APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1. 1988 



OMB No 0aO7-OB34: Apowtvi* tT'f SeiwembT 30. 1989 



FOXM87-A0211 



OSi 



AQ CENSUS USA 



U.S. DEPARTMENT OF COMMERCE 



■UffEAU OF TMC CENSUS 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1 201 E««t Tvnth Str*^ 

 JvffmsfMivllla. IN 47133 



Nota — If you'^ 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 File 

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

 us. 



If you recerved more than one 

 report fofm, entef eJrtrs 

 Census File Numbflr(s) here 

 and return extra copies with 

 your completed report. 



CENSUS 



USE 



ONLY 



Tsr 



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

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

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

 The lewf also provtdea that copies retained In your flies are immune from legal proceaa. 



» p«rt»lnlng to this rvpoft, p1«a«* rvfer to ro*" Cmnmum FSe Number (CFN) 



Pteaso cotTBct errors in namo. addrmsa. and ZIP Code. ENTER 8tr»«t and number tf not shown. 



^X9itii*\M:i ACRPAfig IN IflflT RpnnrT lAnH r^wnpri r^ntf^H r^r nitari 



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 lots, etc. 



ff ffMAcrvs you opf fo<f *ri 1987 Gttmn gm d during H*m y 

 M#*r fo thm INFOHMATiON SHEET, mmctlon 1. 



1 . An larxl owned 



None 



. n 



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 teased Federal, State, and railroad 

 land. (DO NOT include land used on a per-head basis ur>der a 

 grazing permit.) Also complete Hem 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. \_\ 



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 



Tc 



■^ 



For thh CBnwum report ffM*« mrm thm acraa In "THIS PLACE. " ' 



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



6 . If you rented larxl FROM OTHERS frtem 2), enter the following information for each landlord. 



Name of landlord 



Matlrr>g address (Include ZIP Code) 



Number of acres 



list additlonml landlords on a set>arat» shaat of pa$>ar. 



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 



List additional rentera on a BBoarata ^*o^^ of pafi^r. 



a ■ Of the land you rented or leased to others, how many oos 



acres did you own? LJ - 



7. Did you have any grazing pemirts on a per-head basts? 



OM ( 3 LJ Forest Service 



, □ Yes - Mar* IX) all boxes >*Nch apply • ■ | * ^ '^"''°' '^'^'"0 Sec. 3 (BLMl 



I 6 1 I Indien Land 



a LJ No — Go ro rfom 8 



^ e Q Other — Specify^ 



8. LOCATION OF AGRICULTURAL ACTIVITY FOR "THIS PLACE" 



a . In what county was the 



largest value of your 

 agricuhural products 

 raised or produced? . 



b. If you also had agricultural 

 operstioru in any other 

 countY(ies), enter the 

 county rwmels), etc 



Prir>cipal 

 county _| 



Other ' 

 countiflf 



County name 



Number of acres 



INSTRUCTIONS — PIsase report your crops In the appropriate section. 



Use section 7 to report ONLY thoee CROPS NOT listed In sections 2 through 6 



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



faiJlJtflWJlBH Wsie any off the following CROPS harvested from "THIS PLACE 

 ' In 19877 



S3 



Nona 

 1 . Cotton CH 



2. Rice □ 



3. Barley for grain LJ 



4. Oats for grain LJ 



6. Wheat for grain, 



including dumm LJ 



6. Com (field) for grain or 



seed IRaport quanttty on a 

 dry styelled-waight basis.} . . 



7. Com (ffekj) for silage 

 or green chop 



n 



D 



8. Beans, dry lima LJ 



9. Beans, dry edible (Do 



not include limasl 



a 



lO.Safflower LJ 



1 1 . Sugar beets for sugar O 



12. Potatoes, Irish LJ 



Acres 

 harvested 



Quantity harvested 



Acres 

 Irrigated 



a.Hd>tH»K'fcfcl W«e iinv DRY HAY. GRASS SILAGE. HAYLAGE. or GREEN CHOP cut 

 ^ or harvested from "THIS PLACE" In 19877 



Ineludm worghum-mudmn crommmm mnd hmy cut fron* pmmturmm. 



^^ y LJ YES — Cttfnf^mf thim aacHon 2 LJ NO — Go fo section 4 

 Ifcvttings were made for both dry hay and grass silage, haylage. orgreenchop 

 from the same fMds, report the acreage In the appropriate Items under DftY 

 HAY and elso under GRASS SILAGE. HAYLAGE. and CREENCHOP. 



. DRY HAY (If two or more cuttings of dry 

 hay tver e 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, 

 bariey, rye, etc 



c. Other tame dry hay — clover, timothy, 

 Sudangrass, etc 



d. Wild hay 



. GRASS SILAGE, HAYLAGE, AND 

 GREEN CHOP (if two or more cuttings 

 were made from the same acre*, report 

 acres only once, but report total tons from 

 an cuttings.) 



. HAY SOLD — Did you sell any hay 

 or grass silage in 1 987? (Report value 

 of hay sold in sector* 9, ham 3) 



Acres 

 harvested 



Quantity 

 harvested 



{Rapon arthardry 



orgrwan waigM BM 



ir*dlcat9dl 



Tons, 

 dry 



Tons, 

 green 



Acres 

 irrigated 



1 LJ Yes 



^LJ No 



PENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



