Affidavit of Desistance Sample

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Republic of the Philippines )

City of Manila ) s.s

AFFIDAVIT OF DESISTANCE

I, _______________, of legal age, Filipino, and single, after having


been duly sworn to in accordance with law, hereby depose and say, that:

1. That I am the private complainant in _____________ against the


___________________ for the crime of VIOLATION OF BATAS
PAMBANSA BLG. 22 (4 counts) now pending before
_____________iled against the aforesaid accused for the reason that I
came to realize that the same arose from misunderstanding and
misapprehension of facts between me and the aforesaid accused which
led to filing of this case;
2. That I executed this affidavit freely and voluntarily and for the
purpose of withdrawing my complaint against the accused
_______________ and I am fully aware of the consequences thereof;
3. That I know that I can no longer re-file and continue prosecuting this
case once this case be dismissed against the accused,
_______________
4. That this affidavit had been read to me in Tagalog and that I
understood the contents and consequences of the same;
5. That I am executing this affidavit to attest to the truthfulness of all the
foregoing facts.

IN WITNESS WHEREOF, I have hereunto affixed my signature


this ___________ in the City of Manila, Philippines.

Affiant

SUBSCRIBED AND SWORN to before me, this


_________________, in the City of Manila.

________________________
Asst. City Prosecutor

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