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Republic of the Philippines

Department of Justice
OFFICE OF THE CITY PROSECUTOR
Lingayen City, Province of Pangasinan

------------------------
---,
Complainant, I.S. No.
______________

-versus- For: Qualified Theft/ Estafa/


Grave Coercion

-------------------------
,
Respondents.
x--------------------------------------x

AFFIDAVIT of DESISTANCE

I , married, Filipino Citizen, of legal age, and a resident


of-------------, Philippines under oath depose and state that:

1. I am the private complainant in I.S No. ----------against


the Respondents;

2. After careful deliberation, I found that the case does


not merit or warrant criminal prosecution as the injuries
and/or damage suffered was the result of a
misunderstanding and were able to settle and come up
with a compromise agreement relative to the above
entitled case for the delivery of the Owners Copy of the
Title subject matter of this case and in turn my delivery
of my balance of Php. 20,000.00 processing fee to the
respondents.

3. In view of the foregoing, I am no longer interested in


further prosecuting the instant case against the
accused and neither will I appear and testify against
him in connection with the instant case, even as I thank
the office of the City Prosecutor for having acted on my
case with dispatch;

4. This affidavit is being executed by me, of my own


free will and volition for the purpose of seeking a
dismissal of the pending action
against______________________;

5. I have read and understood the foregoing


statements and I attest that the same are true and
correct to the best of my knowledge and belief.

IN WITNESS WHEREOF, I have hereunto set my hands


this ____th day of _________, 2017 in the City of ,
Philippines.

COMPLAINANT
Affiant

SUBSCRIBED AND SWORN to before me this _____th


day of April 2017 in the City of Lingayen, Pangasinan,
Philippines. I FURTHER CERTIFY that I have personally
examined the affiants and am satisfied that she read,
understood and voluntarily executed the foregoing affidavit
of Desistance.

__________________________

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