APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1. 1988 



OMB No. 0007-0634 Approval E«plf Sapicritwr 30- 1 9B9 



jBpiJti^ 



<S7-A0202 



EH 



f.a CENSUS VP.& 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 



1201 East Tenth Strottt 

 Jafffsrsonville, IN 47133 



Note \f 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 File 

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



us. 



If vou received more than one 

 reooit form, enter extra 

 Census File Numberlst here 

 and return extra copies with 

 vour completed reporT. 



CENSUS 



USE 



ONLY 



035 



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 swom Census employees and may be used 

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

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

 In coirampondence partalning to this report, please refer to your Census File Number (CFN) 



r 



87-A02O2 



Please correct errors in name, address, and ZIP Code. ENTFR street and number if not shown. 



iHJ4iliVtfl1 ACRgAGEIN1987 Report land owned, rented, or used 

 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. 



If Che acres you operated in 1 987 changed during thB yoatt 

 nfor to tfie fNFORMATION SHEET, section 1. 



'^iL^lW^f^l WAf^ any of the follQwinQ CROPS harvested from "THIS PLACE 

 ^ In 19877 — 



None 



1 . All land owned I 1 



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 I — I 



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 



ro46 



T 

 ^ 



For this eensuB report these are the acres tn "THIS PLACE. ' 



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

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



Name of larKllord 



Mailing address (Include ZIP Code) 



Number of acres 



Usr Bddixtonoi landtords on a separata sheet of paper. 



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



INSTRUCTIONS — Please report your 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 ranted to others. 



1 . Com (field) for grain or 



seed ifieport quantity on a 

 dry shelled- weight basis.} . . 



2. Com (field) for silage 



or green chop 



n 



n 

 n 

 n 



3. Soybeans for beans 



4. Beans, dry edible . . 



5. Wheat for grain LJ 



6. Oats for grain 1 — ! 



7. Barley for grain LJ 



8. Rye for grain CH 



9. Sorghum for grain — 

 or seed (including milo) I — I 



1 0. Sorghum for silage or 



green chop fOo not include . — . 



sorghum Sudan crosses.}. . . | | 



1 1 . Popcorn LJ 



12. Tobacco — all types . . LJ 



13. Potatoes, Irish I — I 



Acres 



harvested 



Quantity harvested 



Tons, 



Tons, 

 green 



Actea 



irrigated 



t 084 



Name of renter 



Mailing address (Include ZIP Code) 



Number of acres 



Last additional renters on a separate sheet at paper. 



None 



a. Of the land you rented or leased to others, how many os3 



acres did you own? I — ! - 



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



054 



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



2 CD No — Go fo item 8 



i Lll Forest Service 



« □ Taylor Grazing Sec. 3 (BLM) 



5 I I Indian Land 



[ 6 O Other — Specifyj 



8. LOCATION OF AGRICULTURAL ACTIVITY FOR "THIS PLACE" 



In what county was the 



largest value of your 

 agn cultural products 

 raised or produced? . 



b.lf you also had agricultural 

 operations tn any other 

 county[iesl, enter the 

 county name{s), etc 



Principal 

 county _> 



Other 

 counties 



Coumy name 



Number of acres 



'i5f#gitftWlh Wa» any DRY HAY. GRASS SILAGE, HAYLAGE, or GREEN CHOP cut 

 -^ ^ harvested from "THIS PLACE" In 1987? 



Include aorghurrf-audan crosses and hay cut from pastures. 



^^ 1 n YES — Complete this section 2 LH NO — Go to section 4 

 If cuttings were made for both dry hay and grass silage, haylage. or green chop 

 from the same Helds. report the acreage in the appropriate items under 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 

 were made 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 1987? /Report value 



of hay sold in section 9. item 4} 



Acres 

 harvested 



Quantity 

 harvested 



(Report either dry 



or green weight as 



indicated! 



Acres 

 irrigated 



1 n Ye 



iC\ No 



PENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



