Petition For Relief Under The Post Conviction Remedies Act Page 3

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8.
Did you testify at the trial?
[ ] Yes
[ ] No
9.
Did you appeal from the conviction or sentence?
[ ] Yes
[ ] No
If your answer is “yes,” provide the following information:
10.
(a)
Name of Appellate Court: ______________________________________
(b)
Case Number: ____________________________
(c)
Result:
(d)
Date of result or citation of opinion: _______________________________
(e)
Grounds raised:
(f)
Did you seek further review of this appeal?
[ ] Yes
[ ] No
If your answer is “yes,” provide the following information:
(g)
(1)
Name of Reviewing Court: ________________________________
(2)
Case number: ____________________________
(3)
Result:
(4)
Date of result or citation of opinion: _________________________
(5)
Grounds raised:
Petition for Relief Under the Post-Conviction
2009 / Reformatted 11/2015
Page 3 of 10
Remedies Act

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