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Your Name

DOB:

Membership# (if you have it, not required if sending directly to Bishop) 

Address

Date

Dear Bishop (fill in last name)

This letter is my formal resignation from the Church of Jesus Christ of Latter-day 

Saints and it is effective immediately. I hereby withdraw my consent to being treated 

as a member and I withdraw my consent to being subject to church rules, policies, 

beliefs and 'discipline'. I want my name permanently and completely removed from 

the membership rolls of the church.

I have given this matter considerable thought. I am aware that the church handbook 

says that my resignation "cancels the effects of baptism and confirmation, withdraws 

the priesthood held by a male member and revokes temple blessings." I also 

understand that I will be "readmitted to the church by baptism only after a thorough 

interview". (Quotes from the current Church Handbook of Instructions.)

My resignation should be processed immediately, without any 'waiting periods'. I am 

not going to be dissuaded and I am not going to change my mind. 

I expect this matter to be handled promptly, with respect and with full confidentiality.

After today, the only contact I want from the church is a single letter of confirmation 

to let me know that I am no longer listed as a member of the church.  If you need to 

text me to verify my identity, that is fine, but no other contact or questions are 

appropriate at this time in your capacity representing the LDS Church.

Sincerely,

Name, cell contact #