(Affidavit of Desistance Violation of BP 22)

Republic of the Philippines)

Province of _________________) S.S.
City/Municipality of____________)
x----------x
AFFIDAVIT OF DESISTANCE
I,___________, of legal age, Filipino and a
resident of Bacolod City, after having been
duly sworn in accordance with law, hereby
depose and say:
1.That I am the private complainant in the
Criminal Cases
Nos.____________to____________entitled
"People of the Philippines vs._____________";
for Violation of Batas Pambansa Bilang 22
pending before the Municipal Trial Court,
Branch______, ____________City, Philippines.
2.In this regard, the accused___________has
already paid in full the amount represented
by the checks subject of the above-
mentioned cases, to with:
Criminal Case No.Check No.Amount
3.That in view of the payment in full by the
accused, I would like to manifest that I am
no longer interested in the prosecution of the
aforementioned criminal cases and I am
respectfully requesting the Honorable Public
Prosecutor to move for the dismissal of the
aforementioned cases against the accused.
IN WITNESS WHEREOF, I have hereunto set
my hand this_____________ at___________,
Philippines.
AFFIANT
(JURAT)