APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY ^. 1988 



OMB NO. 06O7-O534. A<iprovjl E»p*r»« 3< ij I1i4j*. 30. 1988 



«87-A0210 



CENSUS yfvS 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1201 East Tenth StT««t 

 JaffersonvniB. IN 47133 



Nots — If your records are not available, reasonable estimates may be 

 used. If you cannot file by Febmary 1 , a time extension request may be 

 sent to the above address. Include your 12-character Census File 

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

 us. 



If you received more than one 

 faporr form, enter extra 

 Census RIe Number(sl here 

 and return extra copies with 

 your completed report. 



CENSUS 



USE 



ONLY 



NOTICE — Response to this inquiry is required by low (Trtle 13, U.S. Code). By the same taw YOUR REPORT TO 

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

 only lor stBtistical purposes. Your report CANNOT be used for purposes of taxation, investigation, or regutatlon. 

 The la<w also provides that copies retained In your files are immune from legal process 



In cofr«spond«nc« pertaining to this rvport, please refer to your Census File Number (CFN) 



87-A0210 



r 



Please correct erron in name, address, and ZIP Code. ENTER street and number ff not shown. 



■layrflill^i 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, rangetand, woodland, idle land, house lots, etc. 



If th9 acres you opmrBtotI in 1887 chartf/od duHrtQ Che V^fr 



nfmr to the INFORMATION SHCET^ m&cHon 1. None 



1 . All land owned O 



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 

 grazing permit.) Also complete item 5 below LD 



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

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



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 



r04B 



-^ 



For this cmnaum rmport thmam arm tha acres In "THIS PLACE. " ' 



tf the entry is zero please refer to the tNFORMA TION SHEET, section 1 . 



5. If you rerrted 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 landtorris on a separate sheet of paper. 



6. If you rented land TO OTHERS (item 3), enter the following information for each renter- 

 Mailing address (Include ZIP Code) \ Number of acres 



Name of renter 



List additional renters on a separate Sheet ot paper. 



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



acres did you own? D — 



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



1 L—l Yes — Mark (X) all boxes which apply . . 



2 LD No — Go fo Hem 8 



3 mi Forest Service 



4 im Taylor Grazing Sec. 3 (BLM) 

 s I I Indian Land 



^ ft CH Other — Specify^ 



8. LOCATION OF AGRICULTURAL ACTIVITY FOR "THIS PLACE" 

 a . In what county was the 



largest value of your 

 agricultural products 

 raised or produced? .... 



b. If you also had agricultural 

 operations in any other 

 county(ies), enter the 

 county name(s), etc 



Principal 

 county^ 



Other ' 

 counties 



County name 



Number of acres 



INSTRUCTIONS — Please report your crops In the appropriate section. 



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. 



vH^?ilttiyJtRH Were any n§ the gaHowifKi CROPS hervarted from "THIS 



in 1987? 



S2 



None 

 1 . Wheat for grain I 1 



PLACE" 



2. Barley for grain [H 



3. Oats for grain O 



4. Dry edible beans (Do not , — ■ 



include dry limas.} 1 I 



5. Lentils □ 



6. Dry edible peas (Do not 



include Austrian winter peaa 

 and wrinkled seed peas. I . . 



7. Austrian winter peas . . 



8. Com (field) for grain or 



seed (Report quantity on a 

 dry shelled- weight basis.). . . 



n 

 n 



n 



9. Com (field) for silage or 



green chop Lj 



10. Sugar beets for sugar dt 



11. Mint for oil Q 



12. Potatoes, Irish D 



Acres 

 harvested 



7 oa( 



11 



Quantity harvested 



"~l 08 



OR - - - 

 Tor>« 



Tom, 

 green 



Acres 

 Irrigated 



gmmfiyrBgli We« env pry hay, grass SILAGE. HAYLAGE. Of GREEN CHOP cut 

 ^^ hanrested from "THIS PLACE" in 1 987? 

 tnctud» aoryhum-audBn crosses and hay cut from pesTures. 

 ^^ 1 CD YES — Cownpfof thim mmcHon 2 LJ NO — Go ro section 4 



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



from the some fields, report the acreage in the appropriate items under DRY 



HAY and also under CRASS SILAGE. HAYLAGE. and GREEN CHOP. 



1 . DRY HAY flf two or more cuttings ot dry 

 hay 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, timothy, 

 Sudangrass, fescue, crested 

 wheatgrass, etc 



d. Wild hay 



2. GRASS SILAGE, HAYLAGE, AND 



GREEN CHOP Of two or rryore cuttings 

 were made from the same acres, report 

 acres only once, but report total tons from 

 all cuttir^s.) 



3. HAY SOLD — Did you sell any hay 

 or grass silage in 1 9B77 (Report value 



of hay sold in section 9. item 2} 



Acres 

 harvested 



Quantity 

 harvested 



{Report either dry 

 or green freight as 

 indicated) 



Tom 



Ton*, 

 dry 



Acres 

 Irrigated 



I □ Yes 



t\3 No 



PENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



