Chittenden County Disclaimer of Interest (Personal Representative) Form
Last validated October 16, 2026 by our Forms Development TeamFormatted for recording in Chittenden County, for property anywhere in the county: rural and unincorporated areas as well as Burlington, Cambridge, Charlotte, Colchester, Essex, Essex Junction, Fairfax, Hinesburg and 12 more.
- 3 documents included
- Immediate PDF download
- Formatting guarantee

Chittenden 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.

Chittenden County Disclaimer of Interest (Personal Representative) Guide
Line by line guide explaining every blank on the Disclaimer of Interest (Personal Representative) form.

Chittenden 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.
All 3 documents above included • One-time purchase • No recurring fees
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Additional Vermont and Chittenden County documents included at no extra charge:
Where to Record Your Documents
Town Clerk of Bolton
Waterbury, Vermont 05676
Hours: M-Th 8:00 - 4:00
Phone: (802) 434-5075
Chittenden County Clerk (for Buel's Gore)
Burlington, Vermont 05402
Hours: 7:30 to 4:00 M-F
Phone: (802) 951-5106
City Clerk of Burlington
Burlington, Vermont 05401
Hours: M-F 8:00 to 4:30
Phone: (802) 865-7000
Town Clerk of Charlotte
Charlotte, Vermont 05445
Hours: M-F 8:00 to 4:00
Phone: (802) 425-3071
Town Clerk of Colchester
Colchester, Vermont 05446
Hours: M-F 7:30 - 4:30
Phone: (802) 254-5520
Town Clerk of Essex
Essex Jct, Vermont 05452
Hours: M-F 7:30 - 4:30
Phone: (802) 879-0413
Town Clerk of Grand Isle
Grand Isle, Vermont 05458-0049
Hours: M-F 8:30 - 3:30; Tu 5:00 - 7:00; Sa 10:00 -12:00
Phone: (802) 372-8830
Town Clerk of Hinesburg
Hinesburg, Vermont 05461
Hours: M - F 8:00 to 4:00
Phone: (802) 482-2281
Town Clerk of Huntington
Huntington, Vermont 05462
Hours: M 8:00 - 7:00; Tu, W, Th 8:00 - 3:00
Phone: (802) 434-2023
Town Clerk of Jericho
Jericho, Vermont 05465
Hours: M-Th 8:00 - 4:00; F 8:00 - 1:30 (or by appointment)
Phone: (802) 899-4936 x1
Town Clerk of Milton
Milton, Vermont 05468
Hours: M-F 8:00 - 5:00
Phone: (802) 893-4111
Town Clerk of Richmond
Richmond, Vermont 05477
Hours: M 8:00 - 5:00; Tu - Th 8:00 - 4:00; F 8:00 - 12:00
Phone: (802) 434-2221/3139
Town Clerk of Shelburne
Shelburne, Vermont 05482
Hours: M - F 8:30 - 5:00
Phone: (802) 985-5116 x0
City Clerk of South Burlington
South Burlington, Vermont 05403
Hours: M-F 8:00 - 4:30
Phone: (802) 846-4105
Town Clerk of St. George
St. George, Vermont 05495
Hours: Mon - Wed 8:00 - 2:00; Th 4:30 - 6:30
Phone: (802) 482-5272
Town Clerk of Westford
Westford, Vermont 05494
Hours: M-F 8:30 - 4:30; Summer F 8:30 - 1:00
Phone: (802) 878-4587
Town Clerk of Williston
Williston, Vermont 05495
Hours: M-F 8:00 - 4:30
Phone: (802) 878-5121
City Clerk of Winooski
Winooski, Vermont 05404
Hours: M-F 7:30 - 4:30
Phone: (802) 655-6419
Recording Tips for Chittenden County:
- Bring your driver's license or state-issued photo ID
- Ensure all signatures are in blue or black ink
- Leave recording info boxes blank - the office fills these
- Make copies of your documents before recording - keep originals safe
- Recorded documents become public record - avoid including SSNs
Cities and Jurisdictions in Chittenden County
Properties in any of these areas use Chittenden County forms:
- Burlington
- Cambridge
- Charlotte
- Colchester
- Essex
- Essex Junction
- Fairfax
- Hinesburg
- Huntington
- Jericho
- Jonesville
- Milton
- Richmond
- Shelburne
- South Burlington
- Underhill
- Underhill Center
- Westford
- Williston
- Winooski
Hours, fees, requirements, and more for Chittenden County
How do I get my forms?
Forms are available for immediate download after payment. The Chittenden 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 Chittenden County?
Yes. Our form blanks are guaranteed to meet or exceed the applicable formatting requirements used for recording in Chittenden 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 Chittenden 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 Chittenden County?
Recording fees in Chittenden County vary. Contact the recorder's office at (802) 434-5075 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 Chittenden County to use these forms. Documents should be recorded at the county recording office listed above.
This Disclaimer of Interest (Personal Representative) meets all recording requirements specific to Chittenden County.
Our Promise
The documents you receive here are guaranteed to meet or exceed the applicable Chittenden 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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