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· . COlJRT'OFCI«MU•i:NL APPEA:LS OF'TEXAS :

~PPLJ¢.J/I;to~FOR A \YRtl'OF iJAJi.EASJt~()}{pp~

S~EKIN(j ~JtLJ~F F~Ql\t F'IN~L f:)TI,L,.Q~ 9QJ'lVItzt1QN

UNDER CODE 'OF CRIMINAL PROCEDURE~ ARTICLE:lLOT

1N8TR:t1£1t0Ns. 'You must.use;the complete :form, which: begbi's::ori the:follo_wihg p~g-~~ toJile .. ari 1.

.·!~~~~~~rg:;::"~;:~t~1:~:.:.:··:i~~:f~si~~r;f:c~~~:r~ 7J;~i~j:!~~~~f();~:~t;:!~t~f penalty cases, probated.sentenceswhich!:have}not been revoked;;'o~:niisth!fu'eafiors~): 2 •. ·ava.mmte to·you~ .on rteq;:ies~:·\vithoufdiarg¢. 'f~e5dt$~if¢tJ!l~tl1,:. ~f\_(!!'~. CC).Qpj;y;fp:· whJ.~~-Y~Ji W.¢1;'¢:~_t)!ly!~t~tJ>wnJ'P!af,;~ t.l1J~"f9f:W' · YoJ!'IPl1~~*;fiJ~rt.ll:~ ~.,tlt.~wri! ~{lptl~~ti'Qlt rQ,r)IK;i~~lP.~m~:t~q~~ -~~~p9:P~'-Jh~t;'~.<fD.-91.

apply to yom If·. any pag~s:-are.mlssiliglrom tfie,forfil',;.or U''the que~mnts;,have/beerl t~n-iimb¢red.·Q'r omit;te~f¥&ttr:~ntire::a)lpll~~ti&ii:.m~rbe:di$rtiis·s¢c:l ~t'Ot.ori'"'¢'9·mp1Ja.nt;, ,..... . . .. ... '• .A·n$w~~ ¢,y¢'ey·l~¢:~:tli~t.:3'(tnli-e$:J.o:rou(ltt t.li¢liottm• ·n.o,:».ot·:;l(ta.¢h~~ny ~<ldJti'Qn;Il ..

p~ge~ :rc:u.~·~n:y ~~~:rth

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You inust vetifytbe:applicatiomby·$igpi~g.~i*h~r iJt~ _.(J~tb<IJefqre Nota,r,y ~U:~U~•.•()r the inmate's l)edait;'ldoJl\'Whicb are:at the end:ofth1s·.Jorm.on,pag~s ll anq.:.t~·· ·Ym1 ma .be. rosectitedlartd convicted for a . ravated . er•·u< ifi 'oum~ke a·n. 'falSe . P. J ry y . . . Y . p . . .,. . . .. .. . .... .. .. . . .. . gg .. y statement of material faciin thi~· applit.ation• · · ··· · · · When the appHcadQI1 i$.:.fillly ~ompJe(ed, rtiad'Jb;e··(}dg.inai to the distriCt cletkof.the 9.

county ofconvktiOn. Ke~p a c()pyof the.:appncationfqr yQurrecord$. 10: You must notify thedlsttiC,t:cler~ of th.¢-c()uJi.ty ofc9rivTcti()n Of arty change-in

address after you have filed'your applicati()n~ · ·

Rev. 01!14/14