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Form No. 2--Affidavit of Desistance Theft
(Affidavit of Desistance Theft)
Republic of the Philippines)
Province of_________________) S.S.
City/Municipality of ____________)
x - - - - - - - - - - - - x
AFFIDAVIT OF DESISTANCE
I,__________, of legal ages, Filipino,(single / married / widow), and a resident of ____________, Philippines, after having been duly sworn in accordance with law, hereby depose and say:
That I am the private complainant in the criminal case entitled "____________"; for Theft docketed as____________before___________Trial Court, Branch _____,__________City, Philippines;
That I found out that the said accused at the time of the incident was not in his right mind and did not know that what he was doing was wrongful and criminal considering that he was suffering from Schizophrenia, Paranoid Type in acute exacerbation as certified to by Dr.____________of____________;
That the items taken by the accused, consisting of____________and____________were immediately recovered from him and their values had been voluntarily reimbursed by the relatives of the said Accused;
In view of the foregoing, I finally manifest that I now completely and absolutely exonerate the accused__________from any liability in connection with the above-mentioned criminal case and that I am no longer interested, and I hereby desist, in prosecuting the said criminal case;
That I execute this Affidavit of Desistance so that the above-mentioned criminal case be immediately dismissed and considered finally closed and the bond posted by the herein accused be released to him;
As such, I am respectfully praying that the aforementioned case against the Accused____________ be dismissed and finally closed.
IN WITNESS WHEREOF,I have hereunto set my hand this____________at__________City, Philippines.