Affidavit of Desistance

AFFIDAVIT OF DESISTANCE

REPUBLIC OF THE PHILIPPINES )
_____________________________ ) SS.

I, _____________________________, Filipino, of legal age, single/married to _____________________________, and a resident of _____________________________, after having been duly sworn in accordance with law, hereby depose and say:

1. I am the complaining witness for _____________________________ against _____________________________ in the case entitled "_____________________________", Criminal Case No. _________, (court branch);

2. (Give the reason/s for the desistance here, e.g., for B.P. 22 violation, "That in view of the payment in full by the accused, I would like to manifest that I am no longer interested in the prosecution of the aforementioned criminal case.")

3. I am respectfully requesting the Honorable Public Prosecutor to move for the dismissal of the aforementioned case against the accused.

SUBSCRIBED AND SWORN to before me this ___ day of _______________ at _____________, Philippines.

(Name)                      
Public Prosecutor