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AFFIDAVIT OF DESISTANCE
I, ESMERALDA EDUARTE DESDIR, of legal age, Filipino and resident of Mahingan,
Balogo, East District, Sorsogon City, Philippines, after having been duly sworn according
to law, hereby depose and say;
3. That said payment/settlement shall not be taken by me, our heirs, our insurer or
assigns, as a confession and/or admission of liability on the part of the said
owner/operator or by his driver in connection with the aforementioned accident;
4. That after a careful deliberation over the case, I am fully convinced that the
same arose to be purely accident causing without fault or negligence on the
part of the driver DENNIS C. DULVA;
6. That I have fully understood the foregoing statements which I read and
translated to me by the undersigned in our dialect.
7. That I am executing this affidavit voluntarily and free from any coercion, stealth
or strategy and to attest to the truth of the foregoing statements/facts.
ESMERALDA E. DESDIR
Affiant
Tin No. 700-164-591
Issued by BIR
SUBSCRIBED AND SWORN to before me this ____ day April, 2017 in
_______________, Sorsogon, Philippines by the affiant exhibiting her valid
Identification Card showing her name as proof of her identity.
Doc. No.__________
Page No.__________ NOTARY PUBLIC
Book No.__________
Series _____________