Notice Of Intent To Pursue Postconviction Or Postdisposition Relief {CA-110}

STATE OF WISCONSIN, CIRCUIT COURT, ) ,) ) ) ) ) ) ) ,) ) ) COUNTY For Official Use Plaintiff(s) -vs- Notice of Intent to Pursue Postconviction or Postdisposition Relief Defendant(s) Case No. Notice is hereby given that (name of party filing appeal) (address) , , intends to pursue postconviction or postdisposition relief from the final judgment or order entered on (date) in the circuit court for , presiding, case no. County, the , Honorable (name of Judge) wherein the court (describe judgment or order) . The name and address of the appellant's trial counsel, if any, is: . The appellant's trial counsel: [choose one] was OR was not appointed by the state public defender. If have improved OR have not trial counsel was appointed, my financial circumstances: [choose one] improved since the date on which my indigency was determined. The appellant: [choose one] does or does not request representation by the state public defender for purposes of postconviction or postdisposition relief. If the appellant does not request representation by the state public defender, the appellant: [choose one] will represent him/herself OR will be represented by retained counsel. If appellant has retained counsel, the name and address of retained counsel is: . Date: Signature of Filing Attorney or Party Telephone Number Name Printed or Typed State Bar Number (if applicable) Address CA-110, 10/07 Notice of Intent to Pursue Postconviction or Postdisposition Relief §809.30(2)(b), Wisconsin Statutes (includes criminal cases and cases under Chapters 48, 51, 55 & 938) American LegalNet, Inc. www.FormsWorkFlow.com Notice of Intent to Pursue Postconviction or Postdisposition Relief Page 2 of 2 This completed form must be filed with the clerk of the circuit court in which the judgment or order appealed from was entered. In addition, copies of this completed form must be served upon the following: 1. the prosecutor; 2. opposing counsel; and 3. any other party. CA-110, 10/07 Notice of Intent to Pursue Postconviction or Postdisposition Relief §809.30(2)(b), Wisconsin Statutes American LegalNet, Inc. www.FormsWorkFlow.com (includes criminal cases and cases under Chapters 48, 51, 55 & 938)