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u Property Request

To receive a weekly printout of all new listings that match your home buying criteria, simply complete the form below and click SUBMIT at the bottom of the form.

Your contact information (Please complete all fields):

First & Last Name:

Street Address:

City:

State/Province:

Zip/Postal Code:

Daytime Phone:

Evening Phone:

Fax #:

E-Mail:

Do you currently own or rent?

When do you plan to move?

Description of the property
your looking for:

Location/Area:

Type of Property:

Age of Home:

Approximately Priced Between:

Minimum Number of Bedrooms:

Minimum Number of Bathrooms:

Garage Preference:

Approximate Lot Size:

Home Preferences:




Other Important Features:




Additional Information:
Are you currently working with a Realtor? 
  
Have you ever been pre-approved for a mortgage?

      If yes, for how much?

    Do you have a down payment?

      If yes, how much?

    Other comments or questions you
may have:






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PREMIER VALLEY REALTY, INC.
Kim Martin, Broker
999 W Center St, Ste 7
Manteca, CA  95337
Telephone:  209-275-3479
Yes - Own, orYes - Rent
Within 3 months3 to 6 months6 months to 1 year1 year or more 
Single FamilyCondo/TownhouseMulti-familyMobile Home Land Only   
Don’t CareNew10+ years25+ years40+ years50+ years 
1 Bdrms2 Bdrms3 Bdrms4 Bdrms5 Bdrms6 or more Bdrms
1 Bath1.5 Baths 2 Bathrs2.5 Baths3 Baths3.5 or more Baths
Carport1 Car2 Car3 Car or more
Don’t Care StandardOversized.5 acre1 acre1+ acre
Family Room
Living Room
Dining Room
Den/Study
Laundry Room
Fireplace
Swimming Pool
Spa
YesNo
YesNo
YesNo
Property Information Request Form