APPENDIX D. 

 Report Form and Information Sheet 



DUE BT FEBRUARY 1 ■ 1 988 



oKM 87-A0201 



OMSNo 0607-0534 Approvl Eiiptf#> SaptB^wb*' 30. 19B9 



,3 CENSUS V3 Jo 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1 201 East Tenth Street 

 JaHarsonvills, IN 47133 



Note - If yout records are not available, reasonable estimates may t>8 

 used. If you cannot file by February 1 , a time extension request may be 

 sent to the above address. Include your 1 2-cfiaracter Census File 

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



us. 



If vou received more Ihan one 

 report form, enter extra 

 Census File Number(s) here 

 and return extra copies with 

 vour completed report. 



CENSUS 



USE 



ONLY 



03& 



NOTICE - Response to this inquiry is required by taw (title 1 3. U.S. Code). By the same law YOUR REPORT TO 

 THE CENSUS BUREAU IS CONFIDENTIAL. It may be seen onlv by sworn Census employees and may be used 

 only for Statistical purposes. Your report CANNOT be used for purposes of taxation, irtvestigation, or regulation. 



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



In c^rraspondenca partainlttg to thla r«fK>rt, plaaae refar to your Cansua Ria Numt>ar (CFN> 



r 



iSRTfiraH 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. 



If thm »cr»s ytHJ op«rat9ti in 1987 chong9ttt§uHng tho ymar, 

 nfor to thm INFORMATION SHEET, macHon 1, 



Ptoase correct errors in name, address, and ZIP Coda ENTER Btreer and number if not sho^n. 



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. 



1 . All land owned CJ 



2 . AH 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 — 1 



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 tne result in this space ^ 



Number of acres 



ro4e 



Ft>r this census report these are the acres in "THIS PLACE. "— 



If The entry is zero please refer to the INFORMATION SHEET, section 1. 

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



Name of landlord 



Mailing address (Include ZIP Code) 



Number of acres 



Ust additionaS landlords on a separate sheet of paper. 



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



Name of renter 



Mailing address (Include ZIP Code) 



Number of acres 



Ust additional ranters ort a separate sheet of paper. 



None 

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

 acres did you own? LI 



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



Ofi4 



1 I I Yes — Mark (Xf all boxes which apply . 



2 n No — Go fo »fem 8 



3 1 I Forest Service 



4 [~I Taylor Grazing Sec. 3 (BLM) 



5 I I Indian Land 



, e CH Other Specify, 



UdtkiM.^mi Wi.r> ani. ot tt»e followlrKi CROPS harvested from "THIS PLACE' 

 in 19877 



1, Com (field) for grain or 



seed iReport QuantrTY on s 

 dry sheUed weight basis.) . . 



n 



2. Com (field) for silage 



or green chop \_\ 



3. Soybeans for beans . . D 



4. Beans, dry edible .... □ 



5. Wheat for grain CD 



6. Oats for grain Q 



7. Barley for grain 



8. Rye for grain . . 



.... a 



.... n 



9. Sorghum for grain 



or seed IIJ 



1 0. Sorghum for silage or 



green chop (Do not include 

 sorghum- Sudan crosses.). . . 



11, Tobacco - all types 



12. Potatoes. Irish 



n 

 n 

 n 



Acres 

 harvested 



no 



Quantity harvested 



Tons, 

 grsan 



07& 



575- 



Acres 

 irrigated 



^4i4dML'ftc1l Waa any DRY HAY. GRASS SILAGE. HAYLAGE, or GREEN CHOP c 

 ^^ harvested from "THIS PLACE" in 1 9877 

 Inctuttm sorghumsudan crosses and hay cut from pastures. 



^^ 1 CD YES — Complsta this smctlon 2 D NO — Co 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 approphate items under DRY 

 HA Y and also under GRASS SILAGE. HA YLAGE. and GREEN CHOP. 



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 

 county(ies), enter the 

 county namels), etc 



Principal 

 county _> 



Other 

 counties 



County name 



Number ot acres 



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 (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 98 7? /Report va/oe 



of hay sold in section 9. item 31 



Acres 

 harvested 



Quantity 

 harvested 



(Report aithef dry 



or green vireighT aa 



indicated} 



Tons, 

 drv 



Acres 

 irrigated 



iD Yes 



jQ No 



PENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



