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.