Form 1045, Corporate Occupant Questionnaire Completed Form Examples and Samples
Find comprehensive examples and samples of Form 1045, the Corporate Occupant Questionnaire. Our detailed guides show you how to correctly fill out the form for your commercial lease application, covering all sections from corporate details to financial references.
Form 1045 Example – Corporate Occupant Questionnaire for a Tech Startup
How this form was filled:
A detailed example of Form 1045 filled out by a tech startup, 'Innovate Solutions Inc.', as part of its application to lease new commercial office space. This sample includes corporate details, officer and shareholder information, business references, and emergency contacts as required by the property manager.
Information used to fill out the document:
- Corporation Name: Innovate Solutions Inc.
- DBA (if any): N/A
- Type of Business: Software Development (SaaS)
- State of Incorporation: Delaware
- Date of Incorporation: 06/15/2022
- Leased Premises Address: Suite 500, 123 Tech Avenue, Silicon Valley, CA 94043
- Lease Commencement Date: 05/01/2026
- President / CEO: Jane Smith
- Vice President / COO: Robert Johnson
- Secretary: Emily White
- Treasurer / CFO: Michael Brown
- Principal Shareholders (>10%): Jane Smith (30%), Robert Johnson (25%), Tech Venture Capital LLC (20%)
- Contact for Notices: Jane Smith, CEO
- Emergency Contact (24/7): Robert Johnson, COO, (555) 123-4568
- Number of Employees on Premises: 45
- Use of Hazardous Materials: No, other than standard office cleaning supplies.
- Bank Reference: First National Tech Bank, Acct# 9876543210, Contact: David Chen
- Trade Reference 1: Cloud Services Inc., Contact: Maria Garcia
- Trade Reference 2: Office Supplies Co., Contact: Sam Jones
- Authorized Signatory: Jane Smith
- Title of Signatory: Chief Executive Officer
- Date Signed: 04/20/2026
What this filled form sample shows:
- Complete identification of the corporate entity, including state and date of incorporation.
- Detailed list of all corporate officers and principal shareholders as requested.
- Designation of specific contacts for important legal notices and emergencies.
- Inclusion of verifiable bank and trade references for financial vetting.
- Clear declaration regarding the use of hazardous materials on the premises.
- Proper authorization by a corporate officer with a current signature and date.
Form specifications and details:
| Form Name: | Form 1045, Corporate Occupant Questionnaire |
| Use Case: | New corporate tenant (tech startup) leasing commercial office space. |
| Purpose: | To provide a landlord or property manager with comprehensive information about a new corporate tenant entity for vetting and record-keeping purposes. |
Created: February 25, 2026 07:03 PM
