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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
032025001081771-1
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
Anticipada
33 . Cod.
3
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
99900
42 . Manifiesto de carga
No. 116575015668406
43 . Año – Mes – Día
2025 – 06 – 08
44 . Documento de transporte
No. HKG0417490
45 . Año – Mes – Día
2025 – 06 – 01
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
6900365787
52 . Año – Mes – Día
2025 – 05 – 23
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.
4.106.79
S 59 . Subpartida arancelaria
8517130000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C134
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.
171.00
72 . Peso neto kgs. dcms.
135.50
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
500.00
78 .Valor FOB
USD
28.322.46
79 . Valor fletes USD
1.181.61 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
121.171.003
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
121.171.003
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
0.97
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.182.58
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
29.505.04
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: 560481-DECL: 1921899-DO: 893113685251- 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: 3090063070. ID DELIVERY: 6082331920. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A055MLGDLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A05 DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE CLA(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
032025001081771
133. Feha: 202506 05
134 . Levante No. 032025000894559 135 . Fecha
2025 – 06 – 09
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 92032504349670
Fecha presentación 2025-06-05 19:04:58
Valor pagado $0.00
Fecha de Impresión: 2025-06-09 16:58:06
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001081771-1
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
RO, MODELO: SM-A055M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A055M/DS,LIGHT GREEN,LTC( QTY. 500,00 u )(5
00,00 PCE); IMEIS: 351641248291540/351847828291541. 351641248291565/351847828291566. 351641248291599/351847828291590. 35164124829
1649/351847828291640. 351641248291680/351847828291681. 351641248291706/351847828291707. 351641248291722/351847828291723. 35164124
8291730/351847828291731. 351641248291763/351847828291764. 351641248292167/351847828292168. 351641248292498/351847828292499. 35164
1248292951/351847828292952. 351641248292977/351847828292978.351641248292993/351847828292994. 351641248293157/351847828293158. 351
641248293553/351847828293554. 351641248293587/351847828293588. 351641248293595/351847828293596. 351641248293694/351847828293695.
351641248293744/351847828293745. 351641248293801/351847828293802. 351641248293819/351847828293810. 351641248293827/35184782829382
8. 351641248293843/351847828293844. 351641248293850/351847828293851. 351641248293868/3518478 28293869. 351641248293876/3518478282
93877. 351641248293884/351847828293885. 351641248293892/351847828293893. 351641248293900/351847828293901. 351641248293918/3518478
28293919. 351641248293926/351847828293927. 351641248293942/351847828293943. 351641248293959/351847828293950. 351641248293967/3518
47828293968. 351641248293991/351847828293992. 351641248294007/351847828294008. 351641248294023/351847828294024. 351641248294072/3
51847828294073. 351641248294080/351847828294081. 351641248294098/351847828294099. 351641248294106/351847828294107. 35164124829412
2/351847828294123. 351641248294163/351847828294164. 351641248294189/351847828294180. 351641248294213/351847828294214. 35164124829
4239/351847828294230. 351641248294247/351847828294248. 351641248294254/351847828294255. 351641248294270/351847828294271. 35164124
8294304/351847828294305. 351641248294346/351847828294347. 351641248294379/351847828294370. 351641248294395/351847828294396. 35164
1248294411/351847828294412. 351641248294429/351847828294420. 351641248294445/351847828294446. 351641248294486/351847828294487. 35
1641248294502/351847828294503. 351641248294544/351847828294545. 351641248294577/351847828294578. 351641248294643/351847828294644.
351641248294676/351847828294677. 351641248294718/351847828294719. 351641248294791/351847828294792. 351641248294866/3518478282948
67.351641248294874/351847828294875. 351641248294932/351847828294933. 351641248294940/351847828294941. 351641248295012/35184782829
5013. 351641248298859/351847828298850. 351641248309805/351847828309806. 351641248310209/351847828310200. 351641248310225/35184782
8310226. 351641248310944/351847828310945. 351641248310951/351847828310952. 351641248311652/351847828311653. 351641248311744/35184
7828311745. 351641248313427/351847828313428. 351641248313492/351847828313493. 351641248313872/351847828313873. 351641248313880/35
1847828313881. 351641248314870/351847828314871.351641248315299/351847828315290. 351641248315430/351847828315431. 351641248315547/
351847828315548. 351641248315919/351847828315910. 351641248316016/351847828316017. 351641248316032/351847828316033. 3516412483160
81/351847828316082. 351641248316164/351847828316165. 351641248316222/351847828316223. 351641248316230/351847828316231. 3516412483
16263/351847828316264. 351641248316313/351847828316314. 351641248316404/351847828316405. 351641248316743/351847828316744. 3516412
48316800/351847828316801. 351641248316859/351847828316850. 351641248316867/351847828316868. 351641248316909/351847828316900. 3516
41248317063/351847828317064. 351641248317071/351847828317072. 351641248317089/351847828317080. 351641248317121/351847828317122. 3
51641248317246/351847828317247. 351641248317550/351847828317551. 351641248317667/351847828317668. 351641248317675/351847828317676
. 351641248317758/351847828317759. 351641248317907/351847828317908. 351641248317931/351847828317932. 351641248317980/351847828317
981. 351641248318368/351847828318369. 351641248318418/351847828318419. 351641248318434/351847828318435. 351641248318525/351847828
318526. 351641248318616/351847828318617. 351641248318624/351847828318625. 351641248318657/351847828318658. 351641248318681/351847
828318682. 351641248318699/351847828318690. 351641248318715/351847828318716. 351641248318731/351847828318732. 351641248318749/351
847828318740. 351641248318764/351847828318765. 351641248318772/351847828318773. 351641248318780/351847828318781. 351641248318798/
351847828318799. 351641248318806/351847828318807. 351641248318814/351847828318815. 351641248318822/351847828318823. 3516412483188
63/351847828318864. 351641248318889/351847828318880. 351641248318897/351847828318898. 351641248318939/351847828318930.35164124831
8962/351847828318963. 351641248318996/351847828318997. 351641248319002/351847828319003. 351641248319010/351847828319011. 35164124
8319036/351847828319037. 351641248319093/351847828319094. 351641248319127/351847828319128. 351641248319135/351847828319136. 35164
1248319143/351847828319144. 351641248319150/351847828319151. 351641248319267/351847828319268. 351641248319275/351847828319276. 35
1641248319283/351847828319284. 351641248319325/351847828319326. 351641248319333/351847828319334. 351641248319341/351847828319342.
351641248319440/351847828319441.351641248319507/351847828319508. 351641248319549/351847828319540. 351641248319556/35184782831955
7. 351641248319564/351847828319565. 351641248319572/351847828319573. 351641248319614/351847828319615. 351641248319622/35184782831
9623. 351641248319630/351847828319631. 351641248319648/351847828319649. 351641248319671/351847828319672. 351641248319697/35184782
8319698. 351641248319713/351847828319714. 351641248319754/351847828319755. 351641248319762/351847828319763. 351641248319804/35184
7828319805. 351641248319812/351847828319813. 351641248319861/351847828319862. 351641248319929/351847828319920. 351641248319945/35
1847828319946. 351641248320174/351847828320175. 351641248320190/351847828320191. 351641248320208/351847828320209. 351641248320232
/351847828320233. 351641248320257/351847828320258. 351641248320414/351847828320415. 351641248320448/351847828320449. 351641248320
638/351847828320639. 351641248320695/351847828320696. 351641248320737/351847828320738. 351641248320869/351847828320860. 351641248
321172/351847828321173. 351641248321214/351847828321215. 351641248321222/351847828321223. 351641248321230/351847828321231. 351641
248321313/351847828321314. 351641248321321/351847828321322. 351641248321370/351847828321371. 351641248321495/351847828321496. 351
641248321602/351847828321603. 351641248321875/351847828321876. 351641248321990/351847828321991. 351641248322014/351847828322015.
351641248322089/351847828322080. 351641248322105/351847828322106. 351641248322121/351847828322122. 351641248322139/35184782832213
0. 351641248322154/351847828322155. 351641248322170/351847828322171. 351641248322188/351847828322189. 351641248322261/35184782832
2262. 351641248322295/351847828322296. 351641248322329/351847828322320. 351641248322337/351847828322338.351641248322345/351847828
322346. 351641248322360/351847828322361. 351641248322394/351847828322395. 351641248322410/351847828322411. 351641248322451/351847
828322452. 351641248322469/351847828322460. 351641248322477/351847828322478. 351641248322493/351847828322494. 351641248322501/351
847828322502. 351641248322519/351847828322510. 351641248322543/351847828322544. 351641248322550/351847828322551. 351641248322568/
351847828322569. 351641248322576/351847828322577. 351641248322626/351847828322627. 351641248322717/351847828322718. 3516412483227
66/351847828322767.351641248322790/351847828322791. 351641248322816/351847828322817. 351641248322832/351847828322833. 35164124832
2840/351847828322841. 351641248322857/351847828322858. 351641248322873/351847828322874. 351641248322881/351847828322882. 35164124
8322907/351847828322908. 351641248322915/351847828322916. 351641248322923/351847828322924. 351641248322931/351847828322932. 35164
1248322972/351847828322973. 351641248322980/351847828322981. 351641248322998/351847828322999. 351641248323004/351847828323005. 35
1641248323020/351847828323021. 351641248323038/351847828323039. 351641248323046/351847828323047. 351641248323053/351847828323054.
351641248323061/351847828323062. 351641248323079/351847828323070. 351641248323095/351847828323096. 351641248323103/3518478283231
04. 351641248323111/351847828323112. 351641248323129/351847828323120. 351641248323137/351847828323138. 351641248323145/3518478283
23146. 351641248323160/351847828323161. 351641248323202/351847828323203. 351641248323210/351847828323211. 351641248323228/3518478
28323229. 351641248323236/351847828323237. 351641248323244/351847828323245. 351641248323269/351847828323260. 351641248323277/3518
47828323278. 351641248323285/351847828323286. 351641248323293/351847828323294. 351641248323335/351847828323336. 351641248323343/3
51847828323344. 351641248323376/351847828323377. 351641248323384/351847828323385. 351641248323392/351847828323393. 35164124832341
8/351847828323419. 351641248323426/351847828323427. 351641248323434/351847828323435. 351641248323442/351847828323443. 35164124832
3467/351847828323468. 351641248323475/351847828323476. 351641248323491/351847828323492. 351641248323517/351847828323518. 35164124
8323525/351847828323526. 351641248323533/351847828323534. 351641248323558/351847828323559.351641248323566/351847828323567. 351641
248323574/351847828323575. 351641248323582/351847828323583. 351641248323608/351847828323609. 351641248323616/351847828323617. 351
641248323632/351847828323633. 351641248323640/351847828323641. 351641248323657/351847828323658. 351641248323665/351847828323666.
351641248323673/351847828323674. 351641248323681/351847828323682. 351641248323707/351847828323708. 351641248323731/35184782832373
032025001081771-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001081771-1
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
2. 351641248323749/351847828323740. 351641248323756/351847828323757. 351641248323772/351847828323773. 351641248323830/35184782832
3831.351641248323855/351847828323856. 351641248323921/351847828323922. 351641248324002/351847828324003. 351641248324010/351847828
324011. 351641248324044/351847828324045. 351641248324051/351847828324052. 351641248324069/351847828324060. 351641248324077/351847
828324078. 351641248324093/351847828324094. 351641248324135/351847828324136. 351641248324143/351847828324144. 351641248324168/351
847828324169. 351641248324184/351847828324185. 351641248324218/351847828324219. 351641248324226/351847828324227. 351641248324366/
351847828324367. 351641248324374/351847828324375. 351641248324408/351847828324409. 351641248324549/351847828324540. 3516412483245
72/351847828324573. 351641248324580/351847828324581. 351641248324598/351847828324599. 351641248324614/351847828324615. 3516412483
24630/351847828324631. 351641248324663/351847828324664. 351641248324671/351847828324672. 351641248324689/351847828324680. 3516412
48324705/351847828324706. 351641248324713/351847828324714. 351641248324739/351847828324730. 351641248324747/351847828324748. 3516
41248324754/351847828324755. 351641248324770/351847828324771. 351641248324788/351847828324789. 351641248324796/351847828324797. 3
51641248324804/351847828324805. 351641248324812/351847828324813. 351641248324820/351847828324821. 351641248324846/351847828324847
. 351641248324853/351847828324854. 351641248324861/351847828324862. 351641248324879/351847828324870. 351641248324887/351847828324
888. 351641248324895/351847828324896. 351641248324903/351847828324904. 351641248324929/351847828324920. 351641248324937/351847828
324938. 351641248324945/351847828324946. 351641248324952/351847828324953. 351641248324960/351847828324961. 351641248324978/351847
828324979. 351641248324986/351847828324987. 351641248324994/351847828324995.351641248325009/351847828325000. 351641248325017/3518
47828325018. 351641248325025/351847828325026. 351641248325041/351847828325042. 351641248325058/351847828325059. 351641248325082/3
51847828325083. 351641248325116/351847828325117. 351641248325181/351847828325182. 351641248325249/351847828325240. 35164124832527
2/351847828325273. 351641248325280/351847828325281. 351641248325298/351847828325299. 351641248325306/351847828325307. 35164124832
5314/351847828325315. 351641248325330/351847828325331. 351641248325348/351847828325349. 351641248325389/351847828325380.351641248
325397/351847828325398. 351641248325421/351847828325422. 351641248325488/351847828325489. 351641248325496/351847828325497. 351641
248325504/351847828325505. 351641248325546/351847828325547. 351641248325603/351847828325604. 351641248325629/351847828325620. 351
641248325652/351847828325653. 351641248325827/351847828325828. 351641248325843/351847828325844. 351641248325884/351847828325885.
351641248325900/351847828325901. 351641248325926/351847828325927. 351641248325934/351847828325935. 351641248325959/35184782832595
0. 351641248325975/351847828325976. 351641248326007/351847828326008. 351641248326023/351847828326024. 351641248326031/35184782832
6032. 351641248326049/351847828326040. 351641248326064/351847828326065. 351641248326080/351847828326081. 351641248326114/35184782
8326115. 351641248326148/351847828326149. 351641248326155/351847828326156. 351641248326189/351847828326180. 351641248326205/35184
7828326206. 351641248326213/351847828326214. 351641248326221/351847828326222. 351641248326452/351847828326453. 351641248326460/35
1847828326461. 351641248326510/351847828326511. 351641248326528/351847828326529. 351641248326551/351847828326552. 351641248326585
/351847828326586. 351641248326627/351847828326628. 351641248326635/351847828326636. 351641248326650/351847828326651. 351641248326
734/351847828326735. 351641248326742/351847828326743. 351641248326809/351847828326800. 351641248326825/351847828326826. 351641248
326858/351847828326859. 351641248326916/351847828326917. 351641248327047/351847828327048. 351641248327054/351847828327055. 351641
248327088/351847828327089. 351641248327096/351847828327097. 351641248327104/351847828327105. 351641248327138/351847828327139. 351
641248327146/351847828327147. 351641248327203/351847828327204.351641248327211/351847828327212. 351641248327229/351847828327220. 3
51641248327245/351847828327246. 351641248327252/351847828327253. 351641248327278/351847828327279. 351641248327286/351847828327287
. 351641248327369/351847828327360. 351641248327377/351847828327378. 351641248327443/351847828327444. 351641248327450/351847828327
451. 351641248327484/351847828327485. 351641248327500/351847828327501. 351641248327757/351847828327758. 351641248327765/351847828
327766. 351641248327807/351847828327808. 351641248327815/351847828327816. 351641248327831/351847828327832.351641248327849/3518478
28327840. 351641248327856/351847828327857. 351641248327864/351847828327865. 351641248327872/351847828327873. 351641248327880/3518
47828327881. 351641248327898/351847828327899. 351641248327906/351847828327907. 351641248327914/351847828327915. 351641248327922/3
51847828327923. 351641248327930/351847828327931. 351641248327948/351847828327949. 351641248327963/351847828327964. 35164124832797
1/351847828327972. 351641248327989/351847828327980. 351641248328011/351847828328012. 351641248328037/351847828328038. 35164124832
8045/351847828328046. 351641248328078/351847828328079. 351641248328094/351847828328095. 351641248328102/351847828328103. 35164124
8328128/351847828328129. 351641248328136/351847828328137. 351641248328144/351847828328145. 351641248328151/351847828328152. 35164
1248328177/351847828328178. 351641248328185/351847828328186. 351641248328193/351847828328194. 351641248328201/351847828328202. 35
1641248328219/351847828328210. 351641248328227/351847828328228. 351641248328235/351847828328236. 351641248328383/351847828328384.
351641248328714/351847828328715. 351641248328839/351847828328830. 351641248329118/351847828329119. 351641248329340/3518478283293
41. 351641248329423/351847828329424. 351641248329647/351847828329648. 351641248329654/351847828329655. 351641248329662/3518478283
29663. 351641248329704/351847828329705. 351641248329720/351847828329721. 351641248329738/351847828329739. 351641248329746/3518478
28329747. 351641248329761/351847828329762. 351641248329811/351847828329812. 351641248329845/351847828329846. 351641248329928/3518
47828329929. 351641248330868/351847828330869. 351641248330918/351847828330919. 351641248330959/351847828330950. 351641248331916/3
51847828331917. 351641248331973/351847828331974.351641248333995/351847828333996. 351641248334100/351847828334101. 351641248334191
/351847828334192. 351641248334225/351847828334226. 351641248334308/351847828334309. 351641248334316/351847828334317. 351641248334
373/351847828334374. 351641248334399/351847828334390. 351641248334415/351847828334416. 351641248334506/351847828334507. 351641248
334571/351847828334572. 351641248334589/351847828334580. 351641248334597/351847828334598. 351641248334613/351847828334614XXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001081771-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3
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
032025001000556-6
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
Anticipada
33 . Cod.
3
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
99900
42 . Manifiesto de carga
No. 116575015613362
43 . Año – Mes – Día
2025 – 05 – 23
44 . Documento de transporte
No. HKG0417421
45 . Año – Mes – Día
2025 – 05 – 19
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
6900364736
52 . Año – Mes – Día
2025 – 05 – 13
53 . Cod. país
procedencia
351
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
244
56 . Cod. Depto
destino
0
57 . Empresa transportadora
EMIRATES SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.196.66
S 59 . Subpartida arancelaria
8517130000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C134
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.
111.00
72 . Peso neto kgs. dcms.
84.01
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
310.00
78 .Valor FOB
USD
17.023.89
79 . Valor fletes USD
876.90 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
75.126.005
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
75.126.005
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
0.59
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
877.49
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
17.901.38
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: 558899-DECL: 1918059-DO: 893112595251- 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: 3089260040. ID DELIVERY: 6082118056. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A055MLGDLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A05 DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE CLA(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
032025001000556
133. Feha: 202505 22
134 . Levante No. 032025000828710 135 . Fecha
2025 – 05 – 26
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 92032503964486
Fecha presentación 2025-05-22 13:08:11
Valor pagado $0.00
Fecha de Impresión: 2025-05-26 13:34:22
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001000556-6
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
RO, MODELO: SM-A055M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A055M/DS,LIGHT GREEN,LTC( QTY. 310,00 u )(3
10,00 PCE); IMEIS: 351641247760271/351847827760272. 351641247760404/351847827760405. 351641247760693/351847827760694. 35164124776
0719/351847827760710. 351641247760727/351847827760728. 351641247760750/351847827760751. 351641247760834/351847827760835. 35164124
7760859/351847827760850. 351641247760974/351847827760975. 351641247761121/351847827761122. 351641247761220/351847827761221. 35164
1247761519/351847827761510. 351641247762517/351847827762518.351641247762533/351847827762534. 351641247762541/351847827762542. 351
641247762558/351847827762559. 351641247762822/351847827762823. 351641247762947/351847827762948. 351641247764802/351847827764803.
351641247765080/351847827765081. 351641247765098/351847827765099. 351641247765114/351847827765115. 351641247765486/35184782776548
7. 351641247765551/351847827765552. 351641247765684/351847827765685. 351641247765825/3518478 27765826. 351641247765890/3518478277
65891. 351641247765908/351847827765909. 351641247765965/351847827765966. 351641247766302/351847827766303. 351641247766328/3518478
27766329. 351641247766336/351847827766337. 351641247766344/351847827766345. 351641247766377/351847827766378. 351641247766385/3518
47827766386. 351641247766401/351847827766402. 351641247766518/351847827766519. 351641247766542/351847827766543. 351641247766633/3
51847827766634. 351641247766708/351847827766709. 351641247766716/351847827766717. 351641247766823/351847827766824. 35164124776697
1/351847827766972. 351641247767300/351847827767301. 351641247767318/351847827767319. 351641247767441/351847827767442. 35164124776
7581/351847827767582. 351641247767631/351847827767632. 351641247768332/351847827768333. 351641247768696/351847827768697. 35164124
7768738/351847827768739. 351641247768753/351847827768754. 351641247768779/351847827768770. 351641247768829/351847827768820. 35164
1247768878/351847827768879. 351641247768894/351847827768895. 351641247768928/351847827768929. 351641247768993/351847827768994. 35
1641247769017/351847827769018. 351641247769124/351847827769125. 351641247769140/351847827769141. 351641247769207/351847827769208.
351641247769215/351847827769216. 351641247769272/351847827769273. 351641247769348/351847827769349. 351641247769421/3518478277694
22.351641247769538/351847827769539. 351641247769595/351847827769596. 351641247769611/351847827769612. 351641247769678/35184782776
9679. 351641247769694/351847827769695. 351641247769728/351847827769729. 351641247769769/351847827769760. 351641247769793/35184782
7769794. 351641247769918/351847827769919. 351641247769934/351847827769935. 351641247769942/351847827769943. 351641247769967/35184
7827769968. 351641247769983/351847827769984. 351641247769991/351847827769992. 351641247770064/351847827770065. 351641247770072/35
1847827770073. 351641247770122/351847827770123.351641247770155/351847827770156. 351641247770189/351847827770180. 351641247770254/
351847827770255. 351641247770288/351847827770289. 351641247770296/351847827770297. 351641247770304/351847827770305. 3516412477706
01/351847827770602. 351641247770643/351847827770644. 351641247770783/351847827770784. 351641247770924/351847827770925. 3516412477
70932/351847827770933. 351641247771021/351847827771022. 351641247771047/351847827771048. 351641247771112/351847827771113. 3516412
47771203/351847827771204. 351641247771237/351847827771238. 351641247771245/351847827771246. 351641247771252/351847827771253. 3516
41247771260/351847827771261. 351641247771278/351847827771279. 351641247771294/351847827771295. 351641247771310/351847827771311. 3
51641247771351/351847827771352. 351641247771419/351847827771410. 351641247771427/351847827771428. 351641247771450/351847827771451
. 351641247771468/351847827771469. 351641247771484/351847827771485. 351641247771492/351847827771493. 351641247771500/351847827771
501. 351641247771518/351847827771519. 351641247771526/351847827771527. 351641247771542/351847827771543. 351641247771559/351847827
771550. 351641247771625/351847827771626. 351641247771633/351847827771634. 351641247771641/351847827771642. 351641247771674/351847
827771675. 351641247771682/351847827771683. 351641247771690/351847827771691. 351641247771708/351847827771709. 351641247771724/351
847827771725. 351641247771765/351847827771766. 351641247771781/351847827771782. 351641247771799/351847827771790. 351641247771807/
351847827771808. 351641247771815/351847827771816. 351641247771823/351847827771824. 351641247771849/351847827771840. 3516412477718
56/351847827771857. 351641247771864/351847827771865. 351641247772052/351847827772053. 351641247772060/351847827772061.35164124777
2078/351847827772079. 351641247772086/351847827772087. 351641247772094/351847827772095. 351641247772102/351847827772103. 35164124
7772110/351847827772111. 351641247772151/351847827772152. 351641247772169/351847827772160. 351641247772177/351847827772178. 35164
1247772185/351847827772186. 351641247772193/351847827772194. 351641247772201/351847827772202. 351641247772219/351847827772210. 35
1641247772227/351847827772228. 351641247772235/351847827772236. 351641247772243/351847827772244. 351641247772250/351847827772251.
351641247772268/351847827772269.351641247772276/351847827772277. 351641247772284/351847827772285. 351641247772292/35184782777229
3. 351641247772300/351847827772301. 351641247772318/351847827772319. 351641247772326/351847827772327. 351641247772334/35184782777
2335. 351641247772342/351847827772343. 351641247772359/351847827772350. 351641247772367/351847827772368. 351641247772375/35184782
7772376. 351641247772391/351847827772392. 351641247772409/351847827772400. 351641247772417/351847827772418. 351641247772425/35184
7827772426. 351641247772433/351847827772434. 351641247772458/351847827772459. 351641247772466/351847827772467. 351641247772474/35
1847827772475. 351641247772482/351847827772483. 351641247772490/351847827772491. 351641247772508/351847827772509. 351641247772532
/351847827772533. 351641247772573/351847827772574. 351641247772599/351847827772590. 351641247772656/351847827772657. 351641247772
672/351847827772673. 351641247772680/351847827772681. 351641247772698/351847827772699. 351641247772706/351847827772707. 351641247
772714/351847827772715. 351641247772722/351847827772723. 351641247772730/351847827772731. 351641247772748/351847827772749. 351641
247772755/351847827772756. 351641247772763/351847827772764. 351641247772771/351847827772772. 351641247772789/351847827772780. 351
641247772797/351847827772798. 351641247772805/351847827772806. 351641247772813/351847827772814. 351641247772821/351847827772822.
351641247772839/351847827772830. 351641247772854/351847827772855. 351641247772862/351847827772863. 351641247772870/35184782777287
1. 351641247772888/351847827772889. 351641247772896/351847827772897. 351641247772904/351847827772905. 351641247772912/35184782777
2913. 351641247772920/351847827772921. 351641247772938/351847827772939. 351641247772946/351847827772947.351641247772953/351847827
772954. 351641247772961/351847827772962. 351641247772979/351847827772970. 351641247772987/351847827772988. 351641247772995/351847
827772996. 351641247773001/351847827773002. 351641247773035/351847827773036. 351641247773068/351847827773069. 351641247773076/351
847827773077. 351641247773084/351847827773085. 351641247773092/351847827773093. 351641247773100/351847827773101. 351641247773118/
351847827773119. 351641247773126/351847827773127. 351641247773134/351847827773135. 351641247773142/351847827773143. 3516412477731
59/351847827773150.351641247773167/351847827773168. 351641247773175/351847827773176. 351641247773183/351847827773184. 35164124777
3191/351847827773192. 351641247773209/351847827773200. 351641247773217/351847827773218. 351641247773225/351847827773226. 35164124
7773233/351847827773234. 351641247773266/351847827773267. 351641247773274/351847827773275. 351641247773282/351847827773283. 35164
1247773290/351847827773291. 351641247773308/351847827773309. 351641247773332/351847827773333. 351641247773340/351847827773341. 35
1641247773357/351847827773358. 351641247773365/351847827773366. 351641247773373/351847827773374. 351641247773381/351847827773382.
351641247773399/351847827773390. 351641247773407/351847827773408. 351641247773415/351847827773416. 351641247773423/3518478277734
24. 351641247773431/351847827773432. 351641247773449/351847827773440. 351641247773456/351847827773457. 351641247773464/3518478277
73465. 351641247773472/351847827773473. 351641247773480/351847827773481. 351641247773498/351847827773499. 351641247773506/3518478
27773507. 351641247773514/351847827773515. 351641247773522/351847827773523. 351641247773530/351847827773531. 351641247773548/3518
47827773549. 351641247773555/351847827773556. 351641247773563/351847827773564. 351641247773571/351847827773572. 351641247773589/3
51847827773580. 351641247773597/351847827773598. 351641247773605/351847827773606. 351641247773621/351847827773622. 35164124777363
9/351847827773630. 351641247773647/351847827773648. 351641247773654/351847827773655. 351641247773662/351847827773663. 35164124777
3670/351847827773671. 351641247773688/351847827773689. 351641247773696/351847827773697. 351641247773704/351847827773705. 35164124
7773712/351847827773713. 351641247773720/351847827773721. 351641247773738/351847827773739.351641247773746/351847827773747. 351641
247773753/351847827773754. 351641247773837/351847827773838. 351641247773845/351847827773846. 351641247774082/351847827774083. 351
641247774173/351847827774174. 351641247774249/351847827774240. 351641247774256/351847827774257. 351641247774264/351847827774265.
351641247774298/351847827774299. 351641247774306/351847827774307. 351641247774322/351847827774323. 351641247774330/35184782777433
032025001000556-6
Espacio para uso exclusivo de la Entidad Recaudadora
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REPÚBLICA DE COLOMBIA
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Aceptación : 032025001000556-6
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Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
1. 351641247774363/351847827774364. 351641247774371/351847827774372. 351641247774389/351847827774380. 351641247774454/35184782777
4455.351641247774470/351847827774471. 351641247774520/351847827774521. 351641247774546/351847827774547. 351641247774553/351847827
774554. 351641247774611/351847827774612. 351641247774694/351847827774695. 351641247774710/351847827774711. 351641247774728/351847
827774729. 351641247774751/351847827774752. 351641247774843/351847827774844. 351641247774876/351847827774877. 351641247774884/351
847827774885. 351641247774926/351847827774927. 351641247774942/351847827774943. 351641247774959/351847827774950. 351641247774975/
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032025001000556-6
Espacio para uso exclusivo de la Entidad Recaudadora
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