Since it is prohibited to possess chametz on Passover, any chametz left un-disposed must be sold to a non-Jew.
All such chametz, as well as all chametz utensils that were not thoroughly cleaned, should be stored away. The storage area should be locked or taped shut for the duration of the holiday.
Since there are many legal intricacies involved in this sale, a rabbi acts as our agent both to sell the chametz to the non-Jew on the morning before Passover and also to buy it back the evening after Passover ends.
The following form can be copied, modified, filled out, printed and submitted to your local rabbi by early morning of March 17, 2011, local time. If you are unable to submit your form to a rabbi in person, you may submit your form online.
Jewish law require that your chametz be sold by the specified deadline for the location in which the owner will be on the day before Passover. Click here to look up this time for your city.
I the undersigned, fully empower and permit Rabbi Yosef Konikov to act in my place and stead, and on my behalf to sell all chametz possessed by me, knowingly or unknowingly as defined by the Torah and Rabbinic Law (e.g. chametz, possible chametz, and all kind of chametz mixtures).
Also chametz that tends to harden and adhere to inside surfaces of pans, pots, or cooking utensils, the utensils themselves, as well as pet food that contain chametz and mixtures thereof.
Rabbi Yosef Konikov is also empowered to lease all places wherein the chametz owned by me may be found, particularly at the address/es listed below, and elsewhere.
Rabbi Yosef Konikov has full right to appoint any agent or substitute in his stead and said substitute shall have full right to sell and lease as provided herein.
Rabbi Yosef Konikov 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 chametz, chametz mixtures, etc., as provided herein. This power is in conformity with all Torah, Rabbinic and Civil laws.