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DELEGATION OF POWER
OR SALE OF CHAMETZI, the undersigned, fully empower and permit Rabbi _________________ 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 kinds of Chametz mixtures).
Also Chametz that tends to harden and adhere to inside surfaces of pans, pots, or cooking utensils, the utensils themselves, and all kinds of live animals and pets that have been eating Chametz and mixtures thereof.
Rabbi ________________ is also empowered to lease all places wherein the Chametz owned by me may be found, particularly at the the address/es listed below, and elsewhere.
Rabbi __________________ 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 _________________ 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 will all Torah, Rabbinic and Civil laws.
Signed: _______________________________________ Date: ___________________
City/ State/ Zip Country: _______________________________________________
Locking your chametz away and giving your LOR (Local Observant Rabbi) this form (signed by you ) is an easy way of observing one of the most important laws in the Torah.
Please remember that chametz which remains in the possession of a Jew over Pesach may not be used, eaten, bought or sold even after Pesach.