REPUBLIC OF THE PHILIPPINES )

Province of____________________) S.S.

City/Municipality of______________)
x---------------------------------------x

AFFIDAVIT OF DESISTANCE

I, ________________(name of affiant)____________, Filipino, of

legal age, [single]/[married to _________(name of
spouse)_________], and a resident of
___________________(address of affiant)_______________, after
having been duly sworn in accordance with law, hereby depose and
state:

1. That I am the complainant in the criminal case filed against

________________, which is recorded as Case No. ______
before Prosecuting Fiscal __________________ of the
[city]/[municipality] of _________ province of __________ for
grave threats;

2. That after boxing incident while playing chess at Igorot Park

in Baguio and thinking that it was just a case of
misunderstanding between me and my chess opponent, I have
decided to withdraw my accusations against
____________________________;

3. That I have executed this affidavit in order to attest to the

truth of the foregoing circumstances and that my desistance to
pursue said case is of my own free will and volition and that
there was no force, intimidation, coercion or consideration that
took place for me to make such decision.

IN WITNESS WHEREOF, I have hereunto set my hand this ___th

day of _____________, _________ at the [City]/[Municipality] of
______________.

_______________
Complaining Witness

JURAT

_______________
Public Prosecutor
[13upCD]