1817 West Farms Rd, Suite 307
Bronx, NY 10460
Attn: C. Steen

Nationwide Free Legal Services for State & Federal Prisoners
(Specializing in Sentencing Issues – First, Second, Third, Habitual & Career Offenders

• Full Name: ______________________________________________
  
  
• Prison Number: __________________________________________
  
  
• Prison Address: __________________________________________
  
  
• State: _____________________ Zip Code: _________________
  
  
• Date of Birth: ______________ Race: __________ Sex: ☐ Male ☐ Female
  
  

• Court Docket Number (if known): ___________________________
  
  
• Date of Arrest: ___________________ County Court: ___________________
  
  
• Statute Violated: _________________________________________
  
  
• Plea or Trial: ____________________________________________
  
  
• Sentence Type: ☐ First ☐ Second ☐ Third ☐ Habitual ☐ Career Offender
  
  

• Appeal Filed? ☐ Yes ☐ No
  
  
• Post-Conviction Filed? ☐ Yes ☐ No
  
  
• Federal Sentence Before State Sentence? ☐ Yes ☐ No
  
  

Our services are free, but you are responsible for:

• Court records & copy costs
  
  
• $20 processing fee (covers first month postage + newsletter)
  
  
• $8 monthly correspondence fee until your case is resolved
  
  

☐ I agree to pay the required $20 processing fee (waived if I already have my records).
☐ I agree to pay $8 per month for correspondence until my case is resolved.

⚠️ Important Notice:
If the monthly $8 fee is not paid, the courts may dismiss your case, and we are not obligated to reply to court correspondence on your behalf. To avoid delays or dismissal, be mindful to pay each month until your case is fully resolved.

Payments can be made:

• Through the Department of Corrections (DOC)
  
  
• By family members, payable to our mailing address below
  
  

• CashApp: $iilpagroup (look for the white justice symbol)
  → After payment, email iilpagroup@gmail.com with Name, Prison No., State, and Prison Address for verification.
  
  
• By Mail:
  Payable to:
  Independent Legal Prisoners Association Group LLC
  Attn: Ms. Steen
  1817 West Farms Rd, Suite 301
  Bronx, NY 10604
  
  

Signature: ___________________________________ Date: _______________