This form is currently closed. Delegation of Power of Attorney for the Sale of Chametz I, the undersigned, fully empower and authorise Rabbi Yehuda Pink to act in my place and stead, and on my behalf to sell all Chometz possessed by me (knowingly or unknowingly) as defined by the Torah and Rabbinic law (e.g. Chometz, doubt and suspicion of Chometz and all kinds of Chometz mixtures). Also Chometz that is unfit for human food and that tends to adhere to a surface of the inside of pans, pots, cooking utensils, and all kinds of live animals or birds that eat Chometz, or mixtures thereof. And to lease all places wherein the Chometz owned by me may be stored or found, especially in the premises specified below and elsewhere. And also any of the above mentioned Chometz which may come into our possession from now up to and including Monday 22nd April 2024 at 11.50 am. Rabbi Yehuda Pink has the full right to sell and to lease by transactions as he deems fit and proper and for such time which he believes necessary in accordance with all details, terms and forms explained in the general contract of sale which will be signed on the instruction of Rabbi Yehuda Pink or by himself. This authorisation is made a part of the contract. Also I do hereby give the said Rabbi Yehuda Pink full power and authority to appoint a proxy in his place with the full power to sell and to lease as provided herein. The above given power is in conformity with all Torah and rabbinical regulations and laws in accordance with the laws of this Country. And to this I hereby affix my signature on this day Seller: Full Name* Prefix First Name Last Name E-mail* Chametz Location: Address* Street Address Street Address Line 2 City State / Province Postal / Zip Code Please Select United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile People's Republic of China Republic of China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia Spain Sri Lanka Sudan Suriname Svalbard Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other Country Additional chametz locations: Specify any additional locations here: If you would like to make a donation to support our work please click here. Please note that the latest time to submit a form is 8.00 am on Monday 22nd April 2024 Should be Empty: This page uses TLS encryption to keep your data secure.