Sell Your Chametz Form

Sell Your Chametz

I/we the undersigned appoint Rabbi Baruch Frankel my/our agent for the sale of all chametz, and mixtures of chametz which are prohibited to own on Passover that may be in my/our possession, wherever it may be- at home, place of business or elsewhere- by means of a sale that is in accordance with requirements of Jewish law. He is also empowered to lease the areas in which such chometz or chametz mixtures are kept and to provide the non-Jewish purchaser with access to those areas and the chametz/chametz mixtures contained therein.

First name #1*

Last name #1*

Email address #1*

First name #2

Last name #2

Email address #2

If homeowners are married, please include the names of both spouses.

Home address

Business address

Other location

Location of chametz (please describe the rooms/areas).*

Where can a key to the location/s of chametz be picked up?*

While it is unnecessary to provide the non-Jew with an actual key, it is highly preferable that he/she be able to obtain such a key if he/she so desires.

Where will you be staying for Pesach? Please provide the full address.

Approximate market value of chametz.