Addison County Disclaimer of Interest (Individual - Executed by Attorney-in-Fact) Form

Last validated July 17, 2026 by our Forms Development Team

Addison County Disclaimer of Interest (Individual - Executed by Attorney-in-Fact) Form

Addison County Disclaimer of Interest (Individual - Executed by Attorney-in-Fact) Form

Fill in the blank Disclaimer of Interest (Individual - Executed by Attorney-in-Fact) form formatted to comply with all Vermont recording and content requirements.

Document Last Validated 7/17/2026
Addison County Disclaimer of Interest (Individual - Executed by Attorney-in-Fact) Guide

Addison County Disclaimer of Interest (Individual - Executed by Attorney-in-Fact) Guide

Line by line guide explaining every blank on the Disclaimer of Interest (Individual - Executed by Attorney-in-Fact) form.

Document Last Validated 7/17/2026
Addison County Completed Example of the Disclaimer of Interest (Individual - Executed by Attorney-in-Fact) Document

Addison County Completed Example of the Disclaimer of Interest (Individual - Executed by Attorney-in-Fact) Document

Example of a properly completed Vermont Disclaimer of Interest (Individual - Executed by Attorney-in-Fact) document for reference.

Document Last Validated 7/17/2026

All 3 documents above included • One-time purchase • No recurring fees

Immediate Download • Secure Checkout

Important: Your property must be located in Addison County to use these forms. Documents should be recorded at the office below.

Where to Record Your Documents

Town of Addison: Clerk

Address:
65 VT Route 17 West
Addison, Vermont 05491-8919

Hours: M, Tu, Th 8:30 to 12:00 & 1:00 to 4:30; W, F 8:30 to 12:00

Phone: 802-759-2020

Town Clerk of Bridport

Address:
82 Crown Point Rd / PO Box 27
Bridport , Vermont 05734

Hours: M-W 9:00 to 12:00 & 1:00 to 4:00; Th, F 9:00 to 12:00

Phone: 802-758-2483

Town Clerk of Bristol

Address:
1 South St / PO Box 249
Bristol, Vermont 05443

Hours: M - F 8am to 4:30pm

Phone: (802) 453-2410

Town Clerk of Cornwall

Address:
2629 Route 30
Cornwall, Vermont 05753

Hours: Tu - F 9am to 5pm

Phone: (802) 462-2775

Town Clerk of Ferrisburgh

Address:
3279 Rte 7 / PO Box 6
Ferrisburgh, Vermont 05456

Hours: M - F 8am to 4pm

Phone: (802) 877-3429

Town Clerk of Goshen

Address:
50 Carlisle Hill Rd
Goshen, Vermont 05733

Hours: Tuesday 9am to 1pm

Phone: 802-247-6455

Town Clerk of Granville

Address:
4157 VT Route 100 / PO Box 66
Granville, Vermont 05747

Hours: M - Th 9am to 3pm

Phone: 802-767-4403

Town Clerk of Hancock

Address:
48 VT Route 125 / PO Box 100
Hancock, Vermont 05748

Hours: M 3:30 to 6:30; Tu -Th 9:00 to 3:00

Phone: (802) 767-3660

Town Clerk of Leicester

Address:
44 Schoolhouse Rd
Leicester, Vermont 05733

Hours: Mo, Tu, Th 9am to 2pm

Phone: 802-247-5961 Ext3

Town Clerk of Lincoln

Address:
62 Quaker St
Lincoln, Vermont 05443

Hours: Mo - Th 8am to 2pm; We 4pm to 7pm

Phone: 802-453-2980

Town Clerk of Middlebury

Address:
94 Main St
Middlebury, Vermont 05753

Hours: Mo - Th 7:30am to 5:30pm

Phone: 802-388-8100 Ext 211

Town Clerk of Monkton

Address:
280 Monkton Ridge / PO Box 12
Monkton, Vermont 05469

Hours: Mo, Fr 8am to 1pm; T & Th 8am to 1pm & 4pm - 7pm

Phone: 802-453-3800

Town Clerk of New Haven

Address:
78 North St
New Haven, Vermont 05472

Hours: Mo - Th 9am to 4:30pm

Phone: 802-453-3516

Town Clerk of Orwell

Address:
436 Main St / PO Box 32
Orwell, Vermont 05760

Hours: Mo, Tu, Th 9:30 to 12 & 1 to 3:30; F 9:30 to 12 & 1 to 6

Phone: 802-948-2032

Town Clerk of Panton

Address:
3176 Jersey St / PO Box 174
Panton, Vermont 05491-8919

Hours: M, Tu, Th 9am to 3pm; W 9am to 5pm

Phone: 802-475-2333

Town Clerk of Ripton

Address:
1311 Ripton Route 125 / PO Box 10
Ripton, Vermont 05766

Hours: Mo 2pm to 6pm; Tu, Th 9am to 1pm

Phone: 802-388-2266

Town Clerk of Salisbury

Address:
25 Schoolhouse Road / PO Box 66
Salisbury, Vermont 05769

Hours: Tu 9am to 3pm; Th 11pm to 6pm or by appt

Phone: 802-352-4228

Town Clerk of Shoreham

Address:
297 Main St
Shoreham, Vermont 05770

Hours: M, Tu, Th, F 9:00 to 12:00 & 1:00 to 4:00

Phone: 802-897-5841

Town Clerk of Starksboro

Address:
2849 Vermont Route 116 / PO Box 91
Starksboro, Vermont 05487

Hours: M - Th 8:30 to 4:30

Phone: 802-453-2639

City Clerk of Vergennes

Address:
120 Main St
Vergennes, Vermont 05491

Hours: M - F 8:00 to 4:30

Phone: 802-877-2841

Town Clerk of Waltham

Address:
2053 Maple St / PO Box 175
Waltham, Vermont 05491-8919

Hours: Tu & F 9am to 3pm

Phone: 802-877-3641

Town Clerk of Weybridge

Address:
1727 Quaker Village Rd
Weybridge, Vermont 05753

Hours: M & F 12:30 to 5:30; Tu & Th 9:00 to 2:00

Phone: 802-545-2450

Town Clerk of Whiting

Address:
29 South Main St
Whiting, Vermont 05778

Hours: Mo 9:00 to 12:00 & 4:00 to 7:00; We 9:00 to 12:00

Phone: 802-623-7813

Recording Tips for Addison County:
  • Check margin requirements - usually 1-2 inches at top
  • Make copies of your documents before recording - keep originals safe
  • Ask about accepted payment methods when you call ahead

Cities and Jurisdictions in Addison County

Properties in any of these areas use Addison County forms:

  • Bridport
  • Bristol
  • East Middlebury
  • Ferrisburgh
  • Granville
  • Hancock
  • Middlebury
  • Monkton
  • New Haven
  • North Ferrisburgh
  • Orwell
  • Ripton
  • Roxbury
  • Salisbury
  • Shoreham
  • Starksboro
  • Vergennes
  • Whiting

View Complete Recorder Office Guide

Hours, fees, requirements, and more for Addison County

How do I get my forms?

Forms are available for immediate download after payment. The Addison 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 Addison County?

Yes. Our form blanks are guaranteed to meet or exceed the applicable formatting requirements used for recording in Addison 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 Addison 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. You'll need Adobe Reader (free software that most computers already have). 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 Addison County?

Recording fees in Addison County vary. Contact the recorder's office at 802-759-2020 for current fees.

Questions answered? Let's get started!

This Vermont disclaimer of interest form is built around one execution pattern: a single individual disclaimant whose written refusal of an interest in Vermont real property is signed for the disclaimant by an agent, also called an attorney-in-fact, acting under a power of attorney. The instrument operates under the Vermont Uniform Disclaimer of Property Interests Act, 14 V.S.A. chapter 129, and its signature and notary blocks are drafted for the agent, not the disclaimant.

Authority the power of attorney must grant expressly

Vermont treats a disclaimer as one of the acts an agent cannot perform under general authority alone. Under 14 V.S.A. section 4031(a)(9), an agent may disclaim property, including a power of appointment, on the principal's behalf only if the power of attorney expressly grants that authority, and the Vermont statutory form power of attorney presents it as a specific authority the principal initials. The form's operative section recites that the agent acts under a power of attorney carrying that express grant, and the power of attorney's date and, where it is of record, its book and page in the town land records are entered in the agent section. A related statutory limit reaches agents outside the principal's close family: unless the power of attorney provides otherwise, an agent who is not an ancestor, spouse, or descendant of the principal may not use a disclaimer to move an interest in the principal's property toward the agent.

A refusal the law does not treat as a transfer

Vermont adopted chapter 129 in 2026, replacing the disclaimer act that had stood since 1986. Under the new chapter, a disclaimer is the refusal to accept an interest in or power over property. It is made in a writing that declares the disclaimer, describes the interest, and is signed, and it is delivered or filed in the manner the chapter provides. Once delivered or filed and effective, it is irrevocable, and the statute states that a disclaimer is not a transfer, assignment, or release: the disclaimed interest passes under the chapter's devolution rules and the will, trust, or other instrument that created it, not by any conveyance from the disclaimant. The chapter states bar events instead of a fixed state deadline, so acceptance of the interest, a voluntary assignment or encumbrance of it, a contract to convey it, a judicial sale, or a written waiver of the right to disclaim forecloses the disclaimer. Federal tax law runs separately: a qualified disclaimer under 26 U.S.C. section 2518 carries its own nine month timing for federal transfer tax treatment, and the Vermont chapter expressly gives state law effect to a disclaimer the Internal Revenue Code treats as never having passed to the disclaimant.

What this form recites

The form's ten sections collect the disclaimant, the agent and the power of attorney, the deceased owner and date of death, the source of the interest, the property's town, legal description, and address, the interest disclaimed and its extent, whole or partial, and the manner of delivery or filing. The operative section then declares the disclaimer in prose, and one signature line and one representative capacity acknowledgment certificate, following the Vermont statutory short form, carry the agent's execution. A principal who signed a durable power of attorney with the disclaimer authority initialed, and whose agent handles an inheritance the principal declines to accept, presents the pattern this form recites; a disclaimant signing personally follows a different execution pattern than this form carries.

Recording in the town land records

Vermont records land documents with the town or city clerk where the land lies; there is no county recording office for ordinary instruments. Chapter 129 permits the recorded disclaimer wherever an instrument transferring the disclaimed interest is required or permitted to be recorded, which places the refusal in the chain of title where a later examiner looks for it, and the statewide recording fee is $15.00 per page. The completed disclaimer is also delivered or filed as the chapter provides, commonly to the personal representative of the estate, and the form records how that was done.

The download includes the blank disclaimer as a fillable PDF, a completed example showing the entire instrument filled in for a realistic Vermont fact pattern, and a plain language guide that walks through every section, the representative acknowledgment, delivery, and recording. The materials are informational and are not legal advice.

Important: Your property must be located in Addison County to use these forms. Documents should be recorded at the office below.

This Disclaimer of Interest (Individual - Executed by Attorney-in-Fact) meets all recording requirements specific to Addison County.

Our Promise

The documents you receive here are guaranteed to meet or exceed the applicable Addison 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.

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