APPENDIX D. 

 Report Form and Information Sheet 



DUE BY FEBRUARY 1. 1988 



OMBNo 0607 0S34 Appro 



ti Eiptrps Sgptcmb«> 30 1969 



..;-ki..'!i-^,'lLt.^.-,-i'!;j.l.» 



♦jfaHriV«h'iffi 1 ACREAGE IN 1987 Report land owned, rented, or used 

 5, 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. 



If the acres you operated in 1987 chmngo<t duHng the year, 

 rafar to tha INFORM A TION SHEET, mactton 1 . I 



AG CENSUS 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1 201 East Tenth Street 

 Jefforaonvlllo, IN 47133 



Note — If your records 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 2-character Census File 

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



us. 



11 vou received more than one 

 teport form, enier extra 

 Census File Numberfs) here 

 and return extra copies wrth 

 your completed repon 



CENSUS I 



USE 



ONLY 



I 03& 



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

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

 only (or staitsticat purposes Your report CANNOT be used for purposes of taxation, investigation, or regulation. 

 The la\w also provides that copies retamed in your files are immune from legal process- 



In c(MTOspon<ler>ca pertaining to this report, please refer to vo«fr Census File Number (CFN) 



r 



87-A0211 



Ptcaso correct errors tn name, address, and ZIP Code ENTER street and number if not shovtrn 



1 . All land owned □ 



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. IDO NOT include land used on a per head basis urnJer a 

 grazing permit.) Also complete hem 5 below lJ 



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

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



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

 and acres rented (item 2), then SUBTRACT acres rented 



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



Number of acres 



<o 



S^ 



■^ 



^ 



For this census report thasa ara tha acros tn "THIS PLACE. "— — * 



If the entry is zero please refer to the INFOftMA TION SHEET, section 1 . 



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



Name of landlord 



Mailing address {Include ZIP Codet 



Number of acres 



List additional landlords on a separata sheat of paper, 



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



Name of renter 



Mailing address (Include ZIP Code) 



Number of acres 



Ust additional renters on a separate sheet of paper. 



■ •Of the land you rented or teased to others, how many 053 



acres did you own? LJ _ 



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



054 



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



a LJ No — Go to item 8 



3 I I Forest Service 



dim Taylor Grazing Sec. 3 (BLM) 



& I I Indian Land 



, 6 I 1 Other — Specify, 



8. LOCATION OF AGRICULTURAL ACTIVITY FOR "THIS PLACE" 

 a. In what county was the 

 largest value of your 

 agiicuUural products 

 raised or produced? , . . 



b. If you also had agricultural 

 operations in any other 

 county(ies), enter the 

 county namels), etc 



Principal 

 county—, 



Other 



counties 



County name 



Number of acres 



INSTRUCTIOfVS — 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. 



Acres 

 harvested 



Quantity harvested 



Acres 



irrigated 



'^-i^»*iW>'t&i Were any of the following CROPS harvested from "THIS PLACE" 

 in 1987? 



S2 



None 



1 . Cotton □ 



2. Rice □ 



3. Barley for grain CD 



4. Oats for grain LH 



5. Wheat for grain, 

 including durum [ I 



6. Corn {field) for grain or 



seed (Report QuanriTy on a , — , 



dry shelled- ¥i/eight tiasfs.) . . I I 



7. Corn (field) for silage 



or green chop LJ 



8. Beans, dry lima LJ 



9. Beans, dry edible iDo 



not include limasf 



n 



lO.Saff tower □ 



1 1 . Sugar beets for sugar LJ 



12. Potatoes, Irish LJ 



J. 



Qfean 



^HaAiliYiVtK> I Was nnv DRV HAY. GRASS SILAGE. HAYLAGE. or GREEN CHOP cut 

 ~^^^^^^ or harvested from "THIS PLACE" in 19877 



Incfutfe sorphutn-aadan crosmam and hay cut from paaturaa. 



^^ 1 LJ YES — Complete this aactttm 2 I — I NO — Go to section 4 



If cuttings were made tor both dry hay and gross 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 



c. Other tame dry hay — clover, timothy, 

 Sudangrass, etc 



d. Wild hay 



2. GRASSSILAGE, HAYLAGE, AND 



GREEN CHOP llf two or more cuttings 

 were made from the same acres, report 

 acres only once, but report totel tons from 

 ell cuttings.) 



3. HAY SOLD — Did you sell any hay 

 or grass silage in 1 987? (Report value 

 of hay sold in section 9. item 31 



Acres 

 harvested 



Quantity 

 harvested 



(Report either dry 



or green weight es 



indicated! 



Tons, 

 green 



Acres 

 irrigated 



iD Yes 



! n No 



PCNALTr FOn FAILUHE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



