Petition For Relief Under The Post Conviction Remedies Act Page 5
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1
2
3
4
5
6
7
8
9
10[ ] Yes
[ ] No
If your answer is “yes,” provide the following information:
(e)
(1)
Name of Court: _________________________________________
(2)
Case number: ____________________________
(3)
Result:
(4)
Date of result or citation of opinion: _________________________
(5)
Grounds raised:
13.
(a)
Other than the case described in question 12, have you filed any further
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:
Petition for Relief Under the Post-Conviction
2009 / Reformatted 11/2015
Page 5 of 10
Remedies Act
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