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

Last validated September 7, 2026 by our Forms Development Team

Formatted for recording in Orange County, for property anywhere in the county: rural and unincorporated areas as well as Bradford, Brookfield, Chelsea, Corinth, East Corinth, East Randolph, East Thetford, Fairlee and 18 more.

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

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

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

Orange 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 9/7/2026

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

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

Where to Record Your Documents

Bradford Town Clerk

Address:
172 North Main St / PO Box 339
Bradford, Vermont 05033

Hours: Mon-Thu 8:30 to 4:30; Fri 9:00 to 12:00

Phone: (802) 222-4727 x 300

Braintree Town Clerk

Address:
932 VT Route 12A
Braintree, Vermont 05060

Hours: Mon-Wed 9:00 to 4:00 and by appt

Phone: (802) 728-9787

Brookfield Town Clerk

Address:
40 Ralph Rd / PO Box 463
Brookfield, Vermont 05036

Hours: Tue-Thu 8:30 to 4:30

Phone: (802) 276-3352 x10

Chelsea Town Clerk

Address:
296 VT Rte 110 / PO Box 266
Chelsea, Vermont 5038

Hours: Mon, Tue-Fri 8:00 to 12:00 & 1:00 to 4:00

Phone: (802) 685-4460

Corinth Town Clerk

Address:
1387 Cookeville Rd / PO Box 461
Corinth, Vermont 05039

Hours: Mon 8:00 to 4:00, Tue 8:00 to 6:00, Fri 9:00 to 3:00

Phone: (802) 439-5850

Fairlee Town Clerk

Address:
75 Town Common Rd / PO Box 95
Fairlee, Vermont 05045

Hours: Mon-Thu 8:30 to 3:30; Fri 9:00 to 12:00 or by appt

Phone: (802) 333-4363

Newbury Town Clerk

Address:
4982 Main St S / PO Box 126
Newbury, Vermont 05051

Hours: Mon-Fri 8:30 to 2:30; Tue until 6:00

Phone: (802) 866-5521

Orange Town Clerk

Address:
392 US Route 302 / PO Box 233
East Barre, Vermont 05641 / 05649

Hours: Mon-Fri 8:00 to 12:00 & 1:00 to 4:00

Phone: (802) 479-2673

Randolph Town Clerk

Address:
7 Summer St / Drawer B
Randolph, Vermont 05060

Hours: Mon-Fri 8:30 to 4:30

Phone: (802) 728-5433 x 11

Strafford Town Clerk

Address:
227 Justin Morrill Hwy / PO Box 27
Strafford, Vermont 05072

Hours: Mon-Thu 7:30 to 4:30

Phone: (802) 765-4411

Thetford Town Clerk

Address:
3910 VT Route 113 / PO Box 126
Thetford, Vermont 05075

Hours: Mon 6:00 to 8:00; Tue-Thu 8:00 to 4:00

Phone: (802) 785-2922 x 10

Topsham Town Clerk

Address:
6 Harts Rd / PO Box 69
Topsham, Vermont 05076

Hours: Mon 1:00 to 6:00; Tue, Thu, Fri 9:00 to 4:00

Phone: (802) 439-5505

Tunbridge Town Clerk

Address:
271 VT RT 110 / PO Box 6
Tunbridge, Vermont 05077

Hours: Mon-Thu 7:30 to 3:00; Thu closed 11:00 to 12:30

Phone: (802) 889-5521

Vershire Town Clerk

Address:
6894 Vt Rte 113
Vershire, Vermont 05079

Hours: Tue-Thu 8:30 to 12:00 & 1:00 to 4:30

Phone: (802) 685-2227

Washington Town Clerk

Address:
2895 VT Rte 110
Washington, Vermont 05675

Hours: Mon, Tue 8:30 to 2:30 and by appt

Phone: (802) 883-2218

West Fairlee Town Clerk

Address:
870 Rte 113
West Fairlee, Vermont 05083

Hours: Mon, Tues, Wed 9:30-12 &1-3:30

Phone: (802) 333-9696

Williamstown Clerk

Address:
2470 VT Rte 14 / PO Box 646
Williamstown, Vermont 05679

Hours: M-F 10am-3pm

Phone: (802) 433-5455 x203

Orange County Clerk

Address:
5 Court St
Chelsea, Vermont 05038

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

Phone: (802) 685-4610

Recording Tips for Orange County:
  • Bring your driver's license or state-issued photo ID
  • Ensure all signatures are in blue or black ink
  • Check margin requirements - usually 1-2 inches at top
  • Leave recording info boxes blank - the office fills these
  • Make copies of your documents before recording - keep originals safe

Cities and Jurisdictions in Orange County

Properties in any of these areas use Orange County forms:

  • Bradford
  • Brookfield
  • Chelsea
  • Corinth
  • East Corinth
  • East Randolph
  • East Thetford
  • Fairlee
  • Newbury
  • North Thetford
  • Post Mills
  • Randolph
  • Randolph Center
  • South Strafford
  • Strafford
  • Thetford
  • Thetford Center
  • Topsham
  • Tunbridge
  • Vershire
  • Washington
  • Wells River
  • West Fairlee
  • West Newbury
  • West Topsham
  • Williamstown

View Complete Recorder Office Guide

Hours, fees, requirements, and more for Orange County

How do I get my forms?

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

Yes. Our form blanks are guaranteed to meet or exceed the applicable formatting requirements used for recording in Orange 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 Orange 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 Orange County?

Recording fees in Orange County vary. Contact the recorder's office at (802) 222-4727 x 300 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 Orange County to use these forms. Documents should be recorded at the county recording office listed above.

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

Our Promise

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