Beruflich Dokumente
Kultur Dokumente
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 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____________;
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:
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.
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;
(JURAT)
REPUBLIC OF THE PHILIPPINES }
QUEZON CITY } S.S.
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 _______________________________
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.