Uniform Application For Post-Conviction Relief - State Of Louisiana Supreme Court Page 3

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___________________________________________________________________________________
(c) Was the lawyer appointed ( ) or hired ( )? (check one)
12. Other than a direct appeal from the judgment of conviction and sentence, have you previously filed any
application for post-conviction relief with respect to this judgment in any state or federal court? Yes ( ) No ( )
13. If your answer to 12 is "yes", give the following information:
(a)(1) Name of court ___________________________________________________________________
(2) Nature of proceeding ______________________________________________________________
(3) Claims raised ____________________________________________________________________
(4) Did you receive an evidentiary hearing on your application? Yes ( ) No ( )
(5) Was relief granted or denied? _______________________________________________________
(6) Date of disposition _________________
(7) Citation of opinion (if known) ____________________
(8) Name and address of lawyer representing you [if none, so state]:
__________________________________________________________________________________
(9) Was the lawyer appointed ( ) or hired ( )? (check one)
(b) As to any second application give the same information:
(1) Name of court ___________________________________________________________________
(2) Nature of proceeding ______________________________________________________________
(3) Claims raised ____________________________________________________________________
(4) Did you receive an evidentiary hearing on your application?
Yes ( ) No ( )
(5) Was relief granted or denied? _______________________________________________________
(6) Date of disposition ________________________________________________________________
(7) Citation of opinion (if known) _____________________
(8) Name and address of lawyer representing you [if none, so state]:
__________________________________________________________________________________
(9) Was the lawyer appointed ( ) or hired ( )? (check one)
(c) Have you filed any other applications for post-conviction relief with respect to the challenged
conviction? Yes ( ) No ( )
If "yes", set forth the details (as above) on separate paper and attach.
(d) Did you appeal or seek writs of review from the denial of any post-conviction application?

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