APPENDIX D. 

 Report Form and Information Sheet 



DUE »Y FEBWUABV 1. 1988 



owe No 0SO7-O&34 Atl»rovM Enpir— S*it^*fr*r*' 30. »99fl 



FOXM87-A0206 



l» 33 6ei 



A3 CENSUS iSflA 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1201 East TsfTtli Strs«l 

 Jvffar*orw1ll«, IN 47133 



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

 used. If you cannot fite by Fabruary 1 . a time extension request may be 

 sent to tha above address. Include your 12-character Census RIe 

 Numbef <CFN} as shown In your address label In all correspondence to 



us. 



if you received more than one 

 report form, enlef extra 

 Cansut Fite Number(i) here 

 and return estra copies with 

 your completed report. 



ceNsus 



USE 

 ONLY 



03* 



NOTICE — ReeponBeto this ir>qulry is required by law <tftle 13. US- Code) By the same law YOUR REPORT TO 

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

 only for stetistice* purposes. Your report CANNOT be used for purposes of taxsilon, investigation, or regulation. 

 Tbe law also provides tl^at copies retained tn your files are rmmuoe from legal pfocess. 



cs pettalr«lT>g to ttila rvport. plw 



* r«fer to yeuv C«n*u« FK* Numbvr ICFN) 



r 



Pfease co/'rect errors innamc. addrvss. and ZIP Code ENTER street and numbor It not shown. 



gft»nfil?Uri ACRgAflg im -Iftft? Rorv^rt lanH niA/nari r«>nT^ nr ,i<:t*ti 



^, 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, rangaland, woodland, idle land, house lots, etc. 



tfthmmcrwm rou tvmrat9tt In 1987 cftmnomd durinothmr 

 rwfmr So ttf tMFORMA TtON SHEET, mection t. 



1 . All larK] owned 



None 



. AD land rented or leased FROM OTHERS, indudif>g land worked 

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

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

 lar^d. (DO NOT indude land used on a per-head basis urnJer a 

 grazir^ permit.) Also complete item 5 below d 



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

 shares by others and land subleased. Also complete rtem 6 betow 



4. Acrss in "THIS PLACE" — ADD acres owned (item 1 ) 

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

 TO OTHERS (Item 3), ar^d enter the resuft In this space 



□ 



Number of ecies 



fv^ 



For CM* certMM rmport those mn the eeres m "THIS PLACE. " — — — - ■ i 



If the entry is zero please re fer to the INFORM A TION SHEET, section 1 . 



B. II you rented land FROM OTHERS fttem 21. enter the followlr>g Info rmation for each landlord. 



Name of landlord [ Mailing address Qnclude ZIP Code) \ Number of acres 



Utt mtUitional lomStorxit on m svpmrato aheat of paper 



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



Name of renter 



Mailing address (Include ZIP Code) 



UmI additfonat rantara ott a aaparmra af^aar of papar. 



■•Of the larx! you rerrted or leased to others, how many 



acres did you own? LJ 



Number of acres 



_ Acres 



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



o** ^ 3 Lj Forest Service 



1 n Yes - Mark (X) all boxes which apolv ) * Q Taylor Grazing Sec. 3 (BLM) 



J Yes — Mark (X) all boxes which apply . 

 ( LJ No — Go fo Item 8 



fi I I Indian Land 



8 EH Other — Specify, 



8. LOCATION OF AGRICULTURAL ACTIVITY FOR "THIS PLACE" 

 In wtut county was the 



largest value of your 

 agrkmlrural products 

 raised or produced? . 



b. If you also had sgncultuny 

 operations in any other 

 countyttest, enter the 

 county rtarr^ets), etc 



PrfrKipd 

 county— I 



Othar 



courrties 



County name 



Number of acres 



INSTRUCTIONS — Please report your crops In the appropriate sectloTi. 



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. 



5. Rice □ 



6. Com (field) for grain or 



seed (Report quantity on a 

 dry sheffeO-f^^eight basal 



a 



7. Com (fieWJ for silage 



or green chop LJ 



8. Sorghum for grain 



or seed 



9. Sorghum for sflage or 

 green chop fOo not rnctude 

 sorghunt-suaan eretaa*.} . . . 



10. Peanuts for nuts . . . 



11. Sugarcane for sugar 

 12. Sugarcane for seed . 



□ 



□ 

 n 



n 



n 



Acres 

 harvested 



Quantrty harvested 



Acres 

 irrigated 



'fjtaPtSltfk trj i W^wi »tiw >vt tHm f»n«wt»«i CaOPS HmrvaimA tmm "THIS PLACg" 



In 19877 



S2 



None 



1. Cotton □ 



2. Soybeans for beans . . CD 



3. Wheat for grain LJ 



4. Oats for grain D 



Tons. 



green 



Tone, 

 green 



fcjj*irt ^^ ^ 1 Was any DRY HAY, GRASS SILAGE, HAYLAGE, or GREEN CHOP cuf 

 or hmvested from 'THIS PLACE" fn 19877 



Inchtde n ff^ hu m-mudmn cro aa m e and hey cut hvm pm w twre m . 

 1 LJ YES — Comfflvte th99 section 2 I — I NO — Go to section 4 

 If cmrings ivere made for both dry hay and grass silage, hayiage. or green chop 

 from the same fields, report the acraage in the appropriate rtems under DRY 

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



1 , DRY H AY (If rwo or more cuttirygs of dry 

 hay were made front the same acres, report 

 acres only once, but report total tona from alt 

 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. Bermuda grass, 

 Sudangrass. etc 



d. Wild hay 



2 . GRASS SILAGE, HAYLAGE, AND 



GREEN CHOP (if two or more cuthngs 

 were made from the sarr\e acres, report 

 acres only once, but report ratal tons frx>m 

 an cuttings. I 



3. HAY SOLD — Did you sell any hay 

 or grass silage in 1987?weporT traiue 



Acres 

 harvested 



Quantity 

 harvested 



(Rapon enhar dry 



or graen vtraigi^t ac 



ir^icatadt 



fiOS 



IrfBted 



TO# 



of hay sold in section 9, item 41 



I □ Yes 



^□•o 



RENALTT FOIt FAiLURC TO RmROHT 



1987 CENSUS OF AGRICULTURE 



APPINDIX D D-1 



