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Form No. 3--Affidavit of Desistance Violation of BP 22

(Affidavit of Desistance Violation of BP 22)

Republic of the Philippines)
Province of _________________) S.S.
City/Municipality of____________)
x - - - - - - - - - - x

AFFIDAVIT OF DESISTANCE

I,___________, of legal age, Filipino and a resident of Bacolod City, after having been duly sworn in accordance with law, hereby depose and say:

1.That I am the private complainant in the Criminal Cases Nos.____________to____________entitled "People of the Philippines vs._____________"; for Violation of Batas Pambansa Bilang 22 pending before the Municipal Trial Court, Branch______, ____________City, Philippines.

2.In this regard, the accused___________has already paid in full the amount represented by the checks subject of the above-mentioned cases, to with:
Criminal Case No.Check No.Amount

3.That in view of the payment in full by the accused, I would like to manifest that I am no longer interested in the prosecution of the aforementioned criminal cases and I am respectfully requesting the Honorable Public Prosecutor to move for the dismissal of the aforementioned cases against the accused.

IN WITNESS WHEREOF, I have hereunto set my hand this_____________ at___________, Philippines.

AFFIANT

(JURAT)

 

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