Nothing Special   »   [go: up one dir, main page]

Affidavit of Desistance

Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 2

REPUBLIC OF THE PHILIPPINES )

Province of ILOILO ) S.S.


City/Municipality of OTON )
x---------------------------------------x

AFFIDAVIT OF DESISTANCE

I, Jessica Alba, Filipino, of legal age, Single, and a resident of Lot 1


Blk 13 Phase 4 Parot Road Sto. Nino subd. Brgy Cagbang Oton, after
having been duly sworn in accordance with law, hereby depose and
state:

1. That I am the complainant in the criminal case filed against


Jose Lao, which is recorded as Case No. GR.12345 before
Prosecuting Fiscal Atty. Amadeo Cruz of the Municipality of
Oton of province of Iloilo for grave threats;

2. That after boxing incident while playing chess at Igorot Park


in Baguio and thinking that it was just a case of
misunderstanding between me and my chess opponent, I have
decided to withdraw my accusations against Jose Lao;

3. That I have executed this affidavit in order to attest to the


truth of the foregoing circumstances and that my desistance to
pursue said case is of my own free will and volition and that
there was no force, intimidation, coercion or consideration that
took place for me to make such decision.

IN WITNESS WHEREOF, I have hereunto set my hand this 15th day


of March, 2017at the Municipality of Oton.

Jessica Alba
Complaining Witness
JURAT
SUBSCRIBED AND SWORN TO BEFORE ME, Jessica Alba, a notary public in and
for Iloilo City this 15th day of March 2017. Affiant personally came and appeared with
Philippine Passport with passport number 123445 issued by the Department of Foreign
Affairs on January 10, 2016 at Iloilo City, bearing his photograph and signature, known
to me as the same person who personally signed the foregoing instrument before me and
avowed under penalty of law to the whole truth of the contents of said instrument.

Atty No Tario
Notary Public
Doc. No. ____ Commission Serial No. 465783
Page No. ____ Notary Public for Iloilo City
Book No. ____ Until December 31, 2018
Series of 20__ Office: Door 5 Atlanta Bldg. Brgy Ortiz Iloilo
Roll No. 12384
IBP Lifetime Roll No. 87594; 01/02/2017; Iloilo
PTR No. 75834; 01/09/2018; Iloilo
MCLE Compliance Cert. No. 29384; 01/22/18

You might also like