Mechiras Chametz 5784 - Form - Young Israel of Forest Hills

* First Name

* Last Name

* Email

* Phone Number

* Address

Apartment

* City

* State

* Zip Code

Secondary Address

Office, dorm, vacation home, etc.

Apartment/Suite/Floor

City

State

Zip Code

* Approx. Value of Chametz - Main Residence

* Approx. Value of Liquor - Main Residence

Approx. Value of Chametz - Secondary Location

Approx. Value of Liquor - Secondary Location

If you are going to be away for Pesach
Rooms not included in the sale:

If you are going to be away for Pesach
Please specify if you will be in a different time zone

If you are going to be away for Pesach
Access to my home/office can be done via:

If you are going to be away for Pesach
Phone number for such access:

* I hereby authorize Rabbi Elisha Friedman of Young Israel of Forest Hills (7100 Yellowstone Blvd. Forest Hills, NY 11375) to sell, transfer and assign all Chometz of whatever kind and nature, which I own or possess, or in which I may have an interest, wheresoever situated, in the residence(s) stated above, to a non-Jew of Rabbi Friedman's choice.

I hereby authorize Rabbi Elisha Friedman of Young Israel of Forest Hills (7100 Yellowstone Blvd. Forest Hills, NY 11375) to sell, transfer and assign all Chometz of whatever kind and nature, which I own or possess, or in which I may have an interest, wheresoever situated, in the residence(s) stated above, to a non-Jew of Rabbi Friedman's choice.

Maos Chitim Donation Amount