APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1. 1988 



:i gmi !a m >^ 



4 87-A0210 



OF COMMERCE 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1201 East Tenth Street 

 Jeffensonville, IN 47133 



Note - 



used. If 



Number (CFN) 



jrds are not available, reasonable estimates may be 

 file by February 1 , a Time extension request may be 

 bove address. Include your 12-cbaracter Census File 

 shown in your address label in all correspondence to 



Census File Number(s) 

 your completed report 



CENSUS 



USE 



ONIV 



t CANNOT be l 



correspondence pertair 



> thia report, please refer to your Census File Number (CFN) 



87-A0210 



r 



. and ZIP Code. ENTER s 



.iH3aiffil?i<H ACREAGE IN 1987 Report (and 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. 



R yotf opmratott in 1987 change<i during th» Y»ar, 



» (he INFORMATION SHEET. 



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, State, and railroad 

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

 grazing permit.) Also complete item 5 below (HI 



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 the result in this space.—- ^ 



"THIS PLACE. " 



♦TJiJifiL'tJ^ < Were any of the following CROPS harvested from "THIS PLACE" 

 in 1987? 



1. Wheat for grain iZI 



S . If you rented land FROM OTHERS (it 



r the following information for each landlord. 



Name of landlord 



Mailing address (Include ZIP Code) Number of 



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

 Name of renter | Mailing address (Include ZIP Code) Number of acn 



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

 acres did you own? 



None 



n 



7. Did you have any grazing permits c 



i per-head basis? 



) LJ Forest Servi 

 , n Yes - Mark (X) all boxes whrch apply ) " ^ Taylor Grazing Sec. 3 (BLM) 



2 LJ No — Go fo nam 8 



i LJ Indian Land 



i LJ 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.lf you also had agricultural 

 operations in any other 

 countyties), enter the 

 county namelsl, 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. 



2. Barley for grain LJ 



3. Oats for grain LJ 



n 



5. Lentils D 



7. Austrian winter peas 



dry shelled weight b 



D 



9. Com (field) for silage or 



green chop I — I 



10. Sugar beets for sugar LJ 



11. Mint for oil LJ 



12. Potatoes. Irish LJ 



Quantity harvested 



iEE^l 



KlaWIlffllJft I W«. »nv DRY HAY. GRASS SILAGE. H AYLAGE. or GREEN CHOP cut 

 '■ or harvested from THIS PLACE" in 1987? 



Includo sorghum-suttan crosses and hay cut from patturaa. 



^^ 1 Q YES — Comptoto thia section 2 HH NO — Go to section 4 



r green chop 



nder GI^ASS SILAGE. 



1 . DRY HAY f/f rwo or mor, 

 hay were made from the san 

 acres only once, but report t 





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, fescue, crested 

 wheatgrass, etc 



d.Wild hay 



2 . GRASS SILAGE, H AYLAGE, AND 



GREEN CHOP (if two or more cuWngs 

 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 9877 (Repon value 

 of hay sold if ■-- " ■ -•■ 



iQYes aDNo 



PENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



