Sale of Chametz
 This form should be returned to the synagogue no later than 10AM 
 on Monday, April 22, 2024.


I, (acting on behalf of and with authorization of my entire family and associates) transfer authority to sell Chametz, Chametz mixtures and objects containing Chametz to Rabbi Dan Ornstein of Congregation Ohav Shalom in Albany, New York.  As my agent, he should arrange for this sale by 10AM on Monday, April 22, 2024. I have placed my Chametz, Chametz mixtures and objects containing Chametz in specially designated areas within my home and/or business premises, which are:
(Please include all addresses that apply.)