APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1. 1888 



OMB PKo. 0e07-0&34 Ap«rtiv*t CvpirM SaplatnbM 90. 1 989 



US DEPARTMENT OF COMMERCE 



BUREAU OF rHE CENSUS 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1201 East Tenth Str««t 

 Jaffersonvfna, 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 1 2-character Census Fila 

 Number (CFN) as shown in your address label in all cofresponderK;e to 



If you rsceived more than one 

 tetxjrt lorm, enter extra 

 Census File Number(s) here 

 arnS return extra copies with 

 your compleled report. 



CENSUS 



use 



ONLY 



NOTICE - Response to this inquiry is required by law (title 1 3, U.S. Code). By the &ame law YOUR REPORT TO 

 THE CENSUS BUREAU IS CONFIDENTIAL- It may be seen only by sworn Cer>sus employees end may be used 

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

 TT>e law also provides that copies retained in your files are immune from legal process. 



In coiraspondenca p»rtalr«lng to this report, pleese refer to your Cervsus File Number (CFN| 



r 



87-A020S 



~1 



Please correct errors in name, address, and ZIP Code. FNTBR strset and number if not s/rown. 



ajJaAltllL'ltWi ACHFACF liy Toa^T^ort l»nH f^J^n^a^^T^cH nr ..cort 



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, rangeiand. woodland, idle land, house lots, etc. 



'f tfreecrea |«ot« operetecf fr> t987 cha n smtl tiurfng ttt«r^ar, 

 wwfw U> th« INFORMATION SHEET. s«cHon 1. 



None 



Number of acres 



OA3 



1 . All land owned CZI 



2 . All land rented or leased FROM OTHERS, including land worked 

 by you on shares, used rent free, rn exchange for services, 

 payment of taxes, etc. Include leased Federal. State, and railroad 

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

 grazing permit. J Also complete item 5 below CU 



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

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



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 this c9n3U3 raport these arm the acrea In "THIS PLACE. "— 



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

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



Name of landlord 



Mailing address (Include ZIP Code} Number of acres 



List BiidHior>Bt landlords on a separvre sheer ofpapm. 



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 



Usr additional rvnrers on a separate sheet of paper. 



■•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? 



054 



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



2 lU No - Go fo item 8 



3 LJ Forest Service 



4IZI Taylor Grazing Sec. 3 (BLMI 



5 I I Indian Land 



^ 6 LJ Other — Specifyj 



8. LOCATION OF AGRICULTURAL ACTIVITY FOR "TWIS 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(sl. etc 



Principal 

 county _( 



Other 

 counties 



County name 



Number of acres 



INSTRUCTIONS ~ Please report yotir 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. 



4!VJ4Jl4i^^ftl W«re mn^ n§ the ffoliowffMi CROPS hanrefctad from "THIS PLACE" 



in 19877 



1. Com (field) for grain or 

 seed lRet>on quantity on a 

 dry Shelfed- weight basts./ . . 



n 



2. Com (field) for silage 



or green chop ( I 



3. Beans, dry edible ... LJ 



4. Wheat for grain LJ 



5. Oats for grain LJ 



6. Barley for grain LJ 



7. Sorghum for grain 



or seed LJ 



8. Sorghum for silage or 

 green chop tDo not mdude 



sorghum- Sudan crosses.!. . . 



n 



9. Sugar beets for sugar LJ 



10. Cotton LJ 



11. Potatoes, Irish LJ 



Acres 

 harvested 



Quantity harvested 



OR - 



Ton*. 



Acres 



irrigated 



721 



0«" 



SaagJPITie'iii Wm emr DRY HAY. GRASS SILAGE. HAYLAGE. or GREEN CHOP cut 

 ^ ^^ harvested from "THIS PLACE" in 1987? 



Include morghuin-mutimn crom m m s and hay cut from pamtttres. 



^^ 1 LJ YES — Cownptefti tftta section 2 LJ NO — Go to section 4 



If cuttings were made for txoth dry f^ay and grass silage, haylage. or green chop 



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



HAY and also under GRASS SILAGE. HA YUKGB. 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 oil 

 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, bromegrass, 



Sudangrass, etc 



d. Wild hay 



2. GRASS SILAGE, HAYLAGE, AND 

 GREEN CHOP f/f r*vo or more cuttings 

 were marfc 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? ^/?oporr value 



of hay sold in section 9. item 3) 



Acres 



harvested 



Quantity 

 harvested 



(Report either dry 

 or gnen m^aghl as 

 indicated) 



Tons, 

 dry 



Acres 

 irrigated 



'D Yes 



?□ No 



PENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



