Damerly Company $($a Utah employer$)$ wants to give a holiday bonus check of $$250$ to each employee. Since it wants the check amount to be $$250,$ it will need to gross$-$up the amount of the bonus. Calculate the withholding taxes and the gross amount of the bonus to be made to John Rolen if his cumulative earnings for the year are $$46,910.$ Besides being subject to social security taxes and federal income tax $($supplemental rate$),$ a $4\mathrm{.}95\%$ Utah income tax must be withheld on supplemental payments.

Enter deductions beginning with a minus sign $(-).$ You may need to adjust by a penny $($subtract or add$)$ to the gross amount to get net pay to calculate exactly to $$250\mathrm{.}00.$ Round your calculations and final answers to the nearest cent.

As we go to press, the federal income tax rates for $2021$ are being determined by budget talks in Washington and not available for publication. For this edition, the $2020$ federal income tax tables for Manual Systems with Forms W$-4$ from $2020$ or later with Standard Withholding and $2020$ FICA rates have been used.

Gross bonus amount $fill in the blank $1$

Federal income tax withheld fill in the blank $2$

OASDI tax withheld fill in the blank $3$

HI tax withheld fill in the blank $4$

Utah income tax withheld fill in the blank $5$

Take$-$home bonus check