Essex County Disclaimer of Interest (Personal Representative) Form

Last validated August 13, 2026 by our Forms Development Team

Essex County Disclaimer of Interest (Personal Representative) Form

Essex 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.

Document Last Validated 8/6/2026
Essex County Disclaimer of Interest (Personal Representative) Guide

Essex County Disclaimer of Interest (Personal Representative) Guide

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

Document Last Validated 8/11/2026
Essex County Completed Example of the Disclaimer of Interest (Personal Representative) Document

Essex 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.

Document Last Validated 8/13/2026

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

Immediate Download • Secure Checkout

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

Where to Record Your Documents

Unified Towns & Gores Office

Address:
233 Rt 105 in Ferdinand / Mail: PO Box 417
Island Pond, Vermont 05846

Hours: M 8:00 to 4:00 & Tu - F 8:00 to 3:00

Phone: (802) 723-5900

Town Clerk of Bloomfield

Address:
27 Schoolhouse Rd in Bloomfield / Mail: PO Box 336
North Stratford, New Hampshire 03590

Hours: Tu & Th 9:00 - 3:00 and by appointment

Phone: (802) 962-5191

Town Clerk of Brighton

Address:
49 Mill St Ext / PO Box 377
Brighton (Island Pond), Vermont 05846

Hours: M-F 8:00 - 3:30

Phone: (802) 723-4405

Town Clerk of Brunswick

Address:
994 VT Rte 102
Brunswick, Vermont 05905

Hours: M-F by appt (call first) & Th 4:00 - 6:00

Phone: (802) 962-5514

Town Clerk of Canaan

Address:
318 Christian Hill / PO Box 159
Canaan, Vermont 05903

Hours: M - F 9:00 to 3:00

Phone: (802) 266-3370

Town Clerk of Concord

Address:
374 Main St / PO Box 317
Concord, Vermont 05824

Hours: M, Th, F 9:00 to 3:00 & Tu 12:00 to 6:00

Phone: (802) 695-2220

Town Clerk of East Haven

Address:
64 Community Bldg Rd / PO Box 10
East Haven, Vermont 05837

Hours: Tu 1:00 to 6:00 & Th 8:00 to 1:00 and by appt

Phone: (802) 467-3772

Town Clerk of Granby

Address:
9005 Granby Rd / PO Box 56
Granby, Vermont 05840

Hours: by appointment

Phone: (802) 328-3611

Town Clerk of Guildhall

Address:
13 Courthouse Dr / PO Box 10
Guildhall, Vermont 05905

Hours: Tu 9:00 - 3:00 & Th. 12:00 - 6:00

Phone: (802) 676-3797

Town Clerk of Lemington

Address:
2549 River Rd (VT 102)
Lemington, Vermont 05903

Hours: Wed 2:30 - 5:30

Phone: (802) 277-4814

Town Clerk of Lunenburg

Address:
9 W Main St / PO Box 54
Lunenburg, Vermont 05906

Hours: M - F 8:30 to 12:00 & 1:00 to 3:00; Summer: closed at noon

Phone: (802) 892-5959

Town Clerk of Maidstone

Address:
508 State Rte 102 / PO Box 118
Guildhall, Vermont 05905

Hours: M & Th 9:00 - 3:00 or by appt

Phone: (802) 676-3210

Town Clerk of Norton

Address:
12 VT Route 114 E / PO Box 33
Norton, Vermont 05907

Hours: Tu 10:00 - 4:00; Th 10:00 - 12:00; F 1:00 - 5:00; last Sat/mth 10:00 - 12:00

Phone: (802) 822-9935

Town Clerk of Victory

Address:
102 Radar Rd, Victory / PO Box 609
North Concord, Vermont 05858

Hours: Tu & Th 10:00 to 3:00; other days by appt (695-3355)

Phone: (802) 328-2400

Recording Tips for Essex County:
  • Avoid the last business day of the month when possible
  • Request a receipt showing your recording numbers
  • Consider using eRecording to avoid trips to the office

Cities and Jurisdictions in Essex County

Properties in any of these areas use Essex County forms:

  • Averill
  • Beecher Falls
  • Canaan
  • Concord
  • East Haven
  • Gilman
  • Granby
  • Guildhall
  • Island Pond
  • Lunenburg
  • North Concord
  • Norton

View Complete Recorder Office Guide

Hours, fees, requirements, and more for Essex County

How do I get my forms?

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

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

Recording fees in Essex County vary. Contact the recorder's office at (802) 723-5900 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 Essex 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 Essex County.

Our Promise

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