Essex County Disclaimer of Interest (Individual - Executed by Attorney-in-Fact) Form
Last validated July 17, 2026 by our Forms Development Team
Essex 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.
Essex 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.
Essex 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.
All 3 documents above included • One-time purchase • No recurring fees
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Additional Vermont and Essex County documents included at no extra charge:
Where to Record Your Documents
Unified Towns & Gores Office
Island Pond, Vermont 05846
Hours: M 8:00 to 4:00 & Tu - F 8:00 to 3:00
Phone: (802) 723-5900
Town Clerk of Bloomfield
North Stratford, New Hampshire 03590
Hours: Tu & Th 9:00 - 3:00 and by appointment
Phone: (802) 962-5191
Town Clerk of Brighton
Brighton (Island Pond), Vermont 05846
Hours: M-F 8:00 - 3:30
Phone: (802) 723-4405
Town Clerk of Brunswick
Brunswick, Vermont 05905
Hours: M-F by appt (call first) & Th 4:00 - 6:00
Phone: (802) 962-5514
Town Clerk of Canaan
Canaan, Vermont 05903
Hours: M - F 9:00 to 3:00
Phone: (802) 266-3370
Town Clerk of Concord
Concord, Vermont 05824
Hours: M, Th, F 9:00 to 3:00 & Tu 12:00 to 6:00
Phone: (802) 695-2220
Town Clerk of East Haven
East Haven, Vermont 05837
Hours: Tu 1:00 to 6:00 & Th 8:00 to 1:00 and by appt
Phone: (802) 467-3772
Town Clerk of Granby
Granby, Vermont 05840
Hours: by appointment
Phone: (802) 328-3611
Town Clerk of Guildhall
Guildhall, Vermont 05905
Hours: Tu 9:00 - 3:00 & Th. 12:00 - 6:00
Phone: (802) 676-3797
Town Clerk of Lemington
Lemington, Vermont 05903
Hours: Wed 2:30 - 5:30
Phone: (802) 277-4814
Town Clerk of Lunenburg
Lunenburg, Vermont 05906
Hours: M - F 8:30 to 12:00 & 1:00 to 3:00; Summer: closed at noon
Phone: (802) 892-5959
Town Clerk of Maidstone
Guildhall, Vermont 05905
Hours: M & Th 9:00 - 3:00 or by appt
Phone: (802) 676-3210
Town Clerk of Norton
Norton, Vermont 05907
Hours: Tu 10:00 - 4:00; Th 10:00 - 12:00; F 1:00 - 5:00; last Sat/mth 10:00 - 12:00
Phone: (802) 822-9935
Town Clerk of Victory
North Concord, Vermont 05858
Hours: Tu & Th 10:00 to 3:00; other days by appt (695-3355)
Phone: (802) 328-2400
Recording Tips for Essex County:
- Documents must be on 8.5 x 11 inch white paper
- Ask if they accept credit cards - many offices are cash/check only
- Avoid the last business day of the month when possible
Cities and Jurisdictions in Essex County
Properties in any of these areas use Essex County forms:
- Averill
- Beecher Falls
- Canaan
- Concord
- East Haven
- Gilman
- Granby
- Guildhall
- Island Pond
- Lunenburg
- North Concord
- Norton
Hours, fees, requirements, and more for Essex County
How do I get my forms?
Forms are available for immediate download after payment. The Essex 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 Essex County?
Yes. Our form blanks are guaranteed to meet or exceed the applicable formatting requirements used for recording in Essex 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 Essex 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 Essex County?
Recording fees in Essex County vary. Contact the recorder's office at (802) 723-5900 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 Essex 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 Essex County.
Our Promise
The documents you receive here are guaranteed to meet or exceed the applicable Essex 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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May 12th, 2020
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