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

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.

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.
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Additional Vermont and Addison County documents included at no extra charge:
Where to Record Your Documents
Town of Addison: Clerk
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
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
Bristol, Vermont 05443
Hours: M - F 8am to 4:30pm
Phone: (802) 453-2410
Town Clerk of Cornwall
Cornwall, Vermont 05753
Hours: Tu - F 9am to 5pm
Phone: (802) 462-2775
Town Clerk of Ferrisburgh
Ferrisburgh, Vermont 05456
Hours: M - F 8am to 4pm
Phone: (802) 877-3429
Town Clerk of Goshen
Goshen, Vermont 05733
Hours: Tuesday 9am to 1pm
Phone: 802-247-6455
Town Clerk of Granville
Granville, Vermont 05747
Hours: M - Th 9am to 3pm
Phone: 802-767-4403
Town Clerk of Hancock
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
Leicester, Vermont 05733
Hours: Mo, Tu, Th 9am to 2pm
Phone: 802-247-5961 Ext3
Town Clerk of Lincoln
Lincoln, Vermont 05443
Hours: Mo - Th 8am to 2pm; We 4pm to 7pm
Phone: 802-453-2980
Town Clerk of Middlebury
Middlebury, Vermont 05753
Hours: Mo - Th 7:30am to 5:30pm
Phone: 802-388-8100 Ext 211
Town Clerk of Monkton
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
New Haven, Vermont 05472
Hours: Mo - Th 9am to 4:30pm
Phone: 802-453-3516
Town Clerk of Orwell
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
Panton, Vermont 05491-8919
Hours: M, Tu, Th 9am to 3pm; W 9am to 5pm
Phone: 802-475-2333
Town Clerk of Ripton
Ripton, Vermont 05766
Hours: Mo 2pm to 6pm; Tu, Th 9am to 1pm
Phone: 802-388-2266
Town Clerk of Salisbury
Salisbury, Vermont 05769
Hours: Tu 9am to 3pm; Th 11pm to 6pm or by appt
Phone: 802-352-4228
Town Clerk of Shoreham
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
Starksboro, Vermont 05487
Hours: M - Th 8:30 to 4:30
Phone: 802-453-2639
City Clerk of Vergennes
Vergennes, Vermont 05491
Hours: M - F 8:00 to 4:30
Phone: 802-877-2841
Town Clerk of Waltham
Waltham, Vermont 05491-8919
Hours: Tu & F 9am to 3pm
Phone: 802-877-3641
Town Clerk of Weybridge
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
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
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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