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AFFIDAVIT OF DESISTANCE

REPUBLIC OF THE PHILIPPINES)


CITY OF MANILA
) S.S.
(the persons and circumstances below is fictional, please revise)
I, Juan del la Cruz, of legal age, single, and a resident of # 123 Main St., Malate,
Manila, after having duly sworn to in accordance with law hereby depose and state:
1. I am the complaining witness for Serious Physical Injuries against Jesus
Santos in the case entitled "People of the Philippines versus Jesus Santos", Criminal
Case No. 12345, Metropolitan Trial Court, Branch No. 11, City of Manila.
2. 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 can
not point out, without a doubt the accused or any other person/s who inflicted harm
against me.
3. 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.
4. I hereby inform the City Prosecutor of Manila that I am withdrawing my
complaint for Serious Physical Injuries in Criminal Case No. 12345 entitled "People
of the Philippines versus Jesus Santos",Metropolitan Trial Court, Branch No. 11, City
of Manila.
5. I likewise request the Metropolitan Trial Court, Branch No. 11, City of Manila
to dismiss with prejudice the said criminal case.
IN WITNESS WHEREOF, I hereby set my hand this __ day of September 20__ at
the City of Manila.

Juan de la Cruz
Complaining Witness
SUBSCRIBED AND SWORN to before me this 22nd day of January 20__ at the City of
Manila, Philippines.

Romeo Abad
Public Prosecutor

Republic of the Philippines


Department of Justice

National Prosecution Service


OFFICE OF THE CITY PROSECUTOR
Makati City

AFFIDAVIT OF DESISTANCE

WE, FERDINAND M. CASTRO and ROWENA A. CASTRO, Filipinos, of legal ages, husband
and wife, respectively, and residents of 106 Sisa Street, Sampaloc, Manila after having been duly
sworn to in accordance with law, depose and state:
1. We are the private complainant in a criminal case for Reckless Imprudence Resulting to Damage to
Property against Joel O. Castillo docketed as IS No. XV-05-INV-10G-01000 before the Office of the
City Prosecutor, Makati City
2. In this regard, the accused has already paid the damage to our vehicle;
3. In view of the payment by the accused and considering that Rowena A. Castro was not injured, we
would like to manifest that we now completely and absolutely exonerate the accused from any
liability in connection with the above-mentioned criminal case and that we are no longer
interested, and we hereby desist, in prosecuting the said criminal case;
4. As such, we respectfully pray that the aforementioned case against Joel O. Castillo be withdrawn
and/or dismissed.

IN WITNESS WHEREOF, we have hereunto set our hands this ___________________ in


_______________, Philippines.

FERDINAND M. CASTRO
Affiant
Philippine Passport No. _____
Issued at: ________________
Issued on: ________________

ROWENA A. CASTRO
Affiant
Philippine Passport No. _____
Issued at: ________________
Issued on: _______________

SUBCRIBED
AND
SWORN
TO before
me
this ___________________ in
_________________, Philippines, affiants exhibiting to me their valid proofs of identification.
Doc. No. _____;

Page No. _____;


Book No. _____;
Series of 2013.

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