Affidavit of Desistance

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REPUBLIC OF THE PHILIPPINES)

CITY OF CEBU ) S.S.

AFFIDAVIT OF DESISTANCE

I, Juan del la Cruz, of legal age, single, and a resident of # 123 Main St., Malate,
Manila, after having duly sworn to in accordance with law hereby depose and state:

1. I am the complaining witness for Serious Physical Injuries against Jesus


Santos in the case entitled "People of the Philippines versus Jesus Santos",
Criminal Case No. 12345, Metropolitan Trial Court, Branch No. 11, City of Manila.

2. After my sober and soul searching assessment and analysis of the incident, I
have realized that because I was not wearing my eyeglasses and it was dark, I can not
point out, without a doubt the accused or any other person/s who inflicted harm
against me.

3. Since I could not state with certainty and without doubt the liability of Jesus
Santos, in fairness to him, I am permanently withdrawing my complaint against him. I
clear him of whatever responsibility or liability to me.

4. I hereby inform the City Prosecutor of Cebu that I am withdrawing my


complaint for …..

5. I likewise request the Metropolitan Trial Court, Branch No. 11, City of Manila
to dismiss with prejudice the said criminal case.

IN WITNESS WHEREOF, I hereby set my hand this __ day of September 20__


at the City of Manila.

KIM JOHN LOZADA SEGOVIA


Complaining Witness

SUBSCRIBED AND SWORN to before me this 12th day of November 20__ at the
City of Cebu, Philippines.

Romeo Abad
Public Prosecutor

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