(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)