APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1. 1988 



OMB No 0607-053* Apfirovl lxt*roi S«ptemft«f 30, IMS 



oRM 87-A0204 



fiG CENSUS USA 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1201 East Tenth Street 

 Joffersonvlll*. IN 47133 



Note — If your recofds are not available, reasonable estimates may be 

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

 sent to the above address. Include your 1 Z-character Census File 

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



us. 



It you received more Ihan one 

 report tofm. enter extra 

 Census Fi(e Numberls) here 

 and return extra copies with 

 VOur completed report 



CENSUS 



USE 



ONLY 



03B 

 039 



NOTICE — Response to this inquiry is roquirod by law <title 13, U.S. Codet. By the same law YOUF^ REPORT TO 

 THE CENSUS BUREAU IS CONFIDENTIAL It may bo seen only by sworn Census employees and may bo used 

 only for statistical purposes. Youi report CANNOT bo used tor purposes of taxation, investigation, or regulation. 

 The law also provides that copies retained In your files are Immune from legal proceas. ^ 



In con«Bpc»ncl«nca p«riaining to this r»port, pl*a«« rvffvr to your C«nstsB Fil* Number (CFN) 



Please correct errors tn name. addrBSs, and ZIP Code. ENTER street and number if not shown. 



to^rtiiltit^K[¥^l flrRFAfiF in 1987 Report land owned, rented, or used 

 g, 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. 



Ifthcacrmm you op^rmted in 1 987 changad during tho year. 



""^SXiXii^^^A W«r« «i.if nf th.» fftilftMrftto CROPS hiinf tad from "THIS PLACE 



in 1987? 



rvfer to tfta INFORIVIA TiON SHEET, amction 1. 



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-head basis under a 

 grazing permit.} Also complete item 5 below CH 



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

 shares by others and land subleased. Also complete item 6 below. CH 



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 ^ 



Number of acres 



For this census report these arm the acres In "THIS PLACE. " ' 



// the entry is zero please refer to the INFORMA TtON SHBBT. section 1 . 



5 . If you rented land FROM OTHERS (item 2), enter the following information for each landlord. 



Name of landlord 



Mailir^g address (Include ZIP Code} 



Number of acres 



List additionol landlords on a seporato s/reer of paper. 



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



Name of renter 



Mailiftg address (Include ZIP Code) 



List additional renters on a aeparotc sheet of paper 



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

 acres did you own? □ 



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



OS4 



1 I I Yes - Mark (X) sli boxes which apply . 



2 D No — Go ro item 8 



Number of acres 



I 3 t I Forest Service 



' 4 n Taylor Grazing Sec. 3 (BLM) 



I h I 1 Indian Land 



[ D Other — Specify} 



a. LOCATION OF AGRICULTURAL ACTIVITY FOR "THIS PLACE" 

 a . In what county was the 



largest value of your 



agncultural products 

 raised or produced? 



b. If you also had agricultural 

 operations in any other 

 county(ies), enter the 

 county name(s), etc 



Principal 

 county^ 



Other \ 

 counties 



County name 



Numtier 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 



end section 8. DO NOT INCLUDE crops grown on land rented to others. 



1 . Com (Field) for grain or 

 seed (Report Quantny on a 

 dry shelled-weight basis i . - 



2. Corn (field) for silage 

 or green chop LJ 



3. Soybeans for beans 



4. Peanuts for dry nuts . . Lj 



5. Wheat for grain I_J 



6. Oats for grain LJ 



7. Barley for grain D 



8. Cotton □ 



9. Sorghum for grain 



or seed O 



10. Tobacco - all types .... LJ 



11. Potatoes. Irish D 



12. Sweetpotatoes and yams LJ 



Acres 

 harvested 



"7 «S7 



1:1 



Quantity harvested 



Tons, 

 Qrecn 



Lbs 



Tont 



Acres 

 irrigated 



7 083 i- 



0B& 

 008 



i;^^glf«i?lic?'J Wita miv DRY HAY. GRASS SILAGE. HAYLAGE. or GREEN CHOP cut 

 or harvested from "THIS PLACE" in 19877 



tnctudm morjfhum-mttdan eromaa* arut-tiay cut from pmrnturmm. 



^^ 1 LJ YES — Complata thim m^e^on 2 LJ NO — Go to section 4 



If cuttings were made for both dry ftay artd grass silage, haylage, or green chop 



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



HAY and also under GRASS 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 



cl Other tame dry hay - clover, lespedeza, 

 timothy, fescue, Bermuda grass. 

 Sudangrass. etc 



d. WiW 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. ) 



3. HAY SOLD — Did you sell any hay 



or grass silage in 1 987? ^Report y«/ue 



of hay sold in section 9, Item 4) 



Acres 

 harvested 



Quantity 

 harvested 



(/teport atth^r dry 

 or grasn weight M 

 indicatedl 



Tons, 

 dry 



Ton*. 

 dry 



Tons, 

 dry 



Acres 

 irrigated 



. LJ Yes 



(DNo 



PEtVALTY FOR FAILURE TO RERORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



