(Affidavit of Desistance Theft)

Republic of the Philippines)

Province of_________________) S.S.
City/Municipality of ____________)
x------------x
AFFIDAVIT OF DESISTANCE
I,__________, of legal ages, Filipino,(single /
married / widow), and a resident of ____________,
Philippines, after having been duly sworn in
accordance with law, hereby depose and say:
That I am the private complainant in the criminal
case entitled "____________"; for Theft docketed
as____________before___________Trial Court, Branch
_____,__________City, Philippines;
That I found out that the said accused at the time
of the incident was not in his right mind and did not
know that what he was doing was wrongful and
criminal considering that he was suffering from
Schizophrenia, Paranoid Type in acute
exacerbation as certified to by
Dr.____________of____________;
That the items taken by the accused, consisting
of____________and____________were immediately
recovered from him and their values had been
voluntarily reimbursed by the relatives of the said
Accused;
In view of the foregoing, I finally manifest that I
now completely and absolutely exonerate the
accused__________from any liability in connection
with the above-mentioned criminal case and that I
am no longer interested, and I hereby desist, in
prosecuting the said criminal case;
 
That I execute this Affidavit of Desistance so that
the above-mentioned criminal case be immediately
dismissed and considered finally closed and the
bond posted by the herein accused be released to
him;
As such, I am respectfully praying that the
aforementioned case against the
Accused____________ be dismissed and finally
closed.
IN WITNESS WHEREOF,I have hereunto set my
hand this____________at__________City, Philippines.
Affiant
(JURAT)