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VER MAS
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
032025000713594-2
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
99900
42 . Manifiesto de carga
No. 116575015396602
43 . Año – Mes – Día
2025 – 03 – 25
44 . Documento de transporte
No. T61725H02300
45 . Año – Mes – Día
2025 – 03 – 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
6900352111
52 . Año – Mes – Día
2025 – 03 – 18
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
580
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.187.72
S 59 . Subpartida arancelaria
8471300000
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.
118.00
72 . Peso neto kgs. dcms.
91.00
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
200.00
78 .Valor FOB
USD
21.405.84
79 . Valor fletes USD
1.013.62 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
93.890.986
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
93.890.986
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
1.09
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.014.71
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
22.420.55
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: 551770-DECL: 1899015-DO: 893107042251- DECL 1 DE 1. NOS ACOGEMOSAL ARTICULO 424 DEL ESTATUTO TRIBUTARIO MODIFICADO POR LA LE
Y 1819 DEL29/12/2016 ARTÍCULO 175 NUMERAL 6 (EXCLUSIÓN DEL IVA). NOS ACOGEMOS AL ARTÍCULO 2.8.3.1 ORDINAL 2.8.3.1.4 DE LA RESOLUC
IÓN 5050 DEL 10 DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOMOLOGACI
ÓN). NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A.
OEA COD. OE0001. . PEDIDOS: 3085524824. IDDELIVERY: 6081076897. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-X115NZAAL13, PRODUCTO: TA
BLET GALAXY TAB A9 / LTE (CON ACCESORIOS PARA USO YNORMAL FUNCIONAMIENTO), COLOR: GRIS, MODELO: SM-X115, US(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
032025000713594
133. Feha: 202503 26
134 . Levante No. 032025000443633 135 . Fecha
2025 – 03 – 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 92032502365582
Fecha presentación 2025-03-26 16:01:48
Valor pagado $0.00
Fecha de Impresión: 2025-03-26 16:01:58
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000713594-2
Subpartida : 8471300000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
O O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /TABLET,SM-X115,GRAY,L13( QTY. 200,00 u )(200,00 PCE); SERIAL/IMEI: R8YY307NCGV/3
52035563876838. R8YY307NCMR/352035563876887. R8YY307NCPE/352035563876903. R8YY307NCRX/352035563876929. R8YY307NCSD/35203556387693
7. R8YY307NCTP/352035563876945. R8YY307NCVA/352035563876952. R8YY307NCWY/352035563876960. R8YY307NCXZ/352035563876978. R8YY307NCZ
B/352035563876994. R8YY307ND0V/352035563877000.R8YY307ND1W/352035563877018. R8YY307ND2M/352035563877026. R8YY307ND3J/352035563877
034. R8YY307ND4H/352035563877042. R8YY307ND5R/352035563877059. R8YY307ND7E/352035563877075. R8YY307ND8N/352035563877083. R8YY307N
D9X/352035563877091. R8YY307NDAD/352035563877109. R8YY307NDCA/352035563877125. R8YY307NDEZ/352035563877141. R8YY307NDFK/352035563
877158. R8YY307NDGB/352035563877166. R8YY307NDJL/352035563877182. R8YY307NDKV/352035563877190. R8YY307NDLW/352035563877208. R8YY3
07NDMM/352035563877216. R8YY307NDNJ/352035563877224. R8YY307NDPH/352035563877232. R8YY307N DQR/352035563877240. R8YY307NDWD/35203
5563877299. R8YY307NDXP/352035563877307. R8YY307NDYA/352035563877315. R8YY307NE0B/352035563877331. R8YY307NE2L/352035563877356. R
8YY307NE3V/352035563877364. R8YY307NE4W/352035563877372. R8YY307NE5M/352035563877380. R8YY307NE6J/352035563877398. R8YY307NE8R/35
2035563877414. R8YY307NE9F/352035563877422. R8YY307NEAE/352035563877430. R8YY307NEBN/352035563877448. R8YY307NEEP/352035563877471
. R8YY307NEFA/352035563877489. R8YY307NEGY/352035563877497. R8YY307NEHZ/352035563877505. R8YY307NEKB/352035563877521. R8YY307NEML
/352035563877547. R8YY307NENV/352035563877554. R8YY307NEPW/352035563877562.R8YY307NEQM/352035563877570. R8YY307NERJ/3520355638775
88. R8YY307NETR/352035563877604. R8YY307NEVF/352035563877612. R8YY307NEWE/352035563877620. R8YY307NEXN/352035563877638. R8YY307NE
ZD/352035563877653. R8YY307NF0Y/352035563877661. R8YY307NF1Z/352035563877679. R8YY307NF3B/352035563877695. R8YY307NF5L/3520355638
77711. R8YY307NF6V/352035563877729. R8YY307NF7W/352035563877737. R8YY307NF8M/352035563877745. R8YY307NFAH/352035563877760. R8YY30
7NFBR/352035563877778. R8YY307NFCF/352035563877786. R8YY307NFDE/352035563877794. R8YY307NFEN/352035563877802. R8YY307NFFX/3520355
63877810. R8YY307NFGD/352035563877828. R8YY307NFHP/352035563877836. R8YY307NFJA/352035563877844. R8YY307NFPT/352035563877893. R8Y
Y307NG6B/352035563878057. R8YY307NG9V/352035563878081. R8YY307NGBM/352035563878107. R8YY307NGCJ/352035563878115. R8YY307NGFF/3520
35563878149.R8YY307NGGE/352035563878156. R8YY307NGKD/352035563878180. R8YY307NGQK/352035563878230. R8YY307NHFJ/352035563878479. R
8YY307NHPP/352035563878552. R8YY307NHSZ/352035563878586. R8YY307NHWT/352035563878610. R8YY307NHZW/352035563878644. R8YY307NJ0H/35
2035563878651. R8YY307NJ4N/352035563878693. R8YY307NJCB/352035563878776. R8YY307NJGW/352035563878818. R8YY307NJJJ/352035563878834
. R8YY307NJKH/352035563878842. R8YY307NJMF/352035563878867. R8YY307NJQX/352035563878891. R8YY307NJRD/352035563878909. R8YY307NJSP
/352035563878917. R8YY307NJTA/352035563878925. R8YY307NJXK/352035563878958. R8YY307NJZT/352035563878974. R8YY307NK1M/352035563878
990. R8YY307NK6E/352035563879048. R8YY307NKBA/352035563879097. R8YY307NKFB/352035563879139. R8YY307NL8F/352035563879394. R8YY307N
M5V/352035563879691. R8YY307NMBF/352035563879758. R8YY307NMKZ/352035563879832. R8YY307NNGN/352035563880137. R8YY307NNJD/352035563
880152. R8YY307NNQB/352035563880210. R8YY307NNRT/352035563880228. R8YY307NQJH/352035563880814. R8YY307NR7X/352035563881036. R8YY3
07NV9M/352035563882042. R8YY307NVSV/352035563882216. R8YY307NVVM/352035563882232. R8YY307NVXH/352035563882257. R8YY307NW4Y/352035
563882323. R8YY307NWGF/352035563882448.R8YY307NX0F/352035563882612. R8YY307NXBT/352035563882729. R8YY307NXHH/352035563882786. R8Y
Y307NXNX/352035563882836. R8YY307NXVK/352035563882893. R8YY307NYAY/352035563883040. R8YY307NYBZ/352035563883057. R8YY307NYCK/3520
35563883065. R8YY307NYDB/352035563883073. R8YY307NYET/352035563883081. R8YY307NYFL/352035563883099. R8YY307NYHW/352035563883115.
R8YY307NYJM/352035563883123. R8YY307NYKJ/352035563883131. R8YY307NYLH/352035563883149. R8YY307NYMR/352035563883156. R8YY307NYNF/3
52035563883164. R8YY307NYQN/352035563883180. R8YY307NYRX/352035563883198. R8YY307NYSD/352035563883206. R8YY307NYTP/35203556388321
4. R8YY307NYVA/352035563883222. R8YY307NYWY/352035563883230. R8YY307NYXZ/352035563883248. R8YY307NYYK/352035563883255. R8YY307NYZ
B/352035563883263. R8YY307NZ0V/352035563883271. R8YY307NZ1W/352035563883289. R8YY307NZ2M/352035563883297.R8YY307NZ3J/352035563883
305. R8YY307NZ4H/352035563883313. R8YY307NZ5R/352035563883321. R8YY307NZ6F/352035563883339. R8YY307NZ7E/352035563883347. R8YY307N
Z8N/352035563883354. R8YY307NZ9X/352035563883362. R8YY307NZAD/352035563883370. R8YY307NZCA/352035563883396. R8YY307NZDY/352035563
883404. R8YY307NZEZ/352035563883412. R8YY307NZFK/352035563883420. R8YY307NZGB/352035563883438. R8YY307NZHT/352035563883446. R8YY3
07NZJL/352035563883453. R8YY307NZKV/352035563883461. R8YY307NZLW/352035563883479. R8YY307NZMM/352035563883487. R8YY307NZNJ/352035
563883495. R8YY307NZPH/352035563883503. R8YY307NZQR/352035563883511. R8YY307NZRF/352035563883529. R8YY307NZSE/352035563883537. R8
YY307NZVX/352035563883552. R8YY307NZWD/352035563883560. R8YY307NZXP/352035563883578. R8YY307NZYA/352035563883586. R8YY307NZZY/352
035563883594. R8YY307P00T/352035563883602. R8YY307P01L/352035563883610. R8YY307P02V/352035563883628. R8YY307P03W/352035563883636.
R8YY307P04M/352035563883644. R8YY307P05J/352035563883651. R8YY307P06H/352035563883669. R8YY307P08F/352035563883685. R8YY307P09E/
352035563883693. R8YY307P0AN/352035563883701. R8YY307P0BX/352035563883719. R8YY307P0CD/352035563883727. R8YY307P0DP/3520355638837
35.R8YY307P0EA/352035563883743. R8YY307P0FY/352035563883750. R8YY307P0GZ/352035563883768. R8YY307P0HK/352035563883776. R8YY307P0J
B/352035563883784. R8YY307P0KT/352035563883792. R8YY307P0LL/352035563883800. R8YY307P0MV/352035563883818.XXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025000713594-2
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
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
032025000712562-2
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
99900
42 . Manifiesto de carga
No. 116575015396602
43 . Año – Mes – Día
2025 – 03 – 25
44 . Documento de transporte
No. T61725H02301
45 . Año – Mes – Día
2025 – 03 – 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
6900351156
52 . Año – Mes – Día
2025 – 03 – 18
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
580
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.187.72
S 59 . Subpartida arancelaria
8471300000
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.
151.00
72 . Peso neto kgs. dcms.
113.75
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
250.00
78 .Valor FOB
USD
26.727.24
79 . Valor fletes USD
1.297.09 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
117.363.743
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
117.363.743
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
1.36
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.298.45
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
28.025.69
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: 551778-DECL: 1899030-DO: 893107043251- DECL 1 DE 1. NOS ACOGEMOSAL ARTICULO 424 DEL ESTATUTO TRIBUTARIO MODIFICADO POR LA LE
Y 1819 DEL29/12/2016 ARTÍCULO 175 NUMERAL 6 (EXCLUSIÓN DEL IVA). NOS ACOGEMOS AL ARTÍCULO 2.8.3.1 ORDINAL 2.8.3.1.4 DE LA RESOLUC
IÓN 5050 DEL 10 DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOMOLOGACI
ÓN). NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A.
OEA COD. OE0001. . PEDIDOS: 3085525007. IDDELIVERY: 6081076507. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-X115NZAAL13, PRODUCTO: TA
BLET GALAXY TAB A9 / LTE (CON ACCESORIOS PARA USO YNORMAL FUNCIONAMIENTO), COLOR: GRIS, MODELO: SM-X115, US(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
032025000712562
133. Feha: 202503 26
134 . Levante No. 032025000442706 135 . Fecha
2025 – 03 – 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 92032502362151
Fecha presentación 2025-03-26 14:35:31
Valor pagado $0.00
Fecha de Impresión: 2025-03-26 14:35:39
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000712562-2
Subpartida : 8471300000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
O O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /TABLET,SM-X115,GRAY,L13( QTY. 250,00 u )(250,00 PCE); SERIAL/IMEI: R8YY307NCHW/3
52035563876846. R8YY307NCJM/352035563876853. R8YY307NCNF/352035563876895. R8YY307NCQN/352035563876911. R8YY307NDRF/35203556387725
7. R8YY307NG3Y/352035563878024. R8YY307NGAW/352035563878099. R8YY307NGER/352035563878131. R8YY307NGPZ/352035563878222. R8YY307NGS
T/352035563878255. R8YY307NGWW/352035563878289.R8YY307NGXM/352035563878297. R8YY307NH8K/352035563878404. R8YY307NHYV/352035563878
636. R8YY307NJ5X/352035563878701. R8YY307NJ8A/352035563878735. R8YY307NJEL/352035563878792. R8YY307NK8X/352035563879063. R8YY307N
KDZ/352035563879113. R8YY307NKGT/352035563879147. R8YY307NKHL/352035563879154. R8YY307NKSN/352035563879246. R8YY307NKVD/352035563
879261. R8YY307NKWP/352035563879279. R8YY307NKXA/352035563879287. R8YY307NKYY/352035563879295. R8YY307NKZZ/352035563879303. R8YY3
07NL1L/352035563879329. R8YY307NL2V/352035563879337. R8YY307NL4M/352035563879352. R8YY307N L5J/352035563879360. R8YY307NL7R/35203
5563879386. R8YY307NLAN/352035563879410. R8YY307NLBX/352035563879428. R8YY307NLCD/352035563879436. R8YY307NLDP/352035563879444. R
8YY307NLFY/352035563879469. R8YY307NLHK/352035563879485. R8YY307NLJB/352035563879493. R8YY307NLNW/352035563879535. R8YY307NLQJ/35
2035563879550. R8YY307NLRH/352035563879568. R8YY307NLSR/352035563879576. R8YY307NLYD/352035563879626. R8YY307NLZP/352035563879634
. R8YY307NM0Z/352035563879642. R8YY307NM2B/352035563879667. R8YY307NM4L/352035563879683. R8YY307NM7M/352035563879717. R8YY307NM8J
/352035563879725. R8YY307NMAR/352035563879741. R8YY307NMCE/352035563879766.R8YY307NMDN/352035563879774. R8YY307NMFD/3520355638797
90. R8YY307NMPL/352035563879873. R8YY307NMSM/352035563879907. R8YY307NMWR/352035563879931. R8YY307NMXF/352035563879949. R8YY307NM
ZN/352035563879964. R8YY307NN6T/352035563880038. R8YY307NN7L/352035563880046. R8YY307NNAM/352035563880079. R8YY307NNBJ/3520355638
80087. R8YY307NNFE/352035563880129. R8YY307NNHX/352035563880145. R8YY307NNKP/352035563880160. R8YY307NNMY/352035563880186. R8YY30
7NNPK/352035563880202. R8YY307NNSL/352035563880236. R8YY307NNTV/352035563880244. R8YY307NNVW/352035563880251. R8YY307NNWM/3520355
63880269. R8YY307NNYH/352035563880285. R8YY307NNZR/352035563880293. R8YY307NP0N/352035563880301. R8YY307NP1X/352035563880319. R8Y
Y307NP2D/352035563880327. R8YY307NP4A/352035563880343. R8YY307NP5Y/352035563880350. R8YY307NP6Z/352035563880368. R8YY307NP7K/3520
35563880376.R8YY307NP8B/352035563880384. R8YY307NP9T/352035563880392. R8YY307NPAL/352035563880400. R8YY307NPEJ/352035563880442. R
8YY307NPFH/352035563880459. R8YY307NPHF/352035563880475. R8YY307NPKN/352035563880491. R8YY307NPLX/352035563880509. R8YY307NPSK/35
2035563880566. R8YY307NPVT/352035563880582. R8YY307NPWL/352035563880590. R8YY307NPZM/352035563880624. R8YY307NQ0R/352035563880632
. R8YY307NQ1F/352035563880640. R8YY307NQ2E/352035563880657. R8YY307NQ3N/352035563880665. R8YY307NQ4X/352035563880673. R8YY307NQ6P
/352035563880699. R8YY307NQ7A/352035563880707. R8YY307NQ8Y/352035563880715. R8YY307NQCT/352035563880756. R8YY307NQDL/352035563880
764. R8YY307NQEV/352035563880772. R8YY307NQFW/352035563880780. R8YY307NQGM/352035563880798. R8YY307NQHJ/352035563880806. R8YY307N
QKR/352035563880822. R8YY307NQME/352035563880848. R8YY307NQNN/352035563880855. R8YY307NQPX/352035563880863. R8YY307NQQD/352035563
880871. R8YY307NQRP/352035563880889. R8YY307NQSA/352035563880897. R8YY307NQTY/352035563880905. R8YY307NQVZ/352035563880913. R8YY3
07NQWK/352035563880921. R8YY307NQXB/352035563880939. R8YY307NQYT/352035563880947. R8YY307NQZL/352035563880954. R8YY307NR0M/352035
563880962. R8YY307NR1J/352035563880970.R8YY307NR3R/352035563880996. R8YY307NR4F/352035563881002. R8YY307NR5E/352035563881010. R8Y
Y307NR6N/352035563881028. R8YY307NR8D/352035563881044. R8YY307NRAA/352035563881069. R8YY307NRBY/352035563881077. R8YY307NRFT/3520
35563881119. R8YY307NRGL/352035563881127. R8YY307NRHV/352035563881135. R8YY307NRLJ/352035563881168. R8YY307NRMH/352035563881176.
R8YY307NRNR/352035563881184. R8YY307NRQE/352035563881200. R8YY307NRRN/352035563881218. R8YY307NRSX/352035563881226. R8YY307NRVP/3
52035563881242. R8YY307NRWA/352035563881259. R8YY307NRXY/352035563881267. R8YY307NRYZ/352035563881275. R8YY307NS0L/35203556388129
1. R8YY307NS2W/352035563881317. R8YY307NS3M/352035563881325. R8YY307NS4J/352035563881333. R8YY307NS5H/352035563881341. R8YY307NS6
R/352035563881358. R8YY307NS8E/352035563881374. R8YY307NS9N/352035563881382. R8YY307NSBD/352035563881408.R8YY307NSCP/352035563881
416. R8YY307NSDA/352035563881424. R8YY307NSFZ/352035563881440. R8YY307NSGK/352035563881457. R8YY307NSHB/352035563881465. R8YY307N
SPJ/352035563881523. R8YY307NSQH/352035563881531. R8YY307NSTE/352035563881564. R8YY307NSWX/352035563881580. R8YY307NSXD/352035563
881598. R8YY307NSYP/352035563881606. R8YY307NSZA/352035563881614. R8YY307NT0K/352035563881622. R8YY307NT1B/352035563881630. R8YY3
07NT2T/352035563881648. R8YY307NT3L/352035563881655. R8YY307NT4V/352035563881663. R8YY307NT5W/352035563881671. R8YY307NT7J/352035
563881697. R8YY307NT9R/352035563881713. R8YY307NTAF/352035563881721. R8YY307NTBE/352035563881739. R8YY307NTCN/352035563881747. R8
YY307NTDX/352035563881754. R8YY307NTED/352035563881762. R8YY307NTGA/352035563881788. R8YY307NTJZ/352035563881804. R8YY307NTKK/352
035563881812. R8YY307NTLB/352035563881820. R8YY307NTMT/352035563881838. R8YY307NTNL/352035563881846. R8YY307NTPV/352035563881853.
R8YY307NTQW/352035563881861. R8YY307NTRM/352035563881879. R8YY307NTVR/352035563881903. R8YY307NTWF/352035563881911. R8YY307NTXE/
352035563881929. R8YY307NTYN/352035563881937. R8YY307NV1Y/352035563881960. R8YY307NV2Z/352035563881978. R8YY307NV3K/3520355638819
86.R8YY307NV6L/352035563882018. R8YY307NVFN/352035563882109. R8YY307NVWJ/352035563882240. R8YY307NVZF/352035563882273. R8YY307NW2
P/352035563882307. R8YY307NW3A/352035563882315. R8YY307NW5Z/352035563882331. R8YY307NW6K/352035563882349. R8YY307NW7B/35203556388
2356. R8YY307NW9L/352035563882372. R8YY307NWAV/352035563882380. R8YY307NWCM/352035563882406. R8YY307NWDJ/352035563882414. R8YY307
NWFR/352035563882430. R8YY307NWHE/352035563882455. R8YY307NWKX/352035563882471. R8YY307NWLD/352035563882489. R8YY307NWMP/35203556
3882497. R8YY307NWNA/352035563882505. R8YY307NWPY/352035563882513. R8YY307NWRK/352035563882539. R8YY307NWSB/352035563882547. R8YY
307NWTT/352035563882554. R8YY307NWWV/352035563882570. R8YY307NWXW/352035563882588. R8YY307NWYM/352035563882596. R8YY307NWZJ/35203
5563882604. R8YY307NX4D/352035563882653. R8YY307NX5P/352035563882661.R8YY307NX7Y/352035563882687. R8YY307NX8Z/352035563882695. R8
YY307NXDV/352035563882745. R8YY307NXEW/352035563882752. R8YY307NXGJ/352035563882778. R8YY307NXJR/352035563882794. R8YY307NXKF/352
035563882802. R8YY307NXLE/352035563882810. R8YY307NXMN/352035563882828. R8YY307NXPD/352035563882844. R8YY307NXQP/352035563882851.
R8YY307NXRA/352035563882869. R8YY307NXSY/352035563882877. R8YY307NXTZ/352035563882885. R8YY307NXWB/352035563882901. R8YY307NXXT/
352035563882919. R8YY307NXYL/352035563882927. R8YY307NXZV/352035563882935. R8YY307NY0J/352035563882943. R8YY307NY1H/3520355638829
50. R8YY307NY2R/352035563882968. R8YY307NY3F/352035563882976. R8YY307NY4E/352035563882984. R8YY307NY6X/352035563883008. R8YY307NY
7D/352035563883016. R8YY307NY8P/352035563883024. R8YY307NY9A/352035563883032. R8YY307NYGV/352035563883107. R8YY307NYPE/3520355638
83172.XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025000712562-2
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
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
032025000788148-2
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
99900
42 . Manifiesto de carga
No. 116575015447395
43 . Año – Mes – Día
2025 – 04 – 08
44 . Documento de transporte
No. T61725H02387
45 . Año – Mes – Día
2025 – 04 – 05
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
6900355927
52 . Año – Mes – Día
2025 – 04 – 01
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
580
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.130.01
S 59 . Subpartida arancelaria
8471300000
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.
204.00
72 . Peso neto kgs. dcms.
159.25
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
350.00
78 .Valor FOB
USD
38.031.98
79 . Valor fletes USD
1.750.32 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
164.309.268
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
164.309.268
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
1.93
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.752.25
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
39.784.23
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: 553531-DECL: 1903204-DO: 893108178251- 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: 3086596401. ID DELIVERY: 6081337918. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-X115NZAAL13, PRODU
CTO: TABLET GALAXY TAB A9 / LTE (CON ACCESORIOS PARAUSO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS, MODELO: SM-X(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
032025000788148
133. Feha: 202504 09
134 . Levante No. 032025000517616 135 . Fecha
2025 – 04 – 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 92032502776246
Fecha presentación 2025-04-09 15:45:33
Valor pagado $0.00
Fecha de Impresión: 2025-04-09 15:45:46
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000788148-2
Subpartida : 8471300000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
115, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /TABLET,SM-X115,GRAY,L13( QTY.350,00 u )(350,00 PCE); SERIAL/IMEI: R8YY30P
D1WF/352035564725349; R8YY30PD1XE/352035564725356. R8YY30PD1YN/352035564725364. R8YY30PD1ZX/352035564725372. R8YY30PD20A/35203556
4725380. R8YY30PD21Y/352035564725398. R8YY30PD22Z/352035564725406. R8YY30PD23K/352035564725414. R8YY30PD24B/352035564725422. R8YY
30PD25T/352035564725430. R8YY30PD26L/352035564725448. R8YY30PD27V/352035564725455. R8YY30PD28W/352035564725463. R8YY30PD29M/35203
5564725471. R8YY30PD2AJ/352035564725489. R8YY30PD2BH/352035564725497. R8YY30PD2CR/352035564725505. R8YY30PD2DF/352035564725513.R8
YY30PD2EE/352035564725521. R8YY30PD2FN/352035564725539. R8YY30PD2GX/352035564725547. R8YY30PD2HD/352035564725554. R8YY30PD2JP/352
035564725562. R8YY30PD2KA/352035564725570. R8YY30PD2LY/352035564725588. R8YY30PD2MZ/352035564725596. R8YY30PD2NK/352035564725604.
R8YY30PD2PB/352035564725612. R8YY30PD2QT/352035564725620. R8YY30PD2RL/352035564725638. R8 YY30PD2SV/352035564725646. R8YY30PD2TW
/352035564725653. R8YY30PD2VM/352035564725661. R8YY30PD2WJ/352035564725679. R8YY30PD2XH/352035564725687. R8YY30PD2YR/352035564725
695. R8YY30PD2ZF/352035564725703. R8YY30PD30X/352035564725711. R8YY30PD31D/352035564725729. R8YY30PD32P/352035564725737. R8YY30PD
33A/352035564725745. R8YY30PD34Y/352035564725752. R8YY30PD35Z/352035564725760. R8YY30PD36K/352035564725778. R8YY30PD37B/352035564
725786. R8YY30PD38T/352035564725794. R8YY30PD39L/352035564725802.R8YY30PD3AV/352035564725810. R8YY30PD3BW/352035564725828. R8YY30
PD3CM/352035564725836. R8YY30PD3DJ/352035564725844. R8YY30PD3EH/352035564725851. R8YY30PD3FR/352035564725869. R8YY30PD3GF/3520355
64725877. R8YY30PD3HE/352035564725885. R8YY30PD3JN/352035564725893. R8YY30PD3KX/352035564725901. R8YY30PD3LD/352035564725919. R8Y
Y30PD3MP/352035564725927. R8YY30PD3NA/352035564725935. R8YY30PD3PY/352035564725943. R8YY30PD3QZ/352035564725950. R8YY30PD3RK/3520
35564725968. R8YY30PD3SB/352035564725976. R8YY30PD3TT/352035564725984. R8YY30PD3VL/352035564725992. R8YY30PD3WV/352035564726008.
R8YY30PD3XW/352035564726016. R8YY30PD3YM/352035564726024. R8YY30PD3ZJ/352035564726032. R8YY30PD40F/352035564726040. R8YY30PD41E/3
52035564726057. R8YY30PD42N/352035564726065. R8YY30PD43X/352035564726073. R8YY30PD44D/352035564726081. R8YY30PD45P/35203556472609
9. R8YY30PD46A/352035564726107. R8YY30PD47Y/352035564726115. R8YY30PD48Z/352035564726123. R8YY30PD49K/352035564726131. R8YY30PD4A
B/352035564726149. R8YY30PD4BT/352035564726156. R8YY30PD4CL/352035564726164. R8YY30PD4DV/352035564726172. R8YY30PD4EW/35203556472
6180. R8YY30PD4FM/352035564726198. R8YY30PD4GJ/352035564726206. R8YY30PD4HH/352035564726214.R8YY30PD4JR/352035564726222. R8YY30PD
4KF/352035564726230. R8YY30PD4LE/352035564726248. R8YY30PD4MN/352035564726255. R8YY30PD4NX/352035564726263. R8YY30PD4PD/352035564
726271. R8YY30PD4QP/352035564726289. R8YY30PD4RA/352035564726297. R8YY30PD4SY/352035564726305. R8YY30PD4TZ/352035564726313. R8YY3
0PD4VK/352035564726321. R8YY30PD4WB/352035564726339. R8YY30PD4XT/352035564726347. R8YY30PD4YL/352035564726354. R8YY30PD4ZV/352035
564726362. R8YY30PD50J/352035564726370. R8YY30PD51H/352035564726388. R8YY30PD52R/352035564726396. R8YY30PD53F/352035564726404. R8
YY30PD54E/352035564726412. R8YY30PD55N/352035564726420. R8YY30PD56X/352035564726438. R8YY30PD57D/352035564726446. R8YY30PD58P/352
035564726453. R8YY30PD59A/352035564726461. R8YY30PD5AY/352035564726479. R8YY30PD5BZ/352035564726487. R8YY30PD5CK/352035564726495.
R8YY30PD5DB/352035564726503.R8YY30PD5ET/352035564726511. R8YY30PD5FL/352035564726529. R8YY30PD5GV/352035564726537. R8YY30PD5HW/3
52035564726545. R8YY30PD5JM/352035564726552. R8YY30PD5KJ/352035564726560. R8YY30PD5LH/352035564726578. R8YY30PD5MR/35203556472658
6. R8YY30PD5NF/352035564726594. R8YY30PD5PE/352035564726602. R8YY30PD5QN/352035564726610. R8YY30PD5RX/352035564726628. R8YY30PD5S
D/352035564726636. R8YY30PD5TP/352035564726644. R8YY30PD5VA/352035564726651. R8YY30PD5WY/352035564726669. R8YY30PD5XZ/35203556472
6677. R8YY30PD5YK/352035564726685. R8YY30PD5ZB/352035564726693. R8YY30PD60V/352035564726701. R8YY30PD61W/352035564726719. R8YY30P
D62M/352035564726727. R8YY30PD63J/352035564726735. R8YY30PD64H/352035564726743. R8YY30PD65R/352035564726750. R8YY30PD66F/35203556
4726768. R8YY30PD67E/352035564726776. R8YY30PD68N/352035564726784. R8YY30PD69X/352035564726792. R8YY30PD6AD/352035564726800. R8YY
30PD6BP/352035564726818. R8YY30PD6CA/352035564726826. R8YY30PD6DY/352035564726834. R8YY30PD6EZ/352035564726842. R8YY30PD6FK/35203
5564726859. R8YY30PD6GB/352035564726867. R8YY30PD6HT/352035564726875. R8YY30PD6JL/352035564726883. R8YY30PD6KV/352035564726891. R
8YY30PD6LW/352035564726909. R8YY30PD6MM/352035564726917.R8YY30PD6NJ/352035564726925. R8YY30PD6PH/352035564726933. R8YY30PD6QR/352
035564726941. R8YY30PD6RF/352035564726958. R8YY30PD6SE/352035564726966. R8YY30PD6TN/352035564726974. R8YY30PD6VX/352035564726982.
R8YY30PD6WD/352035564726990. R8YY30PD6XP/352035564727006. R8YY30PD6YA/352035564727014. R8YY30PD6ZY/352035564727022. R8YY30PD70B/
352035564727030. R8YY30PD71T/352035564727048. R8YY30PD72L/352035564727055. R8YY30PD73V/352035564727063. R8YY30PD74W/3520355647270
71. R8YY30PD75M/352035564727089. R8YY30PD76J/352035564727097. R8YY30PD77H/352035564727105. R8YY30PD78R/352035564727113. R8YY30PD7
9F/352035564727121. R8YY30PD7AE/352035564727139. R8YY30PD7BN/352035564727147. R8YY30PD7CX/352035564727154. R8YY30PD7DD/3520355647
27162. R8YY30PD7EP/352035564727170. R8YY30PD7FA/352035564727188. R8YY30PD7GY/352035564727196. R8YY30PD7HZ/352035564727204.R8YY30P
D7JK/352035564727212. R8YY30PD7KB/352035564727220. R8YY30PD7LT/352035564727238. R8YY30PD7ML/352035564727246. R8YY30PD7NV/35203556
4727253. R8YY30PD7PW/352035564727261. R8YY30PD7QM/352035564727279. R8YY30PD7RJ/352035564727287. R8YY30PD7SH/352035564727295. R8YY
30PD7TR/352035564727303. R8YY30PD7VF/352035564727311. R8YY30PD7WE/352035564727329. R8YY30PD7XN/352035564727337. R8YY30PD7YX/35203
5564727345. R8YY30PD7ZD/352035564727352. R8YY30PD80Y/352035564727360. R8YY30PD81Z/352035564727378. R8YY30PD82K/352035564727386. R
8YY30PD83B/352035564727394. R8YY30PD84T/352035564727402. R8YY30PD85L/352035564727410. R8YY30PD86V/352035564727428. R8YY30PD87W/35
2035564727436. R8YY30PD88M/352035564727444. R8YY30PD89J/352035564727451. R8YY30PD8AH/352035564727469. R8YY30PD8BR/352035564727477
. R8YY30PD8CF/352035564727485. R8YY30PD8DE/352035564727493. R8YY30PD8EN/352035564727501. R8YY30PD8FX/352035564727519. R8YY30PD8GD
/352035564727527. R8YY30PD8HP/352035564727535. R8YY30PD8JA/352035564727543. R8YY30PD8KY/352035564727550. R8YY30PD8LZ/352035564727
568. R8YY30PD8MK/352035564727576. R8YY30PD8NB/352035564727584. R8YY30PD8PT/352035564727592. R8YY30PD8QL/352035564727600. R8YY30PD
8RV/352035564727618.R8YY30PD8SW/352035564727626. R8YY30PD8TM/352035564727634. R8YY30PD8VJ/352035564727642. R8YY30PD8WH/3520355647
27659. R8YY30PD8XR/352035564727667. R8YY30PD8YF/352035564727675. R8YY30PD8ZE/352035564727683. R8YY30PD90D/352035564727691. R8YY30
PD91P/352035564727709. R8YY30PD92A/352035564727717. R8YY30PD93Y/352035564727725. R8YY30PD94Z/352035564727733. R8YY30PD95K/3520355
64727741. R8YY30PD96B/352035564727758. R8YY30PD97T/352035564727766. R8YY30PD98L/352035564727774. R8YY30PD99V/352035564727782. R8Y
Y30PD9AW/352035564727790. R8YY30PD9BM/352035564727808. R8YY30PD9CJ/352035564727816. R8YY30PD9DH/352035564727824. R8YY30PD9ER/3520
35564727832. R8YY30PD9FF/352035564727840. R8YY30PD9GE/352035564727857. R8YY30PD9HN/352035564727865. R8YY30PD9JX/352035564727873.
R8YY30PD9KD/352035564727881. R8YY30PD9LP/352035564727899. R8YY30PD9MA/352035564727907.R8YY30PD9NY/352035564727915. R8YY30PD9PZ/35
2035564727923. R8YY30PD9QK/352035564727931. R8YY30PD9RB/352035564727949. R8YY30PD9ST/352035564727956. R8YY30PD9TL/352035564727964
. R8YY30PD9VV/352035564727972. R8YY30PD9WW/352035564727980. R8YY30PD9XM/352035564727998. R8YY30PD9YJ/352035564728004. R8YY30PD9ZH
/352035564728012. R8YY30PDA0E/352035564728020. R8YY30PDA1N/352035564728038. R8YY30PDA2X/352035564728046. R8YY30PDA3D/352035564728
053. R8YY30PDA4P/352035564728061. R8YY30PDA5A/352035564728079. R8YY30PDA6Y/352035564728087. R8YY30PDA7Z/352035564728095. R8YY30PD
A8K/352035564728103. R8YY30PDA9B/352035564728111. R8YY30PDAAT/352035564728129. R8YY30PDABL/352035564728137. R8YY30PDACV/352035564
728145. R8YY30PDADW/352035564728152. R8YY30PDAEM/352035564728160. R8YY30PDAFJ/352035564728178. R8YY30PDAGH/352035564728186. R8YY3
0PDAHR/352035564728194. R8YY30PDAJF/352035564728202. R8YY30PDAKE/352035564728210. R8YY30PDALN/352035564728228. R8YY30PDAMX/352035
564728236. R8YY30PDAND/352035564728244. R8YY30PDAPP/352035564728251. R8YY30PDAQA/352035564728269. R8YY30PDARY/352035564728277. R8
YY30PDASZ/352035564728285. R8YY30PDATK/352035564728293. R8YY30PDAVB/352035564728301. R8YY30PDAWT/352035564728319.R8YY30PDAXL/3520
35564728327. R8YY30PDAYV/352035564728335. R8YY30PDAZW/352035564728343. R8YY30PDB0H/352035564728350. R8YY30PDB1R/352035564728368.
R8YY30PDB2F/352035564728376. R8YY30PDB3E/352035564728384. R8YY30PDB4N/352035564728392. R8YY30PDB5X/352035564728400. R8YY30PDB6D/3
52035564728418. R8YY30PDB7P/352035564728426. R8YY30PDB8A/352035564728434. R8YY30PDB9Y/352035564728442. R8YY30PDBAZ/35203556472845
9. R8YY30PDBBK/352035564728467. R8YY30PDBCB/352035564728475. R8YY30PDBDT/352035564728483. R8YY30PDBEL/352035564728491. R8YY30PDBF
V/352035564728509. R8YY30PDBGW/352035564728517. R8YY30PDBHM/352035564728525. R8YY30PDBJJ/352035564728533. R8YY30PDBKH/35203556472
8541. R8YY30PDBLR/352035564728558. R8YY30PDBMF/352035564728566. R8YY30PDBNE/352035564728574. R8YY30PDBPN/352035564728582. R8YY30P
DBQX/352035564728590. R8YY30PDBRD/352035564728608.R8YY30PDBSP/352035564728616. R8YY30PDBTA/352035564728624. R8YY30PDBVY/352035564
032025000788148-2
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000788148-2
Subpartida : 8471300000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
728632. R8YY30PDBWZ/352035564728640. R8YY30PDBXK/352035564728657. R8YY30PDBYB/352035564728665. R8YY30PDBZT/352035564728673. R8YY3
0PDC0W/352035564728681. R8YY30PDC1M/352035564728699. R8YY30PDC2J/352035564728707. R8YY30PDC3H/352035564728715. R8YY30PDC4R/352035
564728723. R8YY30PDC5F/352035564728731. R8YY30PDC6E/352035564728749. R8YY30PDC7N/352035564728756. R8YY30PDC8X/352035564728764. R8
YY30PDC9D/352035564728772. R8YY30PDCAP/352035564728780. R8YY30PDCBA/352035564728798. R8YY30PDCCY/352035564728806. R8YY30PDCDZ/352
035564728814. R8YY30PDCEK/352035564728822. R8YY30PDCFB/352035564728830.XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025000788148-2
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
032025000909822-1
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
99900
42 . Manifiesto de carga
No. 116575015539651
43 . Año – Mes – Día
2025 – 05 – 05
44 . Documento de transporte
No. T61725H02516
45 . Año – Mes – Día
2025 – 04 – 30
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
6900361447
52 . Año – Mes – Día
2025 – 04 – 28
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
580
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.222.25
S 59 . Subpartida arancelaria
8471300000
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.
65.00
72 . Peso neto kgs. dcms.
45.50
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
100.00
78 .Valor FOB
USD
7.966.90
79 . Valor fletes USD
469.95 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
35.624.221
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
35.624.221
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
0.41
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
470.36
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
8.437.26
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: 556506-DECL: 1911917-DO: 893110833251- 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). //NO REQUIERE CERTIFICADO DE HOMOLOGACIÓN YA QUE SON DE TIPO
WI-FI// NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA
S.A. OEA COD. OE0001. . PEDIDOS:3087964915. ID DELIVERY: 6081772174. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-X110NZSAL13, PRODUCT
O: TABLET GALAXY TAB A9 / WI-FI (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: PLATA, MODELO: SM-X110, USO O DESTINO:
PARA LA VENTA AL MAYOR Y AL DETAL/ /TABLET,SM-X110,SILVER,L13( QTY. 100,00 u )(100,00 PCE); SERIALES:R8YY40(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
032025000909822
133. Feha: 202505 06
134 . Levante No. 032025000725661 135 . Fecha
2025 – 05 – 06
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 92032503483254
Fecha presentación 2025-05-06 11:29:28
Valor pagado $0.00
Fecha de Impresión: 2025-05-06 11:29:39
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000909822-1
Subpartida : 8471300000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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0H1WDL. R8YY40H1WEY. R8YY40H1WFN. R8YY40H1WGJ. R8YY40H1WHT. R8YY40H1WJA. R8YY40H1WKE. R8YY40H1WLM. R8YY40H1WMB. R8YY40H1WNP. R8YY
40H1WPF. R8YY40H1WQW. R8YY40H1WRK. R8YY40H1WSD. R8YY40H1WTR. R8YY40H1WVV. R8YY40H1WWZ. R8YY40H1WXX. R8YY40H1WYH. R8YY40H1WZL. R8Y
Y40H1X0J. R8YY40H1X1T. R8YY40H1X2A. R8YY40H1X3E.R8YY40H1X4M. R8YY40H1X5B. R8YY40H1X6P. R8YY40H1X7F. R8YY40H1X8W. R8YY40H1X9K. R8Y
Y40H1XAD. R8YY40H1XBR. R8YY40H1XCV. R8YY40H1XDZ. R8YY40H1XEX. R8YY40H1XFH. R8YY40H1XGL. R8YY40H1XHY. R8YY40H1XJN. R8YY40H1XKJ. R8
YY40H1XLT. R8YY40H1XMA. R8YY40H1XNE. R8YY40H1XPM. R8YY40H1XQB. R8YY40H1XRP. R8YY40H1XSF. R8YY40H1XTW. R8YY40H1XVK. R8YY40H1XWD. R
8YY40H1XXR.R8YY40H1XYV. R8YY40H1XZZ. R8YY40H1Y0L. R8YY40H1Y1Y. R8YY40H1Y2N. R8YY40H1Y3J. R8YY40H1Y4T. R8YY40H1Y5A. R8YY40H1Y6E. R
8YY40H1Y7M. R8YY40H1Y8B. R8YY40H1Y9P. R8YY40H1YAF. R8YY40H1YBW. R8YY40H1YCK. R8YY40H1YDD. R 8YY40H1YER. R8YY40H1YFV. R8YY40H1YGZ.
R8YY40H1YHX. R8YY40H1YJH. R8YY40H1YKL. R8YY40H1YLY. R8YY40H1YMN. R8YY40H1YNJ. R8YY40H1YPT. R8YY40H1YQA. R8YY40H1YRE. R8YY40H1YSM
. R8YY40H1YTB. R8YY40H1YVP. R8YY40H1YWF. R8YY40H1YXW. R8YY40H1YYK. R8YY40H1YZD. R8YY40H1Z0Z. R8YY40H1Z1X. R8YY40H1Z2H. R8YY40H1Z3
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032025000909822-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2