(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)