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REPUBLIC OF THE PHILIPPINES)

) S. S.

AFFIDAVIT OF DESISTANCE
I, ___________, of legal age, Filipino, with address at
_____________, after having been duly sworn to in accordance with
law, hereby depose and state that:

1. I am the Private Complainant in the case entitled “People of


the Philippines vs. _______________” docketed as
Criminal Case Nos._______________ For ____________
pending before the Metropolitan Trial Court Branch_____;

2. After analysis and reflection of the incident subject of this case,


I decided that I am no longer interested in pursuing the case
being mere misunderstanding on my part and accused and for
which reason, I permanently withdraws the foregoing complaint
filed against________________, with prejudice.

3. I am therefore executing the foregoing Affidavit of Desistance to


manifest my lack of interest to proceed with the aforementioned
case against_____________.

4. I affirm and attest to the truth of the foregoing statements.

IN WITNESS WHEREOF, I have hereunto affixed my signature


this 21st day of May 2019 in ____________, Metro Manila, Philippines.

_________________
Affiant
SUBSCRIBED AND SWORN TO before me this ____ day of
____________ in ____________, Metro Manila, Philippines, affiant
exhibiting to me her _______________.

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of ____.

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