CERTIFICATE OF DEATH PENALTY CASE Fourth Circuit Local Rule 22(b)
U.S. District Court for the Case Caption:
Counsel for Petitioner/Defendant (name, address, phone)
Counsel for Respondent/Plaintiff: (name, address, phone)
Institution of Incarceration: Explanation of Emergency Nature of Proceedings
Has petitioner/defendant previously filed cases in federal court? [ ] No [ ] Yes (give court, caption, number, filing date, disposition and disposition date)
Does petitioner/defendant have cases pending in other courts? [ ] No [ ] Yes (give court, caption, number, filing date and status)
I hereby certify under penalty of perjury that the petitioner/defendant is presently under a sentence of death and that the information provided on this form is currently accurate and correct. Date Signature
Note:
The Court of Appeals will periodically request case status reports. Counsel is under a continuing affirmative obligation to immediately notify the Fourth Circuit of any changes or additions to the information contained on this form. In cases with a pending execution date, counsel must provide the Court of Appeals with four copies of all documents filed in the U.S. District Court and any pertinent state court materials.