APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1. 1988 



OMB No- 0607-O534. Aoprovaie.p.t»ES«pfT'bB' 30 1969 



roR>«87-A0208 





-i CENSUS "JCJ 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



' > V _i-« J«i^*..'-,-^^>^. ■. 



BUREAU OF THE CENSUS 

 1 201 Easi Tenth Strswt 

 Jeffersonvins, IN 47133 



Note — 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 1 2-charactGr Census File 

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



If you received more than one 

 report form, enter extra 

 Census File Number(s) here 

 and return estra copies with 

 your completed repon 



CENSUS 



USE 



OflLV 



NOTICE - Response to this inquiry Is required by law (title 13. 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 bo used 

 only for Statistical purposes Your report CANNOT bo used for purposes of taxation, investigation, or regulation. 

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



In cofT«apond»nc« p«rtalr>lr>f| to thia report, please refer to yowr Census File Number (CFN) 



r 



Please correct errors ii 



address, and ZIP Code ENTER street and number if rtot shown. 



<JtJ«iriifiTL'lff^ ACRgAGg IN 1987 RpnnrT land nwngd 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 the Acres you operafe</ In 1987 changed during thm ymmr, 

 nfcr to the INFORM ATlOrH SHEET, secttan 1. 



1 . All land owned 



None 



. n 



2 . All land rented or leased FROM OTHERS, including land worited 

 by you on shares, used rent free, in exchange for services, 

 payment o( taxes, etc. Include leased Federal, State, and railroad 

 land. (DO NOT include land used on a per-heed 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 land subleased. Also complete item 6 below. LJ 



Number of acres 



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 



* L. 



■^ 

 ^ 



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 . 



5 . If you rented land FROM OTHERS {item 21, enter the following information for each landlord. 



Name of landlord 



Mailing address (Include ZIP Code! 



Number of acres 



List additional tendtords on a separate sh»et of paper. 



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



Name of renter 



Mailing address {Include ZIP Code} 



Number of acres 



Uat additional remers on a separate sheet of paper. 



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



acres did you own' I — I 



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



054 ( 3 t_J Forest Service 



1 I I Yes — Mark (X) ail boxes which apply ■ - { 



2 I I No — Go to Item 8 \ & 



CD Taylor Grazing Sec. 3 (BLM) 



LH Indian Land 



D Other — Specifyj 



8. LOCATION OF AGRICULTURAL ACTIVITY FOR "THIS PLACE" 



i . In what county was the 

 largest value of your 

 agricultural products 

 raised or produced? . . . 



b. If you also had agricultural 

 operations in any other 

 countyliesl, enter the 

 county rame(s), etc 



Principal 

 county _f 



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. 



^^aygiTiiyfrJai were anw of the follQwinQ CROPS harvested from "THIS PLACE" 

 in 1987? 



D 



n 

 n 

 n 



D 



1 . Com (field) for grain or 



seed {Report Quantity on a 

 dry sheUed weight basis.) . . 



2. Com (field) for silage 



or green chop 



3. Soybeans for beans 



4. Beans, dry edible . . 



5. Wheat for grain, 

 including durum . . . 



6. Oats for grain LJ 



7. Barley for grain LJ 



8. Rye for grain LJ 



9. Flaxseed CH 



1 0. Sunflower seed I — I 



11. Sugar beets for sugar . Lj 



12. Potatoes, Insh LJ 



Acres 

 harvested 



Quantity harvested 



Tons, 

 green 



Acres 

 rrigated 



^^a*ifl»17igH Was any DRY HAY. GRASS SILAGE. HAYLAGE. or GREEN CHOP cut 

 or harvested from "THIS PLACE" in 1987? 



Include Korgttum-sudan crosses and hay cut from pastures. 



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



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



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



HAY and also under GRASS SIUXCE. HAYLAGE. and GREEN CHOP. 



1. DRY HAY ^/^ two o/ more cuttings o/ 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, 

 Sudangrass, millet, bromegrass, 

 crested wheatgrass, 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 cifttings.) . , . 



3. HAY SOLO — Did you sell any hay 

 or grass silage in 1987? ^Report value 



of hay sold in section 9. item 2) - . 



Acres 

 harvested 



Quantity 



harvested 



(Report either dry 



or green weight as 



indicBiedl 



ro4 



Acres 



irrigated 



.Dve 



1 □ No 



PENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



