REPUBLIC OF THE PHILIPPINES)

PROVINCE OF [PROVINCE] )S.S.

CITY/MUN. OF [TOWN] )
x-------------------------x

AFFIDAVIT OF DESISTANCE

I, [CLICK HERE AND TYPE NAME] , of legal age, single,

Filipino, and a resident of [Address] , after having been duly sworn to
in accordance with law, do hereby depose and say:

1. That I am the same private complaint in Crim. Case No. [Docket

No.] , entitled “People of the Philippines, plaintiff, versus,
[ACCUSED] , accused.” for [SUBJECT COMPLAINT] and pending
proceedings before the [COURT] of [Address] ;

1. That after thoroughly going over the circumstances which led into
the filing of the instant complaint, I found out that I had an
erroneous conclusion of facts and law;

2. That the said [ACCUSED] could not have perpetrated the act/s
complained of and I could not, by conscience, file a case against an
innocent person who is also a townmate;

3. That I have no complaints as against said [ACCUSED] , either

civilly or criminally in nature;

4. That I am executing this affidavit, freely and voluntarily, and

without force or intimidation and threat whatsoever from other
parties, to attest to the truth of the foregoing facts for all legal
intents and purposes and I further certify that the contents of this
affidavit had been duly explained in the dialect I understand and
speak.

IN TESTIMONY WHEREOF, I have hereunto set my hand this 21

day of April, 2020 at [Town, Province] .

[CLICK HERE AND TYPE NAME]

Affiant
ID Card No. [Number] ;
Issued on [Date] at [Place] ;
CTC No. [Number] ;
Issued on [Date] at [Place] ;

SUBSCRIBED AND SWORN to before me this 21 day of April,

2020 at [Town, Province] .
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