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REPÚBLICA DE COLOMBIA
Declaración de Importación Privada 500
1. Año 2025
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
032025001569593-1
5 . Número de Identificación Tributaria (NIT)
830028931
6 . DV.
5
11 . Apellidos y nombres o Razón Social
SAMSUNG ELECTRONICS COLOMBIA S.A.
13 . Dirección
CR 7 113 43 OF 607
15 . Teléfono
4870707
12 . Cód. Admón.
03
16 . Cód. Dpto
11
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
860536003
25 . DV.
3
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS ABC REPECEV S.A.S. NIVEL 1
27 . Tipo usuario
26
28 . Cód. usuario
99
29 . Número documento de identificación
1022943854
30 . Apellidos y nombres
CARLOS ANDRES ROJAS MATAJUDIOS
31 . Clase
Importador
02
32 . Tipo declaración
Inicial
33 . Cod.
1
34 .No.Formulario Anterior
XXXXXXXXXXXXXX
35 . Año – Mes – Día
XXXX – XX – XX
36 . Cod. Admón.
XX
37 . Declaración de Exportación
No. XXXXXXXXXXXXXXX
38 . Año – Mes – Día
XXXX – XX – XX
39 . Cod. Admón.
XX
40 . Cod. lugar ingreso
de las mercancías
BOG
41 . Cod. Depósito
13907
42 . Manifiesto de carga
No. 9194595206
43 . Año – Mes – Día
2025 – 08 – 28
44 . Documento de transporte
No. SHAN0414430
45 . Año – Mes – Día
2025 – 08 – 22
46 . Nombre exportador o proveedor en el exterior
SAMSUNG ELECTRONICS CO., LTD
47 . Ciudad
GYEONGGI-DO
48 . Cod.País Exportador
190
49 . Dirección exportador o proveedor en el exterior
129, SAMSUNG-RO, YEONGTONG-GU SUWON 16677
50 . E-mail
010-8705-6749
51 . No. de factura
9103724670
52 . Año – Mes – Día
2025 – 08 – 22
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
TAMPA CARGO S.A.S.
58 . Tasa de cambio $ cvs.
4.034.18
S 59 . Subpartida arancelaria
8517130000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C234
63 . No. cuotas
o meses
XX
64 . Valor cuota USD
XXXX
65 . Periodicidad del
pago de la cuota
XX
66 . Cod. país
de origen
855
67 . Cod. Acuerdo
XXX
68 . Forma de pago
de la importación
01
69 . Tipo de
importación
01
70 . Cod. país
compra
190
71 . Peso bruto kgs. dcms.
152.00
72 . Peso neto kgs. dcms.
129.60
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
480.00
78 .Valor FOB
USD
34.740.79
79 . Valor fletes USD
1.225.12 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
145.097.755
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
145.097.755
99
0
100
0
101
0.00
Salvaguardia
102
0.00
103
0
104
0
105
0
106
0.00
Derechos
Compensatorios
107
0.00
108
0
109
0
110
0
111
0.00
Derechos
Antidumping
112
0.00
113
0
114
0
115
0
116
0.00
Sancion
117
0
118
0
119
0
120
0
Rescate
121
0
122
0
123
0
124
0
Total 125
0
126
0.00
80 . Valor Seguros
USD
1.19
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.226.31
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
35.967.10
85 . Código registro
o licencia
X
86 . Número
XXXXXXXXXX
87 .
Cod.
oficina
99
88 . Año
XXXX
89 . Programa No
XXXXXXXXXX
90 . Cód Interno del
Producto
0
91 . Descripción de las mercancías(No inicie la descripción de las mercancías a importar con lo señalado en el arancel de aduanas en la subpartida arancelaria – Incluya marcas, seriales y otros) (Si el campo es insuficiente, continúe al respaldo de este formulario)
NAC: 570998-DECL: 1949847-DO: 893121120251- DECL 1 DE 1.- //NOS ACOGEMOS AL ARTICULO 424 DEL ESTATUTO TRIBUTARIO MODIFICADO POR L
A LEY 1819DEL 29/12/2016 ARTÍCULO 175 NUMERAL 6 (EXCLUSIÓN DEL IVA). // NOS ACOGEMOS AL ARTÍCULO 2.8.3.1 ORDINAL 2.8.3.1.4 DE LA
RESOLUCIÓN 5050 DEL 10 DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOM
OLOGACIÓN) // NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION.SAMSUNG ELECTRONICS COLOMB
IA S.A. OEA COD. OE0001. . PEDIDOS: 3097287358. ID DELIVERY: 6084094053. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A165MLGDLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY Z Flip7 5G Duos (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VE(continúa al respaldo)
127 . Valor pagos anteriores: 0 128 . Recibo oficial de pago anterior No.: XXXXXXXXXXXXXXX 129. Fecha: XXXX XX XX
130 . Espacio reservado DIAN – Actuación aduanera
Estado de levante: Levante automático
No hay declaración posterior
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032025001569593
133. Feha: 202508 28
134 . Levante No. 032025001314190 135 . Fecha
2025 – 08 – 28
Firma funcionario responsable 136 . Nombre
137 . C.C. No.
Firma declarante 997 . Espacio exclusivo para el sello
de la entidad recaudadora
(Fecha efectiva de la transacción)
Coloque el timbre de la máquina
registradora al dorso de este formulario
980 . Pago Total $
0
996 . Espacio para autoadhesivo de la entidad recaudadora
(Número del adhesivo)
SYGA
Autoadhesivo 92032506699956
Fecha presentación 2025-08-28 20:47:17
Valor pagado $0.00
Fecha de Impresión: 2025-08-28 20:47:22
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001569593-1
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
RDE CLARO, MODELO: SM-A165M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL./ /MOBILE,SM-A165M/DS,LIGHT GREEN,LTC( QTY. 480,
00 u )(480,00 PCE); IMEIS:350455584361622/354598224361621. 350455584361655/354598224361654. 350455584361663/354598224361662. 3504
55584361697/354598224361696. 350455584361796/354598224361795. 350455584361820/354598224361829. 350455584361846/354598224361845. 3
50455584363768/354598224363767. 350455584364576/354598224364575. 350455584364618/354598224364617. 350455584364725/354598224364724
. 350455584364733/354598224364732. 350455584364808/354598224364807. 350455584364832/354598224364831. 350455584364923/354598224364
922. 350455584364931/354598224364930. 350455584364964/354598224364963.350455584365078/354598224365077. 350455584365359/3545982243
65358. 350455584365409/354598224365408. 350455584365680/354598224365689. 350455584365946/354598224365945. 350455584366126/3545982
24366125. 350455584366878/354598224366877. 350455584366910/354598224366919. 350455584367355 /354598224367354. 350455584367397/354
598224367396. 350455584367512/354598224367511. 350455584367587/354598224367586. 350455584367694/354598224367693. 350455584368130/
354598224368139. 350455584368213/354598224368212. 350455584368262/354598224368261. 350455584368973/354598224368972. 3504555843691
53/354598224369152. 350455584369385/354598224369384. 350455584369518/354598224369517. 350455584369542/354598224369541. 3504555843
69591/354598224369590. 350455584369682/354598224369681. 350455584369757/354598224369756. 350455584369781/354598224369780. 3504555
84369864/354598224369863. 350455584369906/354598224369905. 350455584369922/354598224369921. 350455584370029/354598224370028. 3504
55584370060/354598224370069. 350455584370086/354598224370085. 350455584370458/354598224370457. 350455584370888/354598224370887. 3
50455584370946/354598224370945. 350455584370953/354598224370952. 350455584370995/354598224370994. 350455584371027/354598224371026
. 350455584371050/354598224371059. 350455584371233/354598224371232. 350455584371266/354598224371265. 350455584371563/354598224371
562. 350455584371571/354598224371570. 350455584371605/354598224371604. 350455584371639/354598224371638. 350455584371738/354598224
371737. 350455584372058/354598224372057. 350455584373254/354598224373253. 350455584373270/354598224373279. 350455584373304/354598
224373303. 350455584373312/354598224373311. 350455584373460/354598224373469. 350455584374294/354598224374293. 350455584374344/354
598224374343.350455584374435/354598224374434. 350455584374468/354598224374467. 350455584374880/354598224374889. 350455584375341/3
54598224375340. 350455584375358/354598224375357. 350455584375515/354598224375514. 350455584375572/354598224375571. 35045558437570
5/354598224375704. 350455584377354/354598224377353. 350455584377883/354598224377882. 350455584377925/354598224377924. 35045558437
8105/354598224378104. 350455584378469/354598224378468. 350455584378543/354598224378542. 350455584378576/354598224378575. 35045558
4378642/354598224378641. 350455584378691/354598224378690.350455584378733/354598224378732. 350455584379327/354598224379326. 350455
584380416/354598224380415. 350455584380473/354598224380472. 350455584380515/354598224380514. 350455584380580/354598224380589. 350
455584380721/354598224380720. 350455584381141/354598224381140. 350455584382008/354598224382007. 350455584382818/354598224382817.
350455584382941/354598224382940. 350455584383105/354598224383104. 350455584383154/354598224383153. 350455584383279/35459822438327
8. 350455584388294/354598224388293. 350455584388302/354598224388301. 350455584388336/354598224388335. 350455584388351/35459822438
8350. 350455584388369/354598224388368. 350455584388385/354598224388384. 350455584388401/354598224388400. 350455584388419/35459822
4388418. 350455584388476/354598224388475. 350455584388518/354598224388517. 350455584388534/354598224388533. 350455584388583/35459
8224388582. 350455584388591/354598224388590. 350455584388658/354598224388657. 350455584388666/354598224388665. 350455584388682/35
4598224388681. 350455584388732/354598224388731. 350455584388757/354598224388756. 350455584388799/354598224388798. 350455584388815
/354598224388814. 350455584388823/354598224388822. 350455584388831/354598224388830. 350455584388849/354598224388848. 350455584388
930/354598224388939. 350455584389003/354598224389002. 350455584389045/354598224389044. 350455584389052/354598224389051. 350455584
389078/354598224389077. 350455584389110/354598224389119. 350455584389128/354598224389127. 350455584389581/354598224389580. 350455
584389748/354598224389747. 350455584390027/354598224390026. 350455584390159/354598224390158. 350455584390209/354598224390208. 350
455584390217/354598224390216. 350455584390316/354598224390315. 350455584390357/354598224390356. 350455584390407/354598224390406.3
50455584390423/354598224390422. 350455584390464/354598224390463. 350455584390472/354598224390471. 350455584390571/354598224390570
. 350455584390670/354598224390679. 350455584390738/354598224390737. 350455584390837/354598224390836. 350455584391223/354598224391
222. 350455584391322/354598224391321. 350455584391389/354598224391388. 350455584391397/354598224391396. 350455584391439/354598224
391438. 350455584391520/354598224391529. 350455584391538/354598224391537. 350455584391546/354598224391545. 350455584391736/354598
224391735. 350455584391827/354598224391826.350455584391835/354598224391834. 350455584391975/354598224391974. 350455584392023/3545
98224392022. 350455584392056/354598224392055. 350455584392155/354598224392154. 350455584392270/354598224392279. 350455584392288/3
54598224392287. 350455584392338/354598224392337. 350455584392353/354598224392352. 350455584392429/354598224392428. 35045558439243
7/354598224392436. 350455584392445/354598224392444. 350455584392593/354598224392592. 350455584392601/354598224392600. 35045558439
2619/354598224392618. 350455584392635/354598224392634. 350455584392650/354598224392659. 350455584392759/354598224392758. 35045558
4392767/354598224392766. 350455584392874/354598224392873. 350455584392890/354598224392899. 350455584392916/354598224392915. 35045
5584393054/354598224393053. 350455584393070/354598224393079. 350455584393096/354598224393095. 350455584393104/354598224393103. 35
0455584393112/354598224393111. 350455584393492/354598224393491. 350455584393575/354598224393574. 350455584393591/354598224393590.
350455584393617/354598224393616. 350455584393641/354598224393640. 350455584393658/354598224393657. 350455584393666/3545982243936
65. 350455584393781/354598224393780. 350455584394334/354598224394333. 350455584394672/354598224394671. 350455584394730/3545982243
94739. 350455584394797/354598224394796. 350455584394813/354598224394812. 350455584394839/354598224394838. 350455584394870/3545982
24394879. 350455584394912/354598224394911. 350455584394946/354598224394945. 350455584394961/354598224394960. 350455584394979/3545
98224394978. 350455584394995/354598224394994. 350455584395109/354598224395108. 350455584395117/354598224395116. 350455584395125/3
54598224395124. 350455584395133/354598224395132. 350455584395158/354598224395157. 350455584395166/354598224395165.350455584395174
/354598224395173. 350455584395190/354598224395199. 350455584395224/354598224395223. 350455584395265/354598224395264. 350455584395
315/354598224395314. 350455584395323/354598224395322. 350455584395349/354598224395348. 350455584395364/354598224395363. 350455584
395398/354598224395397. 350455584395406/354598224395405. 350455584395430/354598224395439. 350455584395448/354598224395447. 350455
584395463/354598224395462. 350455584395505/354598224395504. 350455584395513/354598224395512. 350455584395521/354598224395520. 350
455584395562/354598224395561.350455584395570/354598224395579. 350455584395596/354598224395595. 350455584395604/354598224395603. 3
50455584395638/354598224395637. 350455584395646/354598224395645. 350455584395661/354598224395660. 350455584395679/354598224395678
. 350455584395687/354598224395686. 350455584395703/354598224395702. 350455584395729/354598224395728. 350455584395752/354598224395
751. 350455584395778/354598224395777. 350455584395786/354598224395785. 350455584395794/354598224395793. 350455584395836/354598224
395835. 350455584395844/354598224395843. 350455584395851/354598224395850. 350455584395885/354598224395884. 350455584396248/354598
224396247. 350455584396263/354598224396262. 350455584396487/354598224396486. 350455584396511/354598224396510. 350455584396677/354
598224396676. 350455584396735/354598224396734. 350455584396917/354598224396916. 350455584397121/354598224397120. 350455584397220/
354598224397229. 350455584397238/354598224397237. 350455584397311/354598224397310. 350455584397329/354598224397328. 3504555843974
10/354598224397419. 350455584397428/354598224397427. 350455584397865/354598224397864. 350455584398236/354598224398235. 3504555843
98426/354598224398425. 350455584399085/354598224399084. 350455584399127/354598224399126. 350455584399176/354598224399175. 3504555
84399242/354598224399241. 350455584399267/354598224399266. 350455584399283/354598224399282. 350455584399291/354598224399290. 3504
55584399317/354598224399316. 350455584399366/354598224399365. 350455584399481/354598224399480. 350455584399606/354598224399605. 3
50455584399911/354598224399910. 350455584400016/354598224400015. 350455584400081/354598224400080. 350455584400115/354598224400114
. 350455584400149/354598224400148. 350455584400156/354598224400155. 350455584400164/354598224400163.350455584400172/3545982244001
71. 350455584400198/354598224400197. 350455584400271/354598224400270. 350455584400289/354598224400288. 350455584400297/3545982244
00296. 350455584400396/354598224400395. 350455584400404/354598224400403. 350455584400412/354598224400411. 350455584400446/3545982
032025001569593-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001569593-1
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
24400445. 350455584400453/354598224400452. 350455584400479/354598224400478. 350455584400503/354598224400502. 350455584400511/3545
98224400510. 350455584400552/354598224400551. 350455584400560/354598224400569. 350455584400578/354598224400577. 350455584400610/3
54598224400619.350455584400636/354598224400635. 350455584400651/354598224400650. 350455584400669/354598224400668. 350455584400693
/354598224400692. 350455584400727/354598224400726. 350455584400743/354598224400742. 350455584400768/354598224400767. 350455584400
776/354598224400775. 350455584400792/354598224400791. 350455584400818/354598224400817. 350455584400826/354598224400825. 350455584
400834/354598224400833. 350455584400859/354598224400858. 350455584400867/354598224400866. 350455584400891/354598224400890. 350455
584400909/354598224400908. 350455584400966/354598224400965. 350455584400974/354598224400973. 350455584400982/354598224400981. 350
455584404901/354598224404900. 350455584404927/354598224404926. 350455584404976/354598224404975. 350455584405023/354598224405022.
350455584405031/354598224405030. 350455584405064/354598224405063. 350455584405072/354598224405071. 350455584405080/35459822440508
9. 350455584405114/354598224405113. 350455584405130/354598224405139. 350455584405155/354598224405154. 350455584405171/35459822440
5170. 350455584405197/354598224405196. 350455584405213/354598224405212. 350455584405221/354598224405220. 350455584411724/35459822
4411723. 350455584414330/354598224414339. 350455584415386/354598224415385. 350455584415402/354598224415401. 350455584417168/35459
8224417167. 350455584417184/354598224417183. 350455584417200/354598224417209. 350455584417226/354598224417225. 350455584417234/35
4598224417233. 350455584417275/354598224417274. 350455584417291/354598224417290. 350455584417309/354598224417308. 350455584417317
/354598224417316. 350455584417325/354598224417324. 350455584417358/354598224417357. 350455584417697/354598224417696. 350455584418
190/354598224418199. 350455584418208/354598224418207. 350455584418224/354598224418223.350455584418232/354598224418231. 3504555844
18265/354598224418264. 350455584418273/354598224418272. 350455584418299/354598224418298. 350455584418307/354598224418306. 3504555
84418323/354598224418322. 350455584418331/354598224418330. 350455584418349/354598224418348. 350455584418372/354598224418371. 3504
55584418398/354598224418397. 350455584418422/354598224418421. 350455584418448/354598224418447. 350455584418455/354598224418454. 3
50455584418463/354598224418462. 350455584418497/354598224418496. 350455584418505/354598224418504. 350455584418554/354598224418553
.350455584418562/354598224418561. 350455584418570/354598224418579. 350455584418596/354598224418595. 350455584418604/3545982244186
03. 350455584418638/354598224418637. 350455584418653/354598224418652. 350455584419826/354598224419825. 350455584422101/3545982244
22100. 350455584422317/354598224422316. 350455584435640/354598224435649. 350455584435657/354598224435656. 350455584435665/3545982
24435664. 350455584435681/354598224435680. 350455584435699/354598224435698. 350455584435723/354598224435722. 350455584435749/3545
98224435748. 350455584435764/354598224435763. 350455584435780/354598224435789. 350455584435806/354598224435805. 350455584435814/3
54598224435813. 350455584435830/354598224435839. 350455584435855/354598224435854. 350455584435954/354598224435953. 35045558443603
6/354598224436035. 350455584436077/354598224436076. 350455584436192/354598224436191. 350455584436226/354598224436225. 35045558443
6259/354598224436258. 350455584436267/354598224436266. 350455584436333/354598224436332. 350455584436374/354598224436373. 35045558
4436499/354598224436498. 350455584436564/354598224436563. 350455584436580/354598224436589. 350455584436614/354598224436613. 35045
5584436622/354598224436621. 350455584436663/354598224436662. 350455584436671/354598224436670. 350455584436747/354598224436746. 35
0455584436762/354598224436761. 350455584436804/354598224436803. 350455584436812/354598224436811. 350455584436820/354598224436829.
350455584436887/354598224436886. 350455584436952/354598224436951. 350455584436960/354598224436969. 350455584436978/3545982244369
77. 350455584436994/354598224436993. 350455584437000/354598224437009. 350455584437018/354598224437017. 350455584437026/3545982244
37025. 350455584437042/354598224437041. 350455584437091/354598224437090.350455584437117/354598224437116. 350455584437133/35459822
4437132. 350455584437141/354598224437140. 350455584437216/354598224437215. 350455584437224/354598224437223. 350455584437240/35459
8224437249. 350455584437257/354598224437256. 350455584437265/354598224437264. 350455584437273/354598224437272. 350455584437281/35
4598224437280. 350455584437315/354598224437314. 350455584437331/354598224437330. 350455584437349/354598224437348. 350455584437372
/354598224437371. 350455584437380/354598224437389. 350455584437406/354598224437405. 350455584437430/354598224437439.3504555844374
48/354598224437447. 350455584437455/354598224437454. 350455584437463/354598224437462. 350455584437471/354598224437470. 3504555844
37497/354598224437496. 350455584437505/354598224437504. 350455584437513/354598224437512. 350455584437521/354598224437520. 3504555
84437554/354598224437553. 350455584437570/354598224437579. 350455584437596/354598224437595. 350455584437604/354598224437603. 3504
55584437950/354598224437959. 350455584438529/354598224438528. 350455584438545/354598224438544. 350455584438560/354598224438569. 3
50455584438578/354598224438577. 350455584438594/354598224438593. 350455584438602/354598224438601. 350455584438610/354598224438619
. 350455584438636/354598224438635. 350455584438644/354598224438643. 350455584438677/354598224438676. 350455584438693/354598224438
692. 350455584438701/354598224438700. 350455584438719/354598224438718. 350455584438743/354598224438742. 350455584438768/354598224
438767. 350455584438776/354598224438775. 350455584438784/354598224438783. 350455584438800/354598224438809. 350455584438842/354598
224438841. 350455584438883/354598224438882. 350455584438891/354598224438890. 350455584438917/354598224438916. 350455584438966/354
598224438965. 350455584438974/354598224438973. 350455584438982/354598224438981. 350455584438990/354598224438999. 350455584439030/
354598224439039. 350455584439063/354598224439062. 350455584439097/354598224439096. 350455584439105/354598224439104MERCANCIA UBICA
DA EN: ABC STORAGE S.A.S – ZFB – Cra.106 No. 15 A 25 Manzana 23 Bodega 135HXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001569593-1
Espacio para uso exclusivo de la Entidad Recaudadora
