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Misc. Docket No. 06-103 Page 1 of 13
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COURT OF CR|M|NAL APPEALS OF"TEXAS L:_,¢//Io;?_``é w _`` ‘;~ ``
APPL|CAT|ON FOR A WR|T_ OF HABEAS CORPUS
SEEK|NG REL|EF FROM FlNAL FELONY CONV|CT|ON
UNDER CODE OF CR|M|NAL PROCEDURE, ART|CLE 11.07
lNSTRUCTlONS
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penalty cases, probated sentences which have not been revoked, or misdemeanors.)
The clerk of the trial court in which you were convicted will make this form
available to you, on request, without charge.
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 form has been
downloaded and the questions have been renumbered or omitted, your entire
application will be dismissed and returned as non-compliant. If your application is
returned as non-compliant, the clerk of the trial court will write a note of the defect
on your application and return the form to you without filing it.
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.
Answei' every item that applies to you on the form. You may use additional pages
only if you need them for item 17, the facts supporting your ground for relief. Do
not attach any additional pages for any other item 17.
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.
Do not cite cases or other law in this application form. Do not make legal
arguments in this form. Legal citations and arguments may be made in a separate
memorandum.
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. ‘
When the application is fully completed, mail the original to the clerk of the
convicting district court. Keep a copy of the application for your records. ~
You must notify the clerk of the convicting district court of any change in address
after you have filed your application.
ATC ll.07 (Rev/ 03-05-07)
`` Case No. _
(The Clerk of the convicting court will Hll 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
l
NAME: [)mm.>/ ///:L/ 54
DATE OF BIRTH: 539 -' §§
f PLACE OF CONFINEMENT: ¢~L w , ¢Mz-;;‘, g¢z¢t``é@¢¢wg; Z-§E;E¢
TDCJ-CID NUMBER: #/ng//z SID NUMBER:
(1) This application concerns (check all that apply):
|:| a conviction El parole
|3/ a sentence |:l mandatory supervision
|:| time credit _ |:| out-of-time appeal or petition for
discretionary review
(2) What district court entered the judgment of the conviction you want relief from?
(Includc the court number and county.)
13 ’7 0£57@/:¢7' COWQ)'/. 1110/mrt (bwvrf
(3) What was the case number in the trial court?
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