APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1.1989 



OF COMMERCE 



EH 



HG CENSUS US& 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENBUS 

 1201 East Tentti Str»M 

 J«fff«r«onvflle. IN 47133 



Not« — If your records are not available, reasonable estimates may be 

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

 sent to the above address. Include your 12-chafacter Census File 

 Number (CFN) as shown in your address label in all con-espondence to 



If vou received more than o 

 rsDOrt form, enter ejt 

 Census File Numberfsl hi 



your completed report. 



CENSUS 



USE 



ONLY 



NOTICE — Response to this inquiry is required by taw (title 13. 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 Immuna from legal process. 



t coiT«spond»nc* partalning to tttia raport, pleasa r«fer to your Cenaus File Numb*r ICFN) 



r 



87-A0202 



n 



, address, and ZIP Code. Fft/TTfl street and number if n 



^laHJiliVCrj ACREAGE IN 1987 Report land ownad. ranted, 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, 

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



None Number of £ 



1 . All land owned LH 



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-head basis under a 

 grazing pennrt,) 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, dl 



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 — ► 



t tn "THIS PLACE.' 



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



Name of tarxJIord 



T mttdfttonal landtorda o 



Mailing address (Include ZIP Code} 



trato ah«et of paper. 



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

 Name of rBntor [ Mailing address (Include ZIP Code) \ Number of t 



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

 acres did you own? 



None 



n 



7. Did you have any grazir)g permrts on a per-head basis? 



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



2 CD No — Go fo item 8 



CD Forest Service 



« O Taylor Grazing Sec. 3 (BLM) 



5 I I Indian Land 



e CD Other — Specify) 



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 agriculturai 

 operations in any other 

 county(iB8), enter the 

 county name(8), 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 S. DO NOT INCLUDE crops grown on land rented to others. 



;k-^ j»i JNHi^feN W»wi JMiM ftl fhft follftwrinn CnnPfi hunwttiwt fwim "THIS 



In 19877 



. Com (field) for grain or 

 seed (Report quantity on a 

 dry shelled -weight basts f . . 



'. n 



2. Com (field) for silage 



or green chop CD 



3. Soybeans for beans . . CD 



4. Beans, dry edible .... CD 



5. Wheat for grain CD 



6. Oats for grain CD 



7. Barley for grain CD 



8. Rye for grain CD 



9. Sorghum for grain 



or seed (including milo) CD 



10. Sorghum for sitage or 

 green chop (Do not indude 

 sorghum Sudan crosses). . . \ ) 



1 1 . Popcorn CD 



12. Tobacco — all types . . CD 



13. Potatoes, Irish CD 



Quantity harvested 



/lO 



l.-j JA^Iili^lka Waa any DRY HAY. GRASS SILAGE. HAYLAGE. or GREEN CHOP cut 

 or hanrestod from "THIS PLACE" In 1987? 

 Inclutim morgttum-mutttt cro**»m and hmy ctit from p»»tur»m. 



^^ 1 CD YES — Ctmtplct9 tMm miction 2 CD NO — Co I 

 tf cutTirtgs were made for both dry hey and grass silage, haytage. or green chop 

 from the same fields, report the acreage in r/ia appropriate Items under DRY 

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



1 . DRY HAY (If two or more cuttings of dry 

 bay 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, bromegrass, Sudangrass, 

 millet, 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, t 



3. HAY SOLD — Did you sell any hay 

 or grass silage in 1 B&77 (Report value 



Quantity 

 harvested 



{Report eithar dn 

 or gr«co weight a 





t section 9, item 4) 



I CD Yes 



.DNo 



PeMALTYFOR FAILURB TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



