The CP503 is the third and final notice in the IRS's standard automated sequence before levy action begins. It uses sharper language than the CP501, the balance is larger, and the next step — the CP504 Notice of Intent to Levy — is imminent.
By this stage, failure-to-pay penalties and compounding interest have likely added substantially to your original tax debt. The IRS's automated system is preparing to move your case into enforcement, which means your state tax refund is the first thing at risk, followed by wages and bank accounts.
There is still time to stop this — but the window is now measured in weeks, not months. A filed installment agreement, CDP request, or OIC application will halt the escalation. An unfiled balance at the CP503 stage will not.