This form must be signed and returned to Rabbi Alpert by midnight on April 4, 2023.

If you are not logged into your CBS account, you must provide the physical address where the hametz included in this sale is located. This contract is invalid without this information.

In case Rabbi Alpert needs to contact you.

I the undersigned, fully empower and permit Rabbi Avraham Alpert to act in my place and stead, and on my behalf to sell all hametz possessed by me, knowingly or unknowingly as defined by the Torah and Rabbinic Law (e.g. hametz, possible hametz, and all kinds of hametz mixtures). Also, hametz that tends to harden and adhere to inside surfaces of pans, pots, or cooking utensils, the utensils themselves, and all kinds of live animals and pets that have been eating hametz and mixtures thereof. Rabbi Avraham Alpert is also empowered to lease all places wherein the hametz owned by me may be found, particularly at the address listed below, and elsewhere. Rabbi Avraham Alpert has full right to appoint an agent or substitute in his stead and said substitute shall have full right to sell and lease as provided herein. Rabbi Avraham Alpert also has the full power and right to act as he deems fit and proper in accordance with all the details of the Bill of  Sale used in the transaction to sell all my hametz, hametz mixtures, etc., as provided herein. This power is in conformity with all Torah, Rabbinic and Civil laws.

This box must be checked in order to execute this contract.

By entering my printed name I acknowledge that electronic signatures have the same legal effect as ink signatures.

It is traditional to make a contribution when selling hametz to help provide Matzah for those who cannot afford it. You are not obligated to contribute, and any amount is welcome.