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    Affidavit of Desistance

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    Deil L. Navea
    1. John Vincent Clarete and Joy E. Penales were in a car accident on July 18, 2014 when their vehicle was bumped by a pickup truck driven by Samuel C. Roxas. 2. They were hospitalized from July 19-29 and July 19-August 1 respectively due to injuries from the accident. 3. Samuel C. Roxas paid all their medical expenses. Clarete and Penales signed an affidavit stating they do not plan to pursue criminal or civil charges against Roxas or the pickup truck owner because the accident was purely accidental.

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    Affidavit of Desistance

    Uploaded by

    Deil L. Navea
    58 views2 pages
    1. John Vincent Clarete and Joy E. Penales were in a car accident on July 18, 2014 when their vehicle was bumped by a pickup truck driven by Samuel C. Roxas. 2. They were hospitalized from July 19-29 and July 19-August 1 respectively due to injuries from the accident. 3. Samuel C. Roxas paid all their medical expenses. Clarete and Penales signed an affidavit stating they do not plan to pursue criminal or civil charges against Roxas or the pickup truck owner because the accident was purely accidental.

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    1. John Vincent Clarete and Joy E. Penales were in a car accident on July 18, 2014 when their vehicle was bumped by a pickup truck driven by Samuel C. Roxas. 2. They were hospitalized from July 19-29 and July 19-August 1 respectively due to injuries from the accident. 3. Samuel C. Roxas paid all their medical expenses. Clarete and Penales signed an affidavit stating they do not plan to pursue criminal or civil charges against Roxas or the pickup truck owner because the accident was purely accidental.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    58 views2 pages

    Affidavit of Desistance

    Uploaded by

    Deil L. Navea
    1. John Vincent Clarete and Joy E. Penales were in a car accident on July 18, 2014 when their vehicle was bumped by a pickup truck driven by Samuel C. Roxas. 2. They were hospitalized from July 19-29 and July 19-August 1 respectively due to injuries from the accident. 3. Samuel C. Roxas paid all their medical expenses. Clarete and Penales signed an affidavit stating they do not plan to pursue criminal or civil charges against Roxas or the pickup truck owner because the accident was purely accidental.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Republic of the Philippines)

    City of Tagbilaran )SS

    AFFIDAVIT OF DESISTANCE

    We, JOHN VINCENT CLARETE (aka RAMBO), Filipino, of legal age, single and a resident of
    Poblacion, Dauis, Bohol, Philippines, and JOY E. PENALES, Filipino, of legal age, single and a resident of
    Poblacion, Dauis, Bohol, Philippines, after having been duly sworn to in accordance with law, hereby
    depose and say:

    1. That at around 11:30 o’clock in the evening on July 18, 2014, we were on our way to Tagbilaran
    City, travelling along Dauis-Bool-Tagbilaran City road. That when were about to take our left turn
    going to Tagbilaran City proper at the intersection of Bool junction, we were accidentally
    bumped by a Suzuki pick-up, color white and blue and with plate no. GGF-674 registered in the
    name of Christopher Aliviado with residence address at 96 Leon Kilat St., Cebu City, Philippines,
    and was driven by Samuel C. Roxas, Filipino, of legal age, married and a resident of Landican,
    Baclayon, Bohol, Philippines;

    2. That on account of the said accident, we sustained physical injuries and were hospitalized at the
    Celestino Gallares Memorial Hospital, Tagbilaran City, Philippines, from July 19, 2014 – July 29,
    2014 and July 19, 2014 – August 1, 2014, respectively;

    3. That the said driver, Samuel C. Roxas has duly paid all the medical expenses that we incurred on
    account of the injuries sustained due to the said incident;

    4. That after a thorough and careful deliberation of all the circumstances surrounding the incident,
    we found out that the same does not merit or warrant any criminal and/or civil prosecution
    against the owner, Christopher Aliviado and the driver, Samuel C. Roxas of the Suzuki pick-up as
    the incident and injuries we suffered thereby were purely accidental;

    5. That we are voluntarily executing this affidavit to signify that we are not planning nor interested
    in and in fact desist, refrain and renounce the filing of nor testifying in any criminal, civil and/or
    administrative action against the owner, Christopher Aliviado and the driver, Samuel C. Roxas of
    the Suzuki pick-up or any other person in connection with the aforementioned incident;

    6. That we have fully read and understood the foregoing statements and contents thereof and that
    the same are true and correct.

    IN WITNESS WHEREOF, we have hereunto set our hands this _____________________________


    at the City of Tagbilaran, Philippines.

    JOHN VINCENT CLARETE JOY E. PENALES


    Affiant Affiant
    CTC No. _______________ CTC No. __________________
    Issued on ______________ Issued on _________________
    Issued in _______________ Issued in __________________

    Witnesses: 1. ______________________ 2. _______________________

    SUBSCRIBED AND SWORN to before me this ______ day of _______________________ in the


    City of Tagbilaran, Philippines, by the affiants with their Community Tax Certificates indicated below
    their respective names above. I hereby certify that I have examined the herein affiant, read and
    explained to them the contents of this affidavit.
    That I am satisfied and convinced that they voluntarily executed the same.

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