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The legal forms on this website are for general use and may vary based on legal requirements. Users are responsible for ensuring accuracy and completeness. Filling out a form does not create an attorney-client relationship. For a personalized legal advice, consult a lawyer. All items enclosed in [brackets] are required to be filled out.
REPUBLIC OF THE PHILIPPINES
[Province/City/Municipality]) S.S.
AFFIDAVIT OF DESISTANCE
I, [AFFIANT’S FULL NAME], of legal age, [civil status], [nationality], and residing at [Address], after being duly sworn to in accordance with law, depose and state:
That I am the complainant/private complainant in [Case Title or Criminal Case No., if applicable], filed before [Name of Court/Prosecutor’s Office/Police Station], against [Name of Accused/Respondent] for the alleged offense of [Nature of Complaint or Criminal Charge];
That after a careful reassessment of the facts and circumstances surrounding the case, I have decided voluntarily, freely, and without any force, intimidation, or undue influence to desist from further pursuing the complaint/case;
That I am executing this Affidavit of Desistance to express my firm intention not to pursue the charges against the accused/respondent and to request the dismissal or withdrawal of the complaint/case;
That my decision is made in good faith and is not the result of any unlawful act, coercion, threat, or inducement by the accused/respondent or any other party;
That I understand that the execution of this Affidavit does not automatically result in the dismissal of the case, as the final decision rests with the appropriate authorities and the court; and
That I am executing this Affidavit to attest to the truth of the foregoing statements and for whatever legal purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this [Day] of [Month, Year], at [Place of Execution], Philippines.
[Full Name]
Affiant
ID No./Valid Proof of Identity: [Government ID Type and Number]
SIGNED IN THE PRESENCE OF:
[Witness 1 Name]
Witness
[Witness 2 Name]
Witness
SUBSCRIBED AND SWORN TO before me in the City/Municipality of [location], this ___ day of [month], [year], by affiant who has satisfactorily proven his/her identity through [Government ID type and number], issued on [date] and expiring on [date], that he/she is the same person who personally signed before me the foregoing Affidavit of Loss and acknowledged that he/she executed the same.
NOTARY PUBLIC
Doc No. ____;
Page No.____;
Book No. ___;
Series of [YEAR].
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