APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1. IgBB 



OMB No. O6O7-0534 Appfovl EKptf SaplTnbx 30. 1 8B9 



FOflMa7-A0202 



ra 30-661 



n 



AS CENSUS USA 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



; -i';uti 



BUREAU OF THE CENSUS 



1201 EBBt Tenth Str»«t 

 J*ff«rM>nville, IN 47133 



Note — 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-char3cter Census File 

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



us. 



If you received more than one 

 report form, enter extra 

 Census Hie Number(s) here 

 and ratum extra copies with 

 Your completed report. 



CENSUS 



USE 



ONLY 



03G 



NOTICE - Response lo this inquiry is requtred by law (title 1 3, U.S. Code). By the same law YOUR REPORT TO 

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

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

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



In coiTAkpondttnc* pertaining to this report, pleeee refer to your Cenaue File Number |CFN| 



87-A0202 



r 



Please correct errors in name, address, and ZIP Code. BNTFR street and number if not shown. 



*:ia**diii'ifll AftRFAfiF iw iqft7 RBr>n,Tn^??T^wnnri 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, rangeland, woodland, idle land, house lots, etc. 



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. 



If th9 mcr»9 YOU opmrofmd In 1987 cftangerf tfurlna th» ymar, 

 rmfnr to th9 tNFORMATION SHEET, miction 1. 



None 



1 . All land owned □ 



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 D 



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

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



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 



ri 



■^ 

 .> 



For tftn cenaua report thmwm arm the acrmm In "THIS PLACE. ' 



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

 6 . If you rented land FROM OTHERS (item 2), enter the following infofmation for each landlord. 



Name of larKtlord 



Mailing address (Include ZIP Code) 



Number of acres 



Ust addrtionol londtords on a saparato sheet of paper. 



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



Name of renter 



Mailing address (Include ZIP Code) 



Number of acres 



Ust oddnional renters on a separatB ^\Bet of paper . 



None 

 a. Of the land you rented or leased to others, how many — 053 

 acres did you own? 1 — 1 - 



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



o&< 



1 □ Yes 

 3 n No - 



- Mark (XI ail boxes which apply . . 

 Go to item 8 



3 LJ Forest Service 

 * □ Taylor Grazing Sec. 3 (BLM) 

 5 LJ Indian Land 

 ^ 8 CH Other — Specifyj 



8. LOCATION OF AGRICULTURAL ACTIVITY FOR "THIS PLACE" 



a. In what county was the 



largest value of your 

 aghcuttural 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 



fa^HltlK>i!»^l W>r«> jinv nf thi. fftllnwinn CROPS harvitted from "THIS PLACE" 



In 19877 



1 . Com (field) for grain or 

 seed (Report quantiTY on a 

 dry shelled- weight basis ) . . 



2. Com (field) for silage 



or green chop 



n 



3. Soybeans for beans . . i — ! 



4. Beans, dry edibte .... LJ 



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 (including milo) I — I 

 10. Sorghum for silage or 

 green chop iDo not include 



sorghum sudan crosses. I. . . 



1 1 . Popcorn 



12. Tobacco — alt types . 



13. Potatoes, Irish 



n 



n 

 n 

 n 



Acres 



harvested 



/10 



Quantity harvested 



OR - - - - 

 Cwt. 



Tons, 



irrigated 



I cHa gJ imr J icI^ Wa^ anv DRY HAY. GRASS SILAGE. HAYLAGE, or GREEN CHOP c 

 ^ harvested from "THIS PLACE" In 1987? 

 tnclutSm m<»rghum-mtMd»n crxtmmoa and hay cut from paaturam. 



^^ 1 LJ YES — Complato thim moctton 2 LJ NO — Co to section 4 



If cuttings were made for both dry hay and grass silage, haytage. or green chop 



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



HAY and also under GRASS SILAGE. HAYLAGE, and GREEN CHOP. 



. 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 



o. 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 made from ttie 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 9877 (Report value 



of hay sold in section 9, item 4) 



Acres 

 harvested 



Quantity 

 harvested 



(Report eithaf dry 



or green weight as 



indicBtedl 



Tons, 



Acres 

 Irrigated 



id Ye 



iLJ No 



fENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



