(Affidavit of Desistance Theft)

Republic of the Philippines)

Province of_________________) S.S.
City/Municipality of ____________)
x------------x

AFFIDAVIT OF DESISTANCE
I,__________, of legal ages, Filipino,(single / married / widow), and a
resident of ____________, Philippines, after having been duly sworn in
accordance with law, hereby depose and say:

That I am the private complainant in the criminal case entitled

"____________"; for Theft docketed
as____________before___________Trial Court, Branch
_____,__________City, Philippines;

That I found out that the said accused at the time of the incident was not in
his right mind and did not know that what he was doing was wrongful and
criminal considering that he was suffering from Schizophrenia, Paranoid
Type in acute exacerbation as certified to by
Dr.____________of____________;

That the items taken by the accused, consisting

of____________and____________were immediately recovered from him
and their values had been voluntarily reimbursed by the relatives of the said
Accused;

In view of the foregoing, I finally manifest that I now completely and

absolutely exonerate the accused__________from any liability in connection
with the above-mentioned criminal case and that I am no longer interested,
and I hereby desist, in prosecuting the said criminal case;

That I execute this Affidavit of Desistance so that the above-mentioned

criminal case be immediately dismissed and considered finally closed and the
bond posted by the herein accused be released to him;

As such, I am respectfully praying that the aforementioned case against the

Accused____________ be dismissed and finally closed.

IN WITNESS WHEREOF,I have hereunto set my hand

this____________at__________City, Philippines.

Affiant

(JURAT)
 (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)
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)
REPUBLIC OF THE PHILIPPINES }
QUEZON CITY  }  S.S.

AFFIDAVIT OF VEHICULAR ACCIDENT

I, _______________________, (civil status), of legal age, a resident of ___________________________
___________ after being sworn in accordance with law, hereby depose and say:
That I am the holder of a Professional Drivers License No. ____________ issued by the LTO of
__________________________ and valid until ______________________;
That I am an employee of Valiant Distribution, Inc/Mckenzie Distribution Co. Inc. and as such I am
assigned a car more particularly described as follows:
Make:
Year Model
Plate No.
CR No.
OR No.

That on ____________________, at around ____________(time), more or less, I wasdriving the

aforementioned vehicle on my way to __________________ from ____________________;
That (make a brief statement of the accident)

That the aforementioned situation was an accident beyond my control after exercising extraordinary care
and diligence to safety;

That the same extraordinary care and diligence was exercised when I took control of the situation by
immediately applying the brakes and preventing a more fatal vehicular accident.

That I execute this AFFIDAVIT to attest to the veracity of the facts stated herein and for insurance claims
purposes.
Done this _____________ 2012 at Quezon City.
  _______________________________________
Affiant
CTC. No. _______________________
Issued on _______________________________
Issued at _______________________________

Subscribed and sworn to before me this ___________ day of _____________2012 at

Quezon City, Philippines.

Doc. No. _______ Notary Public

Page No. _______
Book No. ______
Series of 2012.
AFFIDAVIT OF DESISTANCE

REPUBLIC OF THE PHILIPPINES)

CITY OF PASAY )  S.S.

I, Luis Alejandro , of legal age, single, and a resident of # 123 Main St., Bonifacio, Pasay City, after
having duly sworn to in accordance with law hereby depose and state:

I am the complaining witness for Reckless Imprudence resulting to Less Serious Physical Injuries
against Juan Madrid in the case entitled "People of the Philippines versus Juan Madrid", Criminal
Case No. 12345, Municipal Trial Court, Branch No.11, City of Pasay.

After my sober and soul searching assessment and analysis of the incident, I have realized that
because I was not wearing my eyeglasses and it was dark, I cannot point out, without a doubt the
accused or any other person/s who inflicted harm against me.

Since I could not state with certainty and without doubt the liability of Jesus Santos, in fairness to him, I
am permanently withdrawing my complaint against him. I clear him of whatever responsibility or liability
to me.

I hereby inform the City Prosecutor of Pasay that I am withdrawing my complaint for Reckless
Imprudence resulting to Less Serious Physical Injuries in Criminal Case No. 12345 entitled "People of
the Philippines versus Jesus Madrid", Municipal Trial Court, Branch No.11, City of Pasay.