Orange County Disclaimer of Interest (Personal Representative) Form
Last validated August 6, 2026 by our Forms Development Team
Orange 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.

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

Orange 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
Immediate Download • Secure Checkout
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:
- Check that your notary's commission hasn't expired
- Recording fees may differ from what's posted online - verify current rates
- Request a receipt showing your recording numbers
- Ask about their eRecording option for future transactions
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. 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 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 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 Orange 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 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
Get your Orange County Disclaimer of Interest (Personal Representative) form done right the first time with Deeds.com Uniform Conveyancing Blanks. At Deeds.com, we understand that your time and money are valuable resources, and we don't want you to face a penalty fee or rejection imposed by a county recorder for submitting nonstandard documents. We constantly review and update our forms to meet rapidly changing state and county recording requirements for roughly 3,500 counties and local jurisdictions.
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It wasn't really what I needed I read and read and read and read and I thought I was to do with for filing for probate or probate executor but instead it was for the property if you are executor and but it wasn't very clear on that so it didn't work for me so I was kind of wasted money
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January 16th, 2019
easy to use, no problems except in beneficiary box. Need to make the box bigger because I have 4 beneficiaries to list. how do I enlarge the box.
Thanks for reaching out. All available space on the document is being used. As is noted in the guide, if you have information that does not fit in the available space the included exhibit page should be used.
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