(a)
Ground One: ________________________________________________
Supporting facts for Ground One
(state briefly without citing law or making
:
argument)
(b)
Ground Two: ________________________________________________
Supporting facts for Ground Two
(state briefly without citing law or making
:
argument)
(c)
Ground Three:
________________________________________________
Supporting facts for Ground Three
(state briefly without citing law or making
:
argument)
(d)
Ground Four: ________________________________________________
Supporting facts for Ground Four
(state briefly without citing law or making
:
argument)
16.
If any of the grounds listed above were not previously presented in any other
court, state or federal, state briefly which grounds were not presented and your
reasons for not presenting them:
Petition for Relief Under the Post-Conviction
2009 / Reformatted 11/2015
Page 8 of 10
Remedies Act