REPUBLIC OF THE PHILIPPINES) CITY OF ..........................................

) 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 _________________ docketed as _____________ before _____________ Trial Court, Branch _______, _____________ City, Philippines;

That after a thorough analysis of my memories of the incident that occurred on _____________________________, I have realized that I cannot point out, beyond reasonable doubt that the accused _____________, committed the above stated crime of _____________ on ____________________, as it was too dark to discern the features of the perpetrator with any degree of certainty; Since I could not state with certainty and without doubt the liability of the accused ____________________, I feel compelled to withdraw my complaint against him and I clear him of whatever responsibility or liability to me; That 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 respectfully pray 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