Taxes Irs_form_5498_sa

IRS Form 5498-SA HSA Johan Jongsma 2024

ID: 944483a809c5638a

Download

Details

Category
Vendor
Optum Financial / Optum Bank
Amount
$1,806.90
Date
Dec 31, 2024
Processed
Sep 08, 2026 6:11 PM EDT
Original File
Scan_09082026_144123_000262.pdf

Summary

IRS Tax Form 5498-SA from Optum Bank for Johan Jongsma reporting 2024 HSA contributions: Box 2 total contributions $0.00, Box 3 $0.00, Box 5 fair market value $1,806.90 as of 12/31/2024.

Notes

No notes yet. Click Edit to add notes.

OCR Text

Document Preview

100%
Page 1 of 1