APPENDIX D. 

 Report Form and Information Sheet 



FORM87-A0213 



AS CENSUS i;s.«. 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CEN8US 

 1201 East Tontti Strsot 

 Jeffervonvma, IN 47133 



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

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

 serrt to the above address. Include your 1 2-characier Census RIe 

 Number ICFN) as shown in your address label in all corresporxjence to 

 us. 



If you raceived more then one 

 report form, enter extra 

 Census Fde Number(st here 

 and renjm extra copies with 

 yojT compJeted rcpoft 



CENSUS 



USE 



ONLY 



035 



NOTICE - Response to this inquiry Is required by law (tttic 1 3, U .S. Code) . By the same law YOUH REPORT TO 

 THE CENSUS BUREAU tS CONFIDENTIAL, h may b« aeon only by sworn Cenaus etnployoes and may be uaod 

 only for statlatlcal purposes. Your report CANNOT be used for purposes of taxation, invaatlgatlon, or regulation 

 Tha lew al>o provldea that copies retained in your lllea ore Immune from legel process, 



r 



» partalnfng to this report, ptoasa rvfer to your C«nwfs nfs IVumber (CFN) 



87-A0213 



1 



Ptaaae correct errors in name, address, artd Z}P Coda. ENTER street and mjmber if not shown. 



KSrtflfth^t^ l 4 ACREAGg IM 1887 Rpnnrt land nwnfrri rantftd nr 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, woodtand. Idle land, house lots, etc. 



It the acres rou oparmteiS Sn 1937 ehmttfvd Ourlng tfie f 

 rmf^r to the INFORMATION SHEET, soctSon 1. 



1 . All land owned 



None 



. n 



. 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 irKlude land used on a per-head basis under a 

 grazing permit.) Also complete flem 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. 



4. Acres in "THIS PLACE" — ADD acres owned (item 1 ) 

 and acres rented {item 2). then SUBTRACT acres rented 

 TO OTHERS (item 31, and enter the result in this space 



fttr this census roport tha»» ar» tha aenm In "THIS PLACE, "~ 



D 



Number of acres 



c 



If the entry is zero please refer to the INFORMA T10N SHEET, section 1 . 

 5 . If you rented land FROM OTHERS (rtem 2). enter the foJIowing information for each landlord. 



Name of larvllord 



Mailing address (Include ZIP Code) 



Number of acres 



U5ta(MFCtbn0//andtordsona8spararc sh^et of paper. 



6. If you r ented land TO OTHERS litem 3), enter the following information for each renter. 



Name of renter [ Mairir>g address llnckide ZIP Code) Number of acres 



List additional renters on a separata sheet of patter. 



a- Of the land you rented or leased to othere. bow many 053 



acres did you own? LJ - 



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



054 



1 Dyos - 

 zDno- 



- Mark (X) a8 boxes which apply . 

 Go to item 8 



' 3 LJ Forest Service 



4 LJ Taylor Grazing Sec. 3 (BLM) 



s LJ Indian Land 

 ^ ft □ Otfter — 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. tf you 3lso had agricuttural 

 operations in any other 

 county(ies), enter the 

 county name(s), etc 



Principal 

 county—^ 



Other 

 counties 



County name 



Number of acres 



INSTRUCTIONS — Ploase report your crops In the appropriate sactlon. 



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. 



V?t^'Ji^']liffa' f '"W*t^ m» n* <**« faOtotrtno CROPS harwestsd from "THIS PLACE^ 

 In 19877 



1 . Com (fieW) for grain or 

 seed tfteport guantffY on a 

 dry shefled-vifeight bashj . . 



2. Com (field) for silage 

 or green chop 



D 

 D 



3. Wheat for grain LJ 



4. Oats for grain LJ 



B. Barley for grain LJ 



6. Sorghum for grain 



or seed, including mllo LJ 



7. Sorghum for silage or 



green chop iDo not include 



sorghum'Sudan crosses,} . . 1 | 



8. Soybeans for beans . . LJ 



9. Cotton LJ 



10. Tobacco — all types . . LJ 



1 1 . Potatoes, Irish □ 



1 2. Sweetpoiatoes and yams LJ 



Acres 

 harvested 



Quarttlty harvested 



OTB 



e 

 OR - 



Tons. 

 green 



7 os: 



Tona. 

 grsen 



Acres 



irrigated 



oCT 



0S3 



oae 



<a":<i>riftfiyL<V i Was any DRY HAY, GRASS SILAGE, HAYLAGE. or GREEN CHOP ctit 

 -J ^ harvested from 'THIS PLACE" In 19877 



tnclutt9 sorsftum-aucton cntmaaw and hay cut from paaturas. 



*^ 1 CD YES — Camplota thtm mactlon 2 LJ NO —Goto section 4 



If cartings were mode for both dry hay and grass sflege, haylage. or green chop 



from the same fietds, report the acreage in ttte appropriate items under DRY 



HAY and also under GRASS SILAGE, HAYIAGE. end GREEN CHOP. 



1 . DRY HAY Of two or more cuttings of dry 

 hay were made from the same acres, report 

 acres only once, but report total tons from all 

 tytfttings.} 



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, Bermuda grass, Sudangrass, 

 etc 



d. Wild hay. 



2. GRASS SILAGE, HAYLAGE, AND 



GREEN CHOP (if two or more cuttings 

 wore made from the same acres, report 

 acres only once, t>ut report total tons from 

 alt cuttings.) 



3. HAY SOLD — Did you sell any hay 



or grass silage in 1 9877 /Report va/ue 

 of hay sold in section 9, item At 



Acres 

 harvested 



Quantity 

 harvested 



(Report Bithor dry 



or gnmn mimfyht av 



mdicatedl 



Tona, 

 dry 



Tona, 



d»v 



Tona, 

 dry 



Tons. 

 dry 



Tona, 

 grean 



Acres 

 Irrigated 



1 LJ Yes 



(LJNo 



PENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



