Pictured in Figure 3.11.10-3 is an example of a generated TDA/Taxpayer Delinquent Account, with preprinted information. The Check Digits OX are located in the general entity area (to the upper right of the taxpayer's name and address) and are underlined in red. The Tax Period 2112 is edited to the right of the Check Digits. OTHER INFORMATION (i.e., we’re only providing the portion containing the important fill-ins). At the top of the form are five sets of two boxes each (a header and an blank (for fill-n): Taxpayer Identifying No., Tax Form; Period; ; RSC; and TDA/TDI Assessment Code. Beneath the Taxpayer Identifying No. heading is the EIN 00-5343298. Beneath the Tax Form heading is (Form) 941. Beneath the Period heading is 12-31-21. Beneath the RSC heading is 999. Beneath the TDA/TDI Assessment Code is 00-00-00-09 Beneath the first line’s information are the following items:. The Check Digit is OX The MFT 01 (for Form 941) is beneath the MFT box. An edited Tax Period 2112 is beneath the Period box. . Following the 2112 are two boxes: a blank CAF box, and a DLN box (containing 0014101700005-4. Beneath the DLN box (flushed with the (form’s) right margin. are three boxes: Loc. Code 0027; Predicted Grade: 1X, and IDRS Cycle: 202403. On the left side of the form (directly opposite the above listed boxes) are the name and address information: MAPLE HILL FARM, P O. BOX 573, KANSAS CITY, KS 66110. A Check Digit bubble points upward to the Check Digit OX. To the left of the Check Digit bubble is an IRS Received Date stamp: RECEIVED 01-10-2024; 001; OGDEN, UT; IRS - OSC No other information is on Figure 3.11.10-3.