APPENDIX D. 

 Report Form and Information Sheet 



POIIM87-A0213 



JH 



s,a CENSUS L'e.a 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1201 East T»nth Srr««t 

 Joflarsonvllto, IN 47133 



Nota — If youT records are not available, reasonable estimates rnay be 

 used, tf you cannot file bv February ^ . a time extension request may be 

 sent to the above address. Include your 1 2-character Census File 

 Number (CFN) as shown in your address label in all correspondence to 



us. 



II vou received more than one 

 re port lotm, enlef extra 

 Census File Numberls) here 

 and letum extra copies with 

 your completed repot 



CENSUS 



USE 



ONLY 



03S 



039 



NOTICE — ResDonse to this inquiry is required by law (title 1 3. U.S. Code) By the some law YOUH REPORT TO 

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

 only for statrsTlcal purposes. Youi report CANNOT be used lor purposes of taxation, investigation, or regulation 

 The law also provides that copies retained in your liles are immune frorri legal process 



In eorreaponctonco pertaining to this report, plossa rofer to your Consm Rfe Number (CFNI 



r 



87-AOZ13 



Please correct errors m name, address, and ZIP Code. ENTER street and number if not shown. 



JslllU^Uj ACREAGE IN 1987 Report land owned, rented, or used 

 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, 

 pastureland, rangeland, woodland, idle land, house lots, etc. 



If ttt9 trcros you oporattKi in 1937 chartffffd during tha yaar. 



nfar to tha INFORMATION SHEET. macHon 1. 



1 . All land owned \Z\ 



2 . 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 per-head basis under a 

 graiing permit.! Also complete item 5 below Q 



3. All land rented or leased TO OTHERS, including land worked on 

 shares by others and land subleased. Also complete item 6 below. \Z] 



4 . Acres in "THIS PLACE" — ADD acres owned (item 1 ) 

 and acres rented (item 2) , then SUBTRACT acres rented 



TO OTHERS (item 3), and enter the result in this space ^ 



Number of acres 



_^ 



For tMa censu3 raport thesa ant tha acras in "THIS PLACE. " ' 



If the entry is zero please refer to the INFOFtMA T10N SHEET, section 1 . 



5 . It you rented land FROM OTHERS (item 2), enter the following information for each landlord. 



Name of landlord 



Mailing address (Include ZIP Code) 



Number of acres 



List additional landlords on a separate sheet of paper. 



6. H vou rented land TO OTHERS (item 3), enter the following information for each renter. 



Name of renter 



Mailing address (Include ZIP Code) 



Number of acres 



I tst additianBl renters on a separate sheet of paper 



a • Of the land you rented or leased to otfrers, how many 053 



acres did you own? I 1 _ 



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



054 



1 D Yes - 



2 □ No - 



■ Mark (X) all boxes which apply - 

 Go to item 8 



i 1 I Forest Service 



4 d] Taylor Grazing Sec. 3 (BLM) 



s I I Indian Land 



^ 6 LJ Other — Specify^ 



8. LOCATION OF AGRICULTURAL ACTIVITY FOR "THIS PLACE" 

 In what county was the 



largest value of your 

 agricultural products 

 raised or produced? . 



b. If you also had agricultural 

 operations in any other 

 countv(iesl, enter the 

 county name(s}, etc 



Principal 

 county-* 



Other < 

 counties 



County name 



Number of acres 



INSTRUCTIONS — Plaase report your crops in the appropriate section. 



Use sectfon 7 to report ONLY tfiose CROPS (MOT listed In sections 2 through 6 



and section 8. DO (MOT INCLUDE crops grown on land rented to others. 



y^^ ^^f'J ^'f^i ♦ W^anv'MfhAfnlln.«infi CROPS h«raP.rtt>dfmt« -THIS PLA^^^ 



(n 19877 



1 . Com (field) for grain or 



seed (Report Quantity on a 

 dry shelled- weight ttasis.) . . 



D 



2. Com (field) for silage 



or green chop LJ 



3. Wheat for grain □ 



4. Oats for grain CH 



5. Barley for grain CD 



6- Sorghum for grain 



or seed, including mllo D 



7. Sorghum for silage or 



green chop (Do not include 

 sorghum-sudan crosses.! . . \ | 



8. Soybeans for beans . . EH 



9. Conon □ 



10. Tobacco — all types . . LJ 



1 1 . Potatoes, Irish CJ 



12. Sweetpotatoes and yams 1 | 



Acres 

 harvested 



Quantity harvested 



Tons, 

 gtaen 



~l OB 



Tons, 

 green 



Acres 



irrigated 



Kl1f»lf*l»h't^l j Was any DRY HAY, GRASS SILAGE. HAYLAGE. or GREEN CHOP cut 

 or harvested from "THIS PLACE" In 1987? 

 frrefutfe soe^ttutn-audan crosses and hay cut from pastures. 



1 LJ YES — Compfota this secHon 2 LJ NO — Go to section 4 



If cuttings were made for both dry hay and grass silage, haylage. or green chop 

 from the same fields, report the acreage in The appropriate items under DRY 

 HAY and also under GRASS SILAGE, HAYLAOE. and GREEN CHOP. 



1 . DRY HAY (If fwo or more cuttings of dry 

 hay were made from the same acrss, report 

 acres only once, but report total tons from all 

 cuttings. I 



a. Alfalfa and alfalfa mixtures for 



hay or dehydrating 



b. Small grain hay — oats, wheat, 

 barley, rye, etc 



c . Other tame dry hay - clover, lespedeza, 

 timothy, Bermuda grass. Sudangrass, 

 etc 



d. Wild hay. 



2 . GRASS SILAGE, HAYLAGE, AND 



GREEN CHOP (if two or more cuttings 

 were made from the same acres, report 

 acres only once, but report total tons from 



all cuttings.} 



3. HAY SOLD — Did you sell any hay 

 or grass silage in 1 987? (Report value 



of hay sold in section 9. item 41 



Acres 

 harvested 



Quantity 

 harvested 



(Rgpon eitfter dry 



or g'tien vneightas 



imticatedl 



Tons, 



Tons. 

 green 



Acres 

 irrigated 



I DYes 



^LDNo 



PENALTY FOft FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



