Mechirat Chametz 2020 - Congregation Tiferet Israel

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First, please tell us who is completing this form and asking Rabbi Dan to be his/her agent to sell their chametz.

* First Name(s)

* Last Name

* Address Line 1

Address Line 2

* City

* State

* Zip Code

* Email Address

* Primary phone where you can be reached if necessary

Let's go through a summary of the Document of Authorization

Once authorized, you the seller are bound by all the terms of the document, whether you understand them in the Hebrew or not. The Hebrew form of the Document of Authorization may be found here. An English summary of the document may be found here.

Please check the "Yes" box indicating your concurrence to each of the statements below:

1. I am appointing Rabbi Daniel Millner, Rabbi of Congregation Tiferet Israel of Austin, Texas, or his designee, as an agent to sell my chametz to a non-Jew. I am not selling my chametz to Rabbi Millner (or his designee).

* Yes

Yes2. This authorization extends to all kinds of chametz (even tiny amounts), including chametz that I own outright or in partnership with a non-Jew (including through shares in corporations that own chametz) or for which I am responsible. This includes chametz that is in my home, my office, in storage, in transit and elsewhere.

* Yes

Yes3. I authorize Rabbi Millner or his designee to sell and deliver any (or all) of that chametz, to whomever he chooses, by any kind of transaction he chooses. If the buyer doesn't pay the price, the sale will still be valid and beyond challenge.

* Yes

Yes4. I authorize Rabbi Millner or his designee to rent out and grant rights of access to any area in which my chametz is located, even if to get there the buyer has to go through other parts of your property. These rights are non-exclusive, so I can still use those areas.

* Yes

Yes5. I authorize Rabbi Millner or his designee to sell chametz that I don't yet own, but will become mine before the time that I'm not allowed to deal in chametz, or that will become chametz on Pesach. I declare that I reject ownership or possession of anything that might become chametz on Pesach, and that the non-Jewish buyer is free to acquire that chametz from hefker (its ownerless state).

* Yes

Yes6. I authorize Rabbi Millner to write a document of sale to the buyer in any way he chooses. I authorize Rabbi Millner to delegate his rights and responsibilities to others to effect the sale.

* Yes

Yes7. It is customary to lift up an article, such as a handkerchief or a pen with the intention of confirming my agreement to be bound by the terms of the document of authorization. If the agent is not in front of me at the time of this authorization, the handkerchief or pen may be handed to me by somebody else in my location on behalf of the agent.

* Yes

Yes

Where will you be on the day before Passover?

Please Select OneI will be in Austin or somewhere west of AustinI will be to the east of Austin (such as New York or Jerusalem)

Describe the Chametz you are selling

The address & specific location(s) where chametz is most likely found (home & office, etc):

* Where?

* What type of chametz?

* The approximate value of the chametz:

Maot Chittin (מעות חיטן)
It is customary to donate money to help those who cannot afford to buy matzah and other provisions for Pesach.

Optional Donation for Maot Chittin

Authorization

I hereby attest that I have truthfully answered the above questions, to the fullest extent of my abilities.

I acknowledge and agree to the stipulations in the document.

I agree that I am making this authorization with full seriousness and a complete understanding of the nature of the authorization, and not as an asmachta (conditional obligation) but rather as an absolute commitment.