Petition For Relief Under The Post Conviction Remedies Act Page 6

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(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?
[ ] 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:
14.
(a)
Do you have any petition, appeal, or motion now pending in any court,
state or federal, relating to the judgment being challenged?
[ ] Yes
[ ] No
If your answer is “yes,” provide the following information:
(b)
(1)
Name of Court: _________________________________________
(2)
Case number: ____________________________
(3)
Nature of Proceeding:
Petition for Relief Under the Post-Conviction
2009 / Reformatted 11/2015
Page 6 of 10
Remedies Act

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