DELEGATION OF POWER OF ATTORNEY
FOR SALE OF CHAMETZ KNOW YE that I, the undersigned, fully empower and permit Rabbi ________________ to act in my place and stead, and in my behalf to sell all CHAMETZ possessed by me (knowingly or unknowingly) defined as claimed by The Torah and Rabbinic Law (e.g. Chametz, doubt of Chametz, and all kinds of Chametz mixtures), as well as Chametz that tends to harden and to adhere to a surface of inside of pans, pots and cooking and usable utensils, and all kinds of live animals that have been eating Chametz or mixtures thereof, and to lease all places wherein the Chametz owned by me may be found, especially in the premises indicated below and elsewhere. Rabbi ____________________ has the full right to sell and to lease by transactions, as he deems fit and proper and for such time which he believes necessary in accordance with all terms detailed in the general authorization contract which is in the possession of Rabbi ____________ authorizing him to sell Chametz; on behalf of others. I hereby give the said Rabbi ____________ full power and authority to appoint a substitute in his stead with full power to sell and lease as provided herein. The above given power is in conformity with all Torah, Rabbinical regulations and laws, and also in accordance with the laws of the State of __________ and of the United States. Date:_____________ (Please Print) Name:_______________________ (Please Print)
Signature:_________________________________________________ Home Address: ____________________________________________ Street ___________________________________________________ City, State ________________________________________________ Office Address:
(if Chametz in office) _________________________________________ Street ___________________________________________________ City, State _________________________________________________ If I will be away from home during Pesach, my key will be at: Name: _________________________________________________________ Address: _________________________________________________________ Street _________________________________________________________ City, State ________________________________________________ Indicated below are my primary forms of Chametz, with general location and approximate value. However, the authorization to sell my Chametz; also includes all Chametz, even if not listed below.