Authorization For Sale of Chametz 5779

I (We) [Name]__________________ do hereby authorize and designate Rabbi Melman/Rabbi Averbach/Cantor Stoehr as my (our) agent to act on my (our) behalf to sell and to transfer by transactions all Chametz (as defined by the Torah and Rabbinic Law) of whatever kind and wherever situated at my (our) residence at: [Home Address]____________________ or in my (our) place of business located at: [Business Address] _________________. All of the aforesaid Chametz will be sold in accordance with the requirements of Jewish law and also in accordance with the laws of the State of Illinois and is intended as a binding legal transaction. I (We) further state that the Chametz covered by this agreement will be stored away at the above address and not used for my personal benefit during the period commencing no later than 11:43 am on the morning of Friday, April 19, 2019, and concluding no earlier than 8:30 pm on Saturday evening, April 27, 2019.

Signed [Name]____________ and dated [Today's Date] ________, 2019.

I/We would like to make a voluntary donation to “Maot Chitim” in the amount of $ [Amount]_________ and will be sending it in or dropping it off to: Congregation Beth Shalom, 3433 Walters Avenue, Northbrook, IL 60062.

Your generosity is greatly appreciated.

Name of person(s) who is selling Chametz
Provide Business Address If You Did Not Provide Home Address
Type your full name as if your were signing
Date Signed
If Making A Voluntary Maot Chitim Donation Enter Amount

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