Republic of the Philippines)

Province of_______________)S.S.
City/Municipality of____________)
x---------x

AFFIDAVIT OF DESISTANCE

I,____________,Filipino, single, with residence__________,

under oath allege:

1. That I am the complainant in Criminal Case

No.__________for alleged "RAPE" against accused___________,
which case is pending before the Regional Trial Court,
Branch______, _____________City, Philippines;

2.That I signed the aforesaid complaint against

accused__________against my will, my signature in the
complaint having been obtained thru force, violence
and intimidation done to me by my parents;

3. There is no truth to the allegations contained in my sworn

statement executed by me against my will
on___________at____________, taken by____________.
There was no force, violence or intimidation done against me by
said accused___________. I was not forced by him to submit to
his desires. It was all in accordance with my own will, volition
and consent that I went personally to him because we love each
other and I agree and consent to live with him as my husband;

4. I therefore respectfully request that the above-mentioned

case filed against said___________be dismissed as infact I now
withdraw my complaint against him and I further manifest under
oath that I am now desisting from testifying against him in Court
or in any other government entity or agency in connection with
the said criminal case.
IN WITNESS WHEREOF, I have hereunto set my hand
this___________at____________, Philippines.

AFFIANT