Windham County Disclaimer of Interest (Individual - Executed by Attorney-in-Fact) Form
Last validated September 7, 2026 by our Forms Development TeamFormatted for recording in Windham County, for property anywhere in the county: rural and unincorporated areas as well as Bellows Falls, Brattleboro, Cambridgeport, East Dover, Grafton, Jacksonville, Jamaica, Londonderry and 19 more.
- 3 documents included
- Immediate PDF download
- Formatting guarantee

Windham 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.

Windham 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.

Windham 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 Windham County documents included at no extra charge:
Where to Record Your Documents
Town Clerk of Athens
Athens, Vermont 05143
Hours: Mo 9:00 to 1:00 or by appt.
Phone: (802) 869-3370
Town Clerk of Brattleboro
Brattleboro, Vermont 05301
Hours: Mo-Fr 8:30 to 5:00
Phone: (802) 251-8157
Town Clerk of Brookline
Newfane, Vermont 05345
Hours: Tu, Th 9:00 - 2:00; 1st Sat 9:00 to noon; and by appt.
Phone: (802) 365-4648
Town Clerk of Dover
West Dover, Vermont 05356
Hours: Mo-Fr 9:00 to 5:00
Phone: (802) 464-5100 x2
Town Clerk of Dummerston
East Dummerston, Vermont 05346
Hours: Mo, Tu, Th, Fr 9:00 to 3:00 & We 11:00 to 5:00
Phone: (802) 257-1496
Town Clerk of Grafton
Grafton, Vermont 05146
Hours: Mo, Tu, Th, Fr 9:00 to 12:00 & 1:00 to 4:00; call first
Phone: (802) 843-2419
Town Clerk of Guilford
Guilford , Vermont 05301
Hours: Mo 7:00 to 6:00; Tu-Th 7:00 to 5:00
Phone: (802) 254-6857
Town Clerk of Halifax
West Halifax, Vermont 05358
Hours: Mo, Tu, Fr 8:00 to 3:00 & Sa 9:00 to noon
Phone: (802) 368-7390
Town Clerk of Jamaica
Jamaica, Vermont 05343
Hours: Mo-Th 9:00 to 4:00
Phone: (802) 874-4681
Town Clerk of Londonderry
South Londonderry, Vermont 05155
Hours: Mo, Tu, Th, Fr 8:30 to 2:30; We 10:00 to 5:00; Sat by appt
Phone: (802) 824-3356
Town Clerk of Marlboro
Marlboro, Vermont 05344
Hours: Mo, We, Th 9:00 to 4:00 (always call ahead)
Phone: (802) 254-2181
Town Clerk of Newfane
Newfane, Vermont 05345
Hours: Mo - Fr 8:00 to 6:00
Phone: (802) 365-7772 x10
Town Clerk of Putney
Putney, Vermont 05346
Hours: Mo, We-Fr 9:00 to 2:00; We 7:00 to 9:00; Sa 9:00 to noon
Phone: (802) 387-5862 x14
Town Clerk of Rockingham
Bellows Falls, Vermont 05101
Hours: Mo-Fr 8:30 to 4:30
Phone: (802) 463-4336 x102
Windham County Clerk (for Somerset)
Newfane, Vermont 05345
Hours: 8:30 to 4:00 M-F
Phone: (802) 251-2009
Town Clerk of Stratton
Stratton, Vermont 05360
Hours: Mo-Th 9:00 to 3:00
Phone: (802) 869-6184
Town Clerk of Townshend
Townshend, Vermont 05353
Hours: Mo-We & Fr 9:00 to 4:00
Phone: (802) 365-7300
Town Clerk of Vernon
Vernon, Vermont 05354
Hours: Mo, Tu, Th 7:30 to 5:30; We 7:30 to 9:30am
Phone: (802) 257-0292 x4
Town Clerk of Wardsboro
Wardsboro, Vermont 05355
Hours: Mo-Th 9:00 to 12:00 & 1:00 to 4:30
Phone: (802) 896-6055
Town Clerk of Westminster
Westminster, Vermont 05158
Hours: Mo-Fr 8:30 to 4:00
Phone: (802) 722-4091
Town Clerk of Whitingham
Jacksonville, Vermont 05342
Hours: Mo-Fr 9:00 to 2:00; We 5:00 to 7:00; 1st Sa 9:00 to noon
Phone: (802) 368-7887
Town Clerk of Wilmington
Wilmington, Vermont 05363-0217
Hours: Mo-Fr 8:30 to 12:00 & 1:00 to 4:00
Phone: (802) 464-5836
Town Clerk of Windham
Windham, Vermont 05359
Hours: Mo 12:00 to 4:30; Tu 8:30 to 12:00; We 8:30 to 4:30; Th 11:30 to 4:30
Phone: (802) 874-4211
Recording Tips for Windham County:
- Bring your driver's license or state-issued photo ID
- Ensure all signatures are in blue or black ink
- White-out or correction fluid may cause rejection
- Ask about their eRecording option for future transactions
- Avoid the last business day of the month when possible
Cities and Jurisdictions in Windham County
Properties in any of these areas use Windham County forms:
- Bellows Falls
- Brattleboro
- Cambridgeport
- East Dover
- Grafton
- Jacksonville
- Jamaica
- Londonderry
- Marlboro
- Newfane
- Putney
- Saxtons River
- South Londonderry
- South Newfane
- Townshend
- Vernon
- Wardsboro
- West Dover
- West Dummerston
- West Halifax
- West Townshend
- West Wardsboro
- Westminster
- Westminster Station
- Whitingham
- Williamsville
- Wilmington
Hours, fees, requirements, and more for Windham County
How do I get my forms?
Forms are available for immediate download after payment. The Windham 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 Windham County?
Yes. Our form blanks are guaranteed to meet or exceed the applicable formatting requirements used for recording in Windham 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 Windham 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 Windham County?
Recording fees in Windham County vary. Contact the recorder's office at (802) 869-3370 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 Windham 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 Windham County.
Our Promise
The documents you receive here are guaranteed to meet or exceed the applicable Windham 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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