LINDA READE, District Judge
This matter is before the court on the petitioner's application for a writ of habeas corpus pursuant to 28 U.S.C. § 2254 (docket no. 1). The petitioner submitted such application on February 5, 2010. In addition to submitting his application for a writ of habeas corpus, the petitioner paid the statutory filing fee. See 28 U.S.C. § 1914(a) (requiring $5.00).
In Yates v. Baldwin, et al., Case #: 1:09-cv-00140-LRR (N.D. Iowa 2009), the court made clear that the petitioner needed to file an action under 28 U.S.C. § 2254 when challenging the loss of good time credit. Here, the petitioner attempted to file an action under 28 U.S.C. § 2254, but he merely referenced his prior case and submitted a lengthy statement of facts. The petitioner did not submit the form that is typically utilized by individuals who seek relief under 28 U.S.C. § 2254. Consequently, the petitioner's application for a writ of habeas corpus does not comply with the general rules of pleading. See Rule 4 of the Rules Governing Section 2254 Cases; Fed.R.Civ.P. 8. Further, the petitioner impermissibly asserts multiple claims against multiple parties; the petitioner is not permitted to raise in a habeas corpus action claims that are more appropriately raised in an action under 42 U.S.C. § 1983. The court's ability to grant habeas relief is limited.
The court notes that many, if not all, of the impermissible claims appear to be related to Yates v. Baldwin, et al., Case #: 3:09-cv-03004-MWB (N.D. Iowa 2009).
An application for a writ of habeas corpus on behalf of a person in custody pursuant to the judgment of a State court shall not be granted with respect to any claim that was adjudicated on the merits in State court proceedings unless the adjudication of the claim —
(1) resulted in a decision that was contrary to, or involved an unreasonable application of, clearly established Federal law, as determined by the Supreme Court of the United States; or
(2) resulted in a decision that was based on an unreasonable determination of the facts in light of the evidence presented in the State court proceeding.28 U.S.C. § 2254(d). Consistent with such statute, the petitioner is only able to assert the federal claims that he raised in his post-conviction relief action pursuant to Chapter 822 of the Iowa Code, that is, the constitutional claims that the Iowa courts addressed in Yates v. State, No. PCLA005276 (Lee County Dist. Ct. 2008), and/or Yates v. State, No. PCCV312193 (Webster County Dist. Ct. 2007). See generally Iowa Code § 822.1, et al. (providing for post-conviction relief). In sum, the court is unable to conduct a review under Rule 4 of the Rules Governing Section 2254 Cases because the documents submitted by the petitioner are improper.
Rather than dismiss without prejudice the instant action, the court finds it appropriate to require the petitioner to submit a proper application for a writ of habeas corpus. Accordingly, the petitioner is directed to utilize the proper form and to file an amended application for a writ of habeas corpus by no later than April 2, 2010. The clerk's office is directed to provide the petitioner with the form that is utilized by individuals who seek relief under 28 U.S.C. § 2254. If the petitioner fails to comply with this order, the clerk's office is directed to dismiss without prejudice the instant action.
IT IS SO ORDERED. Petition for Relief From a Conviction or Sentence By a Person in State Custody (Petition Under 28 U.S.C. § 2254 for a Writ of Habeas Corpus) Instructions 1. To use this form, you must be a person who is currently serving a sentence under a judgment against you in a state court. You are asking for relief from the conviction or the sentence. This form is your petition for relief. 2. You may also use this form to challenge a state judgment that imposed a sentence to be served in the future, but you must fill in the name of the state where the judgment was entered. If you want to challenge a federal judgment that imposed a sentence to be served in the future, you should file a motion under 28 U.S.C. § 2255 in the federal court that entered the judgment. 3. Make sure the form is typed or neatly written. 4. You must tell the truth and sign the form. If you make a false statement of a material fact, you may be prosecuted for perjury. 5. Answer all the questions. You do not need to cite law. You may submit additional pages if necessary. If you do not fill out the form properly, you will be asked to submit additional or correct information. If you want to submit a brief or arguments, you must submit them in a separate memorandum. 6. You must pay a fee of $5. If the fee is paid, your petition will be filed. If you cannot pay the fee, you may ask to proceed in forma pauperis (as a poor person). To do that, you must fill out the application attached to this form. Also, you must submit a certificate signed by an officer at the institution where you are confined showing the amount of money that the institution is holding for you. If your account exceeds $20.00, you must pay the filing fee. 7. In this petition, you may challenge the judgment entered by only one court. If you want to challenge a judgment entered by a different court (either in the same state or in different states), you must file a separate petition. 8. When you have completed the form, send the original and two copies to the Clerk of the United States District Court at this address: Clerk, United States District Court for the Northern District of Iowa 101 1st Street SE, Room 313 Cedar Rapids, IA 52401 9. CAUTION: You must include in this petition all the grounds for relief from the conviction or sentence that you challenge. And you must state the facts that support each ground. If you fail to set forth all the grounds in this petition, you may be barred from presenting additional grounds at a later date. 10 CAPITAL CASES: If you are under a sentence of death, you are entitled to the assistance of counsel and should request the appointment of counsel.
PETITION UNDER 28 U.S.C. § 2254 FOR WRIT OF HABEAS CORPUS BY A PERSON IN STATE CUSTODYUnited States District Court District: Name (under which you were convicted): Docket or Case No.: Place of Confinement: Prisoner No.: Petitioner (include the name under which you were convicted) Respondent (authorized person having custody of petitioner) v. The Attorney General of the State of
PETITION1. (a) Name and location of court that entered the judgment of conviction you are challenging: _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (b) Criminal docket or case number (if you know): ___________________________________________________________________________ 2. (a) Date of the judgment of conviction (if you ___________________________________________________________________________ (b) Date of sentencing: _____________________________________________________________________________________________________ 3. Length of sentence: _________________________________________________________________________________________________________ 4. In this case, were you convicted on more than one count or of more than one crime? [] Yes [] No 5. Identify all crimes of which you were convicted and sentenced in this case: _________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ 6. (a) What was your plea? (Check one) [] (1) Not guilty [] (3) Nolo contendere (no contest) [] (2) Guilty [] (4) Insanity plea (b) If you entered a guilty plea to one count or charge and a not guilty plea to another count or charge, what did you plead guilty to and what did you plead not guilty to? ___________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (c) If you went to trial, what kind of trial did you have? (Check one) [] Jury [] Judge only 7. Did you testify at a pretrial hearing, trial, or a post-trial hearing? [] Yes [] No 8. Did you appeal from the judgment of conviction? [] Yes [] No 9. If you did appeal, answer the following: (a) Name of court: __________________________________________________________________________________________________________ (b) Docket or case number (if you know): ____________________________________________________________________________________ (c) Result: __________________________________________________________________________________________________________ (d) Date of result (if you know): __________________________________________________________________________________________ (e) Citation to the case (if you know): ____________________________________________________________________________________ (f) Grounds raised: _________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (g) Did you seek further review by a higher state court? [] Yes [] No If yes, answer the following: (1) Name of court: _________________________________________________________________________________________________ (2) Docket or case number (if you know): ___________________________________________________________________________ (3) Result: _______________________________________________________________________________________________ ____________________________________________________________________________________________________________________ (4) Date of result (if you know): __________________________________________________________________________________ (5) Citation to the case (if you know): ____________________________________________________________________________ (6) Grounds raised: _______________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ (h) Did you file a petition for certiorari in the United States Supreme Court? [] Yes [] No If yes, answer the following: (1) Docket or case number (if you know): ___________________________________________________________________________ (2) Result: ____________________________________________________________________________________________________ ________________________________________________________________________________________________________________ (3) Date of result (if you know): __________________________________________________________________________________ (4) Citation to the case (if you know): ____________________________________________________________________________ 10. Other than the direct appeals listed above, have you previously filed any other petitions, applications, or motions concerning this judgment of conviction in any state court? [] Yes [] No 11. If your answer to Question 10 was "Yes," give the following information: (a) (1) Name of court: _________________________________________________________________________________________________ (2) Docket or case number (if you know): ___________________________________________________________________________ (3) Date of filing (if you know): __________________________________________________________________________________ (4) Nature of the proceeding: ______________________________________________________________________________________ (5) Grounds raised: ________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ (6) Did you receive a hearing where evidence was given on your petition, application, or motion? [] Yes [] No (7) Result: ________________________________________________________________________________________________________ (8) Date of result (if you know): __________________________________________________________________________________ (b) If you filed any second petition, application, or motion, give the same information: (1) Name of court: _________________________________________________________________________________________________ (2) Docket or case number (if you know): ___________________________________________________________________________ (3) Date of filing (if you know): __________________________________________________________________________________ (4) Nature of the proceeding: ______________________________________________________________________________________ (5) Grounds raised: ________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ (6) Did you receive a hearing where evidence was given on your petition, application, or motion? [] Yes [] No (7) Result: ________________________________________________________________________________________________________ (8) Date of result (if you know): __________________________________________________________________________________ (c) If you filed any third petition, application, or motion, give the same information: (1) Name of court: _________________________________________________________________________________________________ (2) Docket or case number (if you know): ___________________________________________________________________________ (3) Date of filing (if you know): __________________________________________________________________________________ (4) Nature of the proceeding: ______________________________________________________________________________________ (5) Grounds raised: ________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ (6) Did you receive a hearing where evidence was given on your petition, application, or motion? [] Yes [] No (7) Result: ________________________________________________________________________________________________________ (8) Date of result (if you know): __________________________________________________________________________________ (d) Did you appeal to the highest state court having jurisdiction over the action taken on your petition, application, or motion? (1) First petition: [] Yes [] No (2) Second petition: [] Yes [] No (3) Third petition: [] Yes [] No (e) If you did not appeal to the highest state court having jurisdiction, explain why you did not: _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ 12. For this petition, state every ground on which you claim that you are being held in violation of the Constitution, laws, or treaties of the United States. Attach additional pages if you have more than four grounds. State the facts supporting each ground. CAUTION: To proceed in the federal court, you must ordinarily first exhaust (use up) your available state-court remedies on each ground on which you request action by the federal court. Also, if you fail to set forth all the grounds in this petition, you may be barred from presenting additional grounds at a later date. GROUND ONE: ____________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ (a) Supporting facts (Do not argue or cite law. Just state the specific facts that support your claim.): _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ (b) If you did not exhaust your state remedies on Ground One, explain why: ______________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ (c) Direct Appeal of Ground One: (1) If you appealed from the judgment of conviction, did you raise this issue? [] Yes [] No (2) If you did not raise this issue in your direct appeal, explain why: _____________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (d) Post-Conviction Proceedings: (1) Did you raise this issue through a post-conviction motion or petition for habeas corpus in a state trial court? [] Yes [] No (2) If your answer to Question (d)(1) is "Yes," state: Type of motion or petition: _________________________________________________________________________________________________ Name and location of the court where the motion or petition was filed: ______________________________________________________ _____________________________________________________________________________________________________________________________ Docket or case number (if you know): ________________________________________________________________________________________ Date of the court's decision: __________________________________________________________________________________________ Result (attach a copy of the court's opinion or order, if available): __________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (3) Did you receive a hearing on your motion or petition? [] Yes [] No (4) Did you appeal from the denial of your motion or petition? [] Yes [] No (5) If your answer to Question (d)(4) is "Yes," did you raise this issue in the appeal? [] Yes [] No (6) If your answer to Question (d)(4) is "Yes," state: Name and location of the court where the appeal was filed: __________________________________________________________________ _____________________________________________________________________________________________________________________________ Docket or case number (if you know): ________________________________________________________________________________________ Date of the court's decision: __________________________________________________________________________________________ Result (attach a copy of the court's opinion or order, if available): __________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (7) If your answer to Question (d)(4) or Question (d)(5) is "No," explain why you did not raise this issue: _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (e) Other Remedies: Describe any other procedures (such as habeas corpus, administrative remedies, etc.) that you have used to exhaust your state remedies on Ground One: _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ GROUND TWO: _________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ (a) Supporting facts (Do not argue or cite law. Just state the specific facts that support your claim.): _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ (b) If you did not exhaust your state remedies on Ground Two, explain why: ______________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ (c) Direct Appeal of Ground Two: (1) If you appealed from the judgment of conviction, did you raise this issue? [] Yes [] No (2) If you did not raise this issue in your direct appeal, explain why: _____________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (d) Post-Conviction Proceedings: (1) Did you raise this issue through a post-conviction motion or petition for habeas corpus in a state trial court? [] Yes [] No (2) If your answer to Question (d)(1) is "Yes," state: Type of motion or petition: _________________________________________________________________________________________________ Name and location of the court where the motion or petition was filed: ______________________________________________________ _____________________________________________________________________________________________________________________________ Docket or case number (if you know): ________________________________________________________________________________________ Date of the court's decision: __________________________________________________________________________________________ Result (attach a copy of the court's opinion or order, if available): __________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (3) Did you receive a hearing on your motion or petition? [] Yes [] No (4) Did you appeal from the denial of your motion or petition? [] Yes [] No (5) If your answer to Question (d)(4) is "Yes," did you raise this issue in the appeal? [] Yes [] No (6) If your answer to Question (d)(4) is "Yes," state: Name and location of the court where the appeal was filed: __________________________________________________________________ _____________________________________________________________________________________________________________________________ Docket or case number (if you know): ________________________________________________________________________________________ Date of the court's decision: __________________________________________________________________________________________ Result (attach a copy of the court's opinion or order, if available): __________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (7) If your answer to Question (d)(4) or Question (d)(5) is "No," explain why you did not raise this issue: _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (e) Other Remedies: Describe any other procedures (such as habeas corpus, administrative remedies, etc.) that you: have used to exhaust your state remedies on Ground Two ______________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ GROUND THREE: ____________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ (a) Supporting facts (Do not argue or cite law. Just state the specific facts that support your claim.): _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ (b) If you did not exhaust your state remedies on Ground Three, explain why: ____________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ (c) Direct Appeal of Ground Three: (1) If you appealed from the judgment of conviction, did you raise this issue? [] Yes [] No (2) If you did not raise this issue in your direct appeal, explain why: _____________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (d) Post-Conviction Proceedings: (1) Did you raise this issue through a post-conviction motion or petition for habeas corpus in a state trial court? [] Yes [] No (2) If your answer to Question (d)(1) is "Yes," state: Type of motion or petition: _________________________________________________________________________________________________ Name and location of the court where the motion or petition was filed: ______________________________________________________ _____________________________________________________________________________________________________________________________ Docket or case number (if you know): ________________________________________________________________________________________ Date of the court's decision: __________________________________________________________________________________________ Result (attach a copy of the court's opinion or order, if available): __________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (3) Did you receive a hearing on your motion or petition? [] Yes [] No (4) Did you appeal from the denial of your motion or petition? [] Yes [] No (5) If your answer to Question (d)(4) is "Yes," did you raise this issue in the appeal? [] Yes [] No (6) If your answer to Question (d)(4) is "Yes," state: Name and location of the court where the appeal was filed: __________________________________________________________________ _____________________________________________________________________________________________________________________________ Docket or case number (if you know): ________________________________________________________________________________________ Date of the court's decision: __________________________________________________________________________________________ Result (attach a copy of the court's opinion or order, if available): __________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (7) If your answer to Question (d)(4) or Question (d)(5) is "No," explain why you did not raise this issue: _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (e) Other Remedies: Describe any other procedures (such as habeas corpus, administrative remedies, etc.) that you have used to exhaust your state remedies on Ground Three: ___________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ GROUND FOUR: _____________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ (a) Supporting facts (Do not argue or cite law. Just state the specific facts that support your claim.): _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ (b) If you did not exhaust your state remedies on Ground Four, explain why: _____________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ (c) Direct Appeal of Ground Four: (1) If you appealed from the judgment of conviction, did you raise this issue? [] Yes [] No (2) If you did not raise this issue in your direct appeal, explain why: _____________________________________________________ _____________________________________________________________________________________________________________________________ (d) Post-Conviction Proceedings: (1) Did you raise this issue through a post-conviction motion or petition for habeas corpus in a state trial court? [] Yes [] No (2) If your answer to Question (d)(1) is "Yes," state: Type of motion or petition: _________________________________________________________________________________________________ Name and location of the court where the motion or petition was filed: ______________________________________________________ _____________________________________________________________________________________________________________________________ Docket or case number (if you know): ________________________________________________________________________________________ Date of the court's decision: __________________________________________________________________________________________ Result (attach a copy of the court's opinion or order, if available): __________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (3) Did you receive a hearing on your motion or petition? [] Yes [] No (4) Did you appeal from the denial of your motion or petition? [] Yes [] No (5) If your answer to Question (d)(4) is "Yes," did you raise this issue in the appeal? [] Yes [] No (6) If your answer to Question (d)(4) is "Yes," state: Name and location of the court where the appeal was filed: __________________________________________________________________ _____________________________________________________________________________________________________________________________ Docket or case number (if you know): ________________________________________________________________________________________ Date of the court's decision: __________________________________________________________________________________________ Result (attach a copy of the court's opinion or order, if available): __________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (7) If your answer to Question (d)(4) or Question (d)(5) is "No," explain why you did not raise this issue: _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (e) Other Remedies: Describe any other procedures (such as habeas corpus, administrative remedies, etc.) that you have used to exhaust your state remedies on Ground Four: ____________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ 13. Please answer these additional questions about the petition you are filing: (a) Have all grounds for relief that you have raised in this petition been presented to the highest state court having jurisdiction? [] Yes [] No If your answer is "No," state which grounds have not been so presented and give your reason(s) for not presenting them: ________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ (b) Is there any ground in this petition that has not been presented in some state or federal court? If so, which ground or grounds have not been presented, and state your reasons for not presenting them: _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ 14. Have you previously filed any type of petition, application, or motion in a federal court regarding the conviction that you challenge in this petition? [] Yes [] No If "Yes," state the name and location of the court, the docket or case number, the type of proceeding, the issues raised, the date of the court's decision, and the result for each petition, application, or motion filed. Attach a copy of any court opinion or order, if available. ________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ 15. Do you have any petition or appeal now pending (filed and not decided yet) in any court, either state or federal, for the judgment you are challenging? [] Yes [] No If "Yes," state the name and location of the court, the docket or case number, the type of proceeding, and the issues raised. ________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ 16. Give the name and address, if you know, of each attorney who represented you in the following stages of the judgment you are challenging: (a) At preliminary hearing: _________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (b) At arraignment and plea: ________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (c) At trial: _______________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (d) At sentencing: __________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (e) On appeal: ______________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (f) In any post-conviction proceeding: ______________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (g) On appeal from any ruling against you in a post-conviction proceeding: __________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ 17. Do you have any future sentence to serve after you complete the sentence for the judgment that you are challenging? [] Yes [] No (a) If so, give name and location of court that imposed the other sentence you will serve in the future: _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ (b) Give the date the other sentence was imposed: ___________________________________________________________________________ (c) Give the length of the other sentence: __________________________________________________________________________________ (d) Have you filed, or do you plan to file, any petition that challenges the judgment or sentence to be served in the future? [] Yes [] No 18. TIMELINESS OF PETITION: If your judgment of conviction became final over one year ago, you must explain why the one-year statute of limitations as contained in 28 U.S.C. § 2244(d) does not bar your petition.* _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ * The Antiterrorism and Effective Death Penalty Act of 1996 ("AEDPA") as contained in 28 U.S.C. § 2244(d) provides in part that: (1) A one-year period of limitation shall apply to an application for a writ of habeas corpus by a person in custody pursuant to the judgment of a State court. The limitation period shall run from the latest of — (A) the date on which the judgment became final by the conclusion of direct review or the expiration of the time for seeking such review; (B) the date on which the impediment to filing an application created by State action in violation of the Constitution or laws of the United States is removed, if the applicant was prevented from filing by such state action; (C) the date on which the constitutional right asserted was initially recognized by the Supreme Court, if the right has been newly recognized by the Supreme Court and made retroactively applicable to cases on collateral review; or (D) the date on which the factual predicate of the claim or claims presented could have been discovered through the exercise of due diligence. (2) The time during which a properly filed application for State post-conviction or other collateral review with respect to the pertinent judgment or claim is pending shall not be counted toward any period of limitation under this subsection. Therefore, petitioner asks that the Court grant the following relief: ___________________________________________________________ _________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________ or any other relief to which petitioner may be entitled. __________________________________________________ Signature of Attorney (if any) I declare (or certify, verify, or state) under penalty of perjury that the foregoing is true and correct and that this Petition for Writ of Habeas Corpus was placed in the prison mailing system on _______________ (month, date, year).
Executed (signed) on _______ (date). __________________________________________________ Signature of Petitioner If the person signing is not petitioner, state relationship to petitioner and explain why petitioner is not signing this petition.
________________________________________________________________ ________________________________________________________________ UNITED STATES DISTRICT COURT NORTHERN District of IOWA APPLICATION TO PROCEED Plaintiff WITHOUT PREPAYMENT OF FEES AND AFFIDAVIT V. CASE NUMBER: Defendant I, _________________________________________ declare that I am the (check appropriate box) [] petitioner/plaintiff/movant [] other in the above-entitled proceeding; that in support of my request to proceed without prepayment of fees or costs under 28 USC § 1915 I declare that I am unable to pay the costs of these proceedings and that I am entitled to the relief sought in the complaint/petition/motion.
In support of this application, I answer the following questions under penalty of perjury: 1. Are you currently incarcerated? [] Yes [] No (If "No," go to Part 2) If "Yes," state the place of your incarceration ___________________________________________________________________ Are you employed at the institution? _____ Do you receive any payment from the institution? _____ Attach a ledger sheet from the institution(s) of your incarceration showing at least the past six months' transactions. 2. Are you currently employed? [] Yes [] No a. If the answer is "Yes," state the amount of your take-home salary or wages and pay period and give the name and address of your employer. b. If the answer is "No," state the date of your last employment, the amount of your take-home salary or wages and pay period and the name and address of your last employer. 3. In the past 12 twelve months have you received any money from any of the following sources? a. Business, profession or other self-employment [] Yes [] No b. Rent payments, interest or dividends [] Yes [] No c. Pensions, annuities or life insurance payments [] Yes [] No d. Disability or workers compensation payments [] Yes [] No e. Gifts or inheritances [] Yes [] No f. Any other sources [] Yes [] No 4. Do you have any cash or checking or savings accounts? [] Yes [] No If "Yes," state the total amount. _____________________ 5. Do you own any real estate, stocks, bonds, securities, other financial instruments, automobiles or any other thing of value? [] Yes [] No If "Yes," describe the property and state its value. 6. List the persons who are dependent on you for support, state your relationship to each person and indicate how much you contribute to their support. I declare under penalty of perjury that the above information is true and correct. __________________ _________________________________________________________________ Date Signature of Applicant NOTICE TO PRISONER: A Prisoner seeking to proceed without prepayment of fees shall submit an affidavit stating all assets. In addition, a prisoner must attach a statement certified by the appropriate institutional officer showing all receipts, expenditures, and balances during the last six months in your institutional accounts. If you have multiple accounts, perhaps because you have been in multiple institutions, attach one certified statement of each account.
CERTIFICATE OF INMATE ACCOUNT AND ASSETSI certify that the applicant, ________________________________, I.D. #_____________________________, has the sum of $____________ on account to his/her credit at the _____________________________ institution where he/she is confined.
I further certify that the applicant likewise has the following securities to his/her credit according to the records of said institution:
___________________________________________ ___________________________________________
I further certify that, during the last six (6) months, the applicant's average inmate account balance was $__________, and the past six (6) month average monthly deposit amount to the inmate account is $__________.
Signed this __________ day of ____________________, 20__. _________________________________________ Authorized Officer of Institution
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