APPENDIX D. 

 Report Form and Information Sheet 



PUe BY FEBRUARY 1. 19B8 



OMBNo 0e07-0S34; Approval EiipiTaa Saptambcr 30. 1989 



A 87-A0201 



•.~ CENSUS USA 



UNITED STATES 



CENSUS 

 OF AGRICULTURE 



BUREAU OF THE CENSUS 

 1201 East Tenth Street 

 Jeff arson ville. 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. 



If you received more than one 

 report form, enier extra 

 Census File Numberls) here 

 ard return einra copies with 

 your completed report. 



CENSUS 

 USE 



ONLY 



035 



iKm* 



NOTICE - RsKponse to this inquiry Ik required by law <titla 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 employees and may be used 

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

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



In correspondenca pertaining to this raport, plaasa rafar to your Cansus Ria Numbar (CFN) 



Please correct errors in name, address, and ZIP Code. ENTER street and number if not shown. 



ACREAGE IN 1 987 Report land owned, rented, or used 

 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 thm acres you opomtad in 1 987 chortgcti during tho yaBr, 

 rmtar to tho INFORMATION SHEET, aoetion 1. 



All land owned LH 



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 LJ 



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

 shares by others and land subleased. Also complete Nem 6 below. 



. 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 



n 



Number of acres 



ro46 



■^ 



^ 



For this census report these are the acres in "THIS PLACE. " ' 



If The entry is zero please refer to the INFORft/tA TION SHEET, section 1 . 



. 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 



Usi additional landlords on a separate sheet of paper. 



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



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. 



iHHgariT?»]fi w>.r«> any of the foliowlnfl CROPS harvested from "THIS PLACE" 

 in 19877 



1 . Com (field! for grain or 



seed (Report (juBntftY on a . — . 



dry shelled freight basis.) . . I I 



2. Com (field) for silage 



or green chop D 



3. Soybeans for beans . . □ 



4. Beans, dry edible .... (HI 



5. Wheat for grain CD 



6. Oats for grain □ 



7. Barley for grain (HI 



8. Rye for grain LJ 



n 



9. Sorghum for grain 

 or seed 



10. Sorghum for silage or 

 green chop iDonotmciude 

 sorghum-sudan crosses). . . 



1 1 . Tobacco 



12. Potatoes, 



- all types 



Irish .... 



n 

 n 

 n 



Acres 

 harvested 



Quantity harvested 



Tons, 

 greer 



Acres 

 rrigated 



Name of renter 



Mailing address (Include ZIP Code} 



Number of acres 



^13?gira7Kll Was any DRY HAY. GRASS SILAGE. HAYLAGE, or GREEN CHOP c 

 or harvested from "THIS PLACE" in 19877 



Includo sorghunf-^udmn crosses and hay cut from pastures. 

 ®^ 1 □ YES — Complete this section 2 □ NO — Co to section 4 

 If cuttings were made for both dry hay and grass silage, haylage, or green chop 

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

 HA Y and also under GRASS SILAGE. HA YLAGE. and GREEN CHOP. 



List additional renters on a separate sheet of paper. 



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

 acres did you own? I — I 



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



0S4 



1 D Yes — Mark (X) all boxes which apply . 



2 ml No — Go fo item 8 



3 \_J Forest Service 



^n Taylor Grazing Sec. 3 (BLM) 



s I I Indian Land 



^ E D Other Specify^ 



. LOCATION OF AGRICULTURAL ACTIVITY FOR "THIS PLACE" 

 a. In what county was the 



largest value of your 

 agricultural products 

 raised or produced? . . . . 



b. If you also had agricultural 

 operations in any other 

 countyliesi, enter the 

 county name(sl, etc 



Principal 

 county _> 



Other \ 

 counties , 



County name 



Number of acres 



. 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, lespedeza, 

 timothy, Sudangrass, meadow and 

 pasture grasses, etc 



d. Wild hay 



. 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.) 



. HAY SOLD — Did you sell any hay 

 or grass silage in 1 987? ^Report value 



of hay sold in section 9, item 3} 



Acres 



harvested 



Quantity 

 harvested 



(Report either dry 

 or green weight as 

 indicated) 



Tons, 



drv 



Tons. 



dry 



Tons. 



dry 



Acres 



irrigated 



I □ Yes 



?□ No 



PENALTY FOR FAILURE TO REPORT 



1987 CENSUS OF AGRICULTURE 



APPENDIX D D-1 



