Form 7206, Self-Employed Health Ins. Ded. Completed Form Examples and Samples
Explore our detailed example of Form 7206 for Self-Employed Health Insurance Deduction. Learn how a self-employed individual accurately completes this form to deduct health insurance premiums from taxable income.
Form 7206 Example – Self-Employed Health Insurance Deduction
How this form was filled:
This example demonstrates how a self-employed individual completes Form 7206 to deduct their health insurance premiums from their taxable income.
Information used to fill out the document:
- Taxpayer Name: Jane Smith
- Occupation: Freelance Graphic Designer
- Business Name: Smith Creations
- Health Insurance Provider: Health Co.
- Premiums Paid: 4800
- Tax Year: 2024
- Social Security Number: 123-45-6789
- Signature: Jane Smith
- Date: 03/15/2025
What this filled form sample shows:
- Illustrates completion of taxpayer information and business name
- Highlights premium payment details for accurate deduction
- Includes health insurance provider for validation
- Properly formatted signature and date
Form specifications and details:
| Use Case: | Self-employed individual claiming health insurance premium deduction |
| Relevant Year: | 2024 Tax Year |
| Deduction Type: | Self-Employed Health Insurance |
