APPENDIX C. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 15. 1983 



M 8 APPROVAL NO 060? 0408 EXPIRES 12/84 



-,82-A0301 



IM2 82) 



<JfcNj 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1201 East Tenth Stroet 

 Jeffersonville, Indiana 47133 



Note - if you* records are not available, reasonable estimates may be used. II 

 you cannot file by February 15, a time extension request may be sent to the 

 above address Include your 1 2 character Census File Number (CFNI as shown 

 tn your address label in all correspondence to us. 



If you tecetved more than one 

 report form, enter extra Census 

 File Numberlsl here and return 

 extra copies with your completed 

 report 



CENSUS ; 



USE 



ONLY 



T035 



ESQ 



NOTICE - Response to this inquiry is required by law (title 1 3. U.S. Code). By the same taw 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 correspondence pertaining to this report, ploase refer to your Census File Number (CFNI 



(Please correct errors in name, address, and ZIP code. ) 



ACREAGE IN 1982 



If the acres you operated in 1 982 changed during the year, refer to the 

 INFORMATION SHEET, Section 1. 



Report land owned, rented, or used by you, your spouse, or by the partner- 

 ship, 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. 



I INSTRUCTIONS — Please report your crops in the) appropriate section. 

 I Use section 7 to report ONLY those crops NOT listed fn sections 2 through 

 I 6 and section 8. DO NOT INCLUDE crops grown on land rented to others. 



None Number of acres 



1 . All land owned LJ 



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. IDO NOT include land used on a per-head 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. LJ 



4 . ACRES IN THIS PLACE - ADD acres owned litem 1 ) and acres 

 rented litem 2), then SUBTRACT acres rented TO OTHERS (item 3). 

 and enter the result in this space » 



for this census report these art 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 (item 2) enter the following information for each landlord. 



Name of landlord 



Mailing address {Include ZIP code) 



Number of acres 



List additional landlords on a separate sheet of paper 



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



Were any of the FOLLOWING CROPS harvested from this place in 1 982? 



None 



1 . Corn (field) for grain or 

 seed (Report Quanta? on a . — . 

 dry shelled-weight basis) | j 



2. Corn (field) forsitage 



or green chop Q 



3. Soybeans for beans LJ 



4. Beans, dry edible LJ 



5. Wheat for grain Q 



6. Oats for grain LJ 



7. Barley for grain LJ 



8. Rye for grain LJ 



9. Sorghum for grain 



or seed LJ 



10. Sorghum for silage or 



green chop (Exclude sorghum- 



sudan crosses) [_ 



1 1 . Tobacco - alt types .... LJ 



12. Potatoes. Irish □ 



Acres 

 harvested 



Quantity harvested 



Tons, 

 gieen 



Tons, 

 green 



Acres 



irrigated 



Name of renter 



Mailing address (Include ZIP code) 



Number of acres 



List additional renters on a separate sheet of paper. 



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

 acres did you own? LJ 



7. During 1 982. did you have any Federal or state grazing 

 permits on a per-head basis; such as Forest Service, 

 Taylor Grazing, Indian Reservations, etc. ? 



i □ Yes 2 LJ No 



8. How many acres were diverted (or set-aside) under Federal 

 commodity acreage reduction programs in 1982? I I 



9. 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 have agricultural 

 operations in any other 

 county(ies), enter the 

 county namefsl , etc 



Principal 



county-* 



Other , 

 counties 



County name 



Number of acres 



MMIM:§cM Wat any DRY HAY, GRASS SILAGE, HAYLAGE, or GREEN CHOP cut or 

 harvested from this place in 1982? 



Include sorghum-sudan crosses and hay cut from pastures 

 S3 ' LJ YES — Complete this amotion 2 LJ NO — Go to section 4 



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

 from the same fields, report the acreage in the appropriate items under DRY 

 HA Y and also under CRASS SILAGE. HAYLAGE. and GREEN CHOP. 



1.DRY HAY (It 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, Sudan grass, meadow and 

 pasture grasses, etc 



d.Wild hay.. 



2 GRASS SILAGE, HAYLAGE, AND 

 GREEN CHOP (hay crops cut 



and fad graan) llf two or more cuttings 

 were made from the same acres, report 

 acres only once, but report total tons from 

 alt cuttings.) 



3. HAY SOLD - Did you sell any hay 

 or grass silage in ~\ 982? (Report value 

 of hay sold in section 9, item 4) 



Acres 

 harvested 



Quantity 

 harvested 



tRepon orther dry 



or green weight ss 



indicated I 



Tons 

 dry 



Acres 

 irrigated 



'□Yes 



*□ No 



PENALTY FOR FAILURE TO REPORT 



1982 CENSUS OF AGRICULTURE 



APPENDIX C C-1 



