Mechiras Chametz Information Page Rabbi Simcha Lefkowitz 1001 Hazel Place Woodmere NY 11598 516-394-0667 OK Question Title * 1. Last Name OK Question Title * 2. First Name OK Question Title * 3. Cell Phone Number OK Question Title * 4. Email Address OK Question Title * 5. Home Address Address City State Zip OK Question Title * 6. Address of Premises That Contain Chametz Address City State Zip Chametz Location One Chametz Location Two Chametz Location Three OK Question Title * 7. Additional Addresses and Locations of Chametz OK Question Title * 8. Please check which chametz items will be included in this sale: Liquor Grocceries Perfumes Cosmetics Medications Stocks in Chametz Companies Other (please specify) OK Question Title * 9. Location of Keys or number you can be reached at: OK Question Title * 10. An Underestimated Approximate Value of Chametz: OK Question Title * 11. City that I will be in at the start of Pesach: OK Question Title * 12. City that I will be in at the close of Pesach: OK Question Title * 13. Other Comments: OK Question Title * 14. One going away for Pesach may wish to be exempt from Bedikas Chametz, If so, it is preferable to lease out the entire home. Alternatively, one may exclude one room from the lease to perform Bedikas Chametz in that room. Are you going to be away from the address listed above the entire Pesach and wish to lease your home? Yes No OK NEXT