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Simply replace the unfilled areas such as "[]" and "[date]" with your information.

Dear [name],

I wanted to let you know that I will be leaving [former company] on [date]. I will be taking up a new position at [new company].

My time here has been very valuable to my career. I have greatly appreciated the opportunity to work with you. I cannot begin to tell you how thankful I am for the support and advice you have given me during my time at [former company].  Although I will miss everyone here, I am very excited about this next step in my career. I know that the insight you have shared has prepared me for the new challenges that await.

Please keep in touch with me. You can reach me at [contact information].  Thank you again, for everything.