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Affidavit of Desistance (BLANK)

This 3 sentence joint affidavit of desistance summarizes that the biological parents of a 2 year old child who was involved in a vehicular accident do not hold the driver or owner of the vehicle at fault and have settled any conflict privately. They declare the driver and owner are free from any criminal or civil liability regarding the accident and that the parents will not take any legal action against them. The affidavit was signed voluntarily in the city of Tacloban to serve legal purposes.

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Harold Mape
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85 views

Affidavit of Desistance (BLANK)

This 3 sentence joint affidavit of desistance summarizes that the biological parents of a 2 year old child who was involved in a vehicular accident do not hold the driver or owner of the vehicle at fault and have settled any conflict privately. They declare the driver and owner are free from any criminal or civil liability regarding the accident and that the parents will not take any legal action against them. The affidavit was signed voluntarily in the city of Tacloban to serve legal purposes.

Uploaded by

Harold Mape
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES)

City of Tacloban ) S.S.

JOINT AFFIDAVIT OF DESISTANCE


We, ________________________, both of legal ages, married, and residents of
______________________, after having duly sworn to in accordance with law, hereby
depose and state:

1. That we are the biological parents of ________________________, 2 years of age;

2. That our child got involved in a vehicular accident last _______at around
__________in the afternoon, along the National Highway of
_______________________, involving a Panel Truck Van with Temporary Plate No.
____________owned by ___________________and driven by _____________;

3. That after earnest assessment and deliberation, we realized that the accident was
caused by the fault and negligence of all the parties involved, such that the damages
and injuries my child incurred should not be imputed to any of the parties involve
particularly the driver of the aforementioned vehicle and its owner and employer;

4. That as such, __________________ with the help of his employer,


__________________ and I have already settled our conflict in order not to strain our
relationship and to prosecute him would result to injustice, hence, I hereby manifest
that I am not interested in causing the prosecution of any case;

5. That further, we are declaring that ________________ as well as his employer,


_________________________, is absolutely free from any criminal or civil liability
in connection with the accident and so I hereby desist in taking any legal action against
all of them;

6. That we are executing this affidavit voluntarily and free from any form of coercion,
compulsion or undue influence and for any legal purpose this may serve.

IN WITNESS WHEREOF, We hereby set our hands this ___________________


in the City of Tacloban.

_______________________ ________________________
Affiant Affiant
_____I.D. with No._________ _____I.D. with No._________

SUBSCRIBED AND SWORN to before me this ______________ in


______________ by the affiants who presented their respective pieces of evidence of
identities. I hereby certify that I personally examined the affiant and I am satisfied that she
voluntarily executed and understood the contents of this affidavit.

Doc No: ______;


Page No. ______;
Book No.______;
Series 2019.

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