Petition For Relief Under The Post Conviction Remedies Act Page 4

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11.
If you did not appeal from your conviction or sentence, why not?
12.
(a)
Other than your direct appeal from your conviction or sentence, have you
filed any petitions, applications, or motions with respect to this conviction
or sentence in any court, state or federal?
[ ] Yes
[ ] No
If your answer is “yes,” provide the following information:
(b)
(1)
Name of Court: _________________________________________
(2)
Case number: ____________________________
(3)
Result:
(4)
Date of result or citation of opinion: _________________________
(5)
Grounds raised:
(c)
Did you receive an evidentiary hearing on your petition, application or
motion?
[ ] Yes
[ ] No
(d)
Did you appeal the decision on your petition, application, or motion?
Petition for Relief Under the Post-Conviction
2009 / Reformatted 11/2015
Page 4 of 10
Remedies Act

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