APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1. 1988 



OMBNo 06O7O534: Approvl e»pw Saptgmbnr 30. 19B9 



ftG CENSUS 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



n complete this' t^.^ 

 Vind RETURN t6^ 



BUREAU OF THE CENSUS 

 1201 East Tenth Street 

 JaHsrsonvills, IN 47133 



Noto - If your records are not availabte, 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 you received more than one 

 report form, enter extra 

 Census File Nurnber(s) here 

 and return evrra copies with 

 your completed report 



CENSUS 



USE 



ONLY 



035 

 039 



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 sworn Census employees and may be used 

 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 coiraspondenca pertalnino to this rsport, pleaas refer to your Census File Number (CFN) 



87-A0201 



r 



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



taJ**<lilt'iya ACREAGE IN 1987 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. 



Ifthm eeres irou opmratod in 1387 tztumgetS during the year, 

 rmfar to thm INFORM A TtON SHEET, section 1 . 



1 . All land owned [HI 



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, Stale, and railroad 

 land. (DO NOT include land used on a per-head basis under a 

 grazing permit.) Also complete item 5 betow LJ 



3 . AN 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 



^ 048 



For this cBitsua report these are the acres in "THfS PLACE. " ' 



If the entry is zero please refer to the INFORM A 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 



Ust additional landlords on a separate sheet of paper. 



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



Name of renter 



Mailing address Unclude ZIP Code) 



Number of acres 



List additional ranters t 



1 a separata street of paper. 



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? 



0fi4 



t □ Yes 

 2 LJ No - 



- Mark (X) all boxes which apply . 

 Go to item 8 



J LJ Forest Service 



4 LJ Taylor Grazing Sec. 3 (BLM) 



5 LJ Indian Land 

 , 6 LJ Other 



Specifyy 



8. 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 

 countydesl, enter the 

 county name(s), etc 



Principal 

 county— > 



Other < 

 counties 



County name 



State 



Number ol 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. 



"iL^»gi[imKFri Wwrft »nv of the foMowInQ CROPS harvested from "THIS PLACE" 

 in 19877 



1 , Com (field) for grain or 



seed /Report quantity on a 

 dry shelled- weight basis-} , . 



2. Com (field) for silage 



or green chop 



n 



n 



D 



n 



3. Soybeans for beans 



4. Beans, dry edible . . 



5. Wheat for grain LJ 



6. Oats for grain LJ 



7. Barley for grain LJ 



8. Rye for grain LJ 



9. Sorghum for grain 



or seed LJ 



1 0. Sorghum for silage or 



green chop (Do not include 



sorghum-sudon crosses.) . . . 



1 1 . Tobacco 



12. Potatoes, 



- all types . . 



Irish 



n 

 n 

 n 



Acres 

 harvested 



Quantity harvested 



Tons, 

 green 



Acres 

 irrigated 



4,-Ji J4dltL^bc^ Was any DRY HAY. GRASS SILAGE. HAYLAGE, or GREEN CHOP cut 

 or harvested from "THIS PLACE" in 19877 

 Include 9orghum-audmn crosses and hay cut from pastures. 



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



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



from the same ftelds. report the acreage in the appropriate items under DRY 



HA Y and also under GRASS SILAGE. HA YLACE. 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. Sudangrass, meadow and 

 pasture grasses, etc 



d. Wild hay 



2 . GRASS SILAGE, HAYLAGE. AND 



GREEN CHOP flf 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 19B7?^Beporf veiue 



of hay sold in section 9. item 3) 



Acres 

 harvested 



Quantity 

 harvested 



(Report orthar dry 



or groan waight aa 



indicated/ 



I04 



Tons, 

 dry 



Tons. 



Acres 

 irrigated 



I LJ Yes 2 LJ No 



PCNALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



