(3) Grounds raised ________________________________________________________________________________
(4) Did you receive an evidentiary hearing on your petition, application or motion?
(5) Result _______________________________________________________________________________________
(6) Date of result _________________________________________________________________________________
(c) Did you appeal to the highest state court having jurisdiction the result of action taken on any petition, application or motion?
(1)First petition, etc. Yes No
(2)Second petition, etc. Yes No
(d) If you did not appeal from the adverse action on any petition, application or motion, explain briefly why you did not:
12. State concisely every ground on which you claim that you are being held unlawfully. Summarize briefly the facts supporting each
ground. If necessary, you may attach pages stating additional grounds and facts supporting same.
CAUTION: In order to proceed in the circuit court, you must state grounds that have NOT been previously and finally
adjudicated or waived. If you fail to set forth all grounds in this petition, you may be barred from presenting additional
grounds at a later date.
For your information, the following is a list of the most frequently raised grounds for relief in habeas corpus proceedings.
Each statement preceded by a letter constitutes a separate ground for possible relief. You may raise any grounds which you may
have other than those listed. However, you should raise in this petition all available grounds (relating to this conviction) on which
you base your allegations that you are being held in custody unlawfully.
Do not check any of these listed grounds. If you select one or more of these grounds for relief, you must allege facts. The
petition will be returned to you if you merely check (a) through (j) or any one of these grounds.
(a) Conviction obtained by plea of guilty which 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.
(c) Conviction obtained by use of evidence gained pursuant to an unconstitutional search and seizure.
(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
(g) Conviction obtained by a violation of the protection against double jeopardy.
(h) Conviction obtained by action of a grand or petit jury which was unconstitutionally selected and impaneled.
(I) Denial of effective assistance of counsel.
(j) Denial of right of appeal.