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APPENDIX 1
LETTER OF DISMISSION FOR CHURCH MEMBERS
(To be forwarded by the clerk of the session of the dismissing congregation to the proper official
of the receiving church. Husband and wife should be issued individual letters.)
This certifies that ______________, a member in good standing of the ______________congregation of
_______________Presbytery of the Cumberland Presbyterian Church/Cumberland Presbyterian Church in America, is hereby
dismissed at his/her own request to the ____________ congregation of the ________________ Church. The following are
the names of his/her baptized children:________________________________. The above named person is an elder
, deacon , in the Cumberland Presbyterian
Church/Cumberland Presbyterian Church in America.
Given by order of the session of the __________________congregation of the Cumberland Presbyterian Church/Cumberland
Presbyterian Church in America, this the _______ day of __________ AD _______________.
Signed__________________________________________________
(Moderator or Clerk of Session)
Address________________________________________________.
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