POWER OF ATTORNEY
I, the undersigned, fully empower and permit Rabbi Jay Weinstein to act in my place and
stead and in my ...
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Poa chametz form

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Poa chametz form

  1. 1. POWER OF ATTORNEY I, the undersigned, fully empower and permit Rabbi Jay Weinstein 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: (Address) _______________________________________________________________ (2nd Location)____________________________________________________________ The chametz I possess include the following (however, the authorization to sell my chametz includes all chametz, even if not listed below): Type of chametz (groceries, liquor, medicine, toiletries etc.) Exact location (kitchen, pantry, living room, cabinets, etc.) Approximate Value $ 1 2 3 4 5 6 Date ________________________ Signed _____________________________ Printed Name ________________________ Also complete this part if you will be away all Pesach: I specifically authorize Rabbi Weinstein to sell all chametz located anywhere in my home at the above address, and to lease my entire home. The keys to my home can be found with: _______________________ At _______________________________ Name Address Signed ___________________________ NOTE: IF YOU WILL BE AWAY IN A DIFFERENT TIME ZONE PLEASE MARK BOX BELOW IN ORDER THAT SPECIAL ARRANGEMENTS CAN BE MADE  LOCATION_________________________________ POWER OF ATTORNEY I, the undersigned, fully empower and permit Rabbi Jay Weinstein 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: (Address) _______________________________________________________________ (2nd Location)____________________________________________________________ The chametz I possess include the following (however, the authorization to sell my chametz includes all chametz, even if not listed below): Type of chametz (groceries, liquor, medicine, toiletries etc.) Exact location (kitchen, pantry, living room, cabinets, etc.) Approximate Value $ 1 2 3 4 5 6 Date ________________________ Signed _____________________________ Printed Name ________________________ Also complete this part if you will be away all Pesach: I specifically authorize Rabbi Weinstein to sell all chametz located anywhere in my home at the above address, and to lease my entire home. The keys to my home can be found with: _______________________ At _______________________________ Name Address Signed ___________________________ NOTE: IF YOU WILL BE AWAY IN A DIFFERENT TIME ZONE PLEASE MARK BOX BELOW IN ORDER THAT SPECIAL ARRANGEMENTS CAN BE MADE  LOCATION_________________________________ POWER OF ATTORNEY I, the undersigned, fully empower and permit Rabbi Jay Weinstein 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: (Address) _______________________________________________________________ (2nd Location)____________________________________________________________ The chametz I possess include the following (however, the authorization to sell my chametz includes all chametz, even if not listed below): Type of chametz (groceries, liquor, medicine, toiletries etc.) Exact location (kitchen, pantry, living room, cabinets, etc.) Approximate Value $ 1 2 3 4 5 6 Date ________________________ Signed _____________________________ Printed Name ________________________ Also complete this part if you will be away all Pesach: I specifically authorize Rabbi Weinstein to sell all chametz located anywhere in my home at the above address, and to lease my entire home. The keys to my home can be found with: _______________________ At _______________________________ Name Address Signed ___________________________ NOTE: IF YOU WILL BE AWAY IN A DIFFERENT TIME ZONE PLEASE MARK BOX BELOW IN ORDER THAT SPECIAL ARRANGEMENTS CAN BE MADE  LOCATION_________________________________

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