Okla. Stat. tit. 22, Form 13.11
Form 13.11. Application for Post Conviction Relief
1.
(a) Court in which sentence was rendered ______________________ (b) Case Number ______________________________________________ 2. Date of sentence ______________________________________________ 3. Terms of sentence _____________________________________________ ________________________________________________________________ 4. Name of Presiding Judge ______________________________________ 5. Are you now in custody serving this sentence? Yes( ) No( ) Where? ______________________________________________________ 6. For what crime or crimes were you convicted?__________________ ________________________________________________________________ 7. Check whether the finding of guilty was made: After plea of guilty ( ) After plea of not guilty ( ) 8. If found guilty after plea of not guilty, check whether the finding was made by: A jury ( ) A judge without a jury ( ) 9. Name of lawyer who represented you in trial court: _______________________________________________________________ 10. Was your lawyer hired by you or your family? Yes( ) No( ) Appointed by the court? Yes( ) No( ) 11. Did you appeal the conviction? Yes( ) No( ) To what court or courts? _____________________________________ 12. Did a lawyer represent you for the appeal? Yes( ) No( ) Was it the same lawyer as in No. 9 above? Yes( ) No( ) If "no," what was this lawyer's name? ________________________ Address? ____________________________________________________ 13. Was an opinion written by the appellate court? Yes( )No( ) If "yes," give citations if published:___________________________ _____________________________________________________________ If not published, give appellate case no.:______________________ 14. Did you seek any further review of or relief from your conviction at any other time in any court? Yes( ) No( ) If "Yes," state when you did so, the nature of your claim and the result (include citations to any reported opinions.)
_____________________________________________________________
_____________________________________________________________
PART B
(If you have more than one proposition for relief, attach a separate sheet for each proposition. Answer the questions below as to each additional proposition, labelled SECOND PROPOSITION, THIRD PROPOSITION.)
I believe that I have ________ (number of) propositions for relief from the conviction and sentence described in PART A. This is the first proposition. ____
______________________________________________________________________________
______________________________________________________________________________
6. Is this a proposition that could have been raised on Direct Appeal? Yes( ) No( ) Explain:_____________________________________________________________________
PART C
I understand that I have an absolute right to appeal to the Court of Criminal Appeals from the trial court's order entered in this case, but unless I do so within thirty (30) days after the entry of the trial judge's order, I will have waived my right to appeal as provided by Section 1087 of Title 22.
PART D
I have read the foregoing application and assignment(s) of error and hereby state under oath that there are no other grounds upon which I wish to attack the judgment and sentence under which I am presently convicted. I realize that I cannot later raise or assert any reason or ground known to me at this time or which could have been discovered by me by the exercise of reasonable diligence. I further realize that I am not entitled to file a second or subsequent application for post-conviction relief based upon facts within my knowledge or which I could discover with reasonable diligence at this time.
PART E (As Applicable)
I hereby apply to have counsel appointed to represent me. I believe I am entitled to relief. I do not possess any money or property except the following: (If none, state "None").
______________________________________________________________________________
______________________________________________________________________________
_________________ _________________________________
Date Signature
| STATE OF OKLAHOMA COUNTY OF _________________ | ) ) |
__________________________, being first sworn under oath, states that he/she signed the above application and that the statements therein are true to the best of his/her knowledge and belief.
_________________________________
Signature
Subscribed and sworn to before me this ______ day of ________________________, 20____.
_________________________________
NOTARY PUBLIC
My Commission Expires: _______________
In the District Court of ________County
State of Oklahoma
| ___________________________________, Petitioner, vs. THE STATE OF OKLAHOMA, and _______________________________ Respondents. | ) ) ) ) ) ) ) ) ) | No. ________ |
APPLICATION FOR POST-CONVICTION RELIEF
(Petitioner must use one application for each conviction.)
PART A
I, ________________________________________________, whose present address is ____________________________________, hereby apply for relief under the Post-Conviction Procedure Act, Section 1080 et seq. of Title 22.
The sentence from which I seek relief is as follows: