APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1, 1988 



>. 0607 0534 Appro 





roRu87-A0209 



19' 3-861 



ttS} 



i;.r CENSUS 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 



1201 East Tenth Sir»et 



J offers onvi lie, IN 47133 



fUote — 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. 



H you received more than one 

 report form, enter extra 

 Census Fi'e Number(s) here 

 and return extra copies with 

 your completed report. 



CENSUS 



USE 



ONLY 



J35 



NOTICE — Response to this inquiry is required by law (tilla 13, US- 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 used 

 only for ststistical purposes. Your report CANNOT be used for purposes of taxation, jnvcsligalion. or regulation. 

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



1 correspondence pertaining fo this report, please refer to your Census RIe Number <CFN| 



S7-A0209 



r 



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



grj»nfii;!iQf;t acreage in ISST Reponland owned, rented, or used 

 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. 



If th» acres you operated in 1387 changed during the year, 

 refer to the INFORMATION SHEET, section 1. 



Number of acres 



0«3 



1 . All land owned CH 



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 LJ 



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

 shares by others and lard 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 



n 



ro46 



For this census report these are the acres in "THIS PLACE. " ' 



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



. 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 



List additional landlords on a separate sheet of paper. 



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 renters on a separate sheet of paper. 



None 

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



acres did you own? LJ 



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



0!^4 



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



2 EH No - Go fo /rem 8 



3 I I Forest Service 



4n Taylor Graying Sec. 3 (BLIVII 



5 LJ Indian Land 



^ 6 LJ Other — Specifyt 



. 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 had agricultural 

 operations in any other 

 county(ies). enter the 

 county namelst. etc 



Principal 

 county _j 



Other 

 counties 



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 through 6 



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



^^t^-^':t*>Bftfi^frn Wpre anv of the ffoMowino CROPS harvested from "THIS PLACE 

 in 1987? - 



. Com (field) for grain or 



seed (Report quantity on a 

 dry shelled- weight basis.) . . 



n 



2. Com (field) for silage 



or green chop I — I 



3. Beans, dry edible .... LJ 



4. Wheat for grain LH 



5. Oats for grain LJ 



6. Barley for grain LJ 



7. Sorghum for grain 



or seed I — I 



8. Sorghum for silage or 



green chop (Do not include 

 sorgh(jTT}-sud3n crosses.!. . . 



D 



9. Sugar beets for sugar LJ 



10. Cotton LJ 



11. Potatoes, Irish LJ 



Acres 



harvested 



no 



Quantity harvested 



Acres 

 rrigated 



-L 



^•TaSIftlTiai Wm any DRY HAY. GRASS SILAGE. HAYLAGE. or GREEN CHOP cut 

 ^^ harvested from "THIS PLACE" in 1987? 



Include gorghum-sudan crosses and hay cut from pastures. 



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



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

 from the same fields, 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, 

 timothy, bromegrass, 



Sudangrass, etc 



d.Wild hay 



. GRASS SILAGE. HAYLAGE, AND 



GREEN CHOP (if two or mora cuttings 

 were made from the same acres, report 

 acres only once, but report total tons from 

 all cuttings.) 



. HAY SOLD — Did you sell any hay 

 or grass silage in 1 987?fneport va*ue 



of hay sold in section 9. item 3) 



Acres 

 harvested 



Quantity 

 harvested 



i Report either dry 

 Of green weight as 

 indicated I 



Acres 



irrigated 



, □ Ye 



I □ No 



PENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



