APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBHUARY 1. 1988 

 0KU87-AO20-I 



OMBNo O0O7-O934 ADprov*! E«p«i 





't 30. 19BS 



CENSUS •-••■ 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1 201 E«st T«nth StF««« 

 J«fff*rmonvilU, IN 47133 



Note — tf your records are not available, reasonable estimates may bs 

 used. If you cannot ftle by February 1 . a time a)(lension request may be 

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

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



us. 



If you racwved more than one 

 report form, enter extra 

 Census Ftle Numberfsl here 

 and fsTum flvrra copies with 

 your completed fOpOrl. 



CENSUS 



USE 



ONLY 



OJi 



T" 



NOTICE - Response to this mquirv is required by law (title 13, U.S. Code). By the same law YOUR REPORT TO 

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

 only (or statistical purposes. Your report CANNOT be used for purposes of taxation. Investigation, or reflulatton. 

 The law also provides that copies retained in your files are Immune from legal process. 



In cofTsmpondanc* p«rtainlno to this rvpiMt, plaaae rmtmr to your Cenaua Rl* Number (CFN) 



Pf9as» correct orrora in name, addrosa. and ZIP Coda. ENTTR street and number if not shown. 



•*>-iaHiUh'i03 ACREAGE IN 1987 Report land owned, rented, of used 

 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 rfM mcm a you o pwr» f ari in 1 98 7 c H mn^mtl durlnQ thm ywmm. 

 rmtmr to tttm INFORMATION SHEET, m m cH on I. 



1.-1 JU'JNfftf-^J Wmrm anv nf ttwi foflcmrlna CROPS harvMtftd from "THIS PLACE" 



" In 19877 



1 . All land owned Cj 



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, arKl railroad 

 land. (DO NOT include lar>d used on a per-head basis ur>der a 

 grazing permit.) Also complete item 5 below LJ 



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

 shares by others and land subleased. Also complete rtem 6 below. LJ 



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

 and acres rented litem 2), then SUBTRACT acres rented 



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



Number of acres 



for thin cmnsus report t/M** mrw tlm mcnm In "THIS PLACE. "— 



If the entry is zero please refer to tfie INFORMA TION SHEET, secvon 1 . 

 S. If you rented land FROM OTHERS {item 2). enter the following information for each tandlofd. 



Name of landlord 



Mailing address (Include ZIP Code) 



Number of acres 



L/ST adtUttonal landlords on m separata mftaat of pavar. 



6. 'f vou rented (and TO OTHERS (item 3), enter the following information for each renter. 



Name of renter 



Mailing address ffncJude ZIP Code) 



1 addittonal rantara i 



t a saparata shaat of oaoar. 



Number of acres 



a. Of the land you rented or leased to others, how many 

 acres did you own? 



□ 



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



OS4 



1 I I Yes — Mark fXf all boxes which apply 



2 LJ No — Go to Item 8 



3 LJ Forest Service 



« I ] Taylor Gra7ing Sac. 3 (BLM) 



5 1 ] Indian Land 



^ a LJ Other — Specify^ 



8. LOCATION OF AGRICULTURAL ACTIVITY FOR "THIS PLACE" 



a . In what county was the 

 largest value of your 

 agncultural products 

 raised or produced? . , 



b. If you also had agncultural 

 operations in any other 

 counry(ies), enter the 

 county name(s), etc 



Principal 

 couniv—^ 



Other 

 counties 



County name 



Number of acres 



INSTRUCTIONS — Ploasa report your crops In the appropriate section. 



Um 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 . Com (field! for grain or 



seed IRatrort Qvanrttv on a 

 dry shelled weight basis.) . . 



2. Com (field) for silaga 



or green chop LJ 



3. Soybeans for beans . . O 



4. Beans, dry edible .... CJ 



5. Wheat for grain CJ 



6. Oats for grain CJ 



7. Barfey for grain CJ 



8. Rye for gram CJ 



9. Sorghum for gram 



or seed CJ 



10. Sorghum for silage or 



green chop (Oo not inc/uda . . 



sorghum-sudan erossas. ) . . . I 1 



11. Tobacco - all types . . CJ 



12. Potatoes. Irish CJ 



Acres 

 harvested 



Quantity harvested 



Tons, 

 green 



Acres 

 rrigated 



Was any DRY HAY, GRASS SILAGE, HAYLAGE. or GREEN CHOP cut 

 or harvested from "THIS PLACE" In 1 9877 



/ncfucf* morghum-mudmn en>a*«« mrut Itmy out from pmrntur^m. 

 1 CJ YES — ComQimtm thim amctlon 2 CJ NO 



- Go TO section 4 



If cuTTings ware made far both dry hay and grass silaga. haylaga. or green chop 

 from The same fields, report the acreage m the appropnate items under DRY 

 HA Y and also under GRASS SILAGE. HA YLAGB. and GREEN CHOP. 



1 . DRY HAY ilf fwo or mora curtirygs ot dry 

 hav were made from the same acres, report 

 acres only once, but report total tons from all 



cuttings.) 



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. Sudangrass, meadow and 

 pasture grasses, etc 



d. Wild hay 



2 . GRASS SILAGE, HAYLAGE, AND 



GREEN CHOP llf two or more cuttings 

 were made from the same acres, report 

 acres onh/ once, but report total tons from 



all cuttings, i 



3. HAY SOLD — Old you sell any hay 

 or grass silage in A 337? {Report value 



of hay sold in section 9. item 31 



Acres 

 harvested 



Quantity 

 harvested 



(Raport aithar dry 



ot graan vtfatght aa 



indicated! 



Acres 

 irrigated 



i n Ves 



! □ No 



PENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



