Delegation of Power to Sell Chametz

I the undersigned, fully empower and permit Rabbi Moishe Leider 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 kind of chametz mixtures).

Also chametz that tends to harden and adhere to surfaces of pans, pots, or cooking utensils, the utensils themselves, as well as pet food that contain chametz and mixtures thereof.

Rabbi Moishe Leider is also empowered to lease all places wherein the chametz may be found, particularly at the address/es listed below, and elsewhere.

Rabbi Moishe Leider 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 Moishe Leider 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 with all Torah, Rabbinic and Civil laws.


Your Full Name

(where chometz is located)

City / State  /
Zip Code
Email Address
Phone Number
Additional Info:
(other locations of chometz...)
It is customary to include a donation with your Sale of Chometz form:
$36 will sponsor one individual for the Community Passover Seder.
Donation Amount
  Use my card on file.
     Last 4 digits:
Credit Card Number
Expiration Date  /  MM / YY
Security Code
Billing Zip Code