I, the undersigned, fully empower and permit Congregation Agudas Achim and its official rabbinic authority as designated by Julie Saar, President of Congregation Agudas Achim, 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 kinds of Chametz mixtures). Also Chametz 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 Chametz and mixtures thereof.
Congregation Agudas Achim 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.
Congregation Agudas Achim has full right to appoint any agent or substitute in its stead and said substitute shall have full right to sell and lease as provided herein.
Congregation Agudas Achim also has the full power and right to act as it 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.
By submitting this form, you are agreeing to the sale of your chametz per the stipulations above.