Republic of the Philippines }
City of San Fernando, Pampanga } S.S.
AFFIDAVIT OF DESISTANCE
I, ________________________, Filipino, of legal age. and with postal address
at _____________________________, after being sworn according to law, depose and
say that:
1. I am the Private Complainant in the case entitled,
“___________________________, Criminal Case No. _________, For
_____________________________________, which case is now pending before
the MTCC Branch ________ - San Fernando, Pampanga;
2. After mulling over the incident that led to the filing of this case, the parties have
mutually agreed to settle the case amicably.
3. Because of these recent developments, I am no longer interested in and will desist
from prosecuting the criminal case for Estafa against
___________________________________), and will instead request that the City
Prosecutor assigned to the case to move for the withdrawal of any Information or
complaint filed and/or the dropping of Criminal Case No. ____________.
4. I fully understand that, when this case is dismissed, I will no longer be able to
revive the case against him for the same subject matter.
5. I knowingly make this sworn statement of my own free will and volition, and I
further state under oath that I was not coerced to do so, nor under duress at the
time of executing this affidavit of desistance.
6. I am executing this affidavit to attest to the truth of the foregoing, and for the
purpose of causing the dismissal of Criminal Case No. __________ against
__________________________________.
IN WITNESS WHEREOF, we have hereunto set my hand this _______ day of
September, 2018 in the City of San Fernando, Pampanga.
______________________________
Affiant
Republic of the Philippines }.
City of San Fernando, Pampanga } S.S.
SUBSCRIBED AND SWORN, to before me this ______ day of ____________,
2018 in the City of San Fernando, Pampanga, Philippines, affiant exhibiting to me his
____________________________ issued at ___________________ with expiry date
_______________.
WITNESS MY HAND AND NOTARIAL SEAL on the date and at the place first
above-written.
Notary Public
Doc. No. ______
Page No. ______
Book No. ______
Series of 2018.