Form JD-CR-171 "Withdrawal of Application for Review of Sentence" - Connecticut (English/Spanish)

What Is Form JD-CR-171?

This is a legal form that was released by the Connecticut Judicial Branch - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2015;
  • The latest edition provided by the Connecticut Judicial Branch;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form JD-CR-171 by clicking the link below or browse more documents and templates provided by the Connecticut Judicial Branch.

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Download Form JD-CR-171 "Withdrawal of Application for Review of Sentence" - Connecticut (English/Spanish)

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WITHDRAWAL OF APPLICATION
STATE OF CONNECTICUT
FOR REVIEW OF SENTENCE
SUPERIOR COURT
SENTENCE REVIEW DIVISION
JD-CR-171 New 4-15
C.G.S. §§ 51-194 through 51-197
www.jud.ct.gov
Inmate number
Inmate Name
Name and Judicial District of Sentencing Court
Docket Number(s) of all cases in my Application for Review of Sentence
I withdraw my Application for Review of the sentence imposed in the case(s) listed above.
I understand fully that, if the court grants the withdrawal of my Application for Review of my sentence, I will NOT be allowed
to file another Application for Review of any sentence already imposed in the case(s) listed above, and I am saying that
I DO NOT WANT THE CASE(S) IN MY APPLICATION FOR REVIEW OF SENTENCE TO BE HEARD by the Sentence
Review Division of the Superior Court
Inmate Number
Date
Signature of Inmate
Location:
Middletown, CT, Courtroom 3A
Other
WITNESS STATEMENT:
I acknowledge that the inmate listed above voluntarily signed this Withdrawal of Application for Review of Sentence.
Date
Title
SIGNED (Commissioner of the Superior Court/Corrections Official
Printed Name
ADA NOTICE
The
Judicial
Branch
of
the
State
of
Connecticut complies with the Americans with
Disabilities
Act
(ADA).
If
you
need
a
reasonable accommodation in accordance
with the ADA, contact a court clerk or an ADA
contact person listed at www.jud.ct.gov/ADA.
Print Form
Reset Form
WITHDRAWAL OF APPLICATION
STATE OF CONNECTICUT
FOR REVIEW OF SENTENCE
SUPERIOR COURT
SENTENCE REVIEW DIVISION
JD-CR-171 New 4-15
C.G.S. §§ 51-194 through 51-197
www.jud.ct.gov
Inmate number
Inmate Name
Name and Judicial District of Sentencing Court
Docket Number(s) of all cases in my Application for Review of Sentence
I withdraw my Application for Review of the sentence imposed in the case(s) listed above.
I understand fully that, if the court grants the withdrawal of my Application for Review of my sentence, I will NOT be allowed
to file another Application for Review of any sentence already imposed in the case(s) listed above, and I am saying that
I DO NOT WANT THE CASE(S) IN MY APPLICATION FOR REVIEW OF SENTENCE TO BE HEARD by the Sentence
Review Division of the Superior Court
Inmate Number
Date
Signature of Inmate
Location:
Middletown, CT, Courtroom 3A
Other
WITNESS STATEMENT:
I acknowledge that the inmate listed above voluntarily signed this Withdrawal of Application for Review of Sentence.
Date
Title
SIGNED (Commissioner of the Superior Court/Corrections Official
Printed Name
ADA NOTICE
The
Judicial
Branch
of
the
State
of
Connecticut complies with the Americans with
Disabilities
Act
(ADA).
If
you
need
a
reasonable accommodation in accordance
with the ADA, contact a court clerk or an ADA
contact person listed at www.jud.ct.gov/ADA.
Print Form
Reset Form
RETIRO DE LA SOLICITUD DE
ESTADO DE CONNECTICUT
REVISIÓN DE SENTENCIA
TRIBUNAL DE PRIMERA INSTANCIA
JD-CR-171S
New 4-15
DIRECCIÓN DE REVISIÓN DE PENAS
C.G.S. §§ 51-194 through 51-197
www.jud.ct.gov
Nombre del recluso
Número de identidad del recluso
Nombre y Distrito Judicial del Tribunal Sentenciador
Números de expediente de todos los casos incluidos en mi solicitud de revisión de pena
Retiro mi solicitud de revisión de la pena impuesta en cada uno de los casos enumerados arriba.
Entiendo plenamente que No se me permite presentar otra solicitud para la revisión de ninguna pena que haya sido
impuesta en lo relativo a alguna causa arriba mencionada, e indico que NO DESEO QUE SE ME DE AUDIENCIA SOBRE
LOS CASOS INCLUIDOS EN MI SOLICITUD DE REVISIÓN DE PENA por la Dirección de Revisión de Penas del Tribunal
de Primera Instancia
Fecha
Firma del recluso
Número de identidad del recluso
Ubicación:
Middletown, CT, Sala 3A
Otra
DECLARACIÓN DE TESTIGO:
Reconozco que el recluso arriba nombrado firmó de manera voluntaria el retiro de la solicitud de revisión de sentencia.
Cargo
FIRMA (Comisionado del Tribunal de Primera Instancia/Funcionario del Régimen Penitenciario
Fecha
Nombre en letra de molde
AVISO DE LA LEY ADA
La Rama Judicial del Estado de Connecticut
cumple con los requisitos de la Ley de
Estadounidenses con Discapacidades (ADA, por
sus siglas en inglés). Si necesita un ajuste
razonable acorde con la ley ADA, comuníquese
con un funcionario de la Secretaría o algún
delegado de ADA cuyos nombres aparecen en la
página Web: www.jud.ct.gov/ADA.
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Reset Form
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