Sample of Affidavit of Desistance
Sample of Affidavit of Desistance
Province of Pampanga
) S.S.
City of San Fernando
)
x------------------------x
AFFIDAVIT OF DESISTANCE
I, ______________ of legal ages, Filipino, married, and a resident of Sto
Tomas, Pampanga, Philippines, after having been duly sworn in accordance with
law, hereby depose and say:
That I am the private complainant in the criminal case entitled
"____________________ docketed as ______________ before the Office
of the Provincial Prosecutor, City of San Fernando, Pampanga, Philippines;
That I believe that the incident was a case of misunderstanding;
That the items taken from me consisting of _____________________________
was immediately recovered and with the custody of the Philippine National
Police in Camp Olivas and will be released to me upon termination of this
case:
That I have been reimbursed for other incidental expenses I have incurred prior
to and during the filing of this case by the relatives of the respondents;
In view of the foregoing, I finally manifest that I now completely and
absolutely exonerate the respondents____________________________
from any liability in connection with the above-mentioned criminal case and
that I am no longer interested, and I hereby desist, in prosecuting the said
criminal case;
That I execute this Affidavit of Desistance so that the above-mentioned criminal
case be immediately dismissed and considered finally closed
As such, I am respectfully praying that the aforementioned case against the
respondents___________________________ be dismissed and finally
closed.
IN WITNESS WHEREOF, I have hereunto set my hand this ____ of
________ at City of San Fernando, Pampanga, Philippines.
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ADMINISTERING
OFFICER
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