APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1. 1988 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



i 



hIE CENSUS 



file by February 1 , a t 



NOTICE - Response to th.s .nqu-fy is requirPd by law (tJtlp 1 3. US Code). By the same law YOUR REPORT TO 

 THE CENSUS BUREAU IS CONFIDENTIAL, It may be seen only by sworn Census employees and may bc used 

 only for staiislical purposes. Your tepod CANNOT be used for purposes of taxation, investigation, or regulation. 



Census File Number (CFN) 



r 



1 Z/P Code ENTBR s 



5, by you, your spouse, or by the partnership, corporation, or 



organization for which you are reporting. Include ALL LAND, 

 REGARDLESS OF LOCATION OR USE cropland. 



Number of acres 



All I 



All land rented or leased FROM OTHERS, including land worked 

 by you on shares, used rent free, in exchange for services, 

 payment of taxes, etc Include leased Federal, State, and railroad 

 land. (DO NOT include land used on a perhead basis under a 

 grazing permit.) Also complete item 5 below D 



4 . Acres in "THIS PLACE" - add acres o^ 

 and acres rented (item 2), then SUBTRACT i 

 TO OTHERS (item 3). and enter the result in 



1 6 below, n 



i FROM OTHERS (item 21. enter the following information for each landlorc 



; (Include ZIP Code) Number of acres 



Name of rente 



7. Did you have any grazing permits on a per-head b 



1 I — ! Yes — Mark IX) all boxes which apply . 

 . n NO- Go ro*remS 



4 I I Taylor Grazing Sec. 3 (BLM) 

 s □ Indian Land 

 ^ 6 LJ Other Specify^ 



8. L0CA7I0N OF AGRICULTURAL ACTIVITY FOR "THIS PLACE" 



largest value of your 

 agricultural products 

 raised or produced? , 



J also had agrlcultur 



countyiies), enter the 

 county name(s), etc. . . 



INSTRUCTIONS — Please report your crops in the appropriate 



Use section 7 to report ONLY those CROPS NOT listed in sections 2 through 6 



and section 8. DO NOT INCLUDE crops grown on land rented to others. 



1. Corn (field) for grain 

 seed IRepon Quanrity o 

 dry shelled weight basis 



3. Soybeans for beans 



4. Beans, dry edible . . 



5. Wheat for gram . . . 



6. Oats for gram 



7. Barley for grain . . . 



8. Rye for grain 



10. Sorghum for silage 

 green chop /Do nor n 



sorghum Sudan crosses 



11. Tobacco — all typ 



12. Potatoes. Irish 



^^ 1 n YES - CompletB this section 2 □ NO - Go ro se. 



If cuttings were made for both dry hay aryd grass silage, haylage. or greer} chop 

 from the same fields, report the acreage in the appropriate ttcms under DRY 

 HA Y and also under GRASS SILAGE. HA YLAGE. and Gflff A/ CHOP. 



1 . DRY HAY af two or more cutting: 



a. Alfalfa and alfalfa m 

 hay or dehydrating 



b. Small grain hay — o 

 barley, rye. etc 



c. Other tame dry hay — clover, lespedeza, 

 timothy, Sudangrass. i 





etc. 



PENALTY FOR FAILURE TO 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



