APPENDIX D. 

 Report Form and Information Sheet 



• 87-A0201 



. DEPARTMENT OF COMMERCE 



."va CENSUS ysA 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1201 East Tenth Street 



you cannot file by February 1 , a time extension request may be 

 the above address. Include your 12-character Census File 

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



NOTICE — Response to this inquiry is required by 1. 

 THE CENSUS BUREAU IS CONFIDENTIAL. It may 

 only for statistical purposes. Your report CANNOT t 



IS. Code). By the same law YOUR REPORT TO 



> refer to veur C:enau« Hie Number (CFN) 



.and ZIP Code ENTBR strem and numty 



ACREAGE IN 1987 Report land owned, rented, or used 

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

 organization for vuhich you are reporting. Include ALL LAND, 

 REGARDLESS OF LOCATION OR USE - cropland, 

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



» op«rate*l In 1 987 changBti duHrtg tho roar. 



refer fo the IHFORMATION SHEET, miction 1 



None Number of acres 



1 . All land owned 



. 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 railroarJ 

 land. (00 NOT include land used on a per-head basis under a 

 grazing permit.) Also complete item 5 below 



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 



For thli csn»M reporT tfH»s are the acree in "THIS PLACE. ' 



f the entry is zero please refer to the INFORM A TION SHEET, section 1 . 



F you rented land FROM OTHERS (item 21. enter the following infomiation for each landlord. 



Mailing address (Include ZIP Code) Number off acres 



6. It you rented land TO OTHERS (ite m 3). enter the following information for each renter. 

 Mailing address llnclude ZIP Codel \ Number off acn 



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



1 □ Yes - Marti IX) all boxes which apply . 



2 □ No - Go fo rtem 8 



4 rn Taylor Grazing Sec. 3 (BLM) 

 , n Indian Land 

 I 6 □ Other - Specify, 



agricultural products 



b. If you also had agricultural 

 operations in any other 

 countyliesl, enter the 

 county name(s), etc 



Number of acres 



INSTRUCTIONS — Please report your crops in the appropriate section 



Use section 7 to report ONLY those CROPS NOT listed in sectioi 



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



Were any o« the fonowlnfl CROPS harvested fram "THIS PLACE" 



1 . Com (field) for grain c 



Was any DRV HAY, GRASS SILAGE, HAVLAGE, or GREEN CHOP cut 

 or harvested from "THIS PLACE" in 19877 



1 □ YES — Complete Ihle section 2 O NO — Go to section 4 



If cuttings 



HAY and also under GRASS SILAGE. 



1. DRY HAY 



YLAGE. and GREEN CHOP, 

 or more cuttings of dry 



cuttings.) 



a. Alfalfa and alfalfa r 

 hay or dehydrating 



b. Small grain hay — oats, wheat, 

 badey, rye, etc 



c. Other tame dry hay - clover, lespedez 

 timothy. Sudangrass, meadow and 

 pasture grasses, etc 



d. Wild hay 



acres only once, but n 



3. HAY SOLD — Did you sell any hay 

 or grass silage in 1 9B77 iReport value 



of liiy sold In section 3. item 3) 



!nNo 



PEHALTr FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



