APPENDIX C. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 15. 1983 



,FORM 82^0304 



,13 13-821 



0MB APPROVAL NO 0607 'i40e EUPIRt^ 1 



^^ 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



NOTICE - RBsponsetotht»^u*ryiarequiredbyl8W(titte13, U.S. Code). By the same law YOUR REPORTTO 

 THE CENSUS BUREAU IS CONFIDENTIAL- It may be seen only by swvom Census employees and may be used 

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

 The lavi/ also provides that copies retained in your files are immune from legal procesfi 



in corr»«pcHKtonc« pertslnino to tM* rvpovt, ptoaaa r«f«r to your Canaua Fil« Number (CFN) 



BUREAU OF THE CENSUS 

 1201 East Tenth Stre«t 

 JeHer»onville, Indiana 47133 



Note - If your records are not available, reasonable estimates may be used If 

 you cannot file by February 15. a time emension request may be sent to the 

 above address Include your 1 2-characler Census File Number (CFN) as shown 

 in your address label m all correspondence to us 



If you received more than one 

 report form, enter extfs Census 

 Rte Numbeds) hete an<i return 

 extra copies wnh your completed 

 report. 



CENSUS 

 USE 



ONLV 



r 



J 



IPfease correct errors in name, address, and ZIP code, } 



Kaiuuj 



ACREAGE IN 1982 



tttiteacnsymi operated in 1982 changed durtng the fWMr.Miter to Hm 

 IMfORMATION SHEET, Section 1. 



Report land owned, rented, or used by you, your spouse, or by the partner- 

 ship, corporation, or organization for which you are reporting. Include ALL 

 LAND, REGARDLESS OF LOCATION OR USE - cropland, paslureland, 

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



I INSTRUCTIONS — Please report your crops in the appropriate section. 



I 7 to report ONLY those crops NOT listed in sections 2 through 

 I section 8. DO NOT INCLUDE crops grown on land ranted to others. 



1. All land owned LH 



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- IDO NOT include land used on a per-head basis under a 



grazing permit.l 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 CH 



4. ACRES IN THIS PLACE - ADD acres owned (item 1 ) and acres 

 rented (item 21. then SUBTRACT acres rented TO OTHERS (item 3), 

 and enter the result in this space ». 



Number of acres 



For tbit eettauM report theee are the "ACBES IN THIS PLACE. " ' 



H the entry is zero please refer to The tNFORMA TlON SHCEt. Secricn I 



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 



Ware any of the FOLLOWING CROPS harvasted from this place in 1 982? 



None 



n 



1 . Com (field) for grain or 



seed tBeport quantity on a 

 dry shelled-weight basis} .... 



2. Com (field) for silage 



or green chop D 



3. Soybeans for beans CH 



4. Peanuts for dry nuts .... Q 



B. Wheat for grain [""] 



6. Oats for grain E] 



^ 7. Barley for grain fl 



8. Cotton n 



9. Sorghum for grain 

 or seed 



n 



10. Tobacco - aH types .... [D 



11. Potatoes, Irish □ 



12. Sweetpotatoes or yams [~1 



Acres 

 harvested 



^rr- 



~7 667 



111 



2 



Quantity harvested 

 ^5S 



Bu. 



Tons, 

 green 



Lbs 

 Tons 



I 



75T" 



Acres 

 irrigated 



"Noe 



List addltionel landlords on a sepatats sheet of paper. 



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



PffiBHWHi Was any DRY HAY. GRASS SIUGE. HAYLAGE. or GREEN CHOP cut or 



Name of renter 



Mailing address (Include ZIP code) 



Number of acres 



List additional renters on a separate sheet of paper 



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



acres did you own? LJ _ 



7. During 1 982, did you have any Federal or state grazing Q54 



permits on a perhead basis; such as Forest Service, 

 Taylor Grazing. Indian Reservations, etc' 



iHYes 2nNo 



8. How many acres were diverted (or set-asidel under Federal 055 



commodity acreage reduction programs in 1982? I I _ 



9. LOCATION OF AGRICULTURAL ACTIVITY FOR THIS PLACE 



a. In what county was the 

 largest value of your 

 agricultural products 

 raised or produced? 



b. If you also have agricultural 

 operations in any other 

 countylies). enter the 

 county namelsl, etc 



Principal 

 county _» 



Other 

 counties"' 



County name 



Number of acres 



harvested from this place in 1 982? 



Indudm aorghum'wdmn croasoa and hmy cut from paMturos. 



rH YES — Cofnpl«t» CMS sMTtion 



' LH NO ~ Go to section 4 



If cvWrigs 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 

 HAY and also under CRASS SILAGE. HAYLAGE. and GREEN CHOP. 



1 . DRY HAY (If two or more cuttings ot 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, lespedeza, 

 timothy, fescue. Bermuda grass, 

 Sudan grass, etc 



d.Wild hay 



2 . GRASS SILAGE, HAYLAGE, AND 

 GREEN CHOP (hay crops cut 

 and fad green) (if two or more cuttmgs 



were made from the same acres, report 

 acres only once, but report total tons from 

 all cuitirygs. I 



Acres 

 harvested 



Quantity 

 harvested 



IBepon fill her dry 



or green wetght as 



indicatedl 



Tons, 



Tons, 

 dry 



Acres 

 irrigated 



3. HAY SOLD - Did you sell any hay 

 or grass silage in 1 982? (Report value 

 ot hay sold in section 9. item 4J 



1 n Yes 



?n Mo 



PCNALTY FOB FAILURE TO REPORT 



1982 CENSUS OF AGRICULTURE 



APPENDIX C C-1 



