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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
032025001742689-0
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. 116575016107461
43 . Año – Mes – Día
2025 – 10 – 01
44 . Documento de transporte
No. 45T0414053
45 . Año – Mes – Día
2025 – 09 – 26
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
9103816054
52 . Año – Mes – Día
2025 – 09 – 26
53 . Cod. país
procedencia
855
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.
3.898.87
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
855
67 . Cod. Acuerdo
XXX
68 . Forma de pago
de la importación
01
69 . Tipo de
importación
01
70 . Cod. país
compra
190
71 . Peso bruto kgs. dcms.
299.50
72 . Peso neto kgs. dcms.
275.54
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
1.000.00
78 .Valor FOB
USD
109.931.03
79 . Valor fletes USD
2.413.97 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
438.033.015
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
438.033.015
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
3.71
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
2.417.68
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
112.348.71
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: 574810-DECL: 1959326-DO: 893124378251- 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. (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN)/ NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANC
IA QUE NO REQUIERE REGISTRO DEIMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3100223787. ID DELIVERY:
6084787542. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FZKHLTC, PRODUCTO: TELEFONO CELULAR GALAXY A17 LTE DUOS (CON ACCESORIOS
PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODELO: SM-A175F/DS, USO O DESTINO: PARA LA VENTA AL MAYOR(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: Después de insp.: levante
No hay declaración posterior
Acta de inspección No.: 032025000093038
Inició: 2025-10-02 12:05:19 Finalizó: 2025-10-02 21:34:00
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032025001742689
133. Feha: 202509 30
134 . Levante No. 032025001491694 135 . Fecha
2025 – 10 – 02
Firma funcionario responsable 136 . Nombre JUAN SEBASTIAN TORRES CORTES
137 . C.C. No. 79569844
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 92032507623581
Fecha presentación 2025-09-30 13:46:06
Valor pagado $0.00
Fecha de Impresión: 2025-10-02 21:36:53
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001742689-0
Subpartida : 8517130000
Página 1 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
Y AL DETAL./ /MOBILE,SM-A175F/DS,BLACK,LTC( QTY. 1000,00 u )(1000,00 PCE); IMEIS: 356487400489976/359371300489970. 3564874004900
08/359371300490002. 356487400490032/359371300490036. 356487400490057/359371300490051. 356487400490073/359371300490077. 3564874004
90099/359371300490093. 356487400490123/359371300490127. 356487400490131/359371300490135. 356487400490180/359371300490184. 3564874
00511670/359371300511674. 356487400512090/359371300512094. 356487400516729/359371300516723. 356487400518808/359371300518802. 3564
87400518873/359371300518877. 356487400521166/359371300521160. 356487400525969/359371300525963. 356487400529102/359371300529106. 3
56487400529425/359371300529429. 356487400551957/359371300551951. 356487400552328/359371300552322. 356487400552450/359371300552454
. 356487400552468/359371300552462. 356487400552476/359371300552470. 356487400552518/359371300552512. 356487400553276/359371300553
270. 356487400553284/359371300553288. 356487400553391/359371300553395. 356487400553540/35937 1300553544. 356487400553912/35937130
0553916. 356487400554027/359371300554021. 356487400554035/359371300554039. 356487400554092/359371300554096. 356487400554118/35937
1300554112. 356487400554126/359371300554120.356487400554142/359371300554146. 356487400554183/359371300554187. 356487400554241/359
371300554245. 356487400554266/359371300554260. 356487400554274/359371300554278. 356487400554282/359371300554286. 356487400554308/
359371300554302. 356487400554340/359371300554344. 356487400554365/359371300554369. 356487400554381/359371300554385. 3564874005544
07/359371300554401. 356487400554464/359371300554468. 356487400554514/359371300554518. 356487400554571/359371300554575. 3564874005
54647/359371300554641. 356487400554654/359371300554658. 356487400554670/359371300554674.356487400554795/359371300554799. 35648740
0554852/359371300554856. 356487400555206/359371300555200. 356487400555271/359371300555275. 356487400555305/359371300555309. 35648
7400555321/359371300555325. 356487400555347/359371300555341. 356487400555354/359371300555358. 356487400555362/359371300555366. 35
6487400555396/359371300555390. 356487400555404/359371300555408. 356487400555412/359371300555416. 356487400555420/359371300555424.
356487400555446/359371300555440. 356487400555453/359371300555457. 356487400555479/359371300555473. 356487400555487/3593713005554
81. 356487400555495/359371300555499. 356487400555503/359371300555507. 356487400555511/359371300555515. 356487400555529/3593713005
55523. 356487400555537/359371300555531. 356487400555545/359371300555549. 356487400555552/359371300555556. 356487400555560/3593713
00555564. 356487400555586/359371300555580. 356487400555594/359371300555598. 356487400555602/359371300555606. 356487400555610/3593
71300555614. 356487400555628/359371300555622. 356487400555636/359371300555630. 356487400555644/359371300555648. 356487400555651/3
59371300555655. 356487400555669/359371300555663. 356487400555677/359371300555671. 356487400555685/359371300555689. 35648740055569
3/359371300555697. 356487400555701/359371300555705. 356487400555719/359371300555713. 356487400555727/359371300555721. 35648740055
5735/359371300555739. 356487400555743/359371300555747. 356487400555750/359371300555754. 356487400555784/359371300555788. 35648740
0555792/359371300555796. 356487400555800/359371300555804. 356487400555818/359371300555812. 356487400555826/359371300555820. 35648
7400555834/359371300555838. 356487400555842/359371300555846. 356487400555859/359371300555853. 356487400555867/359371300555861. 35
6487400555883/359371300555887.356487400555891/359371300555895. 356487400555909/359371300555903. 356487400555917/359371300555911.
356487400555925/359371300555929. 356487400555941/359371300555945. 356487400555958/359371300555952. 356487400555966/35937130055596
0. 356487400555990/359371300555994. 356487400556006/359371300556000. 356487400556014/359371300556018. 356487400556030/35937130055
6034. 356487400556048/359371300556042. 356487400556089/359371300556083. 356487400556154/359371300556158. 356487400556162/35937130
0556166. 356487400556212/359371300556216. 356487400556238/359371300556232.356487400556436/359371300556430. 356487400556469/359371
300556463. 356487400556493/359371300556497. 356487400556527/359371300556521. 356487400556576/359371300556570. 356487400556600/359
371300556604. 356487400556618/359371300556612. 356487400556634/359371300556638. 356487400556691/359371300556695. 356487400556709/
359371300556703. 356487400556717/359371300556711. 356487400556725/359371300556729. 356487400556733/359371300556737. 3564874005567
41/359371300556745. 356487400556766/359371300556760. 356487400556782/359371300556786. 356487400556790/359371300556794. 3564874005
56808/359371300556802. 356487400556816/359371300556810. 356487400556824/359371300556828. 356487400556832/359371300556836. 3564874
00556840/359371300556844. 356487400556857/359371300556851. 356487400556865/359371300556869. 356487400556873/359371300556877. 3564
87400556899/359371300556893. 356487400556907/359371300556901. 356487400556915/359371300556919. 356487400556923/359371300556927. 3
56487400556931/359371300556935. 356487400556949/359371300556943. 356487400556956/359371300556950. 356487400556964/359371300556968
. 356487400556972/359371300556976. 356487400556980/359371300556984. 356487400556998/359371300556992. 356487400557004/359371300557
008. 356487400557020/359371300557024. 356487400557038/359371300557032. 356487400557046/359371300557040. 356487400557053/359371300
557057. 356487400557061/359371300557065. 356487400557079/359371300557073. 356487400557087/359371300557081. 356487400557095/359371
300557099. 356487400557103/359371300557107. 356487400557111/359371300557115. 356487400557129/359371300557123. 356487400557137/359
371300557131. 356487400557145/359371300557149. 356487400557152/359371300557156. 356487400557178/359371300557172. 356487400557186/
359371300557180.356487400557194/359371300557198. 356487400557202/359371300557206. 356487400557210/359371300557214. 35648740055722
8/359371300557222. 356487400557244/359371300557248. 356487400557269/359371300557263. 356487400557277/359371300557271. 35648740055
7285/359371300557289. 356487400557293/359371300557297. 356487400557301/359371300557305. 356487400557327/359371300557321. 35648740
0557335/359371300557339. 356487400557350/359371300557354. 356487400557376/359371300557370. 356487400557392/359371300557396. 35648
7400557400/359371300557404. 356487400557426/359371300557420.356487400557434/359371300557438. 356487400557442/359371300557446. 356
487400557459/359371300557453. 356487400557467/359371300557461. 356487400557475/359371300557479. 356487400557483/359371300557487.
356487400557491/359371300557495. 356487400557509/359371300557503. 356487400557566/359371300557560. 356487400557574/35937130055757
8. 356487400557582/359371300557586. 356487400557590/359371300557594. 356487400557608/359371300557602. 356487400557616/35937130055
7610. 356487400557624/359371300557628. 356487400557632/359371300557636. 356487400557640/359371300557644. 356487400557665/35937130
0557669. 356487400557673/359371300557677. 356487400557681/359371300557685. 356487400557699/359371300557693. 356487400557707/35937
1300557701. 356487400557731/359371300557735. 356487400557764/359371300557768. 356487400557822/359371300557826. 356487400557830/35
9371300557834. 356487400557863/359371300557867. 356487400557947/359371300557941. 356487400558010/359371300558014. 356487400558069
/359371300558063. 356487400558085/359371300558089. 356487400558119/359371300558113. 356487400558127/359371300558121. 356487400558
135/359371300558139. 356487400558200/359371300558204. 356487400558226/359371300558220. 356487400558242/359371300558246. 356487400
558267/359371300558261. 356487400558275/359371300558279. 356487400558374/359371300558378. 356487400558408/359371300558402. 356487
400558416/359371300558410. 356487400558432/359371300558436. 356487400558457/359371300558451. 356487400558465/359371300558469. 356
487400558531/359371300558535. 356487400558820/359371300558824. 356487400559000/359371300559004. 356487400559034/359371300559038.
356487400559042/359371300559046. 356487400559067/359371300559061. 356487400559083/359371300559087. 356487400559091/35937130055909
5.356487400559117/359371300559111. 356487400559125/359371300559129. 356487400559133/359371300559137. 356487400559166/359371300559
160. 356487400559174/359371300559178. 356487400559182/359371300559186. 356487400559190/359371300559194. 356487400559216/359371300
559210. 356487400559224/359371300559228. 356487400559232/359371300559236. 356487400559240/359371300559244. 356487400559257/359371
300559251. 356487400559265/359371300559269. 356487400559273/359371300559277. 356487400559281/359371300559285. 356487400559299/359
371300559293. 356487400559307/359371300559301.356487400559315/359371300559319. 356487400559323/359371300559327. 356487400559331/3
59371300559335. 356487400559349/359371300559343. 356487400559356/359371300559350. 356487400559364/359371300559368. 35648740055937
2/359371300559376. 356487400559380/359371300559384. 356487400559398/359371300559392. 356487400559406/359371300559400. 35648740055
9414/359371300559418. 356487400559422/359371300559426. 356487400559430/359371300559434. 356487400559463/359371300559467. 35648740
0559471/359371300559475. 356487400559489/359371300559483. 356487400559497/359371300559491. 356487400559554/359371300559558. 35648
7400559596/359371300559590. 356487400559612/359371300559616. 356487400559620/359371300559624. 356487400559646/359371300559640. 35
6487400559679/359371300559673. 356487400559711/359371300559715. 356487400559729/359371300559723. 356487400559737/359371300559731.
356487400559745/359371300559749. 356487400559752/359371300559756. 356487400559760/359371300559764. 356487400559778/3593713005597
032025001742689-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001742689-0
Subpartida : 8517130000
Página 2 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
72. 356487400559794/359371300559798. 356487400559810/359371300559814. 356487400559836/359371300559830. 356487400559844/3593713005
59848. 356487400559851/359371300559855. 356487400559901/359371300559905. 356487400559935/359371300559939. 356487400559968/3593713
00559962. 356487400559976/359371300559970. 356487400560008/359371300560002. 356487400560016/359371300560010. 356487400560024/3593
71300560028. 356487400560032/359371300560036. 356487400560057/359371300560051. 356487400560065/359371300560069. 356487400560099/3
59371300560093. 356487400560107/359371300560101. 356487400560115/359371300560119. 356487400560123/359371300560127. 35648740056015
6/359371300560150. 356487400560164/359371300560168. 356487400560172/359371300560176. 356487400560180/359371300560184.356487400560
206/359371300560200. 356487400560214/359371300560218. 356487400560222/359371300560226. 356487400560230/359371300560234. 356487400
560248/359371300560242. 356487400560255/359371300560259. 356487400560263/359371300560267. 356487400560297/359371300560291. 356487
400560354/359371300560358. 356487400560362/359371300560366. 356487400560404/359371300560408. 356487400560412/359371300560416. 356
487400560420/359371300560424. 356487400560479/359371300560473. 356487400560487/359371300560481. 356487400560495/359371300560499.
356487400560503/359371300560507.356487400560529/359371300560523. 356487400560537/359371300560531. 356487400560545/359371300560549
. 356487400560560/359371300560564. 356487400560594/359371300560598. 356487400560602/359371300560606. 356487400560610/359371300560
614. 356487400560628/359371300560622. 356487400560636/359371300560630. 356487400560644/359371300560648. 356487400560651/359371300
560655. 356487400560669/359371300560663. 356487400560677/359371300560671. 356487400560685/359371300560689. 356487400560693/359371
300560697. 356487400560701/359371300560705. 356487400560719/359371300560713. 356487400560727/359371300560721. 356487400560743/359
371300560747. 356487400560750/359371300560754. 356487400560768/359371300560762. 356487400560776/359371300560770. 356487400560784/
359371300560788. 356487400560792/359371300560796. 356487400560818/359371300560812. 356487400560826/359371300560820. 3564874005608
34/359371300560838. 356487400560842/359371300560846. 356487400560859/359371300560853. 356487400560867/359371300560861. 3564874005
60875/359371300560879. 356487400560883/359371300560887. 356487400560909/359371300560903. 356487400560925/359371300560929. 3564874
00560933/359371300560937. 356487400560941/359371300560945. 356487400560966/359371300560960. 356487400560974/359371300560978. 3564
87400560982/359371300560986. 356487400560990/359371300560994. 356487400561006/359371300561000. 356487400561014/359371300561018. 3
56487400561022/359371300561026. 356487400561030/359371300561034. 356487400561048/359371300561042. 356487400561055/359371300561059
. 356487400561063/359371300561067. 356487400561071/359371300561075. 356487400561089/359371300561083. 356487400561105/359371300561
109. 356487400561113/359371300561117. 356487400561139/359371300561133. 356487400561147/359371300561141.356487400561162/3593713005
61166. 356487400561188/359371300561182. 356487400561204/359371300561208. 356487400561246/359371300561240. 356487400561253/3593713
00561257. 356487400561303/359371300561307. 356487400561311/359371300561315. 356487400561329/359371300561323. 356487400561337/3593
71300561331. 356487400561345/359371300561349. 356487400561360/359371300561364. 356487400561378/359371300561372. 356487400561386/3
59371300561380. 356487400561402/359371300561406. 356487400561410/359371300561414. 356487400561428/359371300561422. 35648740056143
6/359371300561430.356487400561444/359371300561448. 356487400561451/359371300561455. 356487400561477/359371300561471. 356487400561
485/359371300561489. 356487400561493/359371300561497. 356487400561501/359371300561505. 356487400561519/359371300561513. 356487400
561527/359371300561521. 356487400561535/359371300561539. 356487400561543/359371300561547. 356487400561550/359371300561554. 356487
400561568/359371300561562. 356487400561576/359371300561570. 356487400561584/359371300561588. 356487400561592/359371300561596. 356
487400561600/359371300561604. 356487400561618/359371300561612. 356487400561626/359371300561620. 356487400561634/359371300561638.
356487400561642/359371300561646. 356487400561659/359371300561653. 356487400561667/359371300561661. 356487400561675/35937130056167
9. 356487400561683/359371300561687. 356487400561691/359371300561695. 356487400561709/359371300561703. 356487400561725/35937130056
1729. 356487400561733/359371300561737. 356487400561741/359371300561745. 356487400561758/359371300561752. 356487400561766/35937130
0561760. 356487400561782/359371300561786. 356487400561790/359371300561794. 356487400561808/359371300561802. 356487400561816/35937
1300561810. 356487400561824/359371300561828. 356487400561832/359371300561836. 356487400561857/359371300561851. 356487400561865/35
9371300561869. 356487400561873/359371300561877. 356487400561881/359371300561885. 356487400561915/359371300561919. 356487400561923
/359371300561927. 356487400561931/359371300561935. 356487400561998/359371300561992. 356487400562004/359371300562008. 356487400562
012/359371300562016. 356487400562046/359371300562040. 356487400562079/359371300562073. 356487400562087/359371300562081. 356487400
562095/359371300562099. 356487400562137/359371300562131. 356487400562145/359371300562149.356487400562152/359371300562156. 3564874
00562194/359371300562198. 356487400562277/359371300562271. 356487400562293/359371300562297. 356487400562335/359371300562339. 3564
87400562350/359371300562354. 356487400562376/359371300562370. 356487400562384/359371300562388. 356487400562418/359371300562412. 3
56487400562426/359371300562420. 356487400562459/359371300562453. 356487400562475/359371300562479. 356487400562491/359371300562495
. 356487400562509/359371300562503. 356487400562517/359371300562511. 356487400562566/359371300562560. 356487400562624/359371300562
628.356487400562632/359371300562636. 356487400562640/359371300562644. 356487400562657/359371300562651. 356487400562665/3593713005
62669. 356487400562673/359371300562677. 356487400562699/359371300562693. 356487400562707/359371300562701. 356487400562715/3593713
00562719. 356487400562723/359371300562727. 356487400562731/359371300562735. 356487400562749/359371300562743. 356487400562756/3593
71300562750. 356487400562764/359371300562768. 356487400562772/359371300562776. 356487400562806/359371300562800. 356487400562814/3
59371300562818. 356487400562822/359371300562826. 356487400562830/359371300562834. 356487400562848/359371300562842. 35648740056285
5/359371300562859. 356487400562871/359371300562875. 356487400562889/359371300562883. 356487400562897/359371300562891. 35648740056
2905/359371300562909. 356487400562913/359371300562917. 356487400562939/359371300562933. 356487400562947/359371300562941. 35648740
0562954/359371300562958. 356487400562962/359371300562966. 356487400562970/359371300562974. 356487400562988/359371300562982. 35648
7400562996/359371300562990. 356487400563002/359371300563006. 356487400563028/359371300563022. 356487400563044/359371300563048. 35
6487400563051/359371300563055. 356487400563093/359371300563097. 356487400563101/359371300563105. 356487400563200/359371300563204.
356487400563317/359371300563311. 356487400563374/359371300563378. 356487400563382/359371300563386. 356487400563408/3593713005634
02. 356487400563465/359371300563469. 356487400563507/359371300563501. 356487400563564/359371300563568. 356487400563572/3593713005
63576. 356487400563614/359371300563618. 356487400563622/359371300563626. 356487400563655/359371300563659. 356487400563671/3593713
00563675. 356487400563945/359371300563949. 356487400563960/359371300563964.356487400563994/359371300563998. 356487400564026/35937
1300564020. 356487400564034/359371300564038. 356487400564067/359371300564061. 356487400564083/359371300564087. 356487400564091/35
9371300564095. 356487400564117/359371300564111. 356487400564141/359371300564145. 356487400564158/359371300564152. 356487400564182
/359371300564186. 356487400564190/359371300564194. 356487400564208/359371300564202. 356487400564216/359371300564210. 356487400564
224/359371300564228. 356487400564232/359371300564236. 356487400564240/359371300564244. 356487400564265/359371300564269.3564874005
64273/359371300564277. 356487400564281/359371300564285. 356487400564299/359371300564293. 356487400564307/359371300564301. 3564874
00564323/359371300564327. 356487400564331/359371300564335. 356487400564349/359371300564343. 356487400564356/359371300564350. 3564
87400564364/359371300564368. 356487400564372/359371300564376. 356487400564398/359371300564392. 356487400564406/359371300564400. 3
56487400564414/359371300564418. 356487400564489/359371300564483. 356487400564513/359371300564517. 356487400564539/359371300564533
. 356487400564554/359371300564558. 356487400564562/359371300564566. 356487400564570/359371300564574. 356487400564612/359371300564
616. 356487400564687/359371300564681. 356487400564976/359371300564970. 356487400565080/359371300565084. 356487400565106/359371300
565100. 356487400566583/359371300566587. 356487400567193/359371300567197. 356487400567219/359371300567213. 356487400567227/359371
300567221. 356487400567235/359371300567239. 356487400567300/359371300567304. 356487400567326/359371300567320. 356487400567417/359
371300567411. 356487400567540/359371300567544. 356487400567706/359371300567700. 356487400567854/359371300567858. 356487400567896/
359371300567890. 356487400567904/359371300567908. 356487400567920/359371300567924. 356487400567953/359371300567957. 3564874005679
95/359371300567999. 356487400568068/359371300568062. 356487400568126/359371300568120. 356487400568290/359371300568294. 3564874005
032025001742689-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001742689-0
Subpartida : 8517130000
Página 3 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
68324/359371300568328. 356487400568332/359371300568336. 356487400568381/359371300568385. 356487400568399/359371300568393. 3564874
00568407/359371300568401. 356487400568423/359371300568427. 356487400568449/359371300568443. 356487400568456/359371300568450. 3564
87400568563/359371300568567. 356487400568589/359371300568583.356487400568597/359371300568591. 356487400568746/359371300568740. 35
6487400568753/359371300568757. 356487400568928/359371300568922. 356487400569181/359371300569185. 356487400569256/359371300569250.
356487400569272/359371300569276. 356487400569280/359371300569284. 356487400569314/359371300569318. 356487400569322/3593713005693
26. 356487400569330/359371300569334. 356487400569348/359371300569342. 356487400569371/359371300569375. 356487400569421/3593713005
69425. 356487400569439/359371300569433. 356487400569447/359371300569441. 356487400569462/359371300569466.356487400569470/35937130
0569474. 356487400569488/359371300569482. 356487400569496/359371300569490. 356487400569538/359371300569532. 356487400569546/35937
1300569540. 356487400569579/359371300569573. 356487400569595/359371300569599. 356487400569603/359371300569607. 356487400569611/35
9371300569615. 356487400569629/359371300569623. 356487400569637/359371300569631. 356487400569686/359371300569680. 356487400569694
/359371300569698. 356487400569702/359371300569706. 356487400569728/359371300569722. 356487400569736/359371300569730. 356487400569
744/359371300569748. 356487400569751/359371300569755. 356487400569777/359371300569771. 356487400569793/359371300569797. 356487400
569801/359371300569805. 356487400569819/359371300569813. 356487400569827/359371300569821. 356487400569835/359371300569839. 356487
400569843/359371300569847. 356487400569868/359371300569862. 356487400569918/359371300569912. 356487400569959/359371300569953. 356
487400569967/359371300569961. 356487400569975/359371300569979. 356487400570007/359371300570001. 356487400570015/359371300570019.
356487400570080/359371300570084. 356487400570098/359371300570092. 356487400570106/359371300570100. 356487400570155/35937130057015
9. 356487400570213/359371300570217. 356487400570239/359371300570233. 356487400570247/359371300570241. 356487400570254/35937130057
0258. 356487400570288/359371300570282. 356487400570312/359371300570316. 356487400570338/359371300570332. 356487400570361/35937130
0570365. 356487400570387/359371300570381. 356487400570403/359371300570407. 356487400570411/359371300570415. 356487400570429/35937
1300570423. 356487400570445/359371300570449. 356487400570478/359371300570472. 356487400570502/359371300570506. 356487400570510/35
9371300570514. 356487400570544/359371300570548.356487400570569/359371300570563. 356487400570577/359371300570571. 356487400570742/
359371300570746. 356487400570825/359371300570829. 356487400570874/359371300570878. 356487400570882/359371300570886. 3564874005709
32/359371300570936. 356487400570957/359371300570951. 356487400570973/359371300570977. 356487400570981/359371300570985. 3564874005
70999/359371300570993. 356487400571005/359371300571009. 356487400571062/359371300571066. 356487400571070/359371300571074. 3564874
00571252/359371300571256. 356487400571559/359371300571553. 356487400571567/359371300571561.356487400571666/359371300571660. 35648
7400571690/359371300571694. 356487400571708/359371300571702. 356487400571740/359371300571744. 356487400571807/359371300571801. 35
6487400571872/359371300571876. 356487400571880/359371300571884. 356487400571922/359371300571926. 356487400571971/359371300571975.
356487400572128/359371300572122. 356487400572318/359371300572312. 356487400572466/359371300572460. 356487400572482/3593713005724
86. 356487400572516/359371300572510. 356487400572615/359371300572619. 356487400572672/359371300572676. 356487400572821/3593713005
72825. 356487400572995/359371300572999. 356487400573019/359371300573013. 356487400573076/359371300573070. 356487400573332/3593713
00573336. 356487400573407/359371300573401. 356487400573449/359371300573443. 356487400573746/359371300573740. 356487400573779/3593
71300573773. 356487400573803/359371300573807. 356487400573829/359371300573823. 356487400573845/359371300573849. 356487400573894/3
59371300573898. 356487400573910/359371300573914. 356487400573928/359371300573922. 356487400573944/359371300573948. 35648740057396
9/359371300573963. 356487400574009/359371300574003. 356487400574090/359371300574094. 356487400574132/359371300574136. 35648740057
4165/359371300574169. 356487400574173/359371300574177. 356487400574223/359371300574227. 356487400574272/359371300574276. 35648740
0574330/359371300574334. 356487400574389/359371300574383. 356487400574405/359371300574409. 356487400574454/359371300574458. 35648
7400574470/359371300574474. 356487400574488/359371300574482. 356487400574496/359371300574490. 356487400574512/359371300574516. 35
6487400574520/359371300574524. 356487400574538/359371300574532. 356487400574546/359371300574540. 356487400574561/359371300574565.
356487400574579/359371300574573.356487400574587/359371300574581. 356487400574603/359371300574607. 356487400574637/35937130057463
1. 356487400574652/359371300574656. 356487400574678/359371300574672. 356487400574686/359371300574680. 356487400574710/35937130057
4714. 356487400574736/359371300574730. 356487400574751/359371300574755. 356487400574777/359371300574771. 356487400574819/35937130
0574813. 356487400574835/359371300574839. 356487400574843/359371300574847. 356487400574850/359371300574854. 356487400574868/35937
1300574862. 356487400574884/359371300574888. 356487400574892/359371300574896.356487400574900/359371300574904. 356487400574918/359
371300574912. 356487400574926/359371300574920. 356487400574934/359371300574938. 356487400574942/359371300574946. 356487400574959/
359371300574953. 356487400574967/359371300574961. 356487400574975/359371300574979. 356487400574983/359371300574987. 3564874005749
91/359371300574995. 356487400575006/359371300575000. 356487400575014/359371300575018. 356487400575022/359371300575026. 3564874005
75030/359371300575034. 356487400575055/359371300575059. 356487400575063/359371300575067. 356487400575071/359371300575075. 3564874
00575089/359371300575083. 356487400575097/359371300575091. 356487400575105/359371300575109. 356487400575113/359371300575117. 3564
87400575121/359371300575125. 356487400575188/359371300575182. 356487400575501/359371300575505. 356487400575519/359371300575513. 3
56487400575535/359371300575539. 356487400575584/359371300575588. 356487400575691/359371300575695. 356487400575709/359371300575703
. 356487400575717/359371300575711. 356487400575741/359371300575745. 356487400575832/359371300575836. 356487400575840/359371300575
844. 356487400575915/359371300575919. 356487400576228/359371300576222. 356487400576707/359371300576701. 356487400576723/359371300
576727. 356487400576731/359371300576735. 356487400576756/359371300576750. 356487400576780/359371300576784. 356487400576798/359371
300576792. 356487400576806/359371300576800. 356487400576889/359371300576883. 356487400577093/359371300577097. 356487400577291/359
371300577295. 356487400577580/359371300577584. 356487400577622/359371300577626. 356487400577895/359371300577899. 356487400577929/
359371300577923. 356487400577937/359371300577931. 356487400577986/359371300577980. 356487400578000/359371300578004. 3564874005780
34/359371300578038.356487400578059/359371300578053. 356487400578091/359371300578095. 356487400578117/359371300578111. 35648740057
8133/359371300578137. 356487400578141/359371300578145. 356487400578158/359371300578152. 356487400578166/359371300578160. 35648740
0578174/359371300578178. 356487400578182/359371300578186. 356487400578190/359371300578194. 356487400578208/359371300578202. 35648
7400578216/359371300578210. 356487400578299/359371300578293. 356487400578315/359371300578319. 356487400578323/359371300578327. 35
6487400578372/359371300578376. 356487400578562/359371300578566.356487400578588/359371300578582. 356487400578612/359371300578616.
356487400578620/359371300578624. 356487400579065/359371300579069. 356487400579214/359371300579218. 356487400579776/35937130057977
0. 356487400579818/359371300579812. 356487400579958/359371300579952. 356487400579974/359371300579978. 356487400580584/35937130058
0588. 356487400580626/359371300580620. 356487400580683/359371300580687. 356487400580709/359371300580703. 356487400580717/35937130
0580711. 356487400580741/359371300580745. 356487400580956/359371300580950. 356487400580964/359371300580968. 356487400581020/35937
1300581024. 356487400581061/359371300581065. 356487400581079/359371300581073. 356487400581087/359371300581081. 356487400581160/35
9371300581164. 356487400581400/359371300581404. 356487400581459/359371300581453. 356487400581632/359371300581636. 356487400582283
/359371300582287. 356487400582333/359371300582337. 356487400582697/359371300582691. 356487400582812/359371300582816. 356487400582
846/359371300582840. 356487400582929/359371300582923. 356487400583000/359371300583004. 356487400583018/359371300583012. 356487400
583091/359371300583095. 356487400583158/359371300583152. 356487400583174/359371300583178. 356487400583182/359371300583186. 356487
400583208/359371300583202. 356487400583216/359371300583210. 356487400583232/359371300583236. 356487400583240/359371300583244. 356
487400583257/359371300583251. 356487400583265/359371300583269. 356487400583273/359371300583277. 356487400583315/359371300583319.
356487400583323/359371300583327. 356487400583349/359371300583343. 356487400583356/359371300583350. 356487400583364/35937130058336
8. 356487400583372/359371300583376. 356487400583398/359371300583392. 356487400583406/359371300583400. 356487400583414/35937130058
3418.356487400583422/359371300583426. 356487400583455/359371300583459. 356487400583463/359371300583467. 356487400583489/359371300
032025001742689-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 4
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001742689-0
Subpartida : 8517130000
Página 4 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
583483. 356487400583513/359371300583517. 356487400583539/359371300583533. 356487400583547/359371300583541. 356487400583562/359371
300583566. 356487400583588/359371300583582. 356487400583596/359371300583590. 356487400583638/359371300583632. 356487400583646/359
371300583640. 356487400583653/359371300583657. 356487400583661/359371300583665. 356487400583687/359371300583681. 356487400583695/
359371300583699. 356487400583711/359371300583715.356487400583737/359371300583731. 356487400583778/359371300583772. 35648740058379
4/359371300583798. 356487400583810/359371300583814. 356487400583828/359371300583822. 356487400583836/359371300583830. 35648740058
3851/359371300583855. 356487400583927/359371300583921. 356487400583943/359371300583947. 356487400583950/359371300583954. 35648740
0583968/359371300583962. 356487400583976/359371300583970. 356487400583992/359371300583996. 356487400584008/359371300584002. 35648
7400584016/359371300584010. 356487400584024/359371300584028. 356487400584032/359371300584036. 356487400584040/359371300584044. 35
6487400584065/359371300584069. 356487400584081/359371300584085. 356487400584099/359371300584093. 356487400584107/359371300584101.
356487400584123/359371300584127. 356487400584198/359371300584192. 356487400584255/359371300584259. 356487400584263/3593713005842
67. 356487400584339/359371300584333. 356487400584487/359371300584481. 356487400584545/359371300584549. 356487400584578/3593713005
84572. 356487400584594/359371300584598. 356487400584644/359371300584648. 356487400584651/359371300584655. 356487400584669/3593713
00584663. 356487400584677/359371300584671. 356487400584693/359371300584697. 356487400584727/359371300584721. 356487400584800/3593
71300584804. 356487400584834/359371300584838. 356487400584982/359371300584986. 356487400585013/359371300585017. 356487400585047/3
59371300585041. 356487400585062/359371300585066. 356487400585096/359371300585090. 356487400585104/359371300585108. 35648740058514
6/359371300585140. 356487400585153/359371300585157. 356487400585195/359371300585199. 356487400585203/359371300585207. 35648740058
5294/359371300585298. 356487400585344/359371300585348. 356487400585351/359371300585355. 356487400585369/359371300585363.356487400
585393/359371300585397. 356487400585427/359371300585421. 356487400585476/359371300585470. 356487400585518/359371300585512. 356487
400585526/359371300585520. 356487400585534/359371300585538. 356487400585559/359371300585553. 356487400585609/359371300585603. 356
487400585625/359371300585629. 356487400585666/359371300585660. 356487400585682/359371300585686. 356487400585724/359371300585728.
356487400585732/359371300585736. 356487400585781/359371300585785. 356487400585831/359371300585835. 356487400585849/35937130058584
3. 356487400585864/359371300585868.356487400585872/359371300585876. 356487400585880/359371300585884. 356487400585906/359371300585
900. 356487400585922/359371300585926. 356487400585948/359371300585942. 356487400585963/359371300585967. 356487400586052/359371300
586056. 356487400586086/359371300586080. 356487400586094/359371300586098. 356487400586128/359371300586122. 356487400586136/359371
300586130. 356487400586144/359371300586148. 356487400586151/359371300586155. 356487400586169/359371300586163. 356487400586177/359
371300586171. 356487400586185/359371300586189. 356487400586219/359371300586213. 356487400586227/359371300586221. 356487400586284/
359371300586288. 356487400586300/359371300586304. 356487400586318/359371300586312. 356487400586359/359371300586353. 3564874005863
67/359371300586361. 356487400586565/359371300586569. 356487400586573/359371300586577. 356487400586656/359371300586650. 3564874005
86672/359371300586676. 356487400586748/359371300586742. 356487400586771/359371300586775. 356487400586896/359371300586890. 3564874
00586961/359371300586965. 356487400587050/359371300587054. 356487400587076/359371300587070. 356487400587118/359371300587112. 3564
87400587126/359371300587120. 356487400587654/359371300587658. 356487400588405/359371300588409. 356487400588710/359371300588714. 3
56487400589270/359371300589274XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001742689-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 5
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
032025001767069-2
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
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. 116575016128173
43 . Año – Mes – Día
2025 – 10 – 07
44 . Documento de transporte
No. 45T0415811
45 . Año – Mes – Día
2025 – 10 – 02
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
9103829630
52 . Año – Mes – Día
2025 – 10 – 02
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
TAMPA CARGO S.A.S.
58 . Tasa de cambio $ cvs.
3.898.87
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
855
67 . Cod. Acuerdo
XXX
68 . Forma de pago
de la importación
01
69 . Tipo de
importación
01
70 . Cod. país
compra
190
71 . Peso bruto kgs. dcms.
183.50
72 . Peso neto kgs. dcms.
168.82
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
600.00
78 .Valor FOB
USD
65.907.80
79 . Valor fletes USD
1.499.20 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
262.819.786
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
262.819.786
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
2.22
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.501.42
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
67.409.22
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: 575392-DECL: 1960942-DO: 893124809251- 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: 3100676626. ID DELIVERY: 6084890492. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FZAHLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A17 LTE DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS, M(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
032025001767069
133. Feha: 202510 03
134 . Levante No. 032025001514775 135 . Fecha
2025 – 10 – 08
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 92032507758138
Fecha presentación 2025-10-03 19:13:03
Valor pagado $0.00
Fecha de Impresión: 2025-10-08 09:52:13
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001767069-2
Subpartida : 8517130000
Página 1 de 3
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ODELO: SM-A175F/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL./ /MOBILE,SM-A175F/DS,GRAY,LTC( QTY. 600,00 u )(600,00 PCE);
IMEIS: 356487400623095/359371300623099. 356487400623103/359371300623107. 356487400623145/359371300623149. 356487400623202/359371
300623206. 356487400623210/359371300623214. 356487400623228/359371300623222. 356487400623236/359371300623230. 356487400623244/359
371300623248. 356487400623251/359371300623255. 356487400623319/359371300623313. 356487400623327/359371300623321. 356487400623343/
359371300623347. 356487400623368/359371300623362. 356487400623418/359371300623412. 356487400623459/359371300623453. 3564874006235
41/359371300623545. 356487400623582/359371300623586. 356487400623624/359371300623628. 356487400623632/359371300623636. 3564874006
23723/359371300623727. 356487400623731/359371300623735. 356487400623749/359371300623743. 356487400623806/359371300623800. 3564874
00623822/359371300623826. 356487400623830/359371300623834. 356487400623848/359371300623842. 356487400623855/359371300623859. 3564
87400623863/359371300623867. 356487400623897/359371300623891. 356487400623905/359371300623909. 356487400623913/359371300623917. 3
56487400623947/359371300623941. 356487400623954/359371300623958. 356487400623962/359371300623966. 356487400623996/359371300623990
. 356487400624036/359371300624030. 356487400624044/359371300624048. 356487400624051/359371300624055. 356487400624069/359371300624
063. 356487400624077/359371300624071. 356487400624085/359371300624089. 356487400624093/359371300624097. 356487400624101/359371300
624105.356487400624119/359371300624113. 356487400624218/359371300624212. 356487400624259/359371300624253. 356487400624283/3593713
00624287. 356487400624325/359371300624329. 356487400624333/359371300624337. 356487400624341/359371300624345. 356487400624366/3593
71300624360. 356487400641766/359371300641760. 356487400641816/359371300641810. 356487400641824/359371300641828. 356487400641832/3
59371300641836. 356487400641873/359371300641877. 356487400642475/359371300642479. 356487400642483/359371300642487. 35648740064267
3/359371300642677. 356487400642681/359371300642685. 356487400642749/359371300642743. 356487400642772/359371300642776. 35648740064
2806/359371300642800. 356487400642814/359371300642818. 356487400642830/359371300642834. 356487400642889/359371300642883. 35648740
0642897/359371300642891. 356487400658505/359371300658509. 356487400658539/359371300658533. 356487400658547/359371300658541. 35648
7400658554/359371300658558. 356487400658612/359371300658616. 356487400658638/359371300658632. 356487400658646/359371300658640. 35
6487400658653/359371300658657. 356487400658745/359371300658749. 356487400658950/359371300658954. 356487400658968/359371300658962.
356487400658976/359371300658970. 356487400658984/359371300658988. 356487400659008/359371300659002. 356487400659016/3593713006590
10. 356487400659024/359371300659028. 356487400659032/359371300659036. 356487400659040/359371300659044. 356487400659057/3593713006
59051. 356487400659073/359371300659077. 356487400659107/359371300659101. 356487400659115/359371300659119. 356487400659198/3593713
00659192. 356487400659206/359371300659200. 356487400659214/359371300659218. 356487400659222/359371300659226. 356487400659248/3593
71300659242. 356487400659255/359371300659259. 356487400659263/359371300659267.356487400659271/359371300659275. 356487400659289/35
9371300659283. 356487400659305/359371300659309. 356487400659321/359371300659325. 356487400659339/359371300659333. 356487400659347
/359371300659341. 356487400659354/359371300659358. 356487400659362/359371300659366. 356487400659370/359371300659374. 356487400659
388/359371300659382. 356487400659404/359371300659408. 356487400659412/359371300659416. 356487400659420/359371300659424. 356487400
659453/359371300659457. 356487400659495/359371300659499. 356487400659511/359371300659515. 356487400659529/359371300659523.3564874
00659537/359371300659531. 356487400659545/359371300659549. 356487400659586/359371300659580. 356487400659602/359371300659606. 3564
87400659610/359371300659614. 356487400659644/359371300659648. 356487400659677/359371300659671. 356487400659685/359371300659689. 3
56487400659693/359371300659697. 356487400659701/359371300659705. 356487400659768/359371300659762. 356487400659784/359371300659788
. 356487400659818/359371300659812. 356487400659842/359371300659846. 356487400659883/359371300659887. 356487400659925/359371300659
929. 356487400659933/359371300659937. 356487400659941/359371300659945. 356487400659958/359371300659952. 356487400659966/359371300
659960. 356487400659990/359371300659994. 356487400660014/359371300660018. 356487400660089/359371300660083. 356487400660097/359371
300660091. 356487400660105/359371300660109. 356487400660121/359371300660125. 356487400660139/359371300660133. 356487400660147/359
371300660141. 356487400660154/359371300660158. 356487400660162/359371300660166. 356487400660170/359371300660174. 356487400660188/
359371300660182. 356487400660204/359371300660208. 356487400660212/359371300660216. 356487400660238/359371300660232. 3564874006602
61/359371300660265. 356487400660287/359371300660281. 356487400660295/359371300660299. 356487400660311/359371300660315. 3564874006
60345/359371300660349. 356487400660352/359371300660356. 356487400660360/359371300660364. 356487400660378/359371300660372. 3564874
00660386/359371300660380. 356487400660402/359371300660406. 356487400660410/359371300660414. 356487400660428/359371300660422. 3564
87400660444/359371300660448. 356487400660477/359371300660471. 356487400660501/359371300660505. 356487400660519/359371300660513. 3
56487400660527/359371300660521. 356487400660535/359371300660539.356487400660543/359371300660547. 356487400660550/359371300660554.
356487400660592/359371300660596. 356487400660600/359371300660604. 356487400660618/359371300660612. 356487400660634/3593713006606
38. 356487400660642/359371300660646. 356487400660659/359371300660653. 356487400660667/359371300660661. 356487400660675/3593713006
60679. 356487400660709/359371300660703. 356487400660758/359371300660752. 356487400660766/359371300660760. 356487400660790/3593713
00660794. 356487400660816/359371300660810. 356487400660832/359371300660836. 356487400660873/359371300660877.356487400660915/35937
1300660919. 356487400660949/359371300660943. 356487400660956/359371300660950. 356487400660964/359371300660968. 356487400660980/35
9371300660984. 356487400660998/359371300660992. 356487400661012/359371300661016. 356487400661020/359371300661024. 356487400661046
/359371300661040. 356487400661053/359371300661057. 356487400661079/359371300661073. 356487400661137/359371300661131. 356487400661
160/359371300661164. 356487400661269/359371300661263. 356487400661277/359371300661271. 356487400661285/359371300661289. 356487400
661327/359371300661321. 356487400661350/359371300661354. 356487400661392/359371300661396. 356487400661426/359371300661420. 356487
400661442/359371300661446. 356487400661467/359371300661461. 356487400661517/359371300661511. 356487400661541/359371300661545. 356
487400661558/359371300661552. 356487400661566/359371300661560. 356487400661574/359371300661578. 356487400661582/359371300661586.
356487400661616/359371300661610. 356487400661731/359371300661735. 356487400661855/359371300661859. 356487400661913/35937130066191
7. 356487400661921/359371300661925. 356487400661947/359371300661941. 356487400661970/359371300661974. 356487400662010/35937130066
2014. 356487400662200/359371300662204. 356487400662242/359371300662246. 356487400662267/359371300662261. 356487400662283/35937130
0662287. 356487400662333/359371300662337. 356487400662382/359371300662386. 356487400662424/359371300662428. 356487400662440/35937
1300662444. 356487400662465/359371300662469. 356487400662473/359371300662477. 356487400662531/359371300662535. 356487400662564/35
9371300662568. 356487400662598/359371300662592. 356487400662655/359371300662659. 356487400662663/359371300662667. 356487400662671
/359371300662675. 356487400662697/359371300662691.356487400662713/359371300662717. 356487400662739/359371300662733. 3564874006627
96/359371300662790. 356487400662812/359371300662816. 356487400662820/359371300662824. 356487400662861/359371300662865. 3564874006
62887/359371300662881. 356487400662911/359371300662915. 356487400662929/359371300662923. 356487400662937/359371300662931. 3564874
00662945/359371300662949. 356487400662952/359371300662956. 356487400662986/359371300662980. 356487400663018/359371300663012. 3564
87400663026/359371300663020. 356487400663059/359371300663053. 356487400663067/359371300663061.356487400663075/359371300663079. 35
6487400663083/359371300663087. 356487400663109/359371300663103. 356487400663117/359371300663111. 356487400663125/359371300663129.
356487400663158/359371300663152. 356487400663174/359371300663178. 356487400663182/359371300663186. 356487400663190/3593713006631
94. 356487400663208/359371300663202. 356487400663216/359371300663210. 356487400663224/359371300663228. 356487400663232/3593713006
63236. 356487400663257/359371300663251. 356487400663265/359371300663269. 356487400663281/359371300663285. 356487400663299/3593713
00663293. 356487400663307/359371300663301. 356487400663315/359371300663319. 356487400663323/359371300663327. 356487400663349/3593
71300663343. 356487400663356/359371300663350. 356487400663364/359371300663368. 356487400663372/359371300663376. 356487400663380/3
59371300663384. 356487400663398/359371300663392. 356487400663414/359371300663418. 356487400663422/359371300663426. 35648740066344
8/359371300663442. 356487400663455/359371300663459. 356487400663463/359371300663467. 356487400663471/359371300663475. 35648740066
3489/359371300663483. 356487400663497/359371300663491. 356487400663505/359371300663509. 356487400663513/359371300663517. 35648740
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
0663521/359371300663525. 356487400663539/359371300663533. 356487400663547/359371300663541. 356487400663554/359371300663558. 35648
7400663562/359371300663566. 356487400663588/359371300663582. 356487400663604/359371300663608. 356487400663612/359371300663616. 35
6487400663620/359371300663624. 356487400663638/359371300663632. 356487400663646/359371300663640. 356487400663653/359371300663657.
356487400663661/359371300663665. 356487400663679/359371300663673. 356487400663695/359371300663699. 356487400663703/3593713006637
07. 356487400663711/359371300663715.356487400663729/359371300663723. 356487400663737/359371300663731. 356487400663745/35937130066
3749. 356487400663760/359371300663764. 356487400663786/359371300663780. 356487400663869/359371300663863. 356487400663984/35937130
0663988. 356487400664016/359371300664010. 356487400664065/359371300664069. 356487400664115/359371300664119. 356487400664172/35937
1300664176. 356487400664206/359371300664200. 356487400664255/359371300664259. 356487400664289/359371300664283. 356487400664313/35
9371300664317. 356487400664347/359371300664341. 356487400664412/359371300664416.356487400664511/359371300664515. 356487400664529/
359371300664523. 356487400664545/359371300664549. 356487400664552/359371300664556. 356487400664768/359371300664762. 3564874006647
76/359371300664770. 356487400664800/359371300664804. 356487400664834/359371300664838. 356487400664859/359371300664853. 3564874006
64867/359371300664861. 356487400664875/359371300664879. 356487400664891/359371300664895. 356487400664941/359371300664945. 3564874
00664958/359371300664952. 356487400664966/359371300664960. 356487400664982/359371300664986. 356487400664990/359371300664994. 3564
87400665005/359371300665009. 356487400665013/359371300665017. 356487400665021/359371300665025. 356487400665039/359371300665033. 3
56487400665047/359371300665041. 356487400665054/359371300665058. 356487400665062/359371300665066. 356487400665070/359371300665074
. 356487400665088/359371300665082. 356487400665096/359371300665090. 356487400665104/359371300665108. 356487400665120/359371300665
124. 356487400665138/359371300665132. 356487400665146/359371300665140. 356487400665153/359371300665157. 356487400665161/359371300
665165. 356487400665179/359371300665173. 356487400665187/359371300665181. 356487400665203/359371300665207. 356487400665211/359371
300665215. 356487400665229/359371300665223. 356487400665237/359371300665231. 356487400665245/359371300665249. 356487400665252/359
371300665256. 356487400665260/359371300665264. 356487400665278/359371300665272. 356487400665286/359371300665280. 356487400665302/
359371300665306. 356487400665328/359371300665322. 356487400665336/359371300665330. 356487400665344/359371300665348. 3564874006653
51/359371300665355. 356487400665369/359371300665363. 356487400665377/359371300665371. 356487400665393/359371300665397. 3564874006
65401/359371300665405.356487400665419/359371300665413. 356487400665427/359371300665421. 356487400665443/359371300665447. 35648740
0665450/359371300665454. 356487400665468/359371300665462. 356487400665484/359371300665488. 356487400665526/359371300665520. 35648
7400665534/359371300665538. 356487400665542/359371300665546. 356487400665567/359371300665561. 356487400665575/359371300665579. 35
6487400665609/359371300665603. 356487400665617/359371300665611. 356487400665625/359371300665629. 356487400665633/359371300665637.
356487400665641/359371300665645. 356487400665666/359371300665660.356487400665690/359371300665694. 356487400665716/35937130066571
0. 356487400665732/359371300665736. 356487400665740/359371300665744. 356487400665757/359371300665751. 356487400665765/35937130066
5769. 356487400665773/359371300665777. 356487400665781/359371300665785. 356487400665799/359371300665793. 356487400665815/35937130
0665819. 356487400665823/359371300665827. 356487400665831/359371300665835. 356487400665849/359371300665843. 356487400665856/35937
1300665850. 356487400665872/359371300665876. 356487400665880/359371300665884. 356487400665898/359371300665892. 356487400665906/35
9371300665900. 356487400665914/359371300665918. 356487400665922/359371300665926. 356487400665930/359371300665934. 356487400665948
/359371300665942. 356487400665955/359371300665959. 356487400665963/359371300665967. 356487400665971/359371300665975. 356487400665
989/359371300665983. 356487400665997/359371300665991. 356487400666003/359371300666007. 356487400666011/359371300666015. 356487400
666029/359371300666023. 356487400666037/359371300666031. 356487400666045/359371300666049. 356487400666060/359371300666064. 356487
400666086/359371300666080. 356487400666094/359371300666098. 356487400666102/359371300666106. 356487400666110/359371300666114. 356
487400666128/359371300666122. 356487400666136/359371300666130. 356487400666144/359371300666148. 356487400666151/359371300666155.
356487400666169/359371300666163. 356487400666177/359371300666171. 356487400666185/359371300666189. 356487400666227/35937130066622
1. 356487400666235/359371300666239. 356487400666243/359371300666247. 356487400666250/359371300666254. 356487400666268/35937130066
6262. 356487400666276/359371300666270. 356487400666284/359371300666288. 356487400666292/359371300666296. 356487400666318/35937130
0666312.356487400666326/359371300666320. 356487400666334/359371300666338. 356487400666342/359371300666346. 356487400666359/359371
300666353. 356487400666367/359371300666361. 356487400666375/359371300666379. 356487400666383/359371300666387. 356487400666391/359
371300666395. 356487400666409/359371300666403. 356487400666417/359371300666411. 356487400666425/359371300666429. 356487400666433/
359371300666437. 356487400666441/359371300666445. 356487400666458/359371300666452. 356487400666466/359371300666460. 3564874006664
74/359371300666478. 356487400666490/359371300666494.356487400666508/359371300666502. 356487400666516/359371300666510. 35648740066
6524/359371300666528. 356487400666532/359371300666536. 356487400666540/359371300666544. 356487400666557/359371300666551. 35648740
0666565/359371300666569. 356487400666581/359371300666585. 356487400666599/359371300666593. 356487400666607/359371300666601. 35648
7400666615/359371300666619. 356487400666623/359371300666627. 356487400666631/359371300666635. 356487400666649/359371300666643. 35
6487400666656/359371300666650. 356487400666664/359371300666668. 356487400666680/359371300666684. 356487400666698/359371300666692.
356487400666722/359371300666726. 356487400666730/359371300666734. 356487400666748/359371300666742. 356487400666771/3593713006667
75. 356487400666789/359371300666783. 356487400666797/359371300666791. 356487400666805/359371300666809. 356487400666821/3593713006
66825. 356487400666839/359371300666833. 356487400666847/359371300666841. 356487400666854/359371300666858. 356487400666870/3593713
00666874. 356487400666888/359371300666882. 356487400666896/359371300666890. 356487400666904/359371300666908. 356487400666912/3593
71300666916. 356487400666938/359371300666932. 356487400666946/359371300666940. 356487400666961/359371300666965. 356487400666979/3
59371300666973. 356487400666987/359371300666981. 356487400666995/359371300666999. 356487400667019/359371300667013. 35648740066702
7/359371300667021. 356487400667035/359371300667039. 356487400667043/359371300667047. 356487400667068/359371300667062. 35648740066
7092/359371300667096. 356487400667118/359371300667112. 356487400667134/359371300667138. 356487400667142/359371300667146. 35648740
0667159/359371300667153. 356487400667167/359371300667161. 356487400667175/359371300667179. 356487400667191/359371300667195.356487
400667209/359371300667203. 356487400667225/359371300667229. 356487400667241/359371300667245. 356487400667316/359371300667310. 356
487400667357/359371300667351. 356487400667365/359371300667369. 356487400667373/359371300667377. 356487400667381/359371300667385.
356487400667407/359371300667401. 356487400667472/359371300667476. 356487400667480/359371300667484. 356487400667498/35937130066749
2. 356487400667506/359371300667500. 356487400667514/359371300667518. 356487400667530/359371300667534. 356487400667548/35937130066
7542. 356487400667555/359371300667559.356487400667563/359371300667567. 356487400667571/359371300667575. 356487400667589/359371300
667583. 356487400667597/359371300667591. 356487400667605/359371300667609. 356487400667613/359371300667617. 356487400667639/359371
300667633. 356487400667647/359371300667641. 356487400667654/359371300667658. 356487400667662/359371300667666. 356487400667670/359
371300667674. 356487400667688/359371300667682. 356487400667696/359371300667690. 356487400667704/359371300667708. 356487400667712/
359371300667716. 356487400667720/359371300667724. 356487400667738/359371300667732. 356487400667746/359371300667740. 3564874006677
53/359371300667757. 356487400667761/359371300667765. 356487400667779/359371300667773. 356487400667787/359371300667781. 3564874006
67795/359371300667799. 356487400667803/359371300667807. 356487400667811/359371300667815. 356487400667829/359371300667823. 3564874
00667837/359371300667831. 356487400667845/359371300667849. 356487400667860/359371300667864. 356487400667886/359371300667880. 3564
87400667894/359371300667898. 356487400667902/359371300667906. 356487400667910/359371300667914. 356487400667936/359371300667930. 3
56487400667944/359371300667948. 356487400667951/359371300667955. 356487400667977/359371300667971. 356487400667985/359371300667989
. 356487400667993/359371300667997. 356487400668033/359371300668037. 356487400668058/359371300668052. 356487400668066/359371300668
060. 356487400668074/359371300668078. 356487400668082/359371300668086. 356487400668090/359371300668094. 356487400668108/359371300
668102. 356487400668124/359371300668128. 356487400668132/359371300668136. 356487400668199/359371300668193. 356487400668207/359371
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
300668201. 356487400668231/359371300668235. 356487400668264/359371300668268. 356487400668272/359371300668276.356487400668298/3593
71300668292. 356487400668306/359371300668300. 356487400668314/359371300668318. 356487400668355/359371300668359. 356487400668371/3
59371300668375. 356487400668397/359371300668391. 356487400668413/359371300668417. 356487400668439/359371300668433. 35648740066845
4/359371300668458. 356487400668462/359371300668466. 356487400668587/359371300668581. 356487400668629/359371300668623. 35648740066
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032025001767069-2
Espacio para uso exclusivo de la Entidad Recaudadora
Page 4
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
032025001767176-2
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
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. 116575016128173
43 . Año – Mes – Día
2025 – 10 – 07
44 . Documento de transporte
No. 45T0415813
45 . Año – Mes – Día
2025 – 10 – 02
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
9103829632
52 . Año – Mes – Día
2025 – 10 – 02
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
TAMPA CARGO S.A.S.
58 . Tasa de cambio $ cvs.
3.898.87
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
855
67 . Cod. Acuerdo
XXX
68 . Forma de pago
de la importación
01
69 . Tipo de
importación
01
70 . Cod. país
compra
190
71 . Peso bruto kgs. dcms.
155.00
72 . Peso neto kgs. dcms.
142.60
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
54.906.15
79 . Valor fletes USD
1.266.35 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
219.016.488
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
219.016.488
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
1.85
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.268.20
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
56.174.35
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: 575398-DECL: 1960946-DO: 893124811251- 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: 3100678065. ID DELIVERY: 6084890397. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FLBHLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A17 LTE DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL CL(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
032025001767176
133. Feha: 202510 03
134 . Levante No. 032025001514800 135 . Fecha
2025 – 10 – 08
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 92032507758819
Fecha presentación 2025-10-03 20:01:47
Valor pagado $0.00
Fecha de Impresión: 2025-10-08 09:57:04
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001767176-2
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ARO, MODELO: SM-A175F/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A175F/DS,LIGHT BLUE,LTC( QTY. 500,00 u )(5
00,00 PCE); IMEIS: 356487400494653/359371300494657. 356487400604756/359371300604750. 356487400604814/359371300604818. 35648740060
4889/359371300604883. 356487400608344/359371300608348. 356487400624440/359371300624444. 356487400624457/359371300624451. 35648740
0624556/359371300624550. 356487400624572/359371300624576. 356487400624580/359371300624584. 356487400624762/359371300624766. 35648
7400624812/359371300624816. 356487400624952/359371300624956. 356487400624978/359371300624972. 356487400624994/359371300624998. 35
6487400625009/359371300625003. 356487400625017/359371300625011. 356487400625082/359371300625086. 356487400625223/359371300625227.
356487400625314/359371300625318. 356487400625454/359371300625458. 356487400625470/359371300625474. 356487400625561/3593713006255
65. 356487400625660/359371300625664. 356487400625694/359371300625698. 356487400625736/359371 300625730. 356487400625785/359371300
625789. 356487400625793/359371300625797. 356487400625801/359371300625805. 356487400625827/359371300625821. 356487400625876/359371
300625870. 356487400625892/359371300625896. 356487400625918/359371300625912. 356487400625967/359371300625961. 356487400625975/359
371300625979. 356487400625991/359371300625995. 356487400626007/359371300626001. 356487400626049/359371300626043. 356487400626072/
359371300626076. 356487400626080/359371300626084. 356487400626114/359371300626118. 356487400626155/359371300626159. 3564874006261
71/359371300626175. 356487400626189/359371300626183. 356487400626213/359371300626217. 356487400626221/359371300626225. 3564874006
26239/359371300626233. 356487400626254/359371300626258. 356487400626361/359371300626365.356487400626437/359371300626431. 35648740
0626478/359371300626472. 356487400626569/359371300626563. 356487400626577/359371300626571. 356487400626619/359371300626613. 35648
7400626635/359371300626639. 356487400626668/359371300626662. 356487400626684/359371300626688. 356487400626726/359371300626720. 35
6487400626734/359371300626738. 356487400626742/359371300626746. 356487400626767/359371300626761. 356487400626783/359371300626787.
356487400626791/359371300626795. 356487400626817/359371300626811. 356487400626825/359371300626829. 356487400626833/3593713006268
37.356487400626841/359371300626845. 356487400626866/359371300626860. 356487400626874/359371300626878. 356487400626882/35937130062
6886. 356487400626890/359371300626894. 356487400626916/359371300626910. 356487400626924/359371300626928. 356487400626932/35937130
0626936. 356487400626940/359371300626944. 356487400626957/359371300626951. 356487400626965/359371300626969. 356487400626999/35937
1300626993. 356487400627005/359371300627009. 356487400627039/359371300627033. 356487400627047/359371300627041. 356487400627054/35
9371300627058. 356487400627062/359371300627066. 356487400627070/359371300627074. 356487400627088/359371300627082. 356487400627096
/359371300627090. 356487400627104/359371300627108. 356487400627112/359371300627116. 356487400627120/359371300627124. 356487400627
146/359371300627140. 356487400627153/359371300627157. 356487400627161/359371300627165. 356487400627195/359371300627199. 356487400
627203/359371300627207. 356487400627229/359371300627223. 356487400627294/359371300627298. 356487400627393/359371300627397. 356487
400627427/359371300627421. 356487400627435/359371300627439. 356487400627450/359371300627454. 356487400627492/359371300627496. 356
487400627526/359371300627520. 356487400627567/359371300627561. 356487400627583/359371300627587. 356487400627625/359371300627629.
356487400627658/359371300627652. 356487400627674/359371300627678. 356487400627682/359371300627686. 356487400627724/35937130062772
8. 356487400627740/359371300627744. 356487400627765/359371300627769. 356487400627799/359371300627793. 356487400627807/35937130062
7801. 356487400627849/359371300627843. 356487400627864/359371300627868. 356487400627906/359371300627900. 356487400627914/35937130
0627918. 356487400627930/359371300627934. 356487400627955/359371300627959.356487400627963/359371300627967. 356487400627971/359371
300627975. 356487400627989/359371300627983. 356487400628003/359371300628007. 356487400628029/359371300628023. 356487400628037/359
371300628031. 356487400628060/359371300628064. 356487400628102/359371300628106. 356487400628144/359371300628148. 356487400628151/
359371300628155. 356487400628169/359371300628163. 356487400628185/359371300628189. 356487400628227/359371300628221. 3564874006282
35/359371300628239. 356487400628250/359371300628254. 356487400628367/359371300628361. 356487400628433/359371300628437.35648740062
8524/359371300628528. 356487400628532/359371300628536. 356487400628706/359371300628700. 356487400628730/359371300628734. 35648740
0628755/359371300628759. 356487400628763/359371300628767. 356487400628813/359371300628817. 356487400628854/359371300628858. 35648
7400628870/359371300628874. 356487400628912/359371300628916. 356487400628920/359371300628924. 356487400628946/359371300628940. 35
6487400629092/359371300629096. 356487400629167/359371300629161. 356487400629183/359371300629187. 356487400629191/359371300629195.
356487400629241/359371300629245. 356487400629258/359371300629252. 356487400629282/359371300629286. 356487400629332/3593713006293
36. 356487400629340/359371300629344. 356487400629365/359371300629369. 356487400629381/359371300629385. 356487400629399/3593713006
29393. 356487400629415/359371300629419. 356487400629449/359371300629443. 356487400629530/359371300629534. 356487400629555/3593713
00629559. 356487400629688/359371300629682. 356487400629712/359371300629716. 356487400629720/359371300629724. 356487400629944/3593
71300629948. 356487400629951/359371300629955. 356487400630025/359371300630029. 356487400630066/359371300630060. 356487400630207/3
59371300630201. 356487400630538/359371300630532. 356487400630553/359371300630557. 356487400630579/359371300630573. 35648740063079
3/359371300630797. 356487400630850/359371300630854. 356487400630876/359371300630870. 356487400630900/359371300630904. 35648740063
0926/359371300630920. 356487400630959/359371300630953. 356487400630967/359371300630961. 356487400630991/359371300630995. 35648740
0631007/359371300631001. 356487400631049/359371300631043. 356487400631056/359371300631050. 356487400631072/359371300631076. 35648
7400631213/359371300631217. 356487400631247/359371300631241.356487400631254/359371300631258. 356487400631262/359371300631266. 356
487400631288/359371300631282. 356487400631296/359371300631290. 356487400631320/359371300631324. 356487400631346/359371300631340.
356487400631387/359371300631381. 356487400631411/359371300631415. 356487400631437/359371300631431. 356487400631445/35937130063144
9. 356487400631460/359371300631464. 356487400631502/359371300631506. 356487400631528/359371300631522. 356487400631536/35937130063
1530. 356487400631544/359371300631548. 356487400631551/359371300631555. 356487400631569/359371300631563.356487400631577/359371300
631571. 356487400631585/359371300631589. 356487400631619/359371300631613. 356487400631627/359371300631621. 356487400631635/359371
300631639. 356487400631668/359371300631662. 356487400631676/359371300631670. 356487400631726/359371300631720. 356487400631775/359
371300631779. 356487400631783/359371300631787. 356487400631809/359371300631803. 356487400631817/359371300631811. 356487400631825/
359371300631829. 356487400631833/359371300631837. 356487400631841/359371300631845. 356487400631858/359371300631852. 3564874006318
66/359371300631860. 356487400631874/359371300631878. 356487400631882/359371300631886. 356487400631908/359371300631902. 3564874006
31965/359371300631969. 356487400631981/359371300631985. 356487400632013/359371300632017. 356487400632070/359371300632074. 3564874
00632104/359371300632108. 356487400632120/359371300632124. 356487400632146/359371300632140. 356487400632161/359371300632165. 3564
87400632203/359371300632207. 356487400632229/359371300632223. 356487400632245/359371300632249. 356487400632286/359371300632280. 3
56487400632294/359371300632298. 356487400632310/359371300632314. 356487400632336/359371300632330. 356487400632344/359371300632348
. 356487400632369/359371300632363. 356487400632377/359371300632371. 356487400632385/359371300632389. 356487400632401/359371300632
405. 356487400632419/359371300632413. 356487400632427/359371300632421. 356487400632435/359371300632439. 356487400632450/359371300
632454. 356487400632492/359371300632496. 356487400632609/359371300632603. 356487400632617/359371300632611. 356487400632658/359371
300632652. 356487400632690/359371300632694. 356487400632708/359371300632702. 356487400632740/359371300632744. 356487400632773/359
371300632777. 356487400632799/359371300632793.356487400632815/359371300632819. 356487400632823/359371300632827. 356487400632849/3
59371300632843. 356487400632880/359371300632884. 356487400632898/359371300632892. 356487400632914/359371300632918. 35648740063294
8/359371300632942. 356487400632963/359371300632967. 356487400632989/359371300632983. 356487400632997/359371300632991. 35648740063
3003/359371300633007. 356487400633011/359371300633015. 356487400633029/359371300633023. 356487400633037/359371300633031. 35648740
0633052/359371300633056. 356487400633060/359371300633064. 356487400633078/359371300633072.356487400633136/359371300633130. 356487
400633144/359371300633148. 356487400633193/359371300633197. 356487400633201/359371300633205. 356487400633219/359371300633213. 356
487400633276/359371300633270. 356487400633342/359371300633346. 356487400633391/359371300633395. 356487400633409/359371300633403.
356487400633417/359371300633411. 356487400633557/359371300633551. 356487400633607/359371300633601. 356487400633680/35937130063368
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Espacio para uso exclusivo de la Entidad Recaudadora
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
4. 356487400633698/359371300633692. 356487400633730/359371300633734. 356487400633755/359371300633759. 356487400633763/35937130063
3767. 356487400633797/359371300633791. 356487400633805/359371300633809. 356487400633813/359371300633817. 356487400633821/35937130
0633825. 356487400633839/359371300633833. 356487400633847/359371300633841. 356487400633870/359371300633874. 356487400633888/35937
1300633882. 356487400633896/359371300633890. 356487400633904/359371300633908. 356487400633912/359371300633916. 356487400633953/35
9371300633957. 356487400633961/359371300633965. 356487400633987/359371300633981. 356487400634043/359371300634047. 356487400634050
/359371300634054. 356487400634092/359371300634096. 356487400634118/359371300634112. 356487400634142/359371300634146. 356487400634
159/359371300634153. 356487400634167/359371300634161. 356487400634175/359371300634179. 356487400634209/359371300634203. 356487400
634217/359371300634211. 356487400634241/359371300634245. 356487400634530/359371300634534. 356487400634571/359371300634575. 356487
400634597/359371300634591. 356487400634613/359371300634617. 356487400634621/359371300634625. 356487400634670/359371300634674. 356
487400634688/359371300634682. 356487400634753/359371300634757. 356487400634779/359371300634773. 356487400634829/359371300634823.
356487400634837/359371300634831.356487400634886/359371300634880. 356487400634902/359371300634906. 356487400634985/359371300634989
. 356487400634993/359371300634997. 356487400635008/359371300635002. 356487400635040/359371300635044. 356487400635065/359371300635
069. 356487400635073/359371300635077. 356487400635099/359371300635093. 356487400635164/359371300635168. 356487400635180/359371300
635184. 356487400635214/359371300635218. 356487400635230/359371300635234. 356487400635248/359371300635242. 356487400635255/359371
300635259. 356487400635263/359371300635267. 356487400635297/359371300635291.356487400635313/359371300635317. 356487400635321/3593
71300635325. 356487400635339/359371300635333. 356487400635362/359371300635366. 356487400635412/359371300635416. 356487400635453/3
59371300635457. 356487400635479/359371300635473. 356487400635487/359371300635481. 356487400635503/359371300635507. 35648740063553
7/359371300635531. 356487400635552/359371300635556. 356487400635586/359371300635580. 356487400635636/359371300635630. 35648740063
5669/359371300635663. 356487400635693/359371300635697. 356487400635719/359371300635713. 356487400635727/359371300635721. 35648740
0635768/359371300635762. 356487400635776/359371300635770. 356487400635784/359371300635788. 356487400635842/359371300635846. 35648
7400635859/359371300635853. 356487400635891/359371300635895. 356487400635933/359371300635937. 356487400635958/359371300635952. 35
6487400635966/359371300635960. 356487400635982/359371300635986. 356487400636055/359371300636059. 356487400636089/359371300636083.
356487400636097/359371300636091. 356487400636105/359371300636109. 356487400636238/359371300636232. 356487400636279/3593713006362
73. 356487400636311/359371300636315. 356487400636360/359371300636364. 356487400636386/359371300636380. 356487400636451/3593713006
36455. 356487400636477/359371300636471. 356487400636519/359371300636513. 356487400636527/359371300636521. 356487400636535/3593713
00636539. 356487400636550/359371300636554. 356487400636568/359371300636562. 356487400636584/359371300636588. 356487400636592/3593
71300636596. 356487400636675/359371300636679. 356487400636733/359371300636737. 356487400636758/359371300636752. 356487400636766/3
59371300636760. 356487400636782/359371300636786. 356487400636808/359371300636802. 356487400636816/359371300636810. 35648740063682
4/359371300636828.356487400636857/359371300636851. 356487400636865/359371300636869. 356487400636881/359371300636885. 356487400636
899/359371300636893. 356487400636907/359371300636901. 356487400636915/359371300636919. 356487400636923/359371300636927. 356487400
636931/359371300636935. 356487400636949/359371300636943. 356487400636956/359371300636950. 356487400636964/359371300636968. 356487
400636972/359371300636976. 356487400636980/359371300636984. 356487400636998/359371300636992. 356487400637012/359371300637016. 356
487400637038/359371300637032. 356487400637046/359371300637040.356487400637061/359371300637065. 356487400637087/359371300637081. 3
56487400637095/359371300637099. 356487400637103/359371300637107. 356487400637111/359371300637115. 356487400637129/359371300637123
. 356487400637137/359371300637131. 356487400637145/359371300637149. 356487400637152/359371300637156. 356487400637160/359371300637
164. 356487400637178/359371300637172. 356487400637186/359371300637180. 356487400637202/359371300637206. 356487400637210/359371300
637214. 356487400637228/359371300637222. 356487400637236/359371300637230. 356487400637244/359371300637248. 356487400637251/359371
300637255. 356487400637277/359371300637271. 356487400637293/359371300637297. 356487400637319/359371300637313. 356487400637335/359
371300637339. 356487400637350/359371300637354. 356487400637400/359371300637404. 356487400637418/359371300637412. 356487400637434/
359371300637438. 356487400637442/359371300637446. 356487400637483/359371300637487. 356487400637525/359371300637529. 3564874006375
33/359371300637537. 356487400637541/359371300637545. 356487400637574/359371300637578. 356487400637582/359371300637586. 3564874006
37616/359371300637610. 356487400637624/359371300637628. 356487400637657/359371300637651. 356487400637681/359371300637685. 3564874
00637764/359371300637768. 356487400637806/359371300637800. 356487400637814/359371300637818. 356487400637970/359371300637974. 3564
87400637988/359371300637982. 356487400637996/359371300637990. 356487400638028/359371300638022. 356487400638036/359371300638030. 3
56487400638051/359371300638055. 356487400638069/359371300638063. 356487400638077/359371300638071. 356487400638085/359371300638089
. 356487400638135/359371300638139. 356487400638168/359371300638162. 356487400638184/359371300638188. 356487400638192/359371300638
196.356487400638200/359371300638204. 356487400638234/359371300638238. 356487400638242/359371300638246. 356487400638283/3593713006
38287. 356487400638317/359371300638311. 356487400638374/359371300638378. 356487400638390/359371300638394. 356487400638515/3593713
00638519. 356487400638556/359371300638550. 356487400638564/359371300638568. 356487400638580/359371300638584. 356487400638598/3593
71300638592. 356487400638606/359371300638600. 356487400638614/359371300638618. 356487400638648/359371300638642. 356487400638655/3
59371300638659. 356487400638721/359371300638725.356487400639448/359371300639442. 356487400640040/359371300640044. 356487400640222
/359371300640226. 356487400640420/359371300640424. 356487400640511/359371300640515. 356487400640933/359371300640937. 356487400641
758/359371300641752. 356487400642103/359371300642107. 356487400642111/359371300642115. 356487400642178/359371300642172. 356487400
642228/359371300642222. 356487400642244/359371300642248. 356487400642269/359371300642263. 356487400642285/359371300642289XXXXXXXX
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