APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1. 1988 



OMBNo. 060 7-0534: Apptov^ Eupwg S«itinbt 30. 19B9 



<B7-A0208 



&a CENSUS 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1 201 EbsI Tenth Street 

 Jaffersonvilla, 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 1 2-character Census File 

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

 us. 



H vou received more than one 

 report form, enter eirlra 

 Census File Numberlsl here 

 and return estts copies with 

 your completed report 



CENSUS 



USE 



ONLY 



NOTICE — Response to this inquiry is required by law (title 1 3, U S Code) By the same law YOUR REPORT TO 

 THE CENSUS BUREAU IS CONFIDENTIAL. It may be seen only by sworn Census amployees and may be used 

 only tor statistical purposes. Your report CANNOT be used for purposes o) taxation, investigation, or regufatioi 

 The law also provides that copies retained in your files are immune from legal process. 



In correspondonco pertaining to this report, please refer to your Census File Number (CFN) 



87-A0208 



Please correct errors in name, addross. and ZIP Code. BNTER street and number if not shtu^ 



iSratfitnL'i»J acrfa«fim iqh? R«>nr.rt lanH niA,r.oH rented, or used 

 3, 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. 



Ifthmacroa you op^rattMiln 1987 charrgmd during th» yamr, 



rarer to the INFOBMA TION SHEET. stfCtion 1. 



1 . All land owned 



D 



2. All land rented or leased FROM OTHERS, including land worVed 

 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 permrt.) Also complete item 5 below EJ 



3 . All land rented or leased TO OTHERS, including land worked on 

 shares by others and land subleased. Also complete item 6 below. \Z] 



4. Acres in "THIS PLACE" —add acres owned (Item 1) 

 and acres rented (item 21. then SUBTRACT acres rented 



TO OTHERS (item 3). and enter the result in this space ^ 



For this census report thesa are the acres In "THIS PLACE. "~ 



Number of acres 



If the entry IS zsro 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 



UsT adtfitionat landlords ort a separmtm shett of paper. 



6. If you rent ed land TO OTHERS (rtem 3), enter the following information for each renter. 



Name of renter 



Mailing address (Include ZIP Code) Number of acres 



List addftionaf renters on a separate sheet ot paper. 



■ ■Of the land you rented or leased to others, how many os3 



acres did you own' D _ 



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



054 / 3 EJ Forest Service 



1 D Yes - Mark (X) all boxes which apply . } *^ Taylor Grazing Sec. 3 (BLM) 



I I Indian Land 



LH Other — Specify} 



t (X) all boxes which apply . 

 2 D No — Go to Item 8 



8. LOCATION OF AGRICULTURAL ACTIVITY FOR "THIS PLACE" 



a. In what county was the 

 largest value of your 



agricultural prcducis 

 raised or produced? . 



b.lf you also had agricutturat 

 operations in any oltier 

 countyliesl. enter the 

 county name(s), etc 



Principal 

 county _> 



Other 

 counties 



County name 



Number of acres 



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. 



• ^j*fi"fi!i^fr>^ Were any nf thp fnllnwino CROPS harvested from "THIS PLACE" 

 in 1987? 



D 



1 . Corn (field) for grain or 



seed IRepon quarjtfTy or\ a 

 dry shelled weight basis.) . . 



2. Corn (field) for silage 



or green chop LJ 



3. Soybeans for beans . . LJ 



4. Beans, dry edible .... D 



5. Wheat for grain, 

 including durum LJ 



6. Oats for grain LJ 



7. Barley for grain L J 



8. Rye for grain LJ 



9. Flaxseed LJ 



10. Sunflower seed LJ 



11. Sugar beets for sugar . LJ 



12. Potatoes. Insh LJ 



Acres 



harvested 



Quantity harvested 



Ton*. 

 green 



Acres 

 irrigated 



^^4 jii jftyri gl rl Wag any DRY HAY. GRASS SILAGE. HAYLAGE, or GREEN CHOP cut 

 or harvested from "THIS PLACE" in 1987? 

 Irtcluda torghurrf-sudmn crosses and hay cut from pasturos. 



1 LJ YES — Complata this section 2 LJ NO — Go ro section 4 



If cuttings were made for tjoth dry hay and grass silage, haytage. or green chop 



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



HAY and also under CRASS SILAGE. HAYLAGE. and GREEN CHOP. 



1.DRY HAY (If 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, timothy, 

 Sudangrass. millet, bromegrass, 

 crested wheatgrass, etc 



d.Wild hay. . 



2 . GRASS SILAGE. HAYLAGE, AND 



GREEN CHOP Hf two or more cuttings 

 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 ^ 987? {Report value 



of hay sold in section 9. item 2) 



Acres 

 harvested 



Quantity 

 harvested 



IRepon either dry 

 or green weight as 

 indicated) 



Torts. 

 green 



Acres 

 irrigated 



. n Yes 



2 LJ No 



PENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



