Sale of Chometz Form: Beth Sholom Congregation and Talmud Torah 5784
Please be advised that chometz forms need to be received no later than Saturday, April 20th, 2024 at 11:59 PM.
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Email *
I, the undersigned, fully empower and permit Rabbi Nissan Antine and/or Rabbi Cooper to act in my behalf to sell all Chometz possessed by me (knowingly or unknowingly) as defined by the Torah and Rabbinic Law (e.g. Chometz, doubt of Chometz, and all kinds of Chometz mixtures). Also Chometz that tends to harden and to adhere to a surface of inside of pans, pots or cooking and usable utensils and all kinds of live animals that have been eating Chometz or mixtures thereof.
First Name *
Last Name *
Phone Number *
I can be accessed during Pesach by calling this number above or through the email above. *
I authorize Rabbi Antine/Rabbi Cooper to lease all places wherein the Chometz owned by me may be found, especially in the premises located the following address(es):
Address 1 *
Address 2
Please state the locations where chometz can be found in your house on Pesach. Try to be as specific as possible. Even if you leave locations out, the sale is understood to refer to all of your chometz. 
Rabbi Antine and/or Rabbi Cooper has the full right to sell and to lease by transactions, as he/she deems fit and proper and for such time which he believes necessary in accordance with all detailed terms and detailed forms as explained in the general authorization contract which have been given this year to Rabbi Antine and/or Rabbi Cooper to sell the Chometz. This general authorization is made a part of this agreement. Also do I hereby give the said Rabbi Antine and/or Rabbi Cooper full power and authority to appoint a substitute in his/her stead with full power to sell and to 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 Maryland of the United States. And to this I hereby affix my signature on this date in the year 2024. I understand that by submitting this form, I am  agreeing to the sale of my chometz per the stipulations above.
Initials *
Today's Date *
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A copy of your responses will be emailed to the address you provided.
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