§ FORM 47 PETITION FOR POST-CONVICTION RELIEF

FORM 47. PETITION FOR POST-CONVICTION RELIEF

Person Completing Form: Address: Telephone Number: Bar Number:

In the District Court of the _______ Judicial District
_______ County

)

) Petition for Relief Under the

) Post-Conviction Remedies Act

___________________________________ )

PETITIONER, ) Utah Code Ann. § 78-35a-101, et seq.

) Utah Rules of Civil Procedure 65C

vs. )

) Civil

___________________________________ ) Number: ____________________________________

RESPONDENT. )

) Judge: ____________________________________

)

NOTICE TO THE PETITIONER: BEFORE COMPLETING THIS FORM, PLEASE READ IT CAREFULLY.

I. NAME OF RESPONDENT (Check One)

[ ] Conviction of Felony: State Of Utah

[ Conviction of Misdemeanor or Ordinance: County of: _____________________________________

]

[ Conviction of Misdemeanor or Ordinance: Municipality of:

] _____________________________________

II. IDENTIFICATION OF CURRENT AND RELATED CASES

1. (a) Name of court that entered the judgment being challenged: ______________

(b) Location of court: ______________

2. Date of judgment being challenged: ______________

3. Sentence: _______________________________________________________________

_______________________________________________________________

4. Nature of offense involved (all counts): _______________________________

_______________________________

5. What was your plea? (Check One)

[ ] Not guilty

[ ] Guilty

[ ] No Contest

[ ] Guilty and Mentally ill

[ ] Not guilty by reason of insanity

6. If you entered a plea of guilty to some counts, and a not guilty plea to other counts, give your plea to each count:

7. If you pled not guilty or not guilty by reason of insanity, was the trial before a

[ ] Jury [ ] Judge

8. Did you testify at the trial?

[ ] Yes [ ] No

9. Did you appeal from the conviction or sentence?

[ ] Yes [ ] No

10. If your answer is “yes,” provide the following information:

(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

(g) If your answer is “yes,” provide the following information:

(1) Name of Reviewing Court: _________________________________________________

(2) Case number: _____________________________________________________________

(3) Result: _________________________________________________________________

_________________________________________________________________

(4) Date of result or citation of opinion: ___________________________________

(5) Grounds raised: _______________________________________________________

_______________________________________________________

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

(b) If your answer is “yes,” provide the following information:

(1) Name of court: ___________________________________________________________

(2) Case number: _____________________________________________________________

(3) Result: __________________________________________________________________

(4) Date of result or citation of opinion: ___________________________________

(5) Grounds raised: _______________________________________________________

_______________________________________________________

[ ] Yes [ ] No

(d) Did you appeal the decision on your petition, application, or motion?

[ ] Yes [ ] No

(e) If your answer is “yes,” provide the following information:

(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

(b) If your answer is “yes,” provide the following information:

(1) Name of court: ___________________________________________________________

(2) Case number: _____________________________________________________________

(3) Result: __________________________________________________________________

(4) Date of result or citation of opinion: ___________________________________

(5) Grounds raised: _______________________________________________________

_______________________________________________________

[ ] Yes [ ] No

(d) Did you appeal the decision on your petition, application, or motion?

[ ] Yes [ ] No

(e) If your answer is “yes,” provide the following information:

(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

(b) If your answer is “yes,” provide the following information:

(1) Name of court: ___________________________________________________________

(2) Case number: _____________________________________________________________

(3) Nature of proceeding: ___________________________________________________

___________________________________________________

III. GROUNDS FOR RELIEF

NOTICE TO THE PETITIONER: YOU MAY BE BARRED FROM PRESENTING ADDITIONAL GROUNDS IN A FUTURE POST-CONVICTION PETITION IF YOU FAIL TO PRESENT ANY GROUNDS THAT YOU COULD PRESENT
HERE BUT DO NOT.

THE FOLLOWING IS A LIST OF THE MOST FREQUENTLY RAISED GROUNDS FOR RELIEF IN POST-CONVICTION
PROCEEDINGS.

IF YOU BELIEVE ANY OF THESE GROUNDS APPLY TO YOU,

(a) Conviction obtained by plea of guilty that was unlawfully induced or not made voluntarily with understanding of the nature of the charge and the consequences of the plea.

(b) Conviction obtained by use of coerced confession.

(d) Conviction obtained by use of evidence obtained pursuant to an unlawful arrest.

(e) Conviction obtained by a violation of the privilege against self-incrimination.

(f) Conviction obtained by the unconstitutional failure of the prosecution to disclose to the defendant evidence favorable to the defendant.

(g) Conviction obtained by a violation of the protection against double jeopardy.

(h) Conviction obtained by action of a grand or petit jury that was unconstitutionally selected and impaneled.

(i) Denial of effective assistance of counsel.

(j) Conviction under an unconstitutional statute or constitutionally protected conduct.

(k) Denial of right to appeal.

15. State concisely every ground on which you claim you are entitled to post-conviction relief. Summarize briefly the facts supporting each ground. If necessary, you may attach additional pages stating additional grounds and facts supporting same.

(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):

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:

17. Give the name and address, if known, of each attorney who represented you in the following stages of the judgment being challenged.

(a) Preliminary hearing: _____________________________________________________

(b) Arraignment and plea: ____________________________________________________

(d) Sentencing: ______________________________________________________________

(e) Appeal: __________________________________________________________________

(f) Post-conviction proceeding: ______________________________________________

(g) Appeal from post-conviction proceeding: __________________________________

18. (a) Do you have any future sentence to serve after you complete the sentence imposed by the judgment being challenged?

[ ] Yes [ ] No

(b) If your answer is “yes” give the following information:

(1) Name of court: ___________________________________________________________

(2) Location: ________________________________________________________________

(3) Case number: _____________________________________________________________

IV. REQUIRED ATTACHMENTS

NOTICE TO THE PETITIONER: IF YOU DO NOT ATTACH THE REQUIRED COPIES OR PROVIDE AN EXPLANATION WHY YOU CANNOT PROVIDE THEM, THIS PETITION WILL NOT BE FILED AND WILL BE RETURNED TO YOU.

19. Attach a copy of the following documents to this petition or provide an explanation why you cannot provide the copies.

(a) The judgment and commitment being challenged.

(b) Any decision issued by an appellate court from the direct appeal.

(d) Affidavits, records, or other documentary evidence that support your claim.

(e) An affidavit of impecuniosity and certificate from the Inmate Accounting Office, if you are requesting a waiver of the filing fee.

(f) Memorandum of Points and Authorities.

V. PETITIONER'S VERIFICATION UNDER OATH

STATE OF UTAH )

COUNTY ) ss.

OF________________

I, the undersigned petitioner, declare under penalty of perjury that the information I have provided in this petition is true and correct.

_________________________

SIGNATURE OF PETITIONER

Subscribed and sworn to before me on: ______________

_________________________

NOTARY PUBLIC

Residing in: ____________________

My Commission Expires: __________

VI. CERTIFICATION OF ATTORNEY (If petitioner is represented by attorney)

I certify I am the attorney for petitioner, and that this petition complies with Rule 11, Utah Rules of Civil Procedure.

_________________________

SIGNATURE OF ATTORNEY

Name of Petitioner: ____________________

Address: ____________________

______________________________