Note: We will not be able to process chametz sales submitted later than Wednesday, March 24, 2021, 5:00 PM EST. The storage area should be locked or taped shut to be leased to the non-Jew at the time of the chametz sale.

Only use this form if you will be located in the ______ area for the Passover holiday. If not, you must contact the Chabad Rabbi of where you will be located and sell your Chametz through him.

Since there are many legal intricacies in this sale, only a competent rabbi should be entrusted with its execution. The rabbi acts as our agent both to sell the chametz to the non-Jew on the morning before Pesach starts and also to buy it back the evening after Pesach ends.

I the undersigned, fully empower and permit Rabbi _________ to act in my place and stead, and on my behalf to sell all chametz possessed by me, knowingly or unknowingly as defined by the Torah and Rabbinic Law (e.g. chametz, possible chametz, and all kind of chametz mixtures) as well as chametz that tends to harden and adhere to surfaces of pans, pots, or cooking utensils, the utensils themselves, as well as pet food that contain chametz and mixtures thereof.

Rabbi _________ is also empowered to lease all places wherein the chametz may be found, particularly at the address/es listed below, and elsewhere.

Rabbi __________ has full right to appoint any agent or substitute in his stead and said substitute shall have full right to sell and lease as provided herein.

Rabbi ________ also has the full power and right to act as he deems fit and proper in accordance with all the details of the Bill of Sale used in the transaction to sell all my chametz, chametz mixtures, etc., as provided herein. This power is in conformity with all Torah, Rabbinic, and Civil laws.

Seller
Addresses / Locations Where Chametz May Be Found
Please enter any additional locations where your Chametz may be found.
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