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ACTUS FORMALIS DEFECTIONIS AB ECCLESIA CATHOLICA (Cfr. Can. 1086 §1, 1117 & 1124)
To the Parish priest of the parish of: ................................................................................................. Address ………………………………………………..................................... .................................... date............................
SUBJECT: Request for formal defection from the Catholic Church
I, the undersigned ........................................................................................ born on the date ......................... and baptised in the parish of ..................................................... formally declare that I make an unequivocal personal, conscious and free decision to leave the Roman Catholic Apostolic Church.
My baptism, made against my will, should be considered null and void.
I ask that this decision be noted in writing in the baptismal registry as a “defectio ab Ecclesia catholica actu formali” as per cfr.can.535, §2.
Please find enclosed photocopy of photo identification document.
Yours truly,
……………………………………………………………… Signature
Date