Republic of the Philippines)

Province of __________________) S.S.

City/Municipality of _____________)
x----------------------x

AFFIDAVIT OF DESISTANCE

I, ______________, of legal, Filipino, and duly authorized representative of

_________________________________, after having been sworn to in accordance
with law, hereby depose and say, THAT:

1. I am the duly authorized representative of the private complainant in

the Criminal Case No. M-PSG_________ entitled _______________________
for violation of _____________ pending before the Municipal Trial Court,
Branch 72, Pasig City;

2. The accused ________________ has already paid in full the amount

representaed by the checks subject of the above-mentioned case, to wit:

Criminal Case No. Check No. Amount

M-PSG-18-__________

3. In view of the payment in full by the accused, I would like to manifest

that private complainant is no longer interested in the prosecution of
the aforementioned criminal case and I am respectfully requesting the
Honorable Public Prosecutor to move for the dismissal of the
aforementioned case against the accused.

IN WITNESS WHEREOF, I have hereunto set mu hand this ______________

at _____________________, Philippines.

______________
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of _________ 2019 at

________________, Philippines, affiant exhibiting to me his _____________________.

Doc. No. ___;

Page No. ___;
Book No. ___;
Series of 2019.