Fill and Sign the Motion Amend Form

Criminal Action No. _______ , _______ , _______ _______ JUDICIAL DISTRICT COURT IN AND FOR THE PARISH OF _______ , STATE OF LOUISIANA STATE OF LOUISIANA VS __________________ * * * MOTION TO AMEND SENTENCE AND EXTEND EXECUTORY DATE NOW INTO COURT, through undersigned counsel comes your Defendant, ______________ , who respectfully represents the following: I. Your Defendant plead guilty and was sentenced on _______ ___ , 20 ___ , to a term of imprisonment of _______ ( ___ ) years at hard labor, with the term of imprisonment suspended with the exception of _______ ( ___ ) years. That _______ ( ___ ) year period was made executory on _______ ___ , 20 ___ . II. Due to medical problems experienced by the Defendant, your Defendant, ______________ , respectfully requests that this Court amend its sentence of _______ ___ , 20 ___ , to reflect that said sentence is to become executory on _______ ___ , 20 ___ , at _______ o’clock ___ .M. III. Your Defendant, ______________ , prays that this Honorable Court amend its sentence of _______ ___ , 20 ___ , to make said jail term executory on _______ ___ , 20 ___ . Respectfully Submitted: ___________________________ ______________ _______ Parish I.D. Board ______________ ___________ , LA _______ ( ___ ) _______ Criminal Action No. _______ , _______ , _______ _______ JUDICIAL DISTRICT COURT IN AND FOR THE PARISH OF _______ , STATE OF LOUISIANA STATE OF LOUISIANA VS _________________ * * * ORDER Considering the fore going motion, IT IS ORDERED that the sentence imposed by this Court on the above-named Defendant, ______________ , which sentence was imposed on _______ ___ , 20 ___ , be and is hereby amended to reflect that the _______ ( ___ ) year prison term imposed by this court is to become executory on _______ ___ , 20 ___ , at _______ o’clock ___ .M. Signed this _____ day of ____________, 20 ___ at _____________, Louisiana. ____________________________ DISTRICT JUDGE