APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1 . IgSB 



OMBNo. 0fl07-0634; Approvl CwpIrM Stpfmbmt 30. 1 999 



FORM 87-A02O2 



(8-30-86I 



m. 



Aa CENSUS OS 



f Tnrm hn.I RETURINI TO 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1 201 East Tenth Str*«1 

 J*ff arson vllle, IN 47133 



i?*aHi^nl>^ifi-^ ArPFAftF in 1987 Report land owned, 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, rangefand, woodland, idle land, house lots, etc. 



It th» acTAs you op9rmtatS In 1 987 cft«ngad during thB yar. 



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 12-character Census File 

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



us. 



If you receiVBd more than one 

 report form, snter extra 

 Census File NumbertsI here 

 and return extra copies wrth 

 your completed report. 



CENSUS 



USE 



ONLY 



036 



NOTICE — Response to this inquiry is required by law (titlo 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 employees and may be uaed 

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

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



In corraspondanca partalnlng to thla rapovt, plaaaa rafar to your Cansua File Numbar |CFN| 



r 



87-A0202 



Pleas« correct errors in name, address, and ZIP Coda, f A/TTfl streof and number if not sho\^n. 



rwfar ro th0 tM FORMA TION SHEET, mact/on T. 



1 . All land owned Q 



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 iZJ 



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

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



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 



77 



for thim cmnmua rmport thmm» arm ttia acrma In "THIS PLACE. " ' 



H the entry is zero please refer to the 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 



UBt additional fartdforda on a aoparatm shaat of papor. 



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



Name of renter 



Mailing address (Include ZIP Code} Numbar of acres 



Lifft additional rantars on a soparata shset of paper. 



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



acres did you own? I — I Acres 



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



05* ( 3 LJ Forest Service 



« □ Taylor Grazing Sec. 3 (BLM) 



5 I 1 Indian Land 



2 LJ No — Go to item 8 \ e LJ Other — Specifyj 



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



8. LOCATION OF AGRICULTURAL ACTIVfTY FOR "THIS PLACE" 

 a. In what county was the 



largest value of your 

 agricultural products 

 raised or produced? . 



b. If you also had agricultural 

 operations in ar>y other 

 county(ies), enter the 

 county name(s), etc 



Principal 

 county^ 



Othei 

 counties 



J 



County name 



Number of acres 



INSTRUCTIONS — Please report your crops in the appropriate section. 



Use section 7 to report ONLY those CROPS NOT listed In sections 2 throush 6 



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



Ma»iWt>l>>.fi W>w% »«v n« fhi* fnllfMirffin rROPS hanrtttitrf fanm "THIS PLACE" 



In 19877 



1 . Com (field) for grain or 



seed {Report quantitY on a 

 dry shelled- i^eight basis- 1 . . 



n 



2. Com (field) for silage 



or green chop LJ 



3. Soybeans for beans . . LJ 



4. Beans, dry edible .... LJ 



5. Wftieat for grain Q 



6. Oats for grain L_) 



7. Barley for grain LJ 



8. Rye for grain d 



9. Sorghum for grain 



or seed (including milo) LJ 



1 0. Sorghum for silage or 

 green chop fOo not include 



sorghum Sudan crosses). . . | J 



1 1 . Popcorn LJ 



12. Tobacco — all types . . LJ 



13. Potatoes, Irish LJ 



Acres 



harvested 



Quantrtv harvested 



Aciea 

 irrigated 



I 084 



JMJ^ Jl»!,<lfcg Waa snv DRY HAY. GRASS SILAGE. HAYLAGE. or GREEN CHOP cut 

 ^ hsrvested from "THIS PLACE" in 1 987? 

 tncludm aorfghum-autimn cro »a m a mnd hmy cif from paaturam, 



1 LJ YES — Comtttato thim aactlon 2 LJ NO 



- Co to section 4 



H cuttings were made for both dry hay and grass silage, hayiage, or green chop 

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

 HAY and also under GRASS SILAGE. HAYLAGE. 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 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, bromegrass, Sudangrass, 

 millet, etc 



d. Wild hay 



2. GRASS SILAGE, HAYLAGE, AND 



GREEN CHOP (if two or more cuttings 

 ^ere made from the same acres, report 

 acres only once, but report total tons from 

 all cuttings, f 



3. HAY SOLD — Did you sell any hay 

 or grass silage in ^ 987 7 (Report value 



of hay sold tn section 9. item 4) 



Acres 

 harvested 



Quantity 

 harvested 



(Rapon stthof dry 



Of graan weight as 



indicated) 



Tons, 

 green 



Acres 



irrigated 



' n Yes 



[D No 



PENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



