Republic of the Philippines’
Regional Trial Court
____ Judicial Region
Branch ____
AFFIDAVIT OF DESISTANCE
I ____________ Filipino, of legal age, a resident of
____________________________________, after having been duly sworn to in
accordance with law, depose and state;
1. That I am the private complainant in a criminal case for violation of
____________________, against _____________________________,
docketed as criminal case number _______________, pending before the
Regional Trial Court of ______________ Branch ________;
2. After several conferences with the accused, I hereby declare that the same
arose out of pure misunderstanding and misapprehension of facts;
3. Based on the said misunderstanding, misapprehension of facts, and also for
the welfare of our child, I manifest that I now withdraw my complaint
against the accused and that I am no longer interested, and I hereby desist in
prosecuting the above mentioned case;
4. This Affidavit of Desistance should, however, not be understood as a
waiver, or relinquishment of any ________________ of my rights to pursue
any legal action that I may file in connection with any act or omission that
the accused may commit in the future;
5. I hereby released the accused from any and all criminal liabilities and
waived any right of action against the accused in connection with the above
case;
6. I fully understand the legal consequences of this Affidavit of Desistance;
7. I am executing this Affidavit of Desistance to attest to the truth of the
foregoing statements and respectfully pray that the aforementioned case
against_______________________ be withdrawn and/or dismissed.
IN WITNESS WHEREOF, I have signed this Affidavit this ___________ day
of _____________ 2022, at the municipality of _______________________
province of ___________________.
AFFIANT
SUBSCRIBED AND SWORN to before me this__________________ day of
__________________ 2022, in the municipality of
__________________province of _____________________, Philippines.