APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1. 1988 



. 87-A0204 



as CENSUS liS& 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



Census File Number(sl here 



t law YOUR REPORT TO 



87-A0204 



~1 



Please coneci errors u 



. and ZIP Code. ENTER strt 



a^HJilil^ftV^I ACREAGE IN 1987 Report land owned, rented, or l 



by vou, your spouse, or by the partnership, corporation, or 

 organization for which you are reporting. Include ALL LAND. 



, house lots, etc. 



!^^;b^i^ W.„.nyof.h. 

 '■ hi 1987? 



None Number of acres 



1 . All land owned 



. 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. |D0 NOT include land used on a perhead basis under a 

 grazing permit.) Also complete item 5 below 



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 



for this oemus report theme Bra tho scras In "THIS PLACE. " i 



II the entry is zero please refer to the INFORMA TION SHEET, section 1 . 



5. If you rented land FROM OTHERS (item 21, enter the following information for each landlord. 



Name of landlord 



Mailing address llnclude ZIP Code) 



6. If you rented land TO OTHERS (ite m 3), enter the lollowing infomiation for each 



Mailing address llnclude ZIP Code} | Number of acres 



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

 1 □ Yes - Mark IXI all boxes which , 



3 D Forest Service 



4 □ TsYtor Grazing Sec. 3 (BLMI 



6 I I Indian Land 



e □ Other - SpecilYj 



a. LOCATION OF AGRICULTURAL ACTIVITY FOR THIS PLACE" 

 a . In what county was the 



b. If YOU also had agricultural 

 operations in any other 

 county(ies), enter the 

 county name(5), 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. 



following CROPS harvested from "THIS PLACE" 



1 . Com (field) for grain t 



3. Soybeans for beans 



4. Peanuts for dry nuts . . □ 



5. Wheat for grain D 



6. Oats for grain O 



7. Barley for grain LH 



8. Cotton □ 



9. Sorghum for grain 



10. Tobacco - all types .... CD 



11. Potatoes. Irish □ 



12. Sweetpotatoes and yams □ 



on 



Quantity harvested 



aEagJKffia 'J Vllin .nv PHY HAY. GRASS SILAGE. HAYLAGE. or GREEN CHOP cut 



or harvested from "THIS PLACE" in 1987? 



r GRASS SILAGE. 



1. DRY HAY rt'rwo 



b. Small grain hay — oats, wheat, 



c. Other tame dry hay - clover, lespedeza, 

 timothy, fescue. Bermuda grass, 

 Sudangrass, etc 



d. Wild hay 



2. GRASS SILAGE, HAYLAGE, AND 

 GREEN CHOP III f ».o or more cuttmgs 



f hay sold in section 9, iterr. 



REniALTY FOR FMLURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



