APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1. 1988 



OMB No. 06O7-O534: Appcovl Exptt^B S«Pf mti*r 30. 1989 



FORU87-A0207 



B 28 SB) 



.iS CENSUS ^SA 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



'^-.JLj-xT^' 



BUREAU OF THE CENSUS 

 1201 East Tenth Street 

 Jeffenonvlll*. IN 47133 



Note — If vour 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-characier Census File 

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



us. 



If vou received more than one 

 report lorm. enter extra 

 Census File Numberls) here 

 and return extrs copies v^rth 

 vour completed report. 



CENSUS 



USE 



ONLY 



036 



J. 



NOTICE — Response to this inquiry is required by law (title 1 3, U.S. Codet. By the same law YOUR REPORT TO 

 THE CENSUS BUREAU IS CONFIDENTIAL. It may t>e seen only by swom Census employees and may be used 

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

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



In cotrecponclance pertaining to this report, please refer to your Consua File Number (CFN) 



87-A0207 



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



£!yntiT?lft4 Ar.RFAnP in 1 987 Report land 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, 

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



$f t/te acres you operefetf in 1987 ehang«<i during the yoar. 



rof^r to th9 INFORMATION SHEET, miction 1. 



1 . All lar>d owned n 



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. (00 NOT Include land used on a per-head basis under a 

 grazing permit.) Also complete item 5 below di 



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



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



Number of acres 



. Acres in "THIS PLACE" — ADD acres owned (item 1 1 

 and acres rented (item 2), then SUBTRACT acres rented 

 TO OTHERS (item 3), and enter the result in this space 



' 048 



-► &. 



For this census report thmso mr» thm 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 addrtional Isnttlords on a separate shed of paper. 



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

 Mailing address (Include ZIP Code) 



Name of renter 



UsT addittona4 rarrters on a separate ahaet of paper. 



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



Number of acres 



acres did you own? 

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



0S4 



1 □ Yes 



2 n No- 



Mark (X) all boxes which apply . 

 Go to item 8 



J I I Forest Service 



4 d] Taylor Grazing Sec. 3 (BLM) 



, 5 I I Indian Land 



^ e I — I Other — Specify. 



8. LOCATION OF AGRICULTURAL ACTIVITY FOR "THIS PLACE" 



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 name(s), etc 



Principal 

 county _l 



Othei 



counties 



ties I 



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. 



Acres 

 harvested 



Quantity harvested 



Acres 

 irrigated 



r't.^AHiUK'fe^ Vimrm »n« nf ftia fnllnwlnn rPOPg Kj>rv«xfArf from "THIS PX^AC^" 



m 19877 



S2 



None 



1 . Cotton □ 



2. Wheat for grain LJ 



3. Oats for grain LJ 



4- Com (field) for grain or 



seed (Report quantrty on a 

 dry shelled'WeigM basis! . . . 



5. Corn (field) for silage 

 or green chop 



n 

 n 



6. Sorghum for grain 



or seed LJ 



7. Sorghum for silage or 

 green chop /Oo nor nxriiude | — . 

 sorghum-sudar} crosses.). . . I I 



8. Rice □ 



9, Peanuts for nuts LJ 



10. Soybeans for beans . . . LJ 



Tons. 

 greef< 



Lbs. 



igrji«l«17lgl'l Wa^ any DRY HAY. GRASS SILAGE. HAYLAGE. or GREEN CHOP cut 

 or harvested from "THIS PLACE" in 19877 

 letchtde sorQhunt'Sudan crossma and hmy cut from pmstures. 



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



If cuTtlngs 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 uryder GRASS SILAGE. HAYLAGE. and GREEN CHOP. 



1.DRY HAY tif 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. 

 Bermuda grass, Sudangrass, 

 Johnsongrass, 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 1 987? (Report value 

 of hay sold In section 9, item 31 



Acres 

 harvested 



Quantity 



harvested 



IReport ehtier do* 



or groan vtrelghx as 



Indlcoteai 



Tons, 

 dry 



Tons. 

 dry 



TonB. 



Acres 

 irrigated 



□ Ybs 



?□ No 



fENALTV FOH FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



