Republic of the Philippines)

Province of_______________)S.S.
City/Municipality of____________) 
x---------x
AFFIDAVIT OF DESISTANCE
I,____________,Filipino, single, with
residence__________, under oath allege:
1.That I am the complainant in Criminal Case
No.__________for alleged "RAPE" against
accused___________, which case is pending before the
Regional Trial Court, Branch______,
_____________City, Philippines;
2.That I signed the aforesaid complaint against
accused__________against my will, my signature in the
complaint having been obtained thru force, violence
and intimidation done to me by my parents;
 
3.There is no truth to the allegations contained in my sworn
statement executed by me against my will
on___________at____________, taken
by____________. There was no force, violence
or intimidation done against me by said accused___________.
I was not forced by him to submit to his desires. It was
all in accordance with my own will, volition and consent that I went
personally to him because we love each other and I agree and
consent to live with him as my husband;
4.I therefore respectfully request that the above-mentioned case filed
against said___________be dismissed as in fact I now
withdraw my complaint against him and I further manifest under
oath that I am now desisting from testifying against him in Court
or in any other government entity or agency in connection with the
said criminal case.
IN WITNESS WHEREOF, I have hereunto set my hand
this___________at____________, Philippines.
AFFIANT
(JURAT)
.