30וזהו נוסח גט חליצה שנהגו בו העם: בְּיוֹם פְּלוֹנִי כָּךְ וְכָךְ לְיֶרַח פְּלוֹנִי שְׁנַת כָּךְ וְכָךְ לִבְרִיאַת עָלְמָא לְמִנְיָנָא דְּרָגִילְנָא לְמִימְנֵי בָּהּ בְּמָקוֹם פְּלוֹנִי אֲנַחְנָא דַּיָּנֵי דְּמִקְצָתְנָא חֲתִימִין לְתַתָּא בְּמוֹתַב תְּלָתָא כַּחֲדָא הֲוֵינָא יָתְבִין בְּבֵי דִּינָא וּסְלִיקָא לָקֳדָמָנָא פְּלוֹנִית בָּרַת פְּלוֹנִי אַרְמְלָתָא דִּפְלוֹנִי. וְקָרְבַת לָקֳדָמָנָא גְּבַר חַד דִּשְׁמֵיהּ פְּלוֹנִי בַּר פְּלוֹנִי. וְכֵן אָמְרָה לָנָא פְּלוֹנִית דָּא. פְּלוֹנִי בַּר פְּלוֹנִי דְּנָא אֲחוּהָ דִּפְלוֹנִי בַּעְלִי מֵאֲבוּהָּ הֲוָה דַּהֲוֵינָא נְסִיבָא לֵיהּ וְשָׁכִיב וְחַיֵּי לְרַבָּנָן וּלְכָל יִשְׂרָאֵל שָׁבַק. וּבַר וּבָרַת יָרִית וּמַחְסִין וּמוֹקִים שְׁמָא בְּיִשְׂרָאֵל לֹא שָׁבַק. וְהָדֵין פְּלוֹנִי אֲחוֹהִי חָזִי לְיִבּוּמִי יָתִי. כְּעַן רַבָּנָן אָמְרוּ לֵיהּ אִי צָבִי לְיִבּוּמִי יָתִי יְיַבֵּם וְאִי לֹא יִטְלַע לִי רַגְלֵיהּ דִּימִינָא קָדֳמֵיכוֹן וְאַשְׁרֵי סֵינֵיהּ מֵעַל רַגְלֵיהּ וְאֵרֹק בְּאַנְפּוֹהִי. וְאִשְׁתְּמוֹדַעְנוּהוּ לִפְלוֹנִי דְּנָא דַּאֲחוֹהִי דִּפְלוֹנִי מִיתְנָא מֵאֲבוּהִי הוּא וַאֲמַרְנָא לֵיהּ אִי צָבִית לְיִבּוּמֵי יָתָהּ יַבֵּם וְאִי לֹא אַטְלַע לָהּ קָדֳמָנָא רַגְלָךְ דִּימִינָא וְתִשְׁרֵי סֵינָךְ מֵעַל רַגְלָךְ וְתָרֹק בְּאַנְפָּךְ. וְעָנִי וְאָמַר לָנָא לֵית אֲנָא צָבִי לְיִבּוּמֵי יָתָהּ. מִיַּד אַקְרִינוּהָ לִפְלוֹנִית דָּא מֵאֵן יְבָמִי לְהָקִים לְאָחִיו שֵׁם בְּיִשְׂרָאֵל לֹא אָבָה יַבְּמִי. וְאַף לְהַאי פְּלוֹנִי אַקְרִינוּהוּ לֵיהּ לֹא חָפַצְתִּי לְקַחְתָּהּ. וְאַטְלַע לָהּ רַגְלֵיהּ דִּימִינָא וְשָׁרַת סֵינֵיהּ מֵעַל רַגְלֵיהּ וְרָקַת בְּאַנְפּוֹהִי רֹקָא דְּאִיתְחֲזִי לָנָא מִפּוּמָהּ עַל אַרְעָא. וְתוּב אַקְרִינוּהָ לִפְלוֹנִית דָּא כָּכָה יֵעָשֶׂה לָאִישׁ אֲשֶׁר לֹא יִבְנֶה אֶת בֵּית אָחִיו וְנִקְרָא שְׁמוֹ בְּיִשְׂרָאֵל בֵּית חֲלוּץ הַנָּעַל. וַאֲנַחְנָא דַּיָּנֵי וְכָל דְּהַוּוּ יָתְבִין קָדֳמָנָא עֲנֵינָן בַּתְרֵיהּ חֲלוּץ הַנָּעַל חֲלוּץ הַנָּעַל חֲלוּץ הַנָּעַל תְּלַת זִמְנִין. וּמִדְּאִיתְעֲבִיד עֻבְדָּא דָּא קָדֳמָנָא שָׁרִינוּהָ לִפְלוֹנִית דָּא לִמְהָךְ לְהִתְנַסְבָּא לְכָל מַאן דְּתִצְבֵּי וְאִינַשׁ לֹא יִמְחֶה בְּיֳדָהּ מִן יוֹמָא דְּנָן וּלְעָלַם. וּבָעִית מִנָּנָא פְּלוֹנִית דָּא גִּטָּא דַּחֲלִיצוּתָא דָּא וּכְתַבְנָא וַחֲתַמְנָא וִיהַבְנָא לָהּ לִזְכוּ כְּדַת משֶׁה וְיִשְׂרָאֵל. פְּלוֹנִי בַּר פְּלוֹנִי עֵד. פְּלוֹנִי בַּר פְּלוֹנִי עֵד:
This is the formal text of the document recording the chalitzah that is employed at present: On this day of the week and on this day of the month, in this year from the time of creation, according to the reckoning that is followed in this and this place, we, the judges, of whom several have signed below, sat in a session of three in court. So and so, the widow of so and so, the daughter of so and so, approached us, as did a man named so and so, the son of so and so. And this woman told us: "So and so, the son of so and so, [is] the paternal brother of so and so, my husband. [My husband,] to whom I was married, died, leaving life to the Sages and to the entire Jewish people. He did not leave a son or a daughter to inherit him and to perpetuate his name within Israel. So and so, his brother is fit to perform yibbum with me. "Rabbis, tell that man: 'If you desire to perform yibbum, do so.' If not, let him place his right foot before me, and I will remove his shoe from his foot and spit before him." We clarified the identity of so and so and that he is the paternal brother of so and so, and we told him: "If you desire to perform yibbum, do so. If not, place your right foot before us, so that she can remove your shoe from your foot and spit before you." He answered us: "I do not desire to perform yibbum." Immediately, we had this woman recite after us: "My yavam refuses to raise a name for his brother within Israel. My yavam does not desire [to perform yibbum]." And then, we had the man recite after us: "I do not desire to take her." He then placed his right foot forward. She removed his shoe from his foot and spit before him, emitting spittle that could be seen by us from her mouth to the ground. We then had her recite after us: "This is what should be done to a man who does not build his brother's household. And his [family] shall be called within Israel 'the household of the one whose shoe was removed.' And we the judges, and all those sitting before us, answered after her: "the one whose shoe was removed," "the one whose shoe was removed," "the one whose shoe was removed," three times. When this act was performed before us, we granted license for so and so to marry whomever she desires; no man has the right to raise a protest from this day onward. So and so made a request for a legal record of this chalitzah. [Hence,] we wrote it up, signed it and gave to her as proof according to the faith of Moses and Israel. Signed so and so the son of so and so, a witness; so and so the son of so and so, a witness.