APPENDIX D. 

 Report Form and Information Sheet 



DUE BYniBRUAHY 1. 1»88 



0MB No. 0007-0634. Apptwtl Eaptf— S«pwmlii 30. 1 9 



FORM 87-A0202 



AG CENSUS USA 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



^S^fSS^^SHSHKT 



,.,,,... ....,1 RETURty TOat 



BUREAU OF THE CENSUS 

 1 201 Eaal T*nth Str*«t 

 J«ff«rMmvflla, IN 47133 



toam^lrtt'iO'^ ACREAGE IN1987 Report land ownad. rented, or used 

 g, 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 lota, etc. 



Note - If your records are not available, reasonable estimates may be 

 used. If you cannot file by February 1 , a time extension request rnay be 

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

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



us. 



If you received morv than otw 

 report form, enter extra 

 Census File Numberls) here 

 and rstum enra coptes wrth 

 your completed raoort. 



CENSUS 



USE 



ONLY 



036 



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

 THE CENSUS BUREAU IS CONFIDENTIAL. It may be «««n only by sworn Census employees and may be uaed 

 only for stattsticsl purposes. Your report CANNOT be used for purposes of taxation, investtgatton, or regulation. 

 The taw> also provides that copies retained in your files ere Immune from legal process. 



f corr»«pond*nc« p*rt*lnlng to tMs rvport, pl»a«« r«far to your C«nsus File Number (CFN) 



B7-A0202 



r 



Pteaso corrocx errors in name, address, and 2tP Code ENTER street and number if not shovun. 



Ifttfmer^a yiju apwrmtmd In 1 98 7 c ftf ig erf during ttf f 

 rwtm- to tfm INFORMATION SHEET. m»ct§on 1. 



1 . All land owned 



None 



. n 



, All land rented or (eased FROM OTHERS, including larvj worked 

 by you on shares, used rem 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 LJ 



■ All land rented or leased TO OTHERS, including land worked on 

 shares by others and larxJ subleased. Also complete item 6 below, d] 



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

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

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



Number of acres 



^ ki 



For fMs cvnsua rmpoft thmmm arm tfm mcrmm In "THIS PLACF. " ' 



ff the entry is zero please refer to the INFORMA TION SHEET, section 1 . 



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



Narrw of lar>dlord 



Mailing address {Include ZIP Codej 



Number of acres 



Ust mdatttonal landlords on a aepmratm sheet of paper. 



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



Name of renter | MaRing eddress f Include ZtP Code) | Number of acres 



List addrtional rentera on a aapafato sheet of paper. 



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



acres did you own? LJ _ 



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



OS4 



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



2 LJ No — Go fo item 8 



i I I Forest Service 



4 (U Taylor Grazing Sec. 3 (BLM) 



I s I I Indian Land 



[ 6 lU Other — Specifyj 



8. LOCATION OF AGRICULTURAL ACTIVfTY 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 

 county(ies|, enter the 

 county name(s), etc 



Principal 



county-^ 



Other 

 counties 



County name 



Number of acres 



INSTRUCTIONS — Pleas« report your crops in the appropriate section. 



Us* seirtlon 7 to report ONLY those CROPS NOT listed In sections 2 through 6 



and section 3. DO NOT INCLUDE crops grown on land rented to others. 



13Sff«ffRi Wi*«> iMw nf fh« follo*^»fl CRQP.q hmr^f»mt»tt from "THIS PLACE" 



In 19877 



1 . Com (field) for grain or 

 seed (Report quantity on a 

 dry shelled- freight basts > . . 



2. Com (field) for silage 



or green chop 



n 



n 

 n 

 n 



3. Soybeans for beans 



4. Beans, dry edible . . 



5. Wheat for grain LJ 



6. Oats for grain LJ 



7. Barley for grain LJ 



8. Rye for grain LJ 



9. Sorghum for grain 



or seed (includir>g milol LJ 



10. Sorghum for silage or 

 green chop IDorwtmdude 

 sofghumsvdan crosses./. . , | | 



1 1 . Popcorn LJ 



12. Tobacco — all types . . I — t 



13. Potatoes, Irish LJ 



Acres 



harvested 



Quantity harvested 



074 



57T- 



OR - -^- - [ 



Acres 



irrigated 



07& 

 878 



1 /10 



:3aninmB;H Wa« anv DRY HAY. GRASS SIIAGE. HAYLAGE, or GREEN CHOP cut 

 - or harvested from "THIS PLACE" In 19877 



Indudm morfghu m m -utbtn ero mamm mrtd hmy cut from p»mtMMfom. 



1 LJ YES — Complete tMs moction 2 LJ NO — Co to section 4 



if cuttings were rnade for both dry bay and grass silage, haylage, or green chop 

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

 HA Y and also under GRASS SILAGE. HA YLAGE, and GREEN CHOP. 



1- DRY HAY (If TWO or more cuttings of 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, lespedeza, 

 timothy, bromegrass, Sudangrass, 

 millet, etc 



d. Wild hay . 



2. GRASS SILAGE, HAYLAGE, AND 



GREEN CHOP (If two or more cuttings 

 were mode from the same acres, report 

 acres only once, but report total tons from 

 all cuttings. I 



3. HAY SOLD — Did you sell any hay 

 or grass silage in 1 987? /Report value 



of hay sold in section 9, item 4) 



Acres 

 harvested 



Quantity 

 harvested 



(Report oithOf dry 



Of green weight «s 



tridlcBtedl 



Tons, 

 green 



Acres 

 irrigated 



I LJ Yes 



^^^ No 



PENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



