Addison County Disclaimer of Interest (Personal Representative) Form
Last validated August 6, 2026 by our Forms Development Team
Addison County Disclaimer of Interest (Personal Representative) Form
Fill in the blank Disclaimer of Interest (Personal Representative) form formatted to comply with all Vermont recording and content requirements.
Addison County Disclaimer of Interest (Personal Representative) Guide
Line by line guide explaining every blank on the Disclaimer of Interest (Personal Representative) form.
Addison County Completed Example of the Disclaimer of Interest (Personal Representative) Document
Example of a properly completed Vermont Disclaimer of Interest (Personal Representative) 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:
- White-out or correction fluid may cause rejection
- Recorded documents become public record - avoid including SSNs
- Consider using eRecording to avoid trips to the office
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 is drawn for one particular signer: the personal representative of an estate, signing in a representative capacity rather than a personal one. The form performs a refusal, on the estate's behalf, of an interest in Vermont real property that would otherwise pass to the person the estate represents, under the Vermont Uniform Disclaimer of Property Interests Act, 14 V.S.A. chapter 129, and it records in the land records of the town where the property lies.
A refusal made in a representative capacity
The configuration is the product. The form recites a probate appointment (the court unit, the docket number, and the date of appointment), identifies the estate the fiduciary administers, and states that the disclaimer is executed solely in that representative capacity. Its statutory footing is 14 V.S.A. section 4105(b): except to the extent expressly restricted by another Vermont statute or by the instrument creating the fiduciary relationship, a fiduciary may disclaim, in whole or in part, any interest in or power over property, whether acting in a personal or representative capacity. One signature line and one notary acknowledgment certificate, in the representative-capacity pattern of Vermont's short-form certificate statute, complete the execution block.
The record pattern that presents this instrument is the beneficiary who dies before distribution. An owner dies leaving Vermont real property to a relative; the relative dies soon after, before the devise is distributed; the right to take then sits in the relative's own estate, and that estate's personal representative executes the disclaimer, sending the interest along the statute's path instead of through two successive administrations. The form recites a fiduciary appointment throughout, and a renunciation signed personally by a living heir or beneficiary follows a different pattern than this instrument recites.
Vermont's 2026 disclaimer act
Vermont replaced its disclaimer law in 2026. S.179, signed on June 8, 2026 and effective on passage, enacted chapter 129 and repealed the former act at 14 V.S.A. chapter 83. The new chapter carries the national uniform act's mechanics: the disclaimer declares itself, describes the interest disclaimed, and is signed by the person making it; it becomes irrevocable on delivery or filing; and it is expressly not a transfer, assignment, or release. Under section 4106 the disclaimed interest passes as though the disclaimant died immediately before the time of distribution, unless the creating instrument says where disclaimed interests go. The former nine-month state-law delivery window did not carry forward; chapter 129 instead bars a disclaimer after acceptance or transfer of the interest, while the nine-month clock keeps its separate federal role for a disclaimer intended to qualify under 26 U.S.C. section 2518.
From signing to the town land records
Vermont records land instruments by town rather than by county, and this disclaimer records with the clerk of the town or city where the property lies, at the statewide fee of 15 dollars per page. Recording is permissive under section 4115, and the recorded copy does the title work: it completes the chain a later purchaser, examiner, or probate court reads, so the land records and the probate file tell the same story. The form reserves the top of its first page for the clerk's recording information, keeps ten point type, and carries the printed name under the signature line that Vermont's recording-fee statute contemplates.
The package delivers a fillable disclaimer form, a completed example filled in for a Middlebury, Addison County estate scenario, and a section-by-section guide covering the statute, the signing formalities, and the recording steps. The materials are informational and are not legal advice; a Vermont attorney can address how chapter 129 operates on a specific estate.
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 (Personal Representative) 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.
Save Time and Money
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