Sale of Chametz 5785

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Please submit this form early, as responsibility cannot be accepted for online forms received after Friday, April 11, 2025 at 11:00 am.

Please list all addresses. Must be submitted by head of household and preferably by all parties.

* Date

* *First Name

* Last Name

* Phone Number

First Name

Last Name

*Please list husband and wife, specify names.

* Residence Address:

* City

* State

* Zip Code

* Area(s) where Chametz and utensils are stored:

First Name

Last Name

Business Address

City

State

Zip Code

Area(s) where Chometz and utensils are stored:

First Name

Last Name

2nd Home/Business Address

City

State

Zip Code

Area(s) where Chometz and utensils are stored:

* DELEGATION OF POWER OF ATTORNEY TO SELL CHOMETZ

DELEGATION OF POWER OF ATTORNEY TO SELL CHOMETZ

I/We the undersigned, hereby authorize Rabbi Sholom D. Lipskar to dispose of/sell all Chametz that may be in my (our) possession wherever it may be - at home, at my (our) place of business, or elsewhere - in accordance with the requirements of Jewish law as incorporated in the special contract for the sale of Chametz.

Enter Email Address Below

Thu, December 11 2025 21 Kislev 5786

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