Champaign County Disclaimer of Interest (Personal Representative) Form
Last validated October 23, 2026 by our Forms Development TeamFormatted for recording in Champaign County, for property anywhere in the county: rural and unincorporated areas as well as Cable, Christiansburg, Mechanicsburg, Mingo, North Lewisburg, Rosewood, Saint Paris, Urbana and 2 more.
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Champaign County Disclaimer of Interest (Personal Representative) Form
Fill in the blank Disclaimer of Interest (Personal Representative) form formatted to comply with all Ohio recording and content requirements.

Champaign County Disclaimer of Interest (Personal Representative) Guide
Line by line guide explaining every blank on the Disclaimer of Interest (Personal Representative) form.

Champaign County Completed Example of the Disclaimer of Interest (Personal Representative) Document
Example of a properly completed Ohio Disclaimer of Interest (Personal Representative) document for reference.
All 3 documents above included • One-time purchase • No recurring fees
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Additional Ohio and Champaign County documents included at no extra charge:
Where to Record Your Documents
Champaign County Recorder
Urbana, Ohio 43078
Hours: 8:00am to 4:00pm M-F
Phone: (937) 484-1630
Recording Tips for Champaign County:
- Bring your driver's license or state-issued photo ID
- Ensure all signatures are in blue or black ink
- Leave recording info boxes blank - the office fills these
- Make copies of your documents before recording - keep originals safe
- Recorded documents become public record - avoid including SSNs
Cities and Jurisdictions in Champaign County
Properties in any of these areas use Champaign County forms:
- Cable
- Christiansburg
- Mechanicsburg
- Mingo
- North Lewisburg
- Rosewood
- Saint Paris
- Urbana
- Westville
- Woodstock
Hours, fees, requirements, and more for Champaign County
How do I get my forms?
Forms are available for immediate download after payment. The Champaign 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 Champaign County?
Yes. Our form blanks are guaranteed to meet or exceed the applicable formatting requirements used for recording in Champaign 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 Champaign 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 Champaign County?
Recording fees in Champaign County vary. Contact the recorder's office at (937) 484-1630 for current fees.
Questions answered? Let's get started!
When the person entitled to an inheritance dies before deciding whether to accept it, the decision survives. Section 5815.36(B)(4) of the Ohio Revised Code lets the executor or administrator of the deceased person's estate, with the consent of the probate court, disclaim on that person's behalf whatever the deceased could have disclaimed if living. This Ohio disclaimer of interest form prepares that post-death refusal for an interest in Ohio real estate: one personal representative, one court order, one described interest.
A refusal made for someone who can no longer make it
The statute's definition of a disclaimant reaches past the heir or devisee to any personal representative of a person or of a person's estate, including any fiduciary appointed by and accountable to the probate court under Section 2109.01. Under division (G) the refused interest passes as the first decedent's will or affidavit directs or, where that instrument is silent, as if the deceased person had died before the first decedent.
The order comes first
Division (B)(4) makes the probate court's consent the condition. The personal representative, or any interested person, applies to the probate division of the court of common pleas that has jurisdiction of the estate, and the court orders the disclaimer after a hearing on notice, on findings that it is in the best interests of those interested in the estate and of those who will take, and that it would not materially, adversely affect the beneficiaries of the estate. The form recites the court, the case number, and the date of that order and carries a fixed sentence identifying the order as the source of the authority to sign.
What the fiduciary configuration recites
The form recites exactly one personal representative, identified by name, mailing address, fiduciary title, appointing court, estate case number, and date of letters, and exactly one deceased person on whose behalf the disclaimer is made. The donative instrument and the record of the instrument that created the interest occupy their own section, as divisions (B)(3)(a) and (F)(4) require, and the interest disclaimed and its extent are written in an open block, whole or fractional. The declaration performs the act on behalf of the deceased person and the estate, retains no power of revocation, and makes no direction as to where the interest goes. An executor disclaiming a house devised to a son who died while his mother's estate was still open, an administrator declining an intestate share for an heir who outlived the decedent by a few months, and a personal representative refusing a transfer on death interest that vested days before the beneficiary died present the pattern this form recites. A living heir refusing in that person's own right, a guardian acting for a ward, and an attorney-in-fact under a power of attorney follow different patterns.
Signed as executor, acknowledged as executor
The single certificate carries the statutory short form Section 147.55(F) prints for a public officer, trustee, or personal representative, naming the person and title of position, and the printed name line under the signature holds the name with the fiduciary title. No witnesses are named in Section 5815.36, and none appear on the form.
Where the paper goes
Division (F) sends the instrument to the probate court administering the first decedent's estate for a will or intestate succession, to the trustee or title holder for a trust or deed, and to the county recorder as well for a transfer on death designation affidavit; for real estate, an executed copy is also recorded with the recorder of the county where the land lies. A disclaimer is not a conveyance under division (N)(2), so no conveyance fee statement accompanies it, though auditor routing before recording varies by county.
Two timing rules
Ohio ties the court-ordered disclaimer to the time within which the deceased person could have disclaimed if living. The federal qualified disclaimer rule in 26 U.S.C. Section 2518 runs its own nine month period from the transfer that created the interest, which for a transfer at death is the first decedent's death, and the Treasury regulation accepts a writing signed by the disclaimant's legal representative.
The package includes the fillable form, a completed example filled in for a Hamilton County fact pattern in which an executor disclaims a devised residence, and the guide that walks through every numbered section, the court order, and the filing and recording steps. This description and the guide describe the form and the governing Ohio statutes in general terms; they are not legal advice.
Important: Your property must be located in Champaign County to use these forms. Documents should be recorded at the county recording office listed above.
This Disclaimer of Interest (Personal Representative) meets all recording requirements specific to Champaign County.
Our Promise
The documents you receive here are guaranteed to meet or exceed the applicable Champaign 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
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