Taxes Tax_form_5498_sa

IRS Form 5498-SA Optum Bank HSA 2023

ID: 8dec53bcc1b937fc

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Details

Category
Vendor
Optum Financial
Amount
$1,845.67
Date
Dec 31, 2023
Processed
Sep 08, 2026 6:20 PM EDT
Original File
Scan_09082026_144628_000283.pdf

Summary

Optum Financial cover letter and IRS Form 5498-SA (Copy B) reporting Johan Jongsma's 2023 HSA contributions of $0.00 and fair market value of $1,845.67 as of 12/31/2023, account number 412231515.

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