Petition For Relief Under The Post Conviction Remedies Act Page 2
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10II.
Identification of Current and Related Cases
1.
(a)
Name of court that entered the judgment being challenged:
_______________________________________________
(b)
Location of court: _____________________________________________
(c)
Case number: ____________________________
2.
Date of judgment being challenged: ____________________________
3.
Sentence:
4.
Nature of offense involved
(all counts):
5.
What was your plea?
(check one)
[ ]
Not guilty
[ ]
Guilty
[ ]
No contest
[ ]
Guilty and mentally ill
[ ]
Not guilty by reason of insanity
6.
If you entered a plea of guilty to some counts, and a not guilty plea to other
counts, give your plea to each count:
7.
If you plead not guilty or not guilty by reason of insanity, was the trial before a
[ ] Jury
[ ] Judge
Petition for Relief Under the Post-Conviction
2009 / Reformatted 11/2015
Page 2 of 10
Remedies Act
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