Orange County Disclaimer of Interest (Individual - Executed by Attorney-in-Fact) Form
Last validated September 7, 2026 by our Forms Development TeamFormatted 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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- Immediate PDF download
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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.

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.

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.
All 3 documents above included • One-time purchase • No recurring fees
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Additional Vermont and Orange County documents included at no extra charge:
Where to Record Your Documents
Bradford Town Clerk
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
Braintree, Vermont 05060
Hours: Mon-Wed 9:00 to 4:00 and by appt
Phone: (802) 728-9787
Brookfield Town Clerk
Brookfield, Vermont 05036
Hours: Tue-Thu 8:30 to 4:30
Phone: (802) 276-3352 x10
Chelsea Town Clerk
Chelsea, Vermont 5038
Hours: Mon, Tue-Fri 8:00 to 12:00 & 1:00 to 4:00
Phone: (802) 685-4460
Corinth Town Clerk
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
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
Newbury, Vermont 05051
Hours: Mon-Fri 8:30 to 2:30; Tue until 6:00
Phone: (802) 866-5521
Orange Town Clerk
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
Randolph, Vermont 05060
Hours: Mon-Fri 8:30 to 4:30
Phone: (802) 728-5433 x 11
Strafford Town Clerk
Strafford, Vermont 05072
Hours: Mon-Thu 7:30 to 4:30
Phone: (802) 765-4411
Thetford Town Clerk
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
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
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
Vershire, Vermont 05079
Hours: Tue-Thu 8:30 to 12:00 & 1:00 to 4:30
Phone: (802) 685-2227
Washington Town Clerk
Washington, Vermont 05675
Hours: Mon, Tue 8:30 to 2:30 and by appt
Phone: (802) 883-2218
West Fairlee Town Clerk
West Fairlee, Vermont 05083
Hours: Mon, Tues, Wed 9:30-12 &1-3:30
Phone: (802) 333-9696
Williamstown Clerk
Williamstown, Vermont 05679
Hours: M-F 10am-3pm
Phone: (802) 433-5455 x203
Orange County Clerk
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
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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