CHOMETZ SALE - USC CHABAD

Sell Your Chometz Form

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Submit this form and we will take care of having your Chametz sold for you.

MAKE SURE WE RECEIVE THIS FORM BY Thursday, April 10 2025 at 11:59 pm.

Chometz Form

First Name

Last Name

Email

Phone

I hereby authorize Rabbi Dov Wagner to dispose of all my Chometz in my possession wherever it may be - at home, at my place of business, or elsewhere - in accordance with the requirements of Jewish Law as incorporated in the special contract for the sale of Chometz.

I Read & Agree

Address of Residence

Address Line 1

Address line 2

City

State

Zip Code

Country

Address of Business or secondary residence (if applicable)

Address Line 1

Address line 2

City

State

Zip Code

Country

Date / Time

Sign your name