Taxes Tax_form_5498_sa

IRS Form 5498-SA 2025

ID: 9d95f1d632ced899

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Details

Category
Vendor
Optum Financial
Amount
$1,768.40
Date
Jan 1, 2025
Processed
Mar 22, 2026 1:31 AM EDT
Original File
Scan_03222026_003123_000080.pdf

Summary

This is an IRS Form 5498-SA from Optum Financial for 2025, providing information on HSA contributions and the fair market value for participant Johan Jongsma. The form details contributions made in 2025 and 2026, with a total fair market value of $1,768.40 as of 12/31/2025.

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