Suburban Mechiras Chametz - Virtual Power of Attorney Form

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Please note that after submitting this form, you will receive a confirmation email. If you do not receive a confirmation email, please contact Rabbi Silber.

Check off the box on the left *

I, the undersigned, fully empower and permit Rabbi Shmuel Silber or his designee to act in my place and stead, and in my behalf to sell all chametz possessed by me knowingly or unknowingly, as defined by Torah and rabbinic law, and to lease all places in which chametz owned by me may be found, especially at the address(es) listed below.

Required

Full Name *

Email *

Address (include Apt#) *

City *

State *

Zip

Exact locations (e.g. pantry, garage, kitchen cabinets) where the chametz can be found in the address above (if chametz is found at other locations other than the address above, please include those addresses) *

Types of Chametz Being Sold *

Groceries

Liquor

Medicine

Toiletries

Other:

Required

Approximate Dollar Value of Chametz *

One going away for Pesach may wish to be exempt from bedikas chametz, If, so it is preferable to lease out the entire home. Alternatively, one may exclude one room from the lease to perform bedikas chametz in that room. Are you going to be away from the address listed above the entire Pesach and wish to lease your home? [Please be advised of the strong recommendations against traveling for Pesach. Please follow all local, state and federal guidelines.] *

Yes

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