sentence on this count. ( 85 percent for a Class C to E felony and 75 pe rcent for a Class F to I felony ) Attached is the Verification of Time Served from the Department of Corrections. 6. The following are the ground(s) for filing this Petition: ( C heck all that apply) A. My conduct, efforts at and progress in rehabilitation, or participation and progress in education, treatment, or other correctional programs since being sentenced supports my request (S ee attached copy(ies) ) of my prison program certifications(s). B. A change in law or procedure related to sentencing or revocation of extended supervision effective after I was sentenced would have resulted in a shorter term of confinement i n prison or, if I was returned to prison upon revocation of extended supervision, a shorter period of confinement in prison upon revocation, if the change had been applicable when I was sentenced (see attached change in law or procedure). C. I am subject to a sentence of confinement in another state, or I am in the United States illegally and may be deported. (S ee attached documentation) D. Sentence adjustment is in the interest of justice. (S ee attached explanation) I am at the following address: Petitioner Name Typed or Printed Date Facility name Facility address DISTRIBUTION: 1. Court American LegalNet, Inc. www.FormsWorkFlow.com