Form 13.11a Application for Post Conviction Relief ? Death Penalty

IN THE COURT OF CRIMINAL APPEALS OF THE STATE OF OKLAHOMA

________________________________,
     Petitioner,

        vs.

THE STATE OF OKLAHOMA,
     Respondent.

)
)
)
)
)
)
)
)
)


Case no. _____________________

District Court of ______________
County, Case no. _____________


APPLICATION FOR POST-CONVICTION RELIEF - DEATH PENALTY
PART A ? PROCEDURAL HISTORY

Petitioner, , through undersigned counsel, submits his application for post-conviction relief under Section 1089 of Title 22. This is the _____________ (first, second, etc.) time an application for post-conviction relief has been filed.

The sentence from which relief is sought is: ______________________________

1. (a) Court in which sentence was rendered: ____________________________
(b) Case Number _____________________________________________________

2. Date of sentence: ____________________________________________________

3. Terms of sentence: ___________________________________________________
     ______________________________________________________________________

4. Name of Presiding Judge: ____________________________________________

5. Is Petitioner currently in custody? Yes( ) No( )
     Where? ______________________________________________________________

Does Petitioner have criminal matters pending in other courts?
     Yes ( ) No ( )

If so, where? ______________________________________________________
List charges: ______________________________________________________

Does Petitioner have sentences (capital or non-capital) to be served in      other states/jurisdictions? Yes ( ) No ( )

If so, where? ___________________________________________________
List convictions and sentences: ____________________________________

I. CAPITAL OFFENSE INFORMATION

6. Petitioner was convicted of the following crime(s), for which a
      sentence of death was imposed:

a. _________________________________________________________________
b. _________________________________________________________________

     Aggravating factors alleged (if more than one murder conviction, list
     aggravators by conviction):

a. _________________________________________________________________
b. _________________________________________________________________
c. _________________________________________________________________

     Aggravating factors found (if more than one murder conviction, list
     aggravator by conviction):

a. _________________________________________________________________
b. _________________________________________________________________
c. _________________________________________________________________

     Mitigating factors listed in jury instructions:

a. _________________________________________________________________
b. _________________________________________________________________

     Was Victim Impact Evidence introduced at trial? Yes ( ) No ( )

7. Check whether the finding of guilty was made:

After plea of guilty ( )     After plea of not guilty ( )

8. If found guilty after plea of not guilty, check whether the finding was
     made by:

A jury ( )     A judge without a jury ( )

9. Was the sentence determined by ( ) a jury, or ( ) the trial judge.

II. NON-CAPITAL OFFENSE INFORMATION

10. Petitioner was convicted of the following offense(s) for which a
     sentence of less than death was imposed (include a description of
     the sentence imposed for each offense).

a. _________________________________________________________________
b. _________________________________________________________________

11. Check whether the finding of guilty was made:

After plea of guilty ( ) After plea of not guilty ( )

12. If found guilty after plea of not guilty, check whether the finding was
     made by:

A jury ( ) A judge without a jury ( )

III. CASE INFORMATION

13. Name and address of lawyer in trial court: ___________________________
     ______________________________________________________________________
     Names and addresses of all co-counsel in the trial court: ______________
     ______________________________________________________________________
     ______________________________________________________________________

14. Was lead counsel appointed by the court? Yes ( ) No ( )

15. Was the conviction appealed? Yes( ) No( )
     To what court or courts? ____________________________________

     Date Brief In Chief filed: _____________________________________________
     Date Response filed: _________________________________________________
     Date Reply Brief filed: ________________________________________________
     Date of Oral Argument (if set) ________________________________________
     Date of Petition for Rehearing (if appeal has been decided):
     ______________________________________________________________________

     Has this case been remanded to the District Court for an evidentiary
     hearing on direct appeal? Yes ( ) No ( )

     If so, what were the grounds for remand? _____________________________
     ______________________________________________________________________

     Is this petition filed subsequent to supplemental briefing after remand?
     Yes ( ) No ( )

16. Name and address of lawyer for appeal? _____________________________
     ______________________________________________________________________

17. Was an opinion written by the appellate court?                      Yes( )No( )
     If "yes," give citations if published: ____________________________________
     If not published, give appellate case no.: ______________________________

18. Was further review sought?                                                   Yes( ) No( )
     If "Yes," state when relief was sought, the court in which relief was
     sought, the nature of the claims(s) and the results (include citations
     to any reported opinions). ____________________________________________

PART B: GROUNDS FOR RELIEF

19. Has a motion for discovery been filed with this application?
     Yes ( ) No ( )

20. Has a Motion for Evidentiary Hearing been filed with this application?
     Yes ( ) No ( )

21. Have other motions been filed with this application or prior to the      filing of this application?                                          Yes ( ) No ( )
     If yes, specify what motions have been filed: __________________________
     ______________________________________________________________________

22. List propositions raised (list all sub-propositions).

PROPOSITION I: ________________________________________________

(repeat for subsequent propositions of error)

PART C: FACTS

(STATEMENT OF THE FACTS OF THE CASE, INCLUDING
REFERENCE TO SUPPORTING DOCUMENTATION,
RECORD, AND APPENDICES)

PART D: PROPOSITIONS ? ARGUMENTS AND AUTHORITIES