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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
032025001841058-8
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. 116575016164881
43 . Año – Mes – Día
2025 – 10 – 16
44 . Documento de transporte
No. SHAN0428102
45 . Año – Mes – Día
2025 – 10 – 09
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
9103843864
52 . Año – Mes – Día
2025 – 10 – 09
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.
3.894.99
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.
93.00
72 . Peso neto kgs. dcms.
85.56
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
300.00
78 .Valor FOB
USD
32.937.28
79 . Valor fletes USD
799.80 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
131.409.913
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
131.409.913
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
1.11
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
800.91
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
33.738.19
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: 576918-DECL: 1963775-DO: 893125350251- 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: 3101215101. ID DELIVERY:
6084970855. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FZAHLTC, PRODUCTO: TELEFONO CELULAR GALAXY A17 LTE DUOS (CON ACCESORIOS
PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS, 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: Levante automático
No hay declaración posterior
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032025001841058
133. Feha: 202510 17
134 . Levante No. 032025001565891 135 . Fecha
2025 – 10 – 17
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 92032508163861
Fecha presentación 2025-10-17 19:47:37
Valor pagado $0.00
Fecha de Impresión: 2025-10-17 19:47:43
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001841058-8
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
Y AL DETAL./ /MOBILE,SM-A175F/DS,GRAY,LTC( QTY. 300,00 u )(300,00 PCE ); IMEIS: 356487400679808/359371300679802. 356487400686837/
359371300686831. 356487400686878/359371300686872. 356487400686902/359371300686906. 356487400686910/359371300686914. 3564874006869
36/359371300686930. 356487400686944/359371300686948. 356487400686977/359371300686971. 356487400687009/359371300687003. 3564874006
87041/359371300687045. 356487400687116/359371300687110. 356487400687157/359371300687151. 356487400687223/359371300687227. 3564874
00687249/359371300687243. 356487400687264/359371300687268.356487400687298/359371300687292. 356487400687306/359371300687300. 35648
7400687413/359371300687417. 356487400687561/359371300687565. 356487400687603/359371300687607. 356487400687611/359371300687615. 35
6487400687629/359371300687623. 356487400687645/359371300687649. 356487400687702/359371300687706. 356487400687769/359371300687763.
356487400687843/359371300687847. 356487400687868/359371300687862. 356487400687876/35937130 0687870. 356487400687967/359371300687
961. 356487400688098/359371300688092. 356487400688106/359371300688100. 356487400688114/359371300688118.356487400688122/3593713006
88126. 356487400688130/359371300688134. 356487400688163/359371300688167. 356487400688189/359371300688183. 356487400688213/3593713
00688217. 356487400688247/359371300688241. 356487400688254/359371300688258. 356487400688270/359371300688274. 356487400688296/3593
71300688290. 356487400688320/359371300688324. 356487400688338/359371300688332. 356487400688353/359371300688357. 356487400688387/3
59371300688381. 356487400688445/359371300688449. 356487400688502/359371300688506. 356487400688650/359371300688654. 35648740068872
6/359371300688720. 356487400688734/359371300688738. 356487400688742/359371300688746. 356487400688759/359371300688753. 35648740068
8767/359371300688761. 356487400688825/359371300688829. 356487400688908/359371300688902. 356487400688916/359371300688910. 35648740
0688957/359371300688951. 356487400688973/359371300688977. 356487400689112/359371300689116. 356487400689120/359371300689124. 35648
7400689138/359371300689132. 356487400689153/359371300689157. 356487400689195/359371300689199. 356487400689203/359371300689207. 35
6487400689211/359371300689215. 356487400689278/359371300689272. 356487400689286/359371300689280. 356487400689294/359371300689298.
356487400689310/359371300689314. 356487400689328/359371300689322. 356487400689336/359371300689330. 356487400689344/3593713006893
48. 356487400689351/359371300689355. 356487400689369/359371300689363. 356487400689377/359371300689371. 356487400689393/3593713006
89397. 356487400689401/359371300689405. 356487400689419/359371300689413. 356487400689435/359371300689439. 356487400689443/3593713
00689447. 356487400689484/359371300689488. 356487400689492/359371300689496. 356487400689500/359371300689504. 356487400689518/3593
71300689512. 356487400689526/359371300689520.356487400689534/359371300689538. 356487400689559/359371300689553. 356487400689575/35
9371300689579. 356487400689591/359371300689595. 356487400689609/359371300689603. 356487400689617/359371300689611. 356487400689625
/359371300689629. 356487400689633/359371300689637. 356487400689641/359371300689645. 356487400689682/359371300689686. 356487400689
708/359371300689702. 356487400689757/359371300689751. 356487400689872/359371300689876. 356487400689880/359371300689884. 356487400
689914/359371300689918. 356487400689922/359371300689926. 356487400689930/359371300689934.356487400689948/359371300689942. 3564874
00689963/359371300689967. 356487400689971/359371300689975. 356487400689997/359371300689991. 356487400690003/359371300690007. 3564
87400690011/359371300690015. 356487400690037/359371300690031. 356487400690045/359371300690049. 356487400690052/359371300690056. 3
56487400690060/359371300690064. 356487400690078/359371300690072. 356487400690086/359371300690080. 356487400690094/359371300690098
. 356487400690102/359371300690106. 356487400690136/359371300690130. 356487400690169/359371300690163. 356487400690185/359371300690
189. 356487400690201/359371300690205. 356487400690235/359371300690239. 356487400690243/359371300690247. 356487400690250/359371300
690254. 356487400690292/359371300690296. 356487400690318/359371300690312. 356487400690375/359371300690379. 356487400690441/359371
300690445. 356487400690474/359371300690478. 356487400690490/359371300690494. 356487400690508/359371300690502. 356487400690532/359
371300690536. 356487400690565/359371300690569. 356487400690581/359371300690585. 356487400690615/359371300690619. 356487400690623/
359371300690627. 356487400690631/359371300690635. 356487400690649/359371300690643. 356487400690656/359371300690650. 3564874006906
72/359371300690676. 356487400690680/359371300690684. 356487400690706/359371300690700. 356487400690714/359371300690718. 3564874006
90730/359371300690734. 356487400690748/359371300690742. 356487400690755/359371300690759. 356487400690771/359371300690775. 3564874
00690797/359371300690791. 356487400690805/359371300690809. 356487400690813/359371300690817. 356487400690821/359371300690825. 3564
87400690854/359371300690858. 356487400690862/359371300690866. 356487400690870/359371300690874. 356487400690888/359371300690882. 3
56487400690904/359371300690908.356487400690912/359371300690916. 356487400690995/359371300690999. 356487400691001/359371300691005.
356487400691027/359371300691021. 356487400691076/359371300691070. 356487400691100/359371300691104. 356487400691118/3593713006911
12. 356487400691126/359371300691120. 356487400691134/359371300691138. 356487400691142/359371300691146. 356487400691159/3593713006
91153. 356487400691183/359371300691187. 356487400691233/359371300691237. 356487400691258/359371300691252. 356487400691266/3593713
00691260. 356487400691290/359371300691294. 356487400691308/359371300691302.356487400691316/359371300691310. 356487400691324/35937
1300691328. 356487400691332/359371300691336. 356487400691340/359371300691344. 356487400691357/359371300691351. 356487400691365/35
9371300691369. 356487400691373/359371300691377. 356487400691399/359371300691393. 356487400691449/359371300691443. 356487400691472
/359371300691476. 356487400691506/359371300691500. 356487400691571/359371300691575. 356487400691589/359371300691583. 356487400691
605/359371300691609. 356487400691621/359371300691625. 356487400691670/359371300691674. 356487400691688/359371300691682. 356487400
691753/359371300691757. 356487400691761/359371300691765. 356487400691803/359371300691807. 356487400691811/359371300691815. 356487
400691837/359371300691831. 356487400691860/359371300691864. 356487400691878/359371300691872. 356487400691886/359371300691880. 356
487400691894/359371300691898. 356487400691902/359371300691906. 356487400691910/359371300691914. 356487400691928/359371300691922.
356487400691936/359371300691930. 356487400691944/359371300691948. 356487400691951/359371300691955. 356487400691993/35937130069199
7. 356487400692009/359371300692003. 356487400692017/359371300692011. 356487400692025/359371300692029. 356487400692041/35937130069
2045. 356487400692058/359371300692052. 356487400692066/359371300692060. 356487400692173/359371300692177. 356487400692231/35937130
0692235. 356487400692256/359371300692250. 356487400692298/359371300692292. 356487400692306/359371300692300. 356487400692314/35937
1300692318. 356487400692322/359371300692326. 356487400692330/359371300692334. 356487400692371/359371300692375. 356487400692389/35
9371300692383. 356487400692405/359371300692409. 356487400692413/359371300692417. 356487400692439/359371300692433. 356487400692447
/359371300692441.356487400692454/359371300692458. 356487400692462/359371300692466. 356487400692488/359371300692482. 3564874006924
96/359371300692490. 356487400692504/359371300692508. 356487400692512/359371300692516. 356487400692538/359371300692532. 3564874006
92561/359371300692565. 356487400692595/359371300692599. 356487400692603/359371300692607. 356487400692629/359371300692623. 3564874
00692660/359371300692664. 356487400692702/359371300692706. 356487400692744/359371300692748. 356487400692751/359371300692755. 3564
87400692769/359371300692763. 356487400692777/359371300692771.356487400692785/359371300692789. 356487400692819/359371300692813. 35
6487400692827/359371300692821. 356487400692843/359371300692847. 356487400692850/359371300692854. 356487400692876/359371300692870.
356487400692892/359371300692896. 356487400692900/359371300692904. 356487400692967/359371300692961. 356487400692983/3593713006929
87. 356487400692991/359371300692995. 356487400693007/359371300693001. 356487400693023/359371300693027. 356487400693049/3593713006
93043. 356487400693056/359371300693050. 356487400693064/359371300693068. 356487400693080/359371300693084. 356487400693098/3593713
00693092. 356487400704804/359371300704808. 356487400705454/359371300705458. 356487400705462/359371300705466. 356487400705470/3593
71300705474. 356487400705538/359371300705532. 356487400705553/359371300705557. 356487400705579/359371300705573. 356487400705587/3
59371300705581. 356487400705603/359371300705607. 356487400705637/359371300705631. 356487400705645/359371300705649. 35648740070565
2/359371300705656. 356487400705660/359371300705664. 356487400705694/359371300705698. 356487400705702/359371300705706. 35648740070
5710/359371300705714. 356487400705736/359371300705730. 356487400705819/359371300705813. 356487400705827/359371300705821. 35648740
0705843/359371300705847. 356487400705850/359371300705854. 356487400705868/359371300705862. 356487400705926/359371300705920. 35648
7400705967/359371300705961. 356487400705975/359371300705979. 356487400706015/359371300706019. 356487400706023/359371300706027. 35
6487400706049/359371300706043. 356487400706080/359371300706084. 356487400706148/359371300706142. 356487400706155/359371300706159.
032025001841058-8
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001841058-8
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
356487400706171/359371300706175. 356487400706197/359371300706191. 356487400706213/359371300706217. 356487400706221/3593713007062
25.356487400706254/359371300706258. 356487400706270/359371300706274. 356487400723283/359371300723287. 356487400723341/35937130072
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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
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001841058-8
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
032025001823511-7
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. 116575016164795
43 . Año – Mes – Día
2025 – 10 – 16
44 . Documento de transporte
No. SHAN0432989
45 . Año – Mes – Día
2025 – 10 – 11
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
9103849704
52 . Año – Mes – Día
2025 – 10 – 11
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
249
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
3.894.99
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.
36.00
72 . Peso neto kgs. dcms.
34.00
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
10.844.91
79 . Valor fletes USD
400.78 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
43.803.291
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
43.803.291
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
0.37
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
401.15
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
11.246.06
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: 576966-DECL: 1963915-DO: 893125706251- 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: 3101214258. ID DELIVERY:
6085012906. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FLBHLTC, PRODUCTO: TELEFONO CELULAR GALAXY A17 LTE DUOS (CON ACCESORIOS
PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL CLARO, MODELO: SM-A175F/DS, USO O DESTINO: PARA LA VENTA AL (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
032025001823511
133. Feha: 202510 15
134 . Levante No. 032025001561547 135 . Fecha
2025 – 10 – 17
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 92032508064108
Fecha presentación 2025-10-15 16:31:14
Valor pagado $0.00
Fecha de Impresión: 2025-10-17 12:56:07
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001823511-7
Subpartida : 8517130000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
MAYOR Y AL DETAL/ /MOBILE,SM-A175F/DS,LIGHT BLUE,LTC( QTY. 100,00 u )(100,00 PCE ); IMEIS: 356487400733837/359371300733831. 35648
7400733845/359371300733849. 356487400733852/359371300733856. 356487400733860/359371300733864. 356487400733886/359371300733880. 35
6487400733894/359371300733898. 356487400733902/359371300733906. 356487400733910/359371300733914. 356487400733928/359371300733922.
356487400733936/359371300733930. 356487400733944/359371300733948. 356487400733951/359371300733955. 356487400733969/3593713007339
63. 356487400733977/359371300733971. 356487400733985/359371300733989. 356487400733993/359371300733997. 356487400739867/3593713007
39861. 356487400739891/359371300739895. 356487400739917/359371300739911. 356487400739925/359371300739929. 356487400739933/3593713
00739937. 356487400739958/359371300739952. 356487400739966/359371300739960. 356487400739982/359371300739986. 356487400739990/3593
71300739994. 356487400740006/359371300740000. 356487400740014/359371300740018. 3564874007400 22/359371300740026. 356487400740030/
359371300740034. 356487400740048/359371300740042. 356487400740055/359371300740059. 356487400740063/359371300740067. 3564874007400
71/359371300740075. 356487400740089/359371300740083. 356487400740097/359371300740091. 356487400740105/359371300740109. 3564874007
40113/359371300740117. 356487400740121/359371300740125.356487400740139/359371300740133. 356487400740154/359371300740158. 35648740
0740162/359371300740166. 356487400740188/359371300740182. 356487400740196/359371300740190. 356487400740204/359371300740208. 35648
7400740212/359371300740216. 356487400740220/359371300740224. 356487400740238/359371300740232. 356487400740253/359371300740257. 35
6487400740261/359371300740265. 356487400740287/359371300740281. 356487400740295/359371300740299. 356487400740311/359371300740315.
356487400740329/359371300740323. 356487400740337/359371300740331. 356487400740345/359371300740349.356487400740352/35937130074035
6. 356487400740360/359371300740364. 356487400740378/359371300740372. 356487400740386/359371300740380. 356487400740394/35937130074
0398. 356487400740402/359371300740406. 356487400740410/359371300740414. 356487400740428/359371300740422. 356487400740436/35937130
0740430. 356487400740444/359371300740448. 356487400740451/359371300740455. 356487400740469/359371300740463. 356487400740477/35937
1300740471. 356487400740485/359371300740489. 356487400740493/359371300740497. 356487400740501/359371300740505. 356487400740519/35
9371300740513. 356487400740527/359371300740521. 356487400740535/359371300740539. 356487400740543/359371300740547. 356487400740568
/359371300740562. 356487400740576/359371300740570. 356487400740592/359371300740596. 356487400740600/359371300740604. 356487400740
618/359371300740612. 356487400740626/359371300740620. 356487400740634/359371300740638. 356487400740659/359371300740653. 356487400
740667/359371300740661. 356487400740675/359371300740679. 356487400740683/359371300740687. 356487400740691/359371300740695. 356487
400740709/359371300740703. 356487400740717/359371300740711. 356487400740725/359371300740729. 356487400740733/359371300740737. 356
487400740741/359371300740745. 356487400740758/359371300740752. 356487400740766/359371300740760. 356487400740774/359371300740778.
356487400740782/359371300740786. 356487400740790/359371300740794. 356487400740808/359371300740802. 356487400740832/35937130074083
6. 356487400740840/359371300740844XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025001823511-7
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
032025001824623-8
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. 116575016164795
43 . Año – Mes – Día
2025 – 10 – 16
44 . Documento de transporte
No. SHAN0432992
45 . Año – Mes – Día
2025 – 10 – 11
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
9103849707
52 . Año – Mes – Día
2025 – 10 – 11
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
249
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
3.894.99
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.
36.50
72 . Peso neto kgs. dcms.
34.00
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
10.844.91
79 . Valor fletes USD
400.78 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
43.803.291
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
43.803.291
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
0.37
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
401.15
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
11.246.06
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: 577004-DECL: 1963958-DO: 893125709251- 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: 3101212479. ID DELIVERY:
6085015212. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FZAHLTC, PRODUCTO: TELEFONO CELULAR GALAXY A17 LTE DUOS (CON ACCESORIOS
PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS, 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: Levante automático
No hay declaración posterior
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032025001824623
133. Feha: 202510 15
134 . Levante No. 032025001560977 135 . Fecha
2025 – 10 – 17
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 92032508071075
Fecha presentación 2025-10-15 18:41:56
Valor pagado $0.00
Fecha de Impresión: 2025-10-17 12:16:31
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001824623-8
Subpartida : 8517130000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
Y AL DETAL./ /MOBILE,SM-A175F/DS,GRAY,LTC( QTY. 100,00 u )(100,00 PCE ); IMEIS: 356487400722749/359371300722743. 356487400722764/
359371300722768. 356487400722780/359371300722784. 356487400722806/359371300722800. 356487400722814/359371300722818. 3564874007228
22/359371300722826. 356487400722830/359371300722834. 356487400722855/359371300722859. 356487400722863/359371300722867. 3564874007
22871/359371300722875. 356487400722905/359371300722909. 356487400723200/359371300723204. 356487400723218/359371300723212. 3564874
00740857/359371300740851. 356487400740865/359371300740869.356487400740873/359371300740877. 356487400740881/359371300740885. 35648
7400740899/359371300740893. 356487400740907/359371300740901. 356487400740915/359371300740919. 356487400740949/359371300740943. 35
6487400740956/359371300740950. 356487400740964/359371300740968. 356487400740998/359371300740992. 356487400741079/359371300741073.
356487400741087/359371300741081. 356487400741095/359371300741099. 356487400741103/35937130 0741107. 356487400741111/359371300741
115. 356487400741129/359371300741123. 356487400741137/359371300741131. 356487400741145/359371300741149.356487400741152/3593713007
41156. 356487400741160/359371300741164. 356487400741178/359371300741172. 356487400741186/359371300741180. 356487400741210/3593713
00741214. 356487400741228/359371300741222. 356487400741236/359371300741230. 356487400741251/359371300741255. 356487400741269/3593
71300741263. 356487400741277/359371300741271. 356487400741285/359371300741289. 356487400741293/359371300741297. 356487400741301/3
59371300741305. 356487400741319/359371300741313. 356487400741327/359371300741321. 356487400741335/359371300741339. 35648740074134
3/359371300741347. 356487400741350/359371300741354. 356487400741368/359371300741362. 356487400741376/359371300741370. 35648740074
1384/359371300741388. 356487400741392/359371300741396. 356487400741400/359371300741404. 356487400741418/359371300741412. 35648740
0741426/359371300741420. 356487400741434/359371300741438. 356487400741442/359371300741446. 356487400741467/359371300741461. 35648
7400741475/359371300741479. 356487400741483/359371300741487. 356487400741509/359371300741503. 356487400741517/359371300741511. 35
6487400741525/359371300741529. 356487400741533/359371300741537. 356487400741541/359371300741545. 356487400741558/359371300741552.
356487400741566/359371300741560. 356487400741574/359371300741578. 356487400741582/359371300741586. 356487400741590/3593713007415
94. 356487400741608/359371300741602. 356487400741616/359371300741610. 356487400741624/359371300741628. 356487400741632/3593713007
41636. 356487400741640/359371300741644. 356487400741657/359371300741651. 356487400741665/359371300741669. 356487400741673/3593713
00741677. 356487400741681/359371300741685. 356487400741699/359371300741693. 356487400741707/359371300741701. 356487400741715/3593
71300741719. 356487400741723/359371300741727.356487400741731/359371300741735. 356487400741749/359371300741743. 356487400741756/35
9371300741750. 356487400741764/359371300741768. 356487400741772/359371300741776. 356487400741780/359371300741784. 356487400741798
/359371300741792. 356487400741806/359371300741800. 356487400741814/359371300741818. 356487400741830/359371300741834. 356487400741
848/359371300741842. 356487400741871/359371300741875. 356487400741897/359371300741891. 356487400741905/359371300741909. 356487400
741913/359371300741917XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025001824623-8
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
032025001709311-3
5 . Número de Identificación Tributaria (NIT)
830028931
6 . DV.
5
11 . Apellidos y nombres o Razón Social
SAMSUNG ELECTRONICS COLOMBIA S.A.
13 . Dirección
CR 7 113 43 OF 607
15 . Teléfono
4870707
12 . Cód. Admón.
03
16 . Cód. Dpto
11
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
860536003
25 . DV.
3
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS ABC REPECEV S.A.S. NIVEL 1
27 . Tipo usuario
26
28 . Cód. usuario
99
29 . Número documento de identificación
1022943854
30 . Apellidos y nombres
CARLOS ANDRES ROJAS MATAJUDIOS
31 . Clase
Importador
02
32 . Tipo declaración
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. 116575016089595
43 . Año – Mes – Día
2025 – 09 – 26
44 . Documento de transporte
No. 45T0414018
45 . Año – Mes – Día
2025 – 09 – 20
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
9103797849
52 . Año – Mes – Día
2025 – 09 – 19
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.
3.892.45
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.
311.00
72 . Peso neto kgs. dcms.
286.12
73 . Código
embalaje
YY
74 . No. bultos
2
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
1.000.00
78 .Valor FOB
USD
110.023.64
79 . Valor fletes USD
2.506.66 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
438.033.007
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
438.033.007
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
2.510.37
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
112.534.01
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: 574050-DECL: 1957252-DO: 893124008251- 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: 3099674642. ID DELIVERY: 6084672454. 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
032025001709311
133. Feha: 202509 23
134 . Levante No. 032025001464904 135 . Fecha
2025 – 09 – 27
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 92032507444243
Fecha presentación 2025-09-23 19:08:08
Valor pagado $0.00
Fecha de Impresión: 2025-09-27 11:04:06
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001709311-3
Subpartida : 8517130000
Página 1 de 4
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. 1000,00 u )(1000,00 PCE
); IMEIS: 356487400182043/359371300182047. 356487400183496/359371300183490. 356487400183512/359371300183516. 356487400183520/3593
71300183524. 356487400183587/359371300183581. 356487400234497/359371300234491. 356487400234620/359371300234624. 356487400238803/3
59371300238807. 356487400238829/359371300238823.356487400238860/359371300238864. 356487400240148/359371300240142. 356487400241203
/359371300241207. 356487400241211/359371300241215. 356487400241237/359371300241231. 356487400241252/359371300241256. 356487400241
260/359371300241264. 356487400241278/359371300241272. 356487400241310/359371300241314. 356487400259353/359371300259357. 356487400
259395/359371300259399. 356487400259403/359371300259407. 356487400318191/359371300318195. 356487400318209/359371300318203. 356487
400318233/359371300318237. 356487400318258/359371300318252. 356487400318266/359371300318260 . 356487400318357/359371300318351. 35
6487400318407/359371300318401. 356487400318621/359371300318625. 356487400318761/359371300318765. 356487400318837/359371300318831.
356487400318845/359371300318849. 356487400318878/359371300318872. 356487400318910/359371300318914. 356487400318944/3593713003189
48. 356487400318951/359371300318955. 356487400318977/359371300318971. 356487400318993/359371300318997. 356487400319025/3593713003
19029. 356487400319033/359371300319037. 356487400319058/359371300319052. 356487400319066/359371300319060. 356487400319082/3593713
00319086. 356487400319116/359371300319110. 356487400319124/359371300319128. 356487400319140/359371300319144. 356487400319165/3593
71300319169. 356487400319181/359371300319185. 356487400319199/359371300319193. 356487400319207/359371300319201. 356487400319215/3
59371300319219. 356487400319223/359371300319227. 356487400319249/359371300319243. 356487400319256/359371300319250. 35648740031926
4/359371300319268. 356487400319272/359371300319276. 356487400319280/359371300319284. 356487400319298/359371300319292. 35648740031
9314/359371300319318. 356487400319322/359371300319326. 356487400319330/359371300319334. 356487400319355/359371300319359.356487400
319363/359371300319367. 356487400319397/359371300319391. 356487400319405/359371300319409. 356487400319413/359371300319417. 356487
400319447/359371300319441. 356487400319470/359371300319474. 356487400319488/359371300319482. 356487400319496/359371300319490. 356
487400319504/359371300319508. 356487400319512/359371300319516. 356487400319520/359371300319524. 356487400319587/359371300319581.
356487400319678/359371300319672. 356487400320072/359371300320076. 356487400321260/359371300321264. 356487400321278/35937130032127
2. 356487400321286/359371300321280.356487400321302/359371300321306. 356487400321310/359371300321314. 356487400321328/359371300321
322. 356487400321336/359371300321330. 356487400321344/359371300321348. 356487400321351/359371300321355. 356487400321369/359371300
321363. 356487400321385/359371300321389. 356487400321393/359371300321397. 356487400321419/359371300321413. 356487400321427/359371
300321421. 356487400321435/359371300321439. 356487400321450/359371300321454. 356487400321484/359371300321488. 356487400321492/359
371300321496. 356487400321500/359371300321504. 356487400321518/359371300321512. 356487400321526/359371300321520. 356487400321559/
359371300321553. 356487400321575/359371300321579. 356487400321583/359371300321587. 356487400321591/359371300321595. 3564874003216
09/359371300321603. 356487400321617/359371300321611. 356487400321633/359371300321637. 356487400321641/359371300321645. 3564874003
21674/359371300321678. 356487400321716/359371300321710. 356487400321724/359371300321728. 356487400321732/359371300321736. 3564874
00321740/359371300321744. 356487400321781/359371300321785. 356487400321815/359371300321819. 356487400322029/359371300322023. 3564
87400322052/359371300322056. 356487400322102/359371300322106. 356487400322144/359371300322148. 356487400322235/359371300322239. 3
56487400322243/359371300322247. 356487400322276/359371300322270. 356487400322284/359371300322288. 356487400322300/359371300322304
. 356487400322318/359371300322312. 356487400322326/359371300322320. 356487400322342/359371300322346. 356487400322359/359371300322
353. 356487400322367/359371300322361. 356487400322375/359371300322379. 356487400322409/359371300322403. 356487400322417/359371300
322411. 356487400322425/359371300322429. 356487400322441/359371300322445. 356487400322458/359371300322452.356487400322466/3593713
00322460. 356487400322474/359371300322478. 356487400322490/359371300322494. 356487400322508/359371300322502. 356487400322516/3593
71300322510. 356487400322557/359371300322551. 356487400322565/359371300322569. 356487400322573/359371300322577. 356487400322607/3
59371300322601. 356487400322615/359371300322619. 356487400322649/359371300322643. 356487400322656/359371300322650. 35648740032266
4/359371300322668. 356487400322672/359371300322676. 356487400322706/359371300322700. 356487400322722/359371300322726. 35648740032
2748/359371300322742.356487400322797/359371300322791. 356487400322821/359371300322825. 356487400322870/359371300322874. 356487400
322912/359371300322916. 356487400322938/359371300322932. 356487400322953/359371300322957. 356487400341912/359371300341916. 356487
400341938/359371300341932. 356487400342084/359371300342088. 356487400342282/359371300342286. 356487400342381/359371300342385. 356
487400342415/359371300342419. 356487400342514/359371300342518. 356487400342530/359371300342534. 356487400342548/359371300342542.
356487400342837/359371300342831. 356487400342951/359371300342955. 356487400343595/359371300343599. 356487400343637/35937130034363
1. 356487400343710/359371300343714. 356487400343751/359371300343755. 356487400344601/359371300344605. 356487400345129/35937130034
5123. 356487400345681/359371300345685. 356487400345707/359371300345701. 356487400345723/359371300345727. 356487400345731/35937130
0345735. 356487400345772/359371300345776. 356487400345806/359371300345800. 356487400345848/359371300345842. 356487400345855/35937
1300345859. 356487400345863/359371300345867. 356487400345889/359371300345883. 356487400345897/359371300345891. 356487400345913/35
9371300345917. 356487400345921/359371300345925. 356487400345939/359371300345933. 356487400345962/359371300345966. 356487400345988
/359371300345982. 356487400345996/359371300345990. 356487400346010/359371300346014. 356487400346028/359371300346022. 356487400346
036/359371300346030. 356487400346051/359371300346055. 356487400346069/359371300346063. 356487400346093/359371300346097. 356487400
346135/359371300346139. 356487400346168/359371300346162. 356487400346192/359371300346196. 356487400346218/359371300346212. 356487
400346226/359371300346220. 356487400346234/359371300346238. 356487400346267/359371300346261.356487400346275/359371300346279. 3564
87400346283/359371300346287. 356487400346291/359371300346295. 356487400346309/359371300346303. 356487400346317/359371300346311. 3
56487400346325/359371300346329. 356487400346341/359371300346345. 356487400346358/359371300346352. 356487400346366/359371300346360
. 356487400346382/359371300346386. 356487400346390/359371300346394. 356487400346523/359371300346527. 356487400346531/359371300346
535. 356487400346671/359371300346675. 356487400346689/359371300346683. 356487400346705/359371300346709. 356487400346812/359371300
346816.356487400346853/359371300346857. 356487400346879/359371300346873. 356487400346887/359371300346881. 356487400346929/3593713
00346923. 356487400346945/359371300346949. 356487400346952/359371300346956. 356487400346960/359371300346964. 356487400347042/3593
71300347046. 356487400347075/359371300347079. 356487400347083/359371300347087. 356487400347091/359371300347095. 356487400347117/3
59371300347111. 356487400347133/359371300347137. 356487400347141/359371300347145. 356487400347174/359371300347178. 35648740034719
0/359371300347194. 356487400347224/359371300347228. 356487400347257/359371300347251. 356487400347323/359371300347327. 35648740034
7356/359371300347350. 356487400347463/359371300347467. 356487400347521/359371300347525. 356487400347562/359371300347566. 35648740
0347604/359371300347608. 356487400347612/359371300347616. 356487400347620/359371300347624. 356487400347638/359371300347632. 35648
7400347646/359371300347640. 356487400347653/359371300347657. 356487400347661/359371300347665. 356487400347687/359371300347681. 35
6487400347695/359371300347699. 356487400347703/359371300347707. 356487400347711/359371300347715. 356487400347729/359371300347723.
356487400347752/359371300347756. 356487400347778/359371300347772. 356487400347802/359371300347806. 356487400347836/3593713003478
30. 356487400347844/359371300347848. 356487400347877/359371300347871. 356487400347943/359371300347947. 356487400348040/3593713003
48044. 356487400348073/359371300348077. 356487400348099/359371300348093. 356487400348107/359371300348101. 356487400348115/3593713
00348119. 356487400348123/359371300348127. 356487400348149/359371300348143. 356487400348156/359371300348150. 356487400348164/3593
71300348168. 356487400348172/359371300348176. 356487400348180/359371300348184.356487400348198/359371300348192. 356487400348214/35
9371300348218. 356487400348230/359371300348234. 356487400348248/359371300348242. 356487400348305/359371300348309. 356487400348313
/359371300348317. 356487400348339/359371300348333. 356487400348347/359371300348341. 356487400348354/359371300348358. 356487400348
396/359371300348390. 356487400348420/359371300348424. 356487400348446/359371300348440. 356487400348453/359371300348457. 356487400
348479/359371300348473. 356487400348495/359371300348499. 356487400348503/359371300348507. 356487400348511/359371300348515.3564874
032025001709311-3
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001709311-3
Subpartida : 8517130000
Página 2 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
00348529/359371300348523. 356487400348651/359371300348655. 356487400348677/359371300348671. 356487400348685/359371300348689. 3564
87400348867/359371300348861. 356487400348875/359371300348879. 356487400348883/359371300348887. 356487400348909/359371300348903. 3
56487400348925/359371300348929. 356487400348933/359371300348937. 356487400348958/359371300348952. 356487400348982/359371300348986
. 356487400349030/359371300349034. 356487400349048/359371300349042. 356487400349055/359371300349059. 356487400349071/359371300349
075. 356487400349089/359371300349083. 356487400349105/359371300349109. 356487400349113/359371300349117. 356487400349196/359371300
349190. 356487400349220/359371300349224. 356487400349246/359371300349240. 356487400349410/359371300349414. 356487400349428/359371
300349422. 356487400349436/359371300349430. 356487400349444/359371300349448. 356487400349501/359371300349505. 356487400349519/359
371300349513. 356487400349527/359371300349521. 356487400349717/359371300349711. 356487400349741/359371300349745. 356487400349790/
359371300349794. 356487400349980/359371300349984. 356487400350061/359371300350065. 356487400350095/359371300350099. 3564874003501
52/359371300350156. 356487400350186/359371300350180. 356487400350194/359371300350198. 356487400350236/359371300350230. 3564874003
50574/359371300350578. 356487400350707/359371300350701. 356487400350749/359371300350743. 356487400351093/359371300351097. 3564874
00352257/359371300352251. 356487400352323/359371300352327. 356487400352349/359371300352343. 356487400352356/359371300352350. 3564
87400352422/359371300352426. 356487400352463/359371300352467. 356487400352489/359371300352483. 356487400352505/359371300352509. 3
56487400352554/359371300352558. 356487400352612/359371300352616.356487400352620/359371300352624. 356487400352638/359371300352632.
356487400352778/359371300352772. 356487400352836/359371300352830. 356487400352844/359371300352848. 356487400352901/3593713003529
05. 356487400352935/359371300352939. 356487400352943/359371300352947. 356487400353032/359371300353036. 356487400353065/3593713003
53069. 356487400353081/359371300353085. 356487400353206/359371300353200. 356487400353230/359371300353234. 356487400353412/3593713
00353416. 356487400353420/359371300353424. 356487400353446/359371300353440. 356487400353453/359371300353457.356487400353479/35937
1300353473. 356487400353495/359371300353499. 356487400353511/359371300353515. 356487400353529/359371300353523. 356487400353537/35
9371300353531. 356487400353545/359371300353549. 356487400353560/359371300353564. 356487400353669/359371300353663. 356487400353685
/359371300353689. 356487400353719/359371300353713. 356487400353917/359371300353911. 356487400353982/359371300353986. 356487400354
022/359371300354026. 356487400354063/359371300354067. 356487400354147/359371300354141. 356487400354204/359371300354208. 356487400
354295/359371300354299. 356487400354550/359371300354554. 356487400354618/359371300354612. 356487400354659/359371300354653. 356487
400354667/359371300354661. 356487400354675/359371300354679. 356487400354683/359371300354687. 356487400354691/359371300354695. 356
487400354709/359371300354703. 356487400354717/359371300354711. 356487400354758/359371300354752. 356487400354766/359371300354760.
356487400354782/359371300354786. 356487400354790/359371300354794. 356487400354808/359371300354802. 356487400354824/35937130035482
8. 356487400354832/359371300354836. 356487400354840/359371300354844. 356487400354865/359371300354869. 356487400354873/35937130035
4877. 356487400354881/359371300354885. 356487400354899/359371300354893. 356487400354907/359371300354901. 356487400354915/35937130
0354919. 356487400354931/359371300354935. 356487400354949/359371300354943. 356487400354956/359371300354950. 356487400354972/35937
1300354976. 356487400354980/359371300354984. 356487400354998/359371300354992. 356487400355003/359371300355007. 356487400355029/35
9371300355023. 356487400355037/359371300355031. 356487400355045/359371300355049. 356487400355052/359371300355056. 356487400355060
/359371300355064. 356487400355086/359371300355080.356487400355094/359371300355098. 356487400355110/359371300355114. 3564874003551
28/359371300355122. 356487400355136/359371300355130. 356487400355144/359371300355148. 356487400355177/359371300355171. 3564874003
55193/359371300355197. 356487400355276/359371300355270. 356487400355326/359371300355320. 356487400355342/359371300355346. 3564874
00355383/359371300355387. 356487400355466/359371300355460. 356487400355474/359371300355478. 356487400355508/359371300355502. 3564
87400355516/359371300355510. 356487400355664/359371300355668. 356487400355755/359371300355759.356487400355771/359371300355775. 35
6487400355821/359371300355825. 356487400356100/359371300356104. 356487400356118/359371300356112. 356487400356290/359371300356294.
356487400356324/359371300356328. 356487400356332/359371300356336. 356487400356373/359371300356377. 356487400356969/3593713003569
63. 356487400357116/359371300357110. 356487400357421/359371300357425. 356487400357512/359371300357516. 356487400357603/3593713003
57607. 356487400357637/359371300357631. 356487400357702/359371300357706. 356487400357710/359371300357714. 356487400357728/3593713
00357722. 356487400357769/359371300357763. 356487400357785/359371300357789. 356487400357819/359371300357813. 356487400357892/3593
71300357896. 356487400357959/359371300357953. 356487400357975/359371300357979. 356487400358031/359371300358035. 356487400358080/3
59371300358084. 356487400358130/359371300358134. 356487400358148/359371300358142. 356487400358155/359371300358159. 35648740035816
3/359371300358167. 356487400358171/359371300358175. 356487400358197/359371300358191. 356487400358379/359371300358373. 35648740035
8387/359371300358381. 356487400358809/359371300358803. 356487400358890/359371300358894. 356487400359344/359371300359348. 35648740
0359435/359371300359439. 356487400359484/359371300359488. 356487400359492/359371300359496. 356487400359922/359371300359926. 35648
7400360284/359371300360288. 356487400360292/359371300360296. 356487400360300/359371300360304. 356487400360318/359371300360312. 35
6487400360326/359371300360320. 356487400360334/359371300360338. 356487400360342/359371300360346. 356487400360359/359371300360353.
356487400360375/359371300360379. 356487400360383/359371300360387. 356487400360391/359371300360395. 356487400360409/3593713003604
03. 356487400360417/359371300360411.356487400360425/359371300360429. 356487400360433/359371300360437. 356487400360441/35937130036
0445. 356487400360458/359371300360452. 356487400360474/359371300360478. 356487400360482/359371300360486. 356487400360508/35937130
0360502. 356487400360524/359371300360528. 356487400360532/359371300360536. 356487400360540/359371300360544. 356487400360557/35937
1300360551. 356487400360581/359371300360585. 356487400360599/359371300360593. 356487400360607/359371300360601. 356487400360615/35
9371300360619. 356487400360623/359371300360627. 356487400360631/359371300360635.356487400360649/359371300360643. 356487400360664/
359371300360668. 356487400360680/359371300360684. 356487400360698/359371300360692. 356487400360706/359371300360700. 3564874003607
14/359371300360718. 356487400360730/359371300360734. 356487400360748/359371300360742. 356487400360755/359371300360759. 3564874003
60771/359371300360775. 356487400360789/359371300360783. 356487400360813/359371300360817. 356487400360896/359371300360890. 3564874
00360946/359371300360940. 356487400360995/359371300360999. 356487400361019/359371300361013. 356487400361076/359371300361070. 3564
87400361373/359371300361377. 356487400361456/359371300361450. 356487400361464/359371300361468. 356487400361498/359371300361492. 3
56487400361530/359371300361534. 356487400361589/359371300361583. 356487400361621/359371300361625. 356487400361639/359371300361633
. 356487400361688/359371300361682. 356487400361696/359371300361690. 356487400361787/359371300361781. 356487400361829/359371300361
823. 356487400361852/359371300361856. 356487400361860/359371300361864. 356487400361878/359371300361872. 356487400361902/359371300
361906. 356487400361928/359371300361922. 356487400361944/359371300361948. 356487400361985/359371300361989. 356487400362017/359371
300362011. 356487400362066/359371300362060. 356487400362322/359371300362326. 356487400362512/359371300362516. 356487400362520/359
371300362524. 356487400362587/359371300362581. 356487400362611/359371300362615. 356487400362694/359371300362698. 356487400362736/
359371300362730. 356487400362827/359371300362821. 356487400362843/359371300362847. 356487400362868/359371300362862. 3564874003628
92/359371300362896. 356487400362900/359371300362904. 356487400362918/359371300362912. 356487400362967/359371300362961. 3564874003
62975/359371300362979.356487400363296/359371300363290. 356487400364443/359371300364447. 356487400364476/359371300364470. 35648740
0364484/359371300364488. 356487400364534/359371300364538. 356487400364567/359371300364561. 356487400364575/359371300364579. 35648
7400364641/359371300364645. 356487400364658/359371300364652. 356487400364690/359371300364694. 356487400364906/359371300364900. 35
6487400364930/359371300364934. 356487400364989/359371300364983. 356487400365044/359371300365048. 356487400365101/359371300365105.
356487400365143/359371300365147. 356487400365150/359371300365154.356487400365242/359371300365246. 356487400365341/35937130036534
5. 356487400365416/359371300365410. 356487400365424/359371300365428. 356487400365432/359371300365436. 356487400365440/35937130036
5444. 356487400365556/359371300365550. 356487400365572/359371300365576. 356487400365622/359371300365626. 356487400365655/35937130
0365659. 356487400365929/359371300365923. 356487400366018/359371300366012. 356487400366034/359371300366038. 356487400366042/35937
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
1300366046. 356487400366059/359371300366053. 356487400366091/359371300366095. 356487400366109/359371300366103. 356487400366133/35
9371300366137. 356487400366141/359371300366145. 356487400366158/359371300366152. 356487400366174/359371300366178. 356487400366182
/359371300366186. 356487400366190/359371300366194. 356487400366208/359371300366202. 356487400366216/359371300366210. 356487400366
224/359371300366228. 356487400366232/359371300366236. 356487400366240/359371300366244. 356487400366257/359371300366251. 356487400
366265/359371300366269. 356487400366281/359371300366285. 356487400366299/359371300366293. 356487400366307/359371300366301. 356487
400366315/359371300366319. 356487400366323/359371300366327. 356487400366331/359371300366335. 356487400366349/359371300366343. 356
487400366356/359371300366350. 356487400366364/359371300366368. 356487400366372/359371300366376. 356487400366380/359371300366384.
356487400366406/359371300366400. 356487400366414/359371300366418. 356487400366422/359371300366426. 356487400366430/35937130036643
4. 356487400366448/359371300366442. 356487400366463/359371300366467. 356487400366471/359371300366475. 356487400366489/35937130036
6483. 356487400366505/359371300366509. 356487400366513/359371300366517. 356487400366521/359371300366525. 356487400366547/35937130
0366541.356487400366554/359371300366558. 356487400366562/359371300366566. 356487400366570/359371300366574. 356487400366596/359371
300366590. 356487400366604/359371300366608. 356487400366612/359371300366616. 356487400366620/359371300366624. 356487400366646/359
371300366640. 356487400366653/359371300366657. 356487400366661/359371300366665. 356487400366679/359371300366673. 356487400366687/
359371300366681. 356487400366695/359371300366699. 356487400366703/359371300366707. 356487400366729/359371300366723. 3564874003667
45/359371300366749. 356487400366752/359371300366756.356487400366760/359371300366764. 356487400366794/359371300366798. 35648740036
6802/359371300366806. 356487400366810/359371300366814. 356487400366828/359371300366822. 356487400366836/359371300366830. 35648740
0366844/359371300366848. 356487400366851/359371300366855. 356487400366877/359371300366871. 356487400366885/359371300366889. 35648
7400366893/359371300366897. 356487400366901/359371300366905. 356487400366919/359371300366913. 356487400366927/359371300366921. 35
6487400366935/359371300366939. 356487400366976/359371300366970. 356487400366984/359371300366988. 356487400367008/359371300367002.
356487400367016/359371300367010. 356487400367040/359371300367044. 356487400367057/359371300367051. 356487400367099/3593713003670
93. 356487400367123/359371300367127. 356487400367149/359371300367143. 356487400367172/359371300367176. 356487400367222/3593713003
67226. 356487400367230/359371300367234. 356487400367354/359371300367358. 356487400367404/359371300367408. 356487400367503/3593713
00367507. 356487400367685/359371300367689. 356487400367859/359371300367853. 356487400367891/359371300367895. 356487400367917/3593
71300367911. 356487400367925/359371300367929. 356487400368006/359371300368000. 356487400368147/359371300368141. 356487400368204/3
59371300368208. 356487400368212/359371300368216. 356487400368311/359371300368315. 356487400368329/359371300368323. 35648740036840
2/359371300368406. 356487400368477/359371300368471. 356487400368485/359371300368489. 356487400368501/359371300368505. 35648740036
8535/359371300368539. 356487400368576/359371300368570. 356487400368600/359371300368604. 356487400368642/359371300368646. 35648740
0368675/359371300368679. 356487400369087/359371300369081. 356487400369350/359371300369354. 356487400369368/359371300369362.356487
400369418/359371300369412. 356487400369582/359371300369586. 356487400369947/359371300369941. 356487400369954/359371300369958. 356
487400369962/359371300369966. 356487400369970/359371300369974. 356487400369988/359371300369982. 356487400369996/359371300369990.
356487400370010/359371300370014. 356487400370028/359371300370022. 356487400370036/359371300370030. 356487400370044/35937130037004
8. 356487400370051/359371300370055. 356487400370069/359371300370063. 356487400370077/359371300370071. 356487400370192/35937130037
0196. 356487400370234/359371300370238.356487400370242/359371300370246. 356487400370259/359371300370253. 356487400370267/359371300
370261. 356487400370283/359371300370287. 356487400370309/359371300370303. 356487400370341/359371300370345. 356487400370358/359371
300370352. 356487400370366/359371300370360. 356487400370382/359371300370386. 356487400370465/359371300370469. 356487400370499/359
371300370493. 356487400370523/359371300370527. 356487400370531/359371300370535. 356487400370549/359371300370543. 356487400370564/
359371300370568. 356487400370580/359371300370584. 356487400370630/359371300370634. 356487400370648/359371300370642. 3564874003706
63/359371300370667. 356487400370689/359371300370683. 356487400370697/359371300370691. 356487400370705/359371300370709. 3564874003
70721/359371300370725. 356487400370747/359371300370741. 356487400370754/359371300370758. 356487400370762/359371300370766. 3564874
00370788/359371300370782. 356487400370796/359371300370790. 356487400370804/359371300370808. 356487400370812/359371300370816. 3564
87400370838/359371300370832. 356487400370846/359371300370840. 356487400370853/359371300370857. 356487400370861/359371300370865. 3
56487400370879/359371300370873. 356487400370887/359371300370881. 356487400370929/359371300370923. 356487400370937/359371300370931
. 356487400370945/359371300370949. 356487400370960/359371300370964. 356487400370986/359371300370980. 356487400371000/359371300371
004. 356487400371018/359371300371012. 356487400371042/359371300371046. 356487400371067/359371300371061. 356487400371075/359371300
371079. 356487400371083/359371300371087. 356487400371091/359371300371095. 356487400371109/359371300371103. 356487400371117/359371
300371111. 356487400371125/359371300371129. 356487400371133/359371300371137. 356487400371141/359371300371145.356487400371158/3593
71300371152. 356487400371166/359371300371160. 356487400371174/359371300371178. 356487400371224/359371300371228. 356487400371232/3
59371300371236. 356487400371240/359371300371244. 356487400371257/359371300371251. 356487400371265/359371300371269. 35648740037127
3/359371300371277. 356487400371281/359371300371285. 356487400371364/359371300371368. 356487400371406/359371300371400. 35648740037
1414/359371300371418. 356487400371463/359371300371467. 356487400371489/359371300371483. 356487400371497/359371300371491. 35648740
0371521/359371300371525.356487400371539/359371300371533. 356487400371547/359371300371541. 356487400372032/359371300372036. 356487
400372065/359371300372069. 356487400372081/359371300372085. 356487400372107/359371300372101. 356487400372115/359371300372119. 356
487400372123/359371300372127. 356487400372131/359371300372135. 356487400372156/359371300372150. 356487400372164/359371300372168.
356487400372172/359371300372176. 356487400372180/359371300372184. 356487400372198/359371300372192. 356487400372206/35937130037220
0. 356487400372222/359371300372226. 356487400372248/359371300372242. 356487400372255/359371300372259. 356487400372263/35937130037
2267. 356487400372271/359371300372275. 356487400372289/359371300372283. 356487400372305/359371300372309. 356487400372321/35937130
0372325. 356487400372339/359371300372333. 356487400372347/359371300372341. 356487400372354/359371300372358. 356487400372362/35937
1300372366. 356487400372370/359371300372374. 356487400372388/359371300372382. 356487400372412/359371300372416. 356487400372438/35
9371300372432. 356487400372446/359371300372440. 356487400372461/359371300372465. 356487400372503/359371300372507. 356487400372529
/359371300372523. 356487400372578/359371300372572. 356487400372586/359371300372580. 356487400372594/359371300372598. 356487400372
636/359371300372630. 356487400372693/359371300372697. 356487400372719/359371300372713. 356487400372727/359371300372721. 356487400
372735/359371300372739. 356487400372743/359371300372747. 356487400372776/359371300372770. 356487400372784/359371300372788. 356487
400372800/359371300372804. 356487400372818/359371300372812. 356487400372826/359371300372820. 356487400372834/359371300372838. 356
487400372859/359371300372853. 356487400372867/359371300372861. 356487400372875/359371300372879.356487400372883/359371300372887. 3
56487400372917/359371300372911. 356487400372925/359371300372929. 356487400372933/359371300372937. 356487400372966/359371300372960
. 356487400372974/359371300372978. 356487400373006/359371300373000. 356487400373014/359371300373018. 356487400373121/359371300373
125. 356487400373139/359371300373133. 356487400373147/359371300373141. 356487400373154/359371300373158. 356487400373188/359371300
373182. 356487400373196/359371300373190. 356487400373204/359371300373208. 356487400373212/359371300373216. 356487400373246/359371
300373240.356487400373261/359371300373265. 356487400373287/359371300373281. 356487400373295/359371300373299. 356487400373352/3593
71300373356. 356487400373360/359371300373364. 356487400373394/359371300373398. 356487400373410/359371300373414. 356487400373469/3
59371300373463. 356487400373485/359371300373489. 356487400373535/359371300373539. 356487400373709/359371300373703. 35648740037372
5/359371300373729. 356487400373808/359371300373802. 356487400373816/359371300373810. 356487400373824/359371300373828. 35648740037
3840/359371300373844. 356487400373931/359371300373935. 356487400374012/359371300374016. 356487400374269/359371300374263. 35648740
0374327/359371300374321. 356487400374384/359371300374388. 356487400374475/359371300374479. 356487400374491/359371300374495. 35648
7400374574/359371300374578. 356487400374590/359371300374594. 356487400374608/359371300374602. 356487400374624/359371300374628. 35
032025001709311-3
Espacio para uso exclusivo de la Entidad Recaudadora
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REPÚBLICA DE COLOMBIA
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
6487400374673/359371300374677. 356487400374707/359371300374701. 356487400375381/359371300375385. 356487400375399/359371300375393.
356487400375407/359371300375401. 356487400375415/359371300375419. 356487400375423/359371300375427. 356487400375431/3593713003754
35. 356487400375449/359371300375443. 356487400375480/359371300375484. 356487400375530/359371300375534. 356487400375548/3593713003
75542. 356487400375571/359371300375575. 356487400375605/359371300375609. 356487400375688/359371300375682. 356487400375696/3593713
00375690. 356487400375704/359371300375708. 356487400375712/359371300375716. 356487400375720/359371300375724. 356487400375738/3593
71300375732. 356487400375761/359371300375765. 356487400375803/359371300375807. 356487400375951/359371300375955. 356487400376157/3
59371300376151. 356487400376207/359371300376201. 356487400376256/359371300376250.356487400376397/359371300376391. 356487400376637
/359371300376631. 356487400376652/359371300376656. 356487400376793/359371300376797. 356487400376884/359371300376888. 356487400376
967/359371300376961. 356487400376983/359371300376987. 356487400377007/359371300377001. 356487400377031/359371300377035. 356487400
377080/359371300377084. 356487400377940/359371300377944. 356487400377981/359371300377985. 356487400378088/359371300378082. 356487
400378336/359371300378330. 356487400378401/359371300378405. 356487400379334/359371300379338. 356487400379474/359371300379478.3564
87400379508/359371300379502. 356487400379664/359371300379668. 356487400380274/359371300380278. 356487400380373/359371300380377. 3
56487400380381/359371300380385. 356487400380423/359371300380427. 356487400380522/359371300380526. 356487400380571/359371300380575
. 356487400380621/359371300380625. 356487400380639/359371300380633. 356487400380654/359371300380658. 356487400380712/359371300380
716. 356487400380738/359371300380732. 356487400380860/359371300380864. 356487400380886/359371300380880. 356487400380928/359371300
380922. 356487400380936/359371300380930. 356487400380985/359371300380989. 356487400380993/359371300380997. 356487400381033/359371
300381037. 356487400381090/359371300381094. 356487400381306/359371300381300. 356487400381405/359371300381409. 356487400381520/359
371300381524. 356487400381538/359371300381532. 356487400381629/359371300381623. 356487400381785/359371300381789. 356487400381819/
359371300381813. 356487400381827/359371300381821. 356487400381850/359371300381854. 356487400381868/359371300381862. 3564874003818
84/359371300381888. 356487400381892/359371300381896. 356487400381900/359371300381904. 356487400381942/359371300381946. 3564874003
81991/359371300381995. 356487400429741/359371300429745. 356487400433800/359371300433804. 356487400433933/359371300433937. 3564874
00433974/359371300433978. 356487400433990/359371300433994. 356487400434006/359371300434000. 356487400434048/359371300434042. 3564
87400434089/359371300434083. 356487400434105/359371300434109. 356487400434113/359371300434117. 356487400434121/359371300434125. 3
56487400434139/359371300434133. 356487400434212/359371300434216. 356487400434279/359371300434273. 356487400434345/359371300434349
. 356487400434352/359371300434356. 356487400434360/359371300434364.356487400434410/359371300434414. 356487400434428/3593713004344
22. 356487400434451/359371300434455. 356487400434485/359371300434489. 356487400434501/359371300434505. 356487400434519/3593713004
34513. 356487400434634/359371300434638. 356487400436167/359371300436161. 356487400436175/359371300436179. 356487400436209/3593713
00436203. 356487400436217/359371300436211. 356487400436225/359371300436229. 356487400436233/359371300436237. 356487400436340/3593
71300436344. 356487400436464/359371300436468. 356487400436472/359371300436476. 356487400436480/359371300436484.356487400436522/35
9371300436526. 356487400437868/359371300437862. 356487400437876/359371300437870. 356487400438163/359371300438167. 356487400438171
/359371300438175. 356487400438205/359371300438209. 356487400438320/359371300438324. 356487400438387/359371300438381. 356487400438
726/359371300438720. 356487400438809/359371300438803. 356487400438908/359371300438902XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001709311-3
Espacio para uso exclusivo de la Entidad Recaudadora
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