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COURT OF CRIMINAL APPEALS OF TEXAS APPLICATION FOR (Office of Court Administration)

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COURT OF CRIMINAL APPEALS OF TEXAS
APPLICATION FOR A WRIT OF HABEAS CORPUS
SEEKING RELIEF FROM FINAL FELONY CONVICTION
UNDER CODE OF CRIMINAL PROCEDURE, ARTICLE 11.07
INSTRUCTIONS
1. You must use the complete form, which begins on the following page, to file an
application for a writ of habeas corpus seeking relief from a final felony conviction
under Article 11.07 of the Code of Criminal Procedure. (This form is not for death-
penalty cases, probated sentences which have not been revoked, or misdemeanors.)
2. The district clerk of the county in which you were convicted will make this form
available to you, on request, without charge.
3. You must file the entire writ application form, including those sections that do not
apply to you. If any pages are missing from the form, or if the questions have been
renumbered or omitted, your entire application may be dismissed as non-compliant.
4. You must make a separate application on a separate form for each judgment of
conviction you seek relief from. Even if the judgments were entered in the same
court on the same day, you must make a separate application for each one.
5. Answer every item that applies to you on the form. Do not attach any additional
pages for any item.
6. You must include all grounds for relief on the application form as provided by the
instructions under item 17. You must also briefly summarize the facts of your claim
on the application form as provided by the instructions under item 17. Each ground
shall begin on a new page, and the recitation of the facts supporting the ground shall
be no longer than the two pages provided for the claim in the form.
7. Legal citations and arguments may be made in a separate memorandum that
complies with Texas Rule of Appellate Procedure 73 and does not exceed 15,000
words if computer-generated or 50 pages if not.
8. You must verify the application by signing either the Oath Before Notary Public or
the Inmate’s Declaration, which are at the end of this form on pages 11 and 12. You
may be prosecuted and convicted for aggravated perjury if you make any false
statement of a material fact in this application.
9. When the application is fully completed, mail the original to the district clerk of the
county of conviction. Keep a copy of the application for your records.
10. You must notify the district clerk of the county of conviction of any change in
address after you have filed your application.
Case No. _______________
(The Clerk of the convicting court will fill this line in.)
IN THE COURT OF CRIMINAL APPEALS OF TEXAS
APPLICATION FOR A WRIT OF HABEAS CORPUS
SEEKING RELIEF FROM FINAL FELONY CONVICTION
UNDER CODE OF CRIMINAL PROCEDURE, ARTICLE 11.07
NAME:
DATE OF BIRTH:
PLACE OF CONFINEMENT:
TDCJ-CID NUMBER: SID NUMBER:
(1) This application concerns (check all that apply):
G a conviction G parole
G a sentence G mandatory supervision
G time credit G out-of-time appeal or petition for
discretionary review
(2) What district court entered the judgment of the conviction you want relief from?
(Include the court number and county.)
(3) What was the case number in the trial court?
(4) What was the name of the trial judge?
Effective: January 1, 2014 1
(5) Were you represented by counsel? If yes, provide the attorney's name:
(6) What was the date that the judgment was entered?
(7) For what offense were you convicted and what was the sentence?
(8) If you were sentenced on more than one count of an indictment in the same court at
the same time, what counts were you convicted of and what was the sentence in each
count?
(9) What was the plea you entered? (Check one.)
G guilty-open plea G guilty-plea bargain
G not guilty G nolo contendere/no contest
If you entered different pleas to counts in a multi-count indictment, please explain:
(10) What kind of trial did you have?
G no jury G jury for guilt and punishment
G jury for guilt, judge for punishment
2
(11) Did you testify at trial? If yes, at what phase of the trial did you testify?
(12) Did you appeal from the judgment of conviction?
G yes G no
If you did appeal, answer the following questions:
(A) What court of appeals did you appeal to?
(B) What was the case number?
(C) Were you represented by counsel on appeal? If yes, provide the attorney's
name:
(D) What was the decision and the date of the decision?
(13) Did you file a petition for discretionary review in the Court of Criminal Appeals?
G yes G no
If you did file a petition for discretionary review, answer the following questions:
(A) What was the case number?
(B) What was the decision and the date of the decision?
(14) Have you previously filed an application for a writ of habeas corpus under Article
11.07 of the Texas Code of Criminal Procedure challenging this conviction?
G yes G no
If you answered yes, answer the following questions:
(A) What was the Court of Criminal Appeals’ writ number?
3
(B) What was the decision and the date of the decision?
(C) Please identify the reason that the current claims were not presented and could
not have been presented on your previous application.
(15) Do you currently have any petition or appeal pending in any other state or federal
court?
G yes G no
If you answered yes, please provide the name of the court and the case number:
(16) If you are presenting a claim for time credit, have you exhausted your
administrative remedies by presenting your claim to the time credit resolution
system of the Texas Department of Criminal Justice? (This requirement applies to
any final felony conviction, including state jail felonies)
G yes G no
If you answered yes, answer the following questions:
(A) What date did you present the claim?
(B) Did you receive a decision and, if yes, what was the date of the decision?
If you answered no, please explain why you have not submitted your claim:
4
(17) Beginning on page 6, state concisely every legal ground for your claim that you are
being unlawfully restrained, and then briefly summarize the facts supporting each
ground. You must present each ground on the form application and a brief
summary of the facts. If your grounds and brief summary of the facts have not been
presented on the form application, the Court will not consider your grounds.
If you have more than four grounds, use pages 14 and 15 of the form, which you
may copy as many times as needed to give you a separate page for each ground, with
each ground numbered in sequence. The recitation of the facts supporting each
ground must be no longer than the two pages provided for the ground in the form.
You may include with the form a memorandum of law if you want to present legal
authorities, but the Court will not consider grounds for relief set out in a
memorandum of law that were not raised on the form. The citations and argument
must be in a memorandum that complies with Texas Rule of Appellate Procedure 73
and does not exceed 15,000 words if computer-generated or 50 pages if not. If you
are challenging the validity of your conviction, please include a summary of the facts
pertaining to your offense and trial in your memorandum.
5
GROUND ONE:
FACTS SUPPORTING GROUND ONE:
6
7
GROUND TWO:
FACTS SUPPORTING GROUND TWO:
8
9
GROUND THREE:
FACTS SUPPORTING GROUND THREE:
10
11
GROUND FOUR:
FACTS SUPPORTING GROUND FOUR:
12
13
GROUND:
FACTS SUPPORTING GROUND:
14
15
WHEREFORE, APPLICANT PRAYS THAT THE COURT GRANT APPLICANT
RELIEF TO WHICH HE MAY BE ENTITLED IN THIS PROCEEDING.
VERIFICATION
This application must be verified or it will be dismissed for non-compliance. For
verification purposes, an applicant is a person filing the application on his or her own behalf. A
petitioner is a person filing the application on behalf of an applicant, for example, an applicant’s
attorney. An inmate is a person who is in custody.
The inmate applicant must sign either the “Oath Before a Notary Public” before a
notary public or the “Inmate’s Declaration” without a notary public. If the inmate is represented
by a licensed attorney, the attorney may sign the “Oath Before a Notary Public” as petitioner and
then complete “Petitioner’s Information.” A non-inmate applicant must sign the “Oath Before a
Notary Public” before a notary public unless he is represented by a licensed attorney, in which
case the attorney may sign the verification as petitioner.
A non-inmate non-attorney petitioner must sign the “Oath Before a Notary Public”
before a notary public and must also complete “Petitioner’s Information.” An inmate petitioner
must sign either the “Oath Before a Notary Public” before a notary public or the “Inmate’s
Declaration” without a notary public and must also complete the appropriate “Petitioner’s
Information.”
OATH BEFORE A NOTARY PUBLIC
STATE OF TEXAS
COUNTY OF _______________
________________________________, being duly sworn, under oath says: “I am
the applicant / petitioner (circle one) in this action and know the contents of the above
application for a writ of habeas corpus and, according to my belief, the facts stated in the
application are true.”
_____________________________________
Signature of Applicant / Petitioner (circle one)
SUBSCRIBED AND SWORN TO BEFORE ME THIS _____ DAY OF __________, 20_____.
______________________________
Signature of Notary Public
16
PETITIONER’S INFORMATION
Petitioner’s printed name:__________________________________
State bar number, if applicable: _____________________________
Address: ______________________________________________
______________________________________________
______________________________________________
Telephone:______________________________________________
Fax:___________________________________________________
INMATE’S DECLARATION
I, _______________________________, am the applicant / petitioner (circle one) and
being presently incarcerated in _______________________________, declare under penalty of
perjury that, according to my belief, the facts stated in the above application are true and correct.
Signed on ____________________, 20_____.
_______________________________________
Signature of Applicant / Petitioner (circle one)
17
PETITIONER’S INFORMATION
Petitioner’s printed name:
Address:
Telephone:
Fax:
Signed on ____________________, 20_____.
_______________________________________
Signature of Petitioner
18
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COURT OF CRIMINAL APPEALS OF TEXAS APPLICATION FOR (Office of Court Administration)

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Completed 22 December 2021

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