Republic of the Philippines - - -)

Bacolod City - - - - - - - - - - - - - -)SS.

AFFIDAVIT OF DESISTANCE
I, ______________________________, of legal age, _______________, Filipino
and a resident of ______________________________________, after haing been
s!orn in accordance !ith la!, hereby depose and say that"
#. I a$ the priate co$plainant in a case for __________________________
filed against______________________ before the %ffice of the City Prosecutor doc&et
as______________________________________'
(. )o!eer, a thorough in*uiry as to the pertinent facts of the case reeals
that the sa$e !as $erely brought about by a $isunderstanding'
+. In ie! of the foregoing, I a$ no longer interested in pursuing the
afore$entioned cri$inal case, _________________________________, haing already
sincerely as&ed for $y apologies.
WHEREFORE, I a$ hereby desisting fro$ further prosecuting the
aboe$entioned cri$inal case, and a$ a$enable to the dis$issal of the sa$e.
IN TRUTH AND WITNESS WHEREOF, I hae hereunto affi,ed $y hand this
____________________________ in Bacolod City, Philippines.
_____________________________
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME, this
___________________________in Bacolod City, Philippines. I further certify that I hae
personally e,a$ined the affiant and I a$ fully satisfied that he has freely and oluntarily
e,ecuted and understood the contents of the foregoing -ffidait of .esistance.