B"H

Sale of Chametz - M'chiras Chometz

I/We hereby grant Power of Attorney to Rabbi Pinchus Feldman of Sydney, NSW, Australia to act as my/our legal representative and agent for the purpose of selling my/our Chometz and renting such localities within my/our property where said Chometz is stored during Pesach of this year.

My/our signatures affixed below shall become part of the Hebrew SH'TAR M'CHIRASS CHOMETZ which is in the possession of Rabbi Pinchus Feldman and the contents of which is known to me/us. This power of Attorney shall become legally valid by virtue of handing it over, properly signed, or sent by email to Rabbi Pinchus Feldman personally or to his duly appointed agent.
Approximate Value of Chometz:
Cereals, biscuits, crumbs, dough $
Whiskey, grain alcohol $
Vinegar and all food mixed with $
Flour, starch, non-Passover Matzo and all foods mixed with sauce $
Chometz in cosmetics, medicine $
Value of chometz vessels (crockery etc) $

Approximate total:

Places where chometz will be kept:

Name(s):

Address:

Email

Phone(s):

Signature: Date: