Information Page

Rabbi Simcha Lefkowitz
1001 Hazel Place
Woodmere NY 11598
516-394-0667

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* 1. Last Name

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* 2. First Name

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* 3. Cell Phone Number

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* 4. Email Address

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* 5. Home Address

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* 6. Address of Premises That Contain Chametz

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* 7. Additional Addresses and Locations of Chametz

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* 8. Please check which chametz items will be included in this sale:

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* 9. Location of Keys or number you can be reached at:

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* 10. An Underestimated Approximate Value of Chametz:

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* 11. City that I will be in at the start of Pesach:

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* 12. City that I will be in at the close of Pesach:

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* 13. Other Comments:

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* 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? 

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