APPENDIX D. 

 Report Form and Information Sheet 



DUB BY FEBRUARY 1, 1988 



OM6 No OBQ7-OB34: Approval fcaptr— Ssptffnbf 30, 1 9B8 



form87-A0206 



U.S. DEPARTMENT OF COMMERCE 

 BUREAU OF THE CENSUS 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1 201 Emi Tenth Street 

 Js H sc s onvMs. IN 47133 



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

 used. If you cannot file by February 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 



II you received more than one 

 report form, enter extra 

 Census File Humberts) here 

 end return extra copies with 

 your completed report. 



CENSUS 



USE 



ONLY 



03b 



NOTICE - Response to this inquiry ■» required by law (trde 1 3, U.S. Code). By the seme law YOUR REPORT TO 

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

 only for statistical purposes. Your report CANNOT be used for purposes of taxation, investigation, or regulation. 

 The law also provides that copies retained in your- files are immune horn legal process. 

 In correspondence pertsHning to this raport. plssa* refer to your Census File Number (CFN) 



r 



Please cofrer: errors in name, address, and ZIP Code. ENTER street and number it not shown. 



r^CREAGEINT9S7~Repon land owned, rented, or used 

 s1 by vou, 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. 



It the meres MM MMMM Mtli 1987 changed during, the ) ■■! , 

 refer fo the INFORMATION SHEET, I 



INSTRUCTIONS — Plaaae rapon your crops In tha appropriate section. 



Usa section 7 to raport ONLY those CROPS NOT listed In sections 2 through 6 



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



| INSTI 

 ( Usese 

 landse 



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 LJ 



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

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



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 



Forthisc 



l In "THIS PLACE.' 



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

 . If you rented land FROM OTHERS (hem 2), enter the fo'owing information tor each landlord. 



Name of landlord 



Mailing address (Include ZIP Code) 



Number of acres 



List oddrtionW landlord* on a repersie sheet of paper. 



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



Were any of the fallowing CROPS hartrssted from "THIS PLACE 

 in 1987? 



1 . Com (field) for grain or 



seed (Report ouontity on s 



dry sttelted weight barrj.t . . 



2. Com (field) for silage 

 or green chop 



3. Soybeans for beans . 



4. Sugarcane for sugar - 

 (Report cuttings from 

 November J 936 through 

 Apr* 1987) 



5. Sugarcane for seed 



□ 

 □ 



□ 

 □ 



6. Peanuts for dry nuts . . LJ 



7. Wheat for grain LJ 



8. Oats for grain LJ 



9. Rye for grain LJ 



10. Cotton O 



1 1 . Tobacco — al types . . LJ 



12. Potatoes, Irish □ 



1 3. Sweetpotatoes and yams L 



Acres 

 harvested 



Quantity harvested 



Tons, 

 green 



Acres 

 irrigated 



no 



Name of ranter 



Mailing address (Include ZIP Code) 



Number of acres 



List additional renters on a eeporete sheet of paper. 



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



acres did you own? I — I 



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



DM 



i LJ Yes — Marie (X, all boxes which appfy . 

 2 LJ No - Go to item 8 



r s LJ Forest Service 



1 4 i ) Taylor Grazing Sec. 3 (BLM) 



I & LJ Indian Land 



t e LJ Other — Spacifyj 



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 

 county fles), enter the 

 county narneis). etc 



Principal 



county _+ 



Other 

 counties 



County name 



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

 '""'" or harvested from "THIS PLACE" In 1987? 



fnctudr Mf»from-fM«fcwi cn>M«» *v»rf fwr cut from p#*uitm 



83 l LJ YES — Cnmpttrtm thfs a uct i on 2 D NO —Goto section 4 



tf 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 

 HA Y end also under GRASS SILAGE. HA YLAGE. end 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, tespedeza, 

 timothy, Bermuda grass, Sudangrass, 

 etc 



d.Wild hay 



2 . GRASS SILAGE, HAYLAGE, AND 

 GREEN CHOP (If two or mora 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 



i □ Yes 2 □ No 



RENAL TT FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



