7/24/2019 Affidavit of Desistance- Karl Flores
1/2
Republic of the Philippines)Santiago City
)SS.x-------------------------------x
AFFIDAVIT OF DESISTANCE
I, Karl Flores, 27 years old, single and a resident of Puro
!,
"eorgeto#$, %arangay. Ri&al, Santiago City, after ha'ing
been s#orn in
accordance #ith la# hereby deposes and states that(
. I a$ the sa$e person executing this *ffida'it of
+esistance
2. I a$ the the sa$e person, #ho #as in'ol'ed in a 'ehicular
accidentlast o'e$ber11, 2015 at %arangay Calao, Santiago City
. I a$ executing this affida'it to express $y intention of
desistingfro$ further clai$ing any ci'il da$ages against Norman S.
Obra, the dri'er ofthe 'ehicle #ith plate no. "SS 2!7, #ho$ I #as
in'ol'ed in a 'ehicular accident
!. I a$ no longer interested in clai$ing any da$ages because of
thefact that #e both acno#ledged that it #as really an accident and
#e also bothshoulder our o#n expenses as a result of the accident.
*s #ell as no one is to befaulted regarding the accident
/. %ased on the foregoing I no longer interested in clai$ing
anyda$ages #hich I incur as a result of the accident and I hereby
#ai'e all $y
clai$s, present and future, against Norman S. Obra;
0. I a$ freely and 'oluntarily affixing $y signature to this
affida'it toattest to the truth of the foregoing and to express $y
desire to desist fro$ furtherclai$ing for da$ages and to renounce
and #ai'e $y clai$s, present and future,against Norman S. Obra.
IN WITNESS WHEEOF, I ha'e hereunto set $y hands this /thday
of1ebruary 20 at Santiago City, Philippines.
Karl Flores
*ffiant333333333333333333333333333333333333333333333333333333
S!"SCI"ED AND SWON to before $e this /th day of 1ebruary20 at
Santiago City, Philippines. I hereby certify that I ha'e
personallyexa$ined the affiant and I a$ con'inced that he
personally executed andunderstood the contents of hisAffidavit of
Desistance.
Doc. No. ;
Page No. ;
Book No. ;Series of ;
ATT#. $OSE O%EO S. DE &A C!'NOTARY PUBLIC
SANTIAGO CITY AND ISABELAUNTIL DEC. 31, 2016/NOTARIAL COMM. No.
0160
ROLL No. 40910/IBP LIFETIME No. 0182PTR No.SC 1266!!3, STGO
CITY, "AN. 8, 201!NO. 8, MA#ARLI$A #IG#%AY, DUBINAN EAST,
SANTIAGO CITY
