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Sale of Chametz


First Name

Last Name

hereby appoint Rabbi Yossi Sapirman to act as my agent and sell all Chametz that will be in my possession as of 5pm on April 8, 2020




Postal Code

Location of Chametz 
(new form needed for each location)

Approximate value of Chametz $
(enter numerical value)

I hereby authorize Rabbi Yossi Sapirman to act in my stead, and empower him to do all that is required to make such a sale valid in order that I conform to all the Halachic requirements and restrictions regarding the possession of Chametz over Pesach. I hereby also make any Agreement of Sale (shetar mechirah) that he may use for this purpose, part of this authorization.

Moat Chittim - Passover Charity (Optional)

I am enclosing/pledging a contribution for Maot Chittim (Passover Charity) to help others less fortunate, to celebrate the holiday. 

Forms must be submitted before 5pm on April 8, 2020

Wed, 27 May 2020 4 Sivan 5780