Case 3:08-cv-01484-WHA Document1 — Filed 03/17 (2008 Page Me
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(Cast Est Cnifial) = ep cite
Prisoner Number BAVY¥ 323 oH,
Institutional Address G OY 55064 57 Oakland, CA 7760 7
. ri
- UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF CALIFORNIA
Charles Yohusow
a No
(Enter the full name of plaintiff in this action.)
2 REE é ; raf
(To be provided by tr 4484
,y :
vs. Ly
PETITION FORA OY
POW HA
fhe Ta SITE pF
CA FORALL AY
(Enter the full name of respondent(s) or jailor in this action)
Neen’ Nome” Nenana ‘eae “ene” Nene” Nene Neen” eam” Soe” See! Sse” Seam
°
=
:
Q
°
zx
Read Comments Carefully Before Filling In
and Where to File
You should file in the Northem District if you were convicted and sentenced in one of these
counties: Alameda, Contra Costa, Del Norte, Humboldt, Lake, Marin, Mendocino, Monterey, Napa,
San Benito, Santa Clara, Santa Cruz, San Francisco, San Mateo and Sonoma. You should also file in
this district if you are challenging the manner in which your sentence is being executed, such as loss of
good time credits, and you are confined in one of these counties. Habeas L.R. 2254-3(a).
If you are challenging your conviction or sentence and you were not convicted and sentenced in
one of the above-named fifteen counties, your petition will likely be transferred to the United States
District Court for the district in which the state:court that convicted and sentenced you is located. If... .
you are challenging the execution of your sentence and you are not in prison in one of these counties,
your petition will likely be transferred to the district court for the district that includes the institution
where you are confined. Habeas L:R. 2254-3(b).
PET. FOR WRIT OF HAB. CORPUS -1-Page 2 eo Se NBD ON eR WY Ne
No NYO NY NH NY NH NY YN NO =| =— = ee OO Se
Case 3:08-cv-01484-WHA Document 1 Filed 03/17/2008 Page2of13
Who to Name as Respondent,
You must name the person in whose actual custody you are. This usually means the Warden or
jailor. Do not name the State of Califomia, a city, a county or the superior court of the county in which
you are imprisoned or by whom you were convicted and sentenced. These are not proper
respondents.
If you are not presently in custody pursuant to the state judgment against which you seek relief
but may be subject to such custody in the future (e.g., detainers), you must name the person in whose
custody you are now and the Attorney General of the state in which the judgment you seek to attack
was entered.
A. INFORMATION ABOUT YOUR CONVICTION AND SENTENCE
1. What sentence are you challenging in this petition?
(a) Name and location of court that imposed sentence (for example; Alameda
County Superior Court, Oakland):
od pn COU w, eryonCwn] 0nklawd
Court Location
(b) Case number, if known 15D 866
(c) Date and terms of sentence__ /: A e/. OF LA” ov TBE
(d) —_ Are you now in custody serving this term? (Custody means being in jail, on
parole or probation, etc.) Yes ~ No
Where?
Name of Institution: CLE EZ. p\ VER Se /
Address: £0 64 SF, OAK /aatedy CA GY 607)
2. For what crime were you given this sentence? (If your petition challenges a sentence for
more than one crime, list each crime separately using Penal Code numbers if known. If you are
challenging more than one sentence, you should file a different:petition for each sentence.) .
Allied toletivx ef Paps SecTpw | 35 S
of Lewllh u. Lately, lods pwd (2038! of Ge Lennl Code
AAV plotionw De ce wnE dd, PALGES ce oped,
PET. FOR WRIT OF HAB. CORPUS ~2-Page 3 uo S&S YN DO OH BR WH LH =
NH N NH NN NO NR NR NC mm meet
on DBD UN he We NY § FS Oo Oe YN BOW HH KR BD NY SK CS
Case 3:08-cv-01484-WHA Document 1 Filed 03/17/2008 Page3of13
3. Did you have any of the following? .
Arraignment: Yes x No
Preliminary Hearing: Yess >< No____
Motion to Suppress: Yes Ke No
4, How did you plead?
Guilty NotGuilty > Nolo Contendere___
Any other plea (specify) ch A LY 65 Dp oped
PET. FOR WRIT OF HAB. CORPUS
5. If you went to trial, what kind of trial did you have? ” /. &
Jury Judge alone_____—- Judge alone on atranscript_
6. Did you testify at your trial? 4/ /A- Yess No____
7. Did you have an attomey at the following proceedings:
(a) Arraignment Yes Xx No
(b) _—_— Preliminary hearing Yes K No__
(c) Time of plea Yes No_
(d) ‘Trial Yes No____
(e) Sentencing Yes. No_
(f) Appeal Yes No__
(g) Other post-conviction proceeding Yes a No_
8. Did you appeal your conviction? /# Yes_ = No__
(a) If you did, to what court(s) did you appeal?
Court of Appeal Yes. (ws NO
Year: Result:
Supreme Court of California Yes No
Year: Result;
-Any other court - - Yes - -No
Year: Result:
-3-
(b) If you appealed, were the grounds the same as those that you are raising in thisPage 4 oe ese ND A BP WY NH =
Case 3:08-cv-01484-WHA Document 1 Filed 03/17/2008 Page4of13
petition? Yes No
(c) Was there an opinion? Yes __ No
(d) Did you seek permission to file a late appeal under Rule 31(a)?
Yes No
If you did, give the name of the court and the result:
9. Other than appeals, have you previously filed any petitions, applications or motions with respect to
this conviction in any court, state or federal? Yes No
[Note: If you previously filed a petition for a writ of habeas corpus in federal court that
challenged the same conviction you are challenging now and if that petition was denied or dismissed
with prejudice, you must first file a motion in the United States Court of Appeals for the Ninth Circuit
for an order authorizing the district court to consider this petition. You may not file a second or
subsequent federal habeas petition without first obtaining such an order from the Ninth Circuit. 28
ULS.C, §§ 2244(b).]
(a) If you sought relief in any proceeding other than an appeal, answer the following
questions for each proceeding. Attach extra paper if you need more space.
I. Name of Court: LL, L, la
Type of Proceeding:
Grounds raised (Be brief but specific):
a.
b.
c.
d.
_. Result:.. oe oe, : Date of Result.
If, Name of Court: _v/p-
Type of Proceeding:
Grounds raised (Be brief but specific):
PET. FOR WRIT OF HAB. CORPUS -4-Page 5 —
Oo S&S NSN BO AH Be WY KN
NoHo NO NO NO NO NH BO NO RO mmm mim mm lm let
a
Case 3:08-cv-01484-WHA Document 1 Filed 03/17/2008 Page5of13
b.
c.
d.
Result: Date of Result:
Ill. = Name of Court: ed Pr
Type of Proceeding:
Grounds raised (Be brief but specific):
a.
b.
c.
d.
Result: Date of Result;
IV. Name of Court: fo. J A
Type of Proceeding:
grounds were not presented and why:
. . af Je po,
~£ AS s ee Sie ef fee Jo teesn /
Ce! ep pees ee Pieper ASI spice els
PET. FOR WRIT OF HAB. CORPUS -6-Page 7 Case 3:08-cv-01484-WHA Document 1 Filed 03/17/2008 Page7 of 13
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Oo F&F NN AO UN SF WY HH =
List, by name and citation only, any cases that you think are close factually to yours so that they
are an example of the error you believe occurred in your case. Do not discuss the holding or reasoning
of these cases:
Zz se Wagworr. 00S) 127 Cal app ¥* [22 IS
fboply Vv. Sa Th 970) 12. Cof tye 3d. 32h 526, 22
Loree Ssey U Sixt web. YIF2) YOR VEY? L, 72S. C72578
Do you have an attomey for this petition? Yes, Nox
If you do, give the name and address of your attorney:
WHEREFORE, petitioner prays that the Court grant petitioner relief to which s/he may be entitled in
this proceeding. I verify under penalty of perjury that the foregoing is true and correct.
Executed on 3/Yfo S Arb dbrser
Date sieGMure of Petitioner
(Rev. 6/02)
PET. FOR WRIT OF HAB. CORPUS -7-.Page 13 .
4S 44 - CAND (Rev 11/04)
CIVIL COVER SHEET
The JS-44 civi cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by
law, except as provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of
the Clerk of Court for the purpose of initiating the civil docket sheet. (SEE INSTRUCTIONS ON PAGE TWO.)
((a) PLAINTIFFS DEFENDANTS
~ - o cteots oF Crh Furwn
£ PPr ss a
(b) COUNTY OF RESIDENCE OF FIRST LISTED PLAINTIFF A IAN ES
(EXCEPT IN U.S. PLAINTIFF CASES)
OPW AS
J,
GOUNTY OF RESIDENCE OF FIRST LISTED DEFENDANT _/9/,
(IN U.S. PLAINTIFF CASES ONLY)
IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE
TRACT OF LAND INVOLVED.
NOTE:
(c) ATTORNEYS (FIRM NAME, ADDRESS. AND TELEPHONE NUMBER) ATTORNEYS (IF KNOWN)
|
Il. BASIS OF JURISDICTION (PLACE AN’® IN ONE BOX ONLY)
Il. CITIZENSHIP OF PRINCIPAL PARTIES (¢ptace an oc In ONE BOX FOR PLAINTIFF
(For diversity cases only) AND ONE BOX FOR DEFENDANT)
C1 US. Goverment _ PTF DEF PTF DEF
Plaintiff [2133 Federal Question Cltizen of This State xt bet incorporated or PrincipalPlace [—]4 [714
(U.S. Government Not a Party) of Business In This State
Ki U.S. Govemment
Defendant [734 Diversity Gitizen of AnotherStata [12 [2 incorporated and Principal Place[]5 C15
(indicate Citizenship of Parties in of Business In Anather State
Hem U1) Citizen or Subject of a [lis 3 Foreign Nation fe C6
Foreign Country :
IV. ORIGIN (PLACE AN "X" IN ONE BOX ONLY)
JK{ Original C-} Removed from {7] Remanded from CL] Reinstated or {271 Trans fered from (] Multidistrict (] Appeal to District
Proceeding State Court Appellate Court Reopened Another district Litigation Judge from Magistrate
(specify) Judgment
V. NATURE OF SUIT (PLACE AN *X"IN ONE BOX ONLY)
CONTRACT: | TORTS FORFEITURE/PENALTY BANKRUPTCY OTHER STATUTES
[71110 incurance PERSONAL INJURY PERSONAL INJURY C1610 Agriculture 1422 Appeal 28 USC 158 (71400 State Reapportionment
(2120 Marine —1310 Airplane (2) 362 Personal Injury 1620 Other Food & Drug [1423 Withdrawal 28 USC 157 | ["]410 Antitnest
71130 Miler Act F-1315 Alrplane Product Med Malpractice C1625 Drug Related Seleure of [1430 Bankes and Banking
[21140 Negotiable Instrument Liability (1366 Personal tnjury Property 21 USC 881 (1450 CommercelCC Rates/etc.
[1180 Recovery of Overpaymert [1320 Assault Libel & Product Liability {1630 Liquer Laws PROPERTY RIGHTS |[-14s0
& Enforcement of. Slander £1368 Asbestos Personal 640 RR & Truck [7470 Racketeer Influenced and
Judgment [1330 Federal Employers (Injury Product Liabillty [Cigse Aldine Regs (1820 Cepydghts Corrupt Organizations
(71481 Medicare Act Liability 1660 Occupational (]830 Patent (1810 Selective Service
{1182 Recovery of Defautted 7J540 Marine PERSONAL PROPERTY Safetytealth (is40 Trademark [1860 Securitles/Conmodities/
Student Loans (Excl [“]345 Marine Product (77370 Other Fraud . hang
Veterans) Uabllity {7371 Truth In Lending . ¢°]875 Cust Chatie
[2.1183 Recovery of Overpaymert _[")360 Motor Vehicle (1380 OtherPersona LABOR SOCIAL SECURITY 12 USC 3410 nee
of Veteran's Benefits f.1366 Motor Vehicie Property Damage 71891 Agricultural Acts
. 1746 Few Labor Standards Act |[1861 1A (1395) .
Cmpsacietin Sut | rosy | Cseroeetvommeee —(Erastucragpatanton(Seetaistang aa) |i taenie Sten
(71196 Contract Product Llablity Cizse {aborwamnt Reporting & shen Se Te 8!) | 188s Environmental Matters
17-1196 Franchise C1740 Rattway Labor Act T1865 RSI (405(g)) (1894 Enemy Allocation Act
}790 Other Labor Litigation ("1806 Fi of. ton
REAL PROPERTY CIVIL RIGHTS | PRISONER PETITIONS [F791 cmpunot.inc. Securtty | FEDERAL TAXSUITS | Act
7) 210 Land Condemnation [1441 Voting (ge10 Motion to Vacate Act 11870 Taxes (US Plaintiff or [1800 anemia Under
{7} 220 Foreclosure [1442 Employment Sentence Habeas Comus: Defendant Equal Access to Justice
(71230 Rent Lease & Ejectment E1443 Housing. [C530 General C1871 IRS - Third Party ['7]980 Constitutienality of State
(1240 Torts to Land sao Other Cl vil Fights - {C2538 Death Penaity 26 USC 7609 Statutes
[0] 246 Tort Product Liability 1448 Amer wi tea, - Empl 1540 Mandamus & Other (1800 Other Statutory Actions
[—] 290 All Other Real Property "1446 Amer wi disab - Other |1550 Civil Rights
1480 Consumer Credit [71555 Prison Condition
[1496 Cable/Satellite TV
Vi. CAUSE OF ACTION (CITE THE US CIVIL STATUTE UNDER WHICH YOU ARE FILING AND WRITE BRIEF STATEMENT OF CAUSE. DO NOT
CITE IRit ok STA
Ww Rit
Delis
Ne) UNLESS DIVERSITY)
PBEAS CORPY,
held 1~ NWolotion 01 BP
Twas dswed Pus Process Ave TF Ar
E> x KH? fpnevdment
Righk ,
Vil. REQU ESTED IN COMPLAINT: [J CHECK IF THISISACLASS ACTION DEMAND $f CHECK YES only if demanded in complaint:
JURY DEMAND: YES ["INO
Vil. RELATED CASE(S)
IF ANY
(PLACE AND “X” IN ONE BOX ONLY)
DATE
UNDER F.R.C.P. 23
“NOTICE OF RELATED CASE”.
IX. DIVISIONAL ASSIGNMENT (CIVIL L.R. 3-2)
D
SIGNATURE OF ATTORNEY OF RECORD
PLEASE REFER TO CIVIL L.R. 3-12 CONCERNING REQUIREMENT TO FILE
C) SAN JOSE
PDF Page 1
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Case 3:08-cv-01484-WHA Document1 — Filed 03/17 (2008 Page Me
gf
(Cast Est Cnifial) = ep cite
Prisoner Number BAVY¥ 323 oH,
Institutional Address G OY 55064 57 Oakland, CA 7760 7
. ri
- UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF CALIFORNIA
Charles Yohusow
a No
(Enter the full name of plaintiff in this action.)
2 REE é ; raf
(To be provided by tr 4484
,y :
vs. Ly
PETITION FORA OY
POW HA
fhe Ta SITE pF
CA FORALL AY
(Enter the full name of respondent(s) or jailor in this action)
Neen’ Nome” Nenana ‘eae “ene” Nene” Nene Neen” eam” Soe” See! Sse” Seam
°
=
:
Q
°
zx
Read Comments Carefully Before Filling In
and Where to File
You should file in the Northem District if you were convicted and sentenced in one of these
counties: Alameda, Contra Costa, Del Norte, Humboldt, Lake, Marin, Mendocino, Monterey, Napa,
San Benito, Santa Clara, Santa Cruz, San Francisco, San Mateo and Sonoma. You should also file in
this district if you are challenging the manner in which your sentence is being executed, such as loss of
good time credits, and you are confined in one of these counties. Habeas L.R. 2254-3(a).
If you are challenging your conviction or sentence and you were not convicted and sentenced in
one of the above-named fifteen counties, your petition will likely be transferred to the United States
District Court for the district in which the state:court that convicted and sentenced you is located. If... .
you are challenging the execution of your sentence and you are not in prison in one of these counties,
your petition will likely be transferred to the district court for the district that includes the institution
where you are confined. Habeas L:R. 2254-3(b).
PET. FOR WRIT OF HAB. CORPUS -1-
PDF Page 3
eo Se NBD ON eR WY Ne
No NYO NY NH NY NH NY YN NO =| =— = ee OO Se
Case 3:08-cv-01484-WHA Document 1 Filed 03/17/2008 Page2of13
Who to Name as Respondent,
You must name the person in whose actual custody you are. This usually means the Warden or
jailor. Do not name the State of Califomia, a city, a county or the superior court of the county in which
you are imprisoned or by whom you were convicted and sentenced. These are not proper
respondents.
If you are not presently in custody pursuant to the state judgment against which you seek relief
but may be subject to such custody in the future (e.g., detainers), you must name the person in whose
custody you are now and the Attorney General of the state in which the judgment you seek to attack
was entered.
A. INFORMATION ABOUT YOUR CONVICTION AND SENTENCE
1. What sentence are you challenging in this petition?
(a) Name and location of court that imposed sentence (for example; Alameda
County Superior Court, Oakland):
od pn COU w, eryonCwn] 0nklawd
Court Location
(b) Case number, if known 15D 866
(c) Date and terms of sentence__ /: A e/. OF LA” ov TBE
(d) —_ Are you now in custody serving this term? (Custody means being in jail, on
parole or probation, etc.) Yes ~ No
Where?
Name of Institution: CLE EZ. p\ VER Se /
Address: £0 64 SF, OAK /aatedy CA GY 607)
2. For what crime were you given this sentence? (If your petition challenges a sentence for
more than one crime, list each crime separately using Penal Code numbers if known. If you are
challenging more than one sentence, you should file a different:petition for each sentence.) .
Allied toletivx ef Paps SecTpw | 35 S
of Lewllh u. Lately, lods pwd (2038! of Ge Lennl Code
AAV plotionw De ce wnE dd, PALGES ce oped,
PET. FOR WRIT OF HAB. CORPUS ~2-
PDF Page 4
uo S&S YN DO OH BR WH LH =
NH N NH NN NO NR NR NC mm meet
on DBD UN he We NY § FS Oo Oe YN BOW HH KR BD NY SK CS
Case 3:08-cv-01484-WHA Document 1 Filed 03/17/2008 Page3of13
3. Did you have any of the following? .
Arraignment: Yes x No
Preliminary Hearing: Yess >< No____
Motion to Suppress: Yes Ke No
4, How did you plead?
Guilty NotGuilty > Nolo Contendere___
Any other plea (specify) ch A LY 65 Dp oped
PET. FOR WRIT OF HAB. CORPUS
5. If you went to trial, what kind of trial did you have? ” /. &
Jury Judge alone_____—- Judge alone on atranscript_
6. Did you testify at your trial? 4/ /A- Yess No____
7. Did you have an attomey at the following proceedings:
(a) Arraignment Yes Xx No
(b) _—_— Preliminary hearing Yes K No__
(c) Time of plea Yes No_
(d) ‘Trial Yes No____
(e) Sentencing Yes. No_
(f) Appeal Yes No__
(g) Other post-conviction proceeding Yes a No_
8. Did you appeal your conviction? /# Yes_ = No__
(a) If you did, to what court(s) did you appeal?
Court of Appeal Yes. (ws NO
Year: Result:
Supreme Court of California Yes No
Year: Result;
-Any other court - - Yes - -No
Year: Result:
-3-
(b) If you appealed, were the grounds the same as those that you are raising in this
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Case 3:08-cv-01484-WHA Document 1 Filed 03/17/2008 Page4of13
petition? Yes No
(c) Was there an opinion? Yes __ No
(d) Did you seek permission to file a late appeal under Rule 31(a)?
Yes No
If you did, give the name of the court and the result:
9. Other than appeals, have you previously filed any petitions, applications or motions with respect to
this conviction in any court, state or federal? Yes No
[Note: If you previously filed a petition for a writ of habeas corpus in federal court that
challenged the same conviction you are challenging now and if that petition was denied or dismissed
with prejudice, you must first file a motion in the United States Court of Appeals for the Ninth Circuit
for an order authorizing the district court to consider this petition. You may not file a second or
subsequent federal habeas petition without first obtaining such an order from the Ninth Circuit. 28
ULS.C, §§ 2244(b).]
(a) If you sought relief in any proceeding other than an appeal, answer the following
questions for each proceeding. Attach extra paper if you need more space.
I. Name of Court: LL, L, la
Type of Proceeding:
Grounds raised (Be brief but specific):
a.
b.
c.
d.
_. Result:.. oe oe, : Date of Result.
If, Name of Court: _v/p-
Type of Proceeding:
Grounds raised (Be brief but specific):
PET. FOR WRIT OF HAB. CORPUS -4-
PDF Page 6
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Oo S&S NSN BO AH Be WY KN
NoHo NO NO NO NO NH BO NO RO mmm mim mm lm let
a
Case 3:08-cv-01484-WHA Document 1 Filed 03/17/2008 Page5of13
b.
c.
d.
Result: Date of Result:
Ill. = Name of Court: ed Pr
Type of Proceeding:
Grounds raised (Be brief but specific):
a.
b.
c.
d.
Result: Date of Result;
IV. Name of Court: fo. J A
Type of Proceeding:
Grounds raised (Be brief but specific):
a.
b,
c.
d.
Result: Date of Result;
(b) Is any petition, appeal or other post-conviction proceeding now pending in any court?
Yes No.2<
Name and location of cout: “7A
B. GROUNDS FOR RELIEF.
State briefly every reason that you believe you are being confined unlawfully. Give facts to
support each claim. For example, what legal right or privilege were you denied? What happened?
Who made the error? Avoid legal arguments with numerous case citations. Attach extra paper if you
PET. FOR WRIT OF HAB. CORPUS -5-
Case 3:08-cv-01484-WHA Document 1 Filed 03/17/2008 Page7 of 13
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Case 3:08-cv-01484-WHA Document 1 Filed 03/17/2008 Page9of13
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Case 3:08-cv-01484-WHA Document 1 Filed 03/17/2008 Page 10 of 13
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PDF Page 13
Case 3:08-cv-01484-WHA Document1 Filed 03/17/2008 Page 12 of 13
Oo F&F NN AO UN SF WY HH =
List, by name and citation only, any cases that you think are close factually to yours so that they
are an example of the error you believe occurred in your case. Do not discuss the holding or reasoning
of these cases:
Zz se Wagworr. 00S) 127 Cal app ¥* [22 IS
fboply Vv. Sa Th 970) 12. Cof tye 3d. 32h 526, 22
Loree Ssey U Sixt web. YIF2) YOR VEY? L, 72S. C72578
Do you have an attomey for this petition? Yes, Nox
If you do, give the name and address of your attorney:
WHEREFORE, petitioner prays that the Court grant petitioner relief to which s/he may be entitled in
this proceeding. I verify under penalty of perjury that the foregoing is true and correct.
Executed on 3/Yfo S Arb dbrser
Date sieGMure of Petitioner
(Rev. 6/02)
PET. FOR WRIT OF HAB. CORPUS -7-.
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. Case 3:08-cv-01484-WHA Document 1 Filed 03/17/2008 Page 13 of 13
4S 44 - CAND (Rev 11/04)
CIVIL COVER SHEET
The JS-44 civi cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by
law, except as provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of
the Clerk of Court for the purpose of initiating the civil docket sheet. (SEE INSTRUCTIONS ON PAGE TWO.)
((a) PLAINTIFFS DEFENDANTS
~ - o cteots oF Crh Furwn
£ PPr ss a
(b) COUNTY OF RESIDENCE OF FIRST LISTED PLAINTIFF A IAN ES
(EXCEPT IN U.S. PLAINTIFF CASES)
OPW AS
J,
GOUNTY OF RESIDENCE OF FIRST LISTED DEFENDANT _/9/,
(IN U.S. PLAINTIFF CASES ONLY)
IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE
TRACT OF LAND INVOLVED.
NOTE:
(c) ATTORNEYS (FIRM NAME, ADDRESS. AND TELEPHONE NUMBER) ATTORNEYS (IF KNOWN)
|
Il. BASIS OF JURISDICTION (PLACE AN’® IN ONE BOX ONLY)
Il. CITIZENSHIP OF PRINCIPAL PARTIES (¢ptace an oc In ONE BOX FOR PLAINTIFF
(For diversity cases only) AND ONE BOX FOR DEFENDANT)
C1 US. Goverment _ PTF DEF PTF DEF
Plaintiff [2133 Federal Question Cltizen of This State xt bet incorporated or PrincipalPlace [—]4 [714
(U.S. Government Not a Party) of Business In This State
Ki U.S. Govemment
Defendant [734 Diversity Gitizen of AnotherStata [12 [2 incorporated and Principal Place[]5 C15
(indicate Citizenship of Parties in of Business In Anather State
Hem U1) Citizen or Subject of a [lis 3 Foreign Nation fe C6
Foreign Country :
IV. ORIGIN (PLACE AN "X" IN ONE BOX ONLY)
JK{ Original C-} Removed from {7] Remanded from CL] Reinstated or {271 Trans fered from (] Multidistrict (] Appeal to District
Proceeding State Court Appellate Court Reopened Another district Litigation Judge from Magistrate
(specify) Judgment
V. NATURE OF SUIT (PLACE AN *X"IN ONE BOX ONLY)
CONTRACT: | TORTS FORFEITURE/PENALTY BANKRUPTCY OTHER STATUTES
[71110 incurance PERSONAL INJURY PERSONAL INJURY C1610 Agriculture 1422 Appeal 28 USC 158 (71400 State Reapportionment
(2120 Marine —1310 Airplane (2) 362 Personal Injury 1620 Other Food & Drug [1423 Withdrawal 28 USC 157 | ["]410 Antitnest
71130 Miler Act F-1315 Alrplane Product Med Malpractice C1625 Drug Related Seleure of [1430 Bankes and Banking
[21140 Negotiable Instrument Liability (1366 Personal tnjury Property 21 USC 881 (1450 CommercelCC Rates/etc.
[1180 Recovery of Overpaymert [1320 Assault Libel & Product Liability {1630 Liquer Laws PROPERTY RIGHTS |[-14s0
& Enforcement of. Slander £1368 Asbestos Personal 640 RR & Truck [7470 Racketeer Influenced and
Judgment [1330 Federal Employers (Injury Product Liabillty [Cigse Aldine Regs (1820 Cepydghts Corrupt Organizations
(71481 Medicare Act Liability 1660 Occupational (]830 Patent (1810 Selective Service
{1182 Recovery of Defautted 7J540 Marine PERSONAL PROPERTY Safetytealth (is40 Trademark [1860 Securitles/Conmodities/
Student Loans (Excl [“]345 Marine Product (77370 Other Fraud . hang
Veterans) Uabllity {7371 Truth In Lending . ¢°]875 Cust Chatie
[2.1183 Recovery of Overpaymert _[")360 Motor Vehicle (1380 OtherPersona LABOR SOCIAL SECURITY 12 USC 3410 nee
of Veteran's Benefits f.1366 Motor Vehicie Property Damage 71891 Agricultural Acts
. 1746 Few Labor Standards Act |[1861 1A (1395) .
Cmpsacietin Sut | rosy | Cseroeetvommeee —(Erastucragpatanton(Seetaistang aa) |i taenie Sten
(71196 Contract Product Llablity Cizse {aborwamnt Reporting & shen Se Te 8!) | 188s Environmental Matters
17-1196 Franchise C1740 Rattway Labor Act T1865 RSI (405(g)) (1894 Enemy Allocation Act
}790 Other Labor Litigation ("1806 Fi of. ton
REAL PROPERTY CIVIL RIGHTS | PRISONER PETITIONS [F791 cmpunot.inc. Securtty | FEDERAL TAXSUITS | Act
7) 210 Land Condemnation [1441 Voting (ge10 Motion to Vacate Act 11870 Taxes (US Plaintiff or [1800 anemia Under
{7} 220 Foreclosure [1442 Employment Sentence Habeas Comus: Defendant Equal Access to Justice
(71230 Rent Lease & Ejectment E1443 Housing. [C530 General C1871 IRS - Third Party ['7]980 Constitutienality of State
(1240 Torts to Land sao Other Cl vil Fights - {C2538 Death Penaity 26 USC 7609 Statutes
[0] 246 Tort Product Liability 1448 Amer wi tea, - Empl 1540 Mandamus & Other (1800 Other Statutory Actions
[—] 290 All Other Real Property "1446 Amer wi disab - Other |1550 Civil Rights
1480 Consumer Credit [71555 Prison Condition
[1496 Cable/Satellite TV
Vi. CAUSE OF ACTION (CITE THE US CIVIL STATUTE UNDER WHICH YOU ARE FILING AND WRITE BRIEF STATEMENT OF CAUSE. DO NOT
CITE IRit ok STA
Ww Rit
Delis
Ne) UNLESS DIVERSITY)
PBEAS CORPY,
held 1~ NWolotion 01 BP
Twas dswed Pus Process Ave TF Ar
E> x KH? fpnevdment
Righk ,
Vil. REQU ESTED IN COMPLAINT: [J CHECK IF THISISACLASS ACTION DEMAND $f CHECK YES only if demanded in complaint:
JURY DEMAND: YES ["INO
Vil. RELATED CASE(S)
IF ANY
(PLACE AND “X” IN ONE BOX ONLY)
DATE
UNDER F.R.C.P. 23
“NOTICE OF RELATED CASE”.
IX. DIVISIONAL ASSIGNMENT (CIVIL L.R. 3-2)
D
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