Get Tx 55-201 2017-2025

This guide provides clear instructions on completing the Texas Lottery Electronic Funds Transfer Authorization Form (TX 55-201) online. Ensuring accurate information will facilitate efficient processing by the Texas Lottery.

Follow the steps to successfully complete the TX 55-201 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the ‘Bank Name’ field, enter the name of the depository financial institution where your business account is held.
3. Fill in the ‘Bank Branch’ and ‘Address’ fields with the appropriate details of your bank.
4. Provide the ‘Bank Phone’ number in the designated area—ensure to include the area code.
5. Complete the ‘City’, ‘State’, and ‘Zip’ fields for your bank's location.
6. Authorize the DFI by checking the box that allows them to charge the specified withdrawals and deposits to your account.
7. Enter your ‘Bank Account Name’ as shown at the DFI, ensuring it matches your business name on record.
8. Fill in your ‘Business Name’ (doing business as) as registered with the Texas Lottery.
9. Input your ‘Retailer ID Number’, which is critical for identifying your lottery business.
10. Provide your business street address where lottery tickets are sold.
11. Enter your ‘Business Phone’ number, including the area code.
12. Input the ‘Bank Routing Number’ and ‘Bank Account Number for Lottery business’; make sure these are accurate.
13. Specify the ‘Requested Effective Date’ for activating the account; remember that the Texas Lottery requires advance notice of ten working days.
14. Have the authorized person on the account sign, print their name, and provide their contact phone number and email address in the appropriate fields.
15. Attach a voided check to this form before submitting it. If unavailable, prepare a bank letter with the necessary details.
16. Review all completed fields for accuracy before finalizing your form. Ensure it is complete to avoid delays in processing.
17. Submit the form by mailing, faxing, or emailing it to the Texas Lottery, as detailed in the instructions.

Complete your documents online for efficient submission and processing.