Taxes Tax_form_5498sa

2023 HSA Tax Form 5498-SA

ID: 01e48c7cea34bd54

Download

Details

Category
Vendor
Optum Financial
Amount
$1,845.67
Date
Dec 31, 2023
Processed
Feb 11, 2026 2:07 AM EST
Original File
Report_02112026_020551_000135.pdf

Summary

IRS Form 5498-SA from Optum Financial for tax year 2023, reporting $0.00 in HSA contributions and a year-end fair market value of $1,845.67 for account holder Johan Jongsma.

Notes

No notes yet. Click Edit to add notes.

OCR Text

Document Preview

100%
Page 1 of 1