Sale of Chametz Power of Attorney

Sale of Chametz Power of Attorney
Must be submitted by Monday, April 6 - 8:00 AM

By submitting this form I fully empower and permit Rabbi Mordechai Tokarsky 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:

____________________________________

Questions marked with a * are required.

*1.	First Name

*2.	Last Name

ADDRESS:

*3.	Street

*4.	City

*5.	State

*6.	Zip

*7.	Phone

*8.	EMAIL

Also complete this part if you will be away all Pasach. The keys to my home can be found with:

9.	First Name

10.	Last Name

ADDRESS:

11.	Street

12.	City

13.	State

14.	Zip

15.	Phone