Mechiras Chometz Form - Beth Hakneses Hachodosh

Deadline for all Mechiras Chometz Form submissions: Friday, April 19, 2024

You may fill out the online form below OR print and fill out the PDF version by clicking HERE.
For PDF forms, return to Rabbi Chastain via email to dov.chastain@gmail.com or by clicking HERE.

Rabbi Chastain may be reached at 503.927.3863.

* Title

* First Name

* Last Name

* Phone Number

* Email

By clicking on the "submission" button below, I hereby authorize Rabbi Dov Chastain, or his agent, to act on my behalf and sell all chometz possessed by me knowingly or unknowingly as defined by Torah and Rabbinic law, and to rent to a non-Jew of his choosing all places where chometz owned by me may be found.

My home address that the chometz is presently located at:

* Street

Apt. #

* City

* State

* Zip Code

Other address (business, summer home, storage unit, etc.) that the chometz is presently located at:

Street

Apt. #

City

State

Zip Code

Exact location(s) - e.g. kitchen, pantry, garage, etc. - where chometz is located at the above address(es):

Other chometz I possess includes...

Approximate value of all Chometz in USD (based on its condition at the time of the sale) is:

By clicking on the box below, I acknowledge that I will be not be home for the entire Pesach and therefore authorize Rabbi Dov Chastain, or his agent, to sell all chometz located anywhere at the above address(es), and to lease the entire property/properties to a non-Jew of his choosing.

מכירת י"ג - I will not be home for the entire Pesach.

The keys for the buyer to gain access can be found by contacting...

fill in full name of person, phone number and address where keys are located.

**MAOS CHITTIM - Please consider those in our community who need assistance with Pesach provisions.**

I would like to contribute the following for Maos Chittim:

enter amount

* I give the buyer free access to all chometz mentioned above.

I give the buyer free access to all chometz mentioned above.