Chametz Sale Form
** This form is invalid after 11:45 am EDT on Friday, April 19, 2019 **

Delegation of Power to Sell Chametz

I the undersigned, fully empower and permit Rabbi Yossi Deren 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).

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

Rabbi Yossi Deren 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 Yossi Deren 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.


First Name:

Last Name:

Any and ALL Addresses where Chometz is located:

Email Address:

Additional Information:

Use this notes field to specify any comments or questions for the Rabbi: