REPUBLIC OF THE PHILIPPINES)

CITY OF ______ ) S.S.

AFFIDAVIT OF DESISTANCE

I, _____________, of legal ages, Filipino, (single / married / widow), and a

resident of _____________, 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

_____________ for _________________ docketed as _____________ before
_____________ Trial Court, Branch _______, _____________ City, Philippines;

That after a thorough analysis of my memories of the incident that

occurred on _____________________________, I have realized that I cannot
point out, beyond reasonable doubt that the accused _____________, committed
the above stated crime of _____________ on ____________________, as it was
too dark to discern the features of the perpetrator with any degree of certainty;

Since I could not state with certainty and without doubt the liability of the
accused ____________________, I feel compelled to withdraw my complaint
against him and I clear him of whatever responsibility or liability to me;

That in view of the foregoing, I finally manifest that I now completely and
absolutely exonerate the accused _____________ 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 and the
bond posted by the herein accused be released to him;

As such, I respectfully pray that the aforementioned case against the

Accused _____________ be dismissed and finally closed.

IN WITNESS WHEREOF, I have hereunto set my hand this

_____________ at _____________ City, Philippines.

_________________
Affiant