Taxes Tax_form_5498_sa

Optum Bank HSA Form 5498-SA 2025

ID: 5ea598b9559d7ce9

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Details

Category
Vendor
Optum Bank
Amount
$0.00
Date
Dec 31, 2025
Processed
Sep 08, 2026 6:29 PM EDT
Original File
Scan_09082026_144951_000301.pdf

Summary

IRS Tax Form 5498-SA from Optum Bank for Johan Jongsma's HSA, showing $0 total contributions for 2025 and $0 fair market value as of 12/31/2025, with cover letter explaining HSA tax reporting.

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