Jefferson County Disclaimer of Interest (Beneficiary Interest) Form
Last validated November 9, 2026 by our Forms Development TeamFormatted for recording in Jefferson County, for property anywhere in the county: rural and unincorporated areas as well as Altheimer, Humphrey, Jefferson, Moscow, Pine Bluff, Redfield, Reydell, Sherrill and 4 more.
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Jefferson County Disclaimer of Interest (Beneficiary Interest) Form
Fill in the blank Disclaimer of Interest (Beneficiary Interest) form formatted to comply with all Arkansas recording and content requirements.

Jefferson County Disclaimer of Interest (Beneficiary Interest) Guide
Line by line guide explaining every blank on the Disclaimer of Interest (Beneficiary Interest) form.

Jefferson County Completed Example of the Disclaimer of Interest (Beneficiary Interest) Document
Example of a properly completed Arkansas Disclaimer of Interest (Beneficiary Interest) document for reference.
All 3 documents above included • One-time purchase • No recurring fees
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Additional Arkansas and Jefferson County documents included at no extra charge:
Where to Record Your Documents
Jefferson County Circuit Clerk
Pine Bluff, Arkansas 71601
Hours: 8:30 to 4:30 M-F
Phone: (870) 541-5304
Recording Tips for Jefferson County:
- Bring your driver's license or state-issued photo ID
- Ensure all signatures are in blue or black ink
- Both spouses typically need to sign if property is jointly owned
- Bring extra funds - fees can vary by document type and page count
- Check margin requirements - usually 1-2 inches at top
Cities and Jurisdictions in Jefferson County
Properties in any of these areas use Jefferson County forms:
- Altheimer
- Humphrey
- Jefferson
- Moscow
- Pine Bluff
- Redfield
- Reydell
- Sherrill
- Tucker
- Wabbaseka
- White Hall
- Wright
Hours, fees, requirements, and more for Jefferson County
How do I get my forms?
Forms are available for immediate download after payment. The Jefferson County forms will be in your account ready to download to your computer. An account is created for you during checkout if you don't have one. Forms are NOT emailed.
Are these forms guaranteed to be recordable in Jefferson County?
Yes. Our form blanks are guaranteed to meet or exceed the applicable formatting requirements used for recording in Jefferson County, including margin requirements, font requirements, and other layout standards. This guarantee applies to formatting, not to the legal sufficiency of information entered by the user or the suitability of a form for a particular transaction.
Can I reuse these forms?
Yes. You can reuse the forms for your personal use. For example, if you have multiple properties in Jefferson County you only need to order once.
What do I need to use these forms?
The forms are PDFs that you fill out on your computer. The free Adobe Acrobat Reader is recommended, and most PDF apps also work. You do NOT enter your property information online - you download the blank forms and complete them privately on your own computer.
Are there any recurring fees?
No. This is a one-time purchase. Nothing to cancel, no memberships, no recurring fees.
How much does it cost to record in Jefferson County?
Recording fees in Jefferson County vary. Contact the recorder's office at (870) 541-5304 for current fees.
Questions answered? Let's get started!
An Arkansas beneficiary deed hands real estate to a named grantee beneficiary the moment the owner dies, with no probate and no signature from the beneficiary. The Arkansas Disclaimer of Interest (Beneficiary Interest) is the instrument for the beneficiary who does not want it: one grantee beneficiary named in a recorded Arkansas beneficiary deed who refuses, in whole, the interest in real property that deed would pass at the owner's death. It is prepared under the Uniform Disclaimer of Property Interests Act (1999), Ark. Code Ann. sections 28-2-201 to 28-2-221, and built to be recorded with the circuit clerk of the county where the land lies.
A refusal that reaches back to the owner's death
Arkansas law treats a disclaimer as a refusal to accept, not as a gift onward. Section 28-2-205(f) says a disclaimer made under the chapter is not a transfer, assignment, or release, and section 28-2-206(b)(1) makes it effective as of the time the instrument creating the interest became irrevocable, which for a beneficiary deed is the owner's death. The disclaimant therefore never owns the property for even a day. Where the interest goes instead is decided by the beneficiary deed's own terms and by section 28-2-206: an individual disclaimant is treated as having died immediately before the time of distribution, so a successor grantee the owner named on that condition takes under section 18-12-608, and where the deed names none the chapter's default rules decide. The disclaimer names no recipient, because the statute does not let it.
That timing is also why the form is written for the period after the owner's death. Section 2 of the instrument identifies the beneficiary deed by its date, recording date, instrument number or book and page, and recording county, together with the owner who executed it and the date of death. Where two owners made the deed as tenants by the entirety or joint tenants with right of survivorship, the deed operated at the second death, and the form takes that date.
What the statute requires the writing to contain
Section 28-2-205(c) sets four requirements: the disclaimer is in a writing or other record, declares the disclaimer, describes the interest disclaimed, and is signed by the person making it, and it is delivered or filed as section 28-2-212 provides. The form meets the first three on its face. Section 1 identifies the disclaimant and recites the configuration the form carries, a natural person acting in the disclaimant's own right who is a grantee beneficiary under the identified deed. Section 3 carries the county, the legal description copied from the beneficiary deed, the street address, and the parcel number. Section 4 performs the act in fixed operative text: the disclaimant disclaims and refuses to accept, in whole, the interest in the described property that would otherwise pass under the deed. The same section states that none of the events section 28-2-213 names as bars has occurred, that the disclaimant receives no consideration, and that the disclaimed interest passes as section 28-2-206 provides.
Delivery is the fourth requirement, and it happens outside the recorder's office. Section 28-2-212(g) directs a disclaimer of an interest created by a beneficiary designation, a term the section extends to any nonprobate transfer at death, to the person obligated to distribute the interest, by personal delivery, first-class mail, or any other method likely to result in receipt. The guide walks through that provision and through section 28-2-214, under which a disclaimer is tax-qualified under federal law only if made within the federal period, generally nine months from the owner's death.
Why this disclaimer is recorded like a deed
A disclaimer of a bank account or of a bequest of personal property is delivered under section 28-2-212 and has no place in the land records. Real property is different. Section 28-2-215(a) provides that when real property or an interest in it is disclaimed, a copy of the disclaimer shall be recorded in the office of the circuit clerk of the county in which the property is located. A disclaimer that answers a recorded beneficiary deed belongs in the same records as the deed, where a title examiner reading the chain finds the refusal beside the designation it refuses. The form is therefore built to the Arkansas recording format of section 14-15-402(b)(1), with the two and one half inch recording space at the top of the first page and at the bottom of the last, and it carries the preparer statement section 14-15-403 places on the face of the first page. It also carries the transfer tax statement section 26-60-110(b)(3)(B) permits, since a disclaimer involves no consideration and is not a transfer.
The spouse's written consent and dower
Arkansas's disclaimer chapter carries a provision directed at the disclaimant's spouse. Under section 28-2-215(b), when an interest in or relating to real property is disclaimed and recorded, the spouse of the person entering the disclaimer, if the spouse has consented to the disclaimer in writing, is automatically debarred from any dower or curtesy interest in that real estate to which the spouse would otherwise have been entitled. The form carries that consent as Section 6: a fixed sentence by which the undersigned spouse consents in writing to the disclaimer, a signature block captioned SPOUSE OF DISCLAIMANT, and a separate acknowledgment certificate for the spouse. A disclaimant who is unmarried, or whose spouse does not consent, leaves the block and its certificate blank; the disclaimer itself is the disclaimant's act alone.
One disclaimant, the whole interest
The form recites exactly one disclaimant signing in that person's own right and disclaiming the entire interest. Two grantee beneficiaries who each refuse present two disclaimers, one per person. A partial disclaimer, which section 28-2-205(d) allows to be stated as a fraction, percentage, or other interest in the property, follows a different pattern than this form recites, as do disclaimers by a guardian, executor, or administrator for a minor, incompetent, or deceased beneficiary under section 28-2-216, disclaimers of devises under a will or of trust interests, and the surviving joint tenant's disclaimer of survivorship rights under section 28-2-207. The disclaimant signs before a notary public, and the certificate printed on the form follows the Arkansas statutory acknowledgment for an individual under section 16-47-107(b), with a second certificate for the consenting spouse so the two may acknowledge on different days or before different officers.
The package includes the fillable disclaimer of interest form, a completed example filled in for a Pulaski County fact pattern, and the guide that walks through every numbered section, the delivery and recording rules, and the time limits. This description and the guide describe the form and the governing Arkansas statutes in general terms; they are not legal advice.
Important: Your property must be located in Jefferson County to use these forms. Documents should be recorded at the county recording office listed above.
This Disclaimer of Interest (Beneficiary Interest) meets all recording requirements specific to Jefferson County.
Our Promise
The documents you receive here are guaranteed to meet or exceed the applicable Jefferson County recording format requirements. If there is a rejection caused by our formatting, we will correct the issue or refund your payment. This guarantee applies to document formatting only and does not extend to information entered by the user, the selection of the form, or the legal effect of the completed document.
Save Time and Money
Get your Jefferson County Disclaimer of Interest (Beneficiary Interest) form done right the first time with Deeds.com Uniform Conveyancing Blanks. At Deeds.com, we understand that your time and money are valuable resources, and we don't want you to face a penalty fee or rejection imposed by a county recorder for submitting nonstandard documents. We constantly review and update our forms to meet rapidly changing state and county recording requirements for roughly 3,500 counties and local jurisdictions.
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