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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
032025001640349-3
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. 9194601773
43 . Año – Mes – Día
2025 – 09 – 08
44 . Documento de transporte
No. 41N0725764
45 . Año – Mes – Día
2025 – 08 – 29
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
6900386333
52 . Año – Mes – Día
2025 – 08 – 22
53 . Cod. país
procedencia
351
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.
3.991.09
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
215
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.
133.00
72 . Peso neto kgs. dcms.
93.10
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
380.00
78 .Valor FOB
USD
18.768.63
79 . Valor fletes USD
974.18 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
78.797.926
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
78.797.926
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
0.65
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
974.83
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
19.743.46
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: 571949-DECL: 1952232-DO: 893121643251- 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 R
ESOLUCIÓN 5050 DEL 10DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOMOL
OGACIÓN) // NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION.SAMSUNG ELECTRONICS COLOMBIA
S.A. OEA COD. OE0001. . PEDIDOS: 3097289350. ID DELIVERY: 6084196514. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A075MLVDLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A07 LTE DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VIOLETA(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
032025001640349
133. Feha: 202509 11
134 . Levante No. 032025001380339 135 . Fecha
2025 – 09 – 11
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 92032507084511
Fecha presentación 2025-09-11 12:53:14
Valor pagado $0.00
Fecha de Impresión: 2025-09-11 12:54:59
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001640349-3
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
, MODELO: SM-A075M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A075M/DS,LIGHT VIOLET,LTC( QTY. 380,00 u )(38
0,00 PCE); IMEIS: 352169180908078/354282520908076. 352169181084432/354282521084430. 352169181084457/354282521084455. 352169181084
465/354282521084463. 352169181084531/354282521084539. 352169181084549/354282521084547. 352169181084747/354282521084745. 352169181
084846/354282521084844. 352169181084978/354282521084976. 352169181085082/354282521085080. 352169181085124/354282521085122. 352169
181085140/354282521085148. 352169181085165/354282521085163.352169181085207/354282521085205. 352169181085264/354282521085262. 3521
69181085371/354282521085379. 352169181085405/354282521085403. 352169181085454/354282521085452. 352169181085488/354282521085486. 3
52169181085512/354282521085510. 352169181085645/354282521085643. 352169181085785/354282521085783. 352169181085801/354282521085809
. 352169181085843/354282521085841. 352169181085868/354282521085866. 352169181086098/3542825 21086096. 352169181086379/35428252108
6377. 352169181086403/354282521086401. 352169181086452/354282521086450. 352169181086494/354282521086492. 352169181086585/35428252
1086583. 352169181086593/354282521086591. 352169181086692/354282521086690. 352169181086759/354282521086757. 352169181086767/35428
2521086765. 352169181086882/354282521086880. 352169181086908/354282521086906. 352169181086973/354282521086971. 352169181086999/35
4282521086997. 352169181087047/354282521087045. 352169181087120/354282521087128. 352169181087195/354282521087193. 352169181087260
/354282521087268. 352169181087351/354282521087359. 352169181087369/354282521087367. 352169181087393/354282521087391. 352169181087
476/354282521087474. 352169181087583/354282521087581. 352169181087609/354282521087607. 352169181087799/354282521087797. 352169181
087849/354282521087847. 352169181087864/354282521087862. 352169181087880/354282521087888. 352169181087906/354282521087904. 352169
181087948/354282521087946. 352169181087989/354282521087987. 352169181088003/354282521088001. 352169181088011/354282521088019. 352
169181088045/354282521088043. 352169181088078/354282521088076. 352169181088110/354282521088118. 352169181088151/354282521088159.
352169181088185/354282521088183. 352169181088201/354282521088209. 352169181088318/354282521088316. 352169181088334/35428252108833
2.352169181088367/354282521088365. 352169181088508/354282521088506. 352169181088599/354282521088597. 352169181088656/354282521088
654. 352169181088714/354282521088712. 352169181088805/354282521088803. 352169181088839/354282521088837. 352169181088854/354282521
088852. 352169181089068/354282521089066. 352169181089076/354282521089074. 352169181089084/354282521089082. 352169181089100/354282
521089108. 352169181089118/354282521089116. 352169181089126/354282521089124. 352169181089142/354282521089140. 352169181089159/354
282521089157. 352169181089175/354282521089173.352169181089191/354282521089199. 352169181089225/354282521089223. 352169181089233/3
54282521089231. 352169181089266/354282521089264. 352169181089282/354282521089280. 352169181089324/354282521089322. 35216918108936
5/354282521089363. 352169181089373/354282521089371. 352169181121465/354282521121463. 352169181121697/354282521121695. 35216918112
1705/354282521121703. 352169181121762/354282521121760. 352169181121812/354282521121810. 352169181121838/354282521121836. 35216918
1121846/354282521121844. 352169181121895/354282521121893. 352169181121903/354282521121901. 352169181121929/354282521121927. 35216
9181121937/354282521121935. 352169181121945/354282521121943. 352169181121952/354282521121950. 352169181121994/354282521121992. 35
2169181122018/354282521122016. 352169181122026/354282521122024. 352169181122042/354282521122040. 352169181122059/354282521122057.
352169181122067/354282521122065. 352169181122083/354282521122081. 352169181122091/354282521122099. 352169181122109/3542825211221
07. 352169181122117/354282521122115. 352169181122125/354282521122123. 352169181122133/354282521122131. 352169181122141/3542825211
22149. 352169181122158/354282521122156. 352169181122166/354282521122164. 352169181122174/354282521122172. 352169181122182/3542825
21122180. 352169181122190/354282521122198. 352169181122208/354282521122206. 352169181122216/354282521122214. 352169181122224/3542
82521122222. 352169181122257/354282521122255. 352169181122265/354282521122263. 352169181122273/354282521122271. 352169181122281/3
54282521122289. 352169181122323/354282521122321. 352169181122356/354282521122354. 352169181122364/354282521122362. 35216918112237
2/354282521122370. 352169181122380/354282521122388. 352169181122398/354282521122396. 352169181122406/354282521122404.352169181122
414/354282521122412. 352169181122422/354282521122420. 352169181122430/354282521122438. 352169181122448/354282521122446. 352169181
122455/354282521122453. 352169181122471/354282521122479. 352169181122489/354282521122487. 352169181122497/354282521122495. 352169
181122505/354282521122503. 352169181122513/354282521122511. 352169181122521/354282521122529. 352169181122539/354282521122537. 352
169181122547/354282521122545. 352169181122570/354282521122578. 352169181122596/354282521122594. 352169181122604/354282521122602.
352169181122612/354282521122610.352169181122638/354282521122636. 352169181122653/354282521122651. 352169181122679/354282521122677
. 352169181122703/354282521122701. 352169181122729/354282521122727. 352169181122745/354282521122743. 352169181122752/354282521122
750. 352169181122760/354282521122768. 352169181122802/354282521122800. 352169181122810/354282521122818. 352169181122968/354282521
122966. 352169181122976/354282521122974. 352169181123024/354282521123022. 352169181123032/354282521123030. 352169181123099/354282
521123097. 352169181123123/354282521123121. 352169181123131/354282521123139. 352169181123164/354282521123162. 352169181123180/354
282521123188. 352169181123198/354282521123196. 352169181123206/354282521123204. 352169181123214/354282521123212. 352169181123263/
354282521123261. 352169181123271/354282521123279. 352169181123305/354282521123303. 352169181123339/354282521123337. 3521691811234
46/354282521123444. 352169181123503/354282521123501. 352169181123511/354282521123519. 352169181123537/354282521123535. 3521691811
23545/354282521123543. 352169181123586/354282521123584. 352169181123594/354282521123592. 352169181123628/354282521123626. 3521691
81123644/354282521123642. 352169181123685/354282521123683. 352169181123719/354282521123717. 352169181123727/354282521123725. 3521
69181123768/354282521123766. 352169181123792/354282521123790. 352169181123842/354282521123840. 352169181123867/354282521123865. 3
52169181123875/354282521123873. 352169181123909/354282521123907. 352169181123917/354282521123915. 352169181123958/354282521123956
. 352169181123974/354282521123972. 352169181124014/354282521124012. 352169181124048/354282521124046. 352169181124055/354282521124
053. 352169181124105/354282521124103. 352169181124121/354282521124129. 352169181124139/354282521124137.352169181124188/3542825211
24186. 352169181124196/354282521124194. 352169181124246/354282521124244. 352169181124261/354282521124269. 352169181124279/3542825
21124277. 352169181124311/354282521124319. 352169181124329/354282521124327. 352169181124345/354282521124343. 352169181124386/3542
82521124384. 352169181124394/354282521124392. 352169181124410/354282521124418. 352169181124428/354282521124426. 352169181124451/3
54282521124459. 352169181124493/354282521124491. 352169181124501/354282521124509. 352169181124519/354282521124517. 35216918112452
7/354282521124525.352169181124550/354282521124558. 352169181124576/354282521124574. 352169181124618/354282521124616. 352169181124
626/354282521124624. 352169181124659/354282521124657. 352169181124675/354282521124673. 352169181124683/354282521124681. 352169181
124691/354282521124699. 352169181124709/354282521124707. 352169181124717/354282521124715. 352169181124758/354282521124756. 352169
181124766/354282521124764. 352169181124774/354282521124772. 352169181124782/354282521124780. 352169181124790/354282521124798. 352
169181124832/354282521124830. 352169181124915/354282521124913. 352169181125011/354282521125019. 352169181125052/354282521125050.
352169181125078/354282521125076. 352169181125094/354282521125092. 352169181125169/354282521125167. 352169181125185/35428252112518
3. 352169181125193/354282521125191. 352169181125235/354282521125233. 352169181125243/354282521125241. 352169181125250/35428252112
5258. 352169181125334/354282521125332. 352169181244663/354282521244661. 352169181244754/354282521244752. 352169181244796/35428252
1244794. 352169181244903/354282521244901. 352169181244978/354282521244976. 352169181245025/354282521245023. 352169181245207/35428
2521245205. 352169181245231/354282521245239. 352169181245306/354282521245304. 352169181245363/354282521245361. 352169181245389/35
4282521245387. 352169181245397/354282521245395. 352169181245462/354282521245460. 352169181245546/354282521245544. 352169181245595
/354282521245593. 352169181245611/354282521245619. 352169181245629/354282521245627. 352169181245660/354282521245668. 352169181245
678/354282521245676. 352169181245744/354282521245742. 352169181245942/354282521245940. 352169181246064/354282521246062. 352169181
246122/354282521246120. 352169181246189/354282521246187. 352169181246270/354282521246278.352169181246312/354282521246310. 3521691
81246338/354282521246336. 352169181246379/354282521246377. 352169181246452/354282521246450. 352169181246502/354282521246500. 3521
69181246510/354282521246518. 352169181246619/354282521246617. 352169181246627/354282521246625. 352169181246643/354282521246641. 3
52169181246668/354282521246666. 352169181246692/354282521246690. 352169181246718/354282521246716. 352169181246742/354282521246740
032025001640349-3
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001640349-3
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
. 352169181246791/354282521246799. 352169181246809/354282521246807. 352169181246817/354282521246815. 352169181246833/354282521246
831.352169181246866/354282521246864. 352169181246874/354282521246872. 352169181246890/354282521246898. 352169181246908/3542825212
46906. 352169181246916/354282521246914. 352169181246924/354282521246922. 352169181246932/354282521246930. 352169181246940/3542825
21246948. 352169181246981/354282521246989. 352169181247005/354282521247003. 352169181247013/354282521247011. 352169181247021/3542
82521247029. 352169181247039/354282521247037. 352169181247062/354282521247060. 352169181247070/354282521247078. 352169181247088/3
54282521247086. 352169181247104/354282521247102. 352169181247112/354282521247110. 352169181247120/354282521247128. 35216918124714
6/354282521247144. 352169181247161/354282521247169. 352169181247179/354282521247177. 352169181247187/354282521247185. 35216918124
7211/354282521247219. 352169181247237/354282521247235. 352169181247252/354282521247250. 352169181247260/354282521247268. 35216918
1247286/354282521247284. 352169181247294/354282521247292. 352169181247302/354282521247300. 352169181247310/354282521247318. 35216
9181247328/354282521247326. 352169181247344/354282521247342. 352169181247351/354282521247359. 352169181247401/354282521247409. 35
2169181247450/354282521247458. 352169181247476/354282521247474. 352169181247567/354282521247565. 352169181247583/354282521247581.
352169181247625/354282521247623. 352169181247633/354282521247631. 352169181247658/354282521247656. 352169181247682/3542825212476
80. 352169181247724/354282521247722. 352169181247815/354282521247813. 352169181247930/354282521247938. 352169181247955/3542825212
47953. 352169181248011/354282521248019. 352169181248045/354282521248043. 352169181248078/354282521248076. 352169181248169/3542825
21248167. 352169181248185/354282521248183. 352169181248235/354282521248233.352169181248268/354282521248266. 352169181248425/35428
2521248423. 352169181248888/354282521248886. 352169181249035/354282521249033. 352169181249084/354282521249082. 352169181249092/35
4282521249090. 352169181249100/354282521249108. 352169181249126/354282521249124. 352169181249266/354282521249264. 352169181249316
/354282521249314. 352169181249399/354282521249397. 352169181249431/354282521249439. 352169181249449/354282521249447. 352169181249
571/354282521249579. 352169181249589/354282521249587. 352169181249639/354282521249637. 352169181249688/354282521249686.3521691812
49696/354282521249694. 352169181249845/354282521249843. 352169181249860/354282521249868. 352169181249936/354282521249934. 3521691
81249985/354282521249983. 352169181250025/354282521250023. 352169181250066/354282521250064. 352169181250074/354282521250072. 3521
69181250132/354282521250130. 352169181250140/354282521250148. 352169181250165/354282521250163. 352169181250181/354282521250189. 3
52169181250199/354282521250197. 352169181250280/354282521250288. 352169181250397/354282521250395. 352169181250470/354282521250478
. 352169181250538/354282521250536MERCANCIA UBICADA EN: ABC STORAGE S.A.S – ZFB – Cra. 106 No. 15 A 25 Manzana 23 Bodega 135HXXXXX
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032025001640349-3
Espacio para uso exclusivo de la Entidad Recaudadora
