APPENDIX D. 

 Report Form and Information Sheet 



DOE BY FEBRUARY!, 1988 



. DEPARTMENT OF COMMERCE 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1201 Fast Tenth Street 

 Jsffar«onvill», 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 12-character Census FIIg 

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



File Numberls) h< 



completed report. 



NOTICE — Response to this inquiry is require 

 THE CENSUS BUREAU IS CONFIDENTIAL, It 

 only for statistical purposes. Your report CANNOT be used f' 



(title 13. U.S. Code! By i 



In coiraapondenca perlainino to this report, pleasa ref«r to your Census File Number (CFN) 



87-AO201 



r 



and ZIP Code ENTER s 



ACREAGE IN 1 987 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, 

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



R YOU f>p»mto€S it 



1 B8 7 chMng»tt during thm 1^001*, 



nfor to thm INFORMATION SHEET, auction 1. 



1 . At! land owned Q 



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 heaa 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. L_i 



4. 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 ^ 



"THIS PLACB."- 



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



Name of landlord 



Mailing address (IncJude ZIP Code) 



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



Mailing address (Include ZIP Codef \ Number of 



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

 acres did you own? 



□ 



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



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



2 d] No — Go fo item 8 



! I Forest Service 



* n Taylor Grazing Sec. 3 (BLM} 



5 1 I Indian Land 



e D Other - Specify^ 



8. LOCATION OF AGRICULTURAL ACTIVITY FOR "THIS PLACE" 



a . In what county was the 

 largest value ot your 

 agricultural products 

 raised or produced? . . . . 



b. If you also had agricultural 

 operations in any other 

 counry(ies), enter the 

 county name(s), etc 



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 JUiftiTU'JH W^r*^ any nf th» ffnnnwlno CROPS harvested from "THIS 



in 19877 



1 . Com (field) for grain or 



seed IRaparr quanv'TY on a 

 cfry stalled weight basis ) . . 



n 



2. Com (field) for silage 



or green chop CD 



3. Soybeans for beans . . □ 



4. Beans, dry edible .... CH 



5. Wheat for grain d] 



6. Oats for grain □ 



7. Barley for grain CH 



8. Rye for grain CD 



10. Sorghum for silage or 

 green chop (Do nor include 

 sorghum- Sudan crosses. I. . . 



1 1 . Tobacco — alt types . . 



12. Potatoes. Irish 



Quantity harvested 



TiH^AitiK^tga Was any DRY HAY. GRASS SILAGE. HAVLAGE. or GREEN CHOP CUl 

 - or harvested from "THIS PLACE" in 1987? 



Include soryhum-audan crossoa and hay cut front pasturoa. 



^^ 1 CD YES — Complof thig veccton 2 CD NO — Co i 



y under GRASS SILAGE. HA YLACE. and GREEN CHOP. 



1 . DRY MAY Of TWO or more cutting 

 hay were made from the same acres. 

 acres only once, but raport total tons 

 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 fif two or more cuttings 

 v^ere 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? rffeporr value 



Quantity 

 harvested 



(fteport aither dr\ 



.□Yes 



iDNo 



PENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



