Republic of the Philippines )

_________________ ) S.S.

AFFIDAVIT OF DESISTANCE
I, _________________, __ years old, Filipino citizen, and a resident
of ______________________, after having been duly sworn to in
accordance with law, do hereby depose and state THAT:

1. I am the private complainant in Criminal Case Nos. _____ and

_____ entitled “People of the Philippines vs. _________ for
____________________ pending before the Regional Trial Court,
Branch ______, _____________;

2. I am no longer interested in the prosecution of the case against the

accused. The accused, I and our families have settled our
misunderstanding which led to the filing of the case and decided to
withdraw the case;

3. I am requesting this Honorable Court to dismiss the above-stated

case. I understand that if the case will be dismissed, I will no longer
re-file the same against the same accused;

4. I was not threatened, forced or coerced to sign this affidavit;

5. I am executing this affidavit to attest to the truth of the foregoing

statements and for whatever legal purposes and intents this may
serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

___ day of ______, _______ at ____________.

_________________
Private Complainant

ASSISTED BY:

_____________
Mother of the Private Complainant

SUBSCRIBED AND SWORN to before me on the date and place

indicated above.