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VER MAS
REPÚBLICA DE COLOMBIA
Declaración de Importación Privada 500
1. Año 2025
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
032025002114388-9
5 . Número de Identificación Tributaria (NIT)
800091549
6 . DV.
2
11 . Apellidos y nombres o Razón Social
IMPRESISTEM S A S
13 . Dirección
AUT MEDELLIN CL 80 KM 2
15 . Teléfono
8766500
12 . Cód. Admón.
03
16 . Cód. Dpto
25
17 . Cód. Ciudad Municipio
214
24 . Número de Identificación Tributaria (NIT)
830122083
25 . DV.
6
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS LATINOAMERICANA DE ADUANAS SAS NIVEL 2
27 . Tipo usuario
26
28 . Cód. usuario
459
29 . Número documento de identificación
1015440967
30 . Apellidos y nombres
CUELLAR MORENO PAULA GYSSEL
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
26924
42 . Manifiesto de carga
No. 116575016346085
43 . Año – Mes – Día
2025 – 11 – 27
44 . Documento de transporte
No. HKG0467493
45 . Año – Mes – Día
2025 – 11 – 22
46 . Nombre exportador o proveedor en el exterior
IMC INTERNATIONAL INC
47 . Ciudad
MIAMI
48 . Cod.País Exportador
249
49 . Dirección exportador o proveedor en el exterior
7707 NW 46 STREET MIAMI, FL 33166
50 . E-mail
3059947965
51 . No. de factura
24005
52 . Año – Mes – Día
2025 – 11 – 20
53 . Cod. país
procedencia
351
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
EMIRATES SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
3.773.60
S 59 . Subpartida arancelaria
8517130000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C134
63 . No. cuotas
o meses
XX
64 . Valor cuota USD
XXXX
65 . Periodicidad del
pago de la cuota
XX
66 . Cod. país
de origen
215
67 . Cod. Acuerdo
XXX
68 . Forma de pago
de la importación
03
69 . Tipo de
importación
01
70 . Cod. país
compra
249
71 . Peso bruto kgs. dcms.
771.40
72 . Peso neto kgs. dcms.
694.26
73 . Código
embalaje
PK
74 . No. bultos
5
75 . Subpartidas
1
76 . Cod. unidad
comercialU
77 . Cantidad dcms.
1.300.00
78 .Valor FOB USD 79 . Valor fletes USD
Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($)
Total Liquidado
(USD)
Arancel 92
0.00
93 94
0
95
0
96
0.00
I.V.A. 97
0.00
98 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 81 . Valor Otros Gastos USD
0
82 . Sumatoria de fletes, seguros
y otros gastos USD
83 . Ajuste valor USD
0.00
84 . Valor aduana USD 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)
DO 202536131 CODIGO / RESOLUCION OEA IMPORTADOR: OE0169; DECLARACION(3-3) NOS ACOGEMOS AL ART 424 DEL ESTATUTO TRIBUTARIO MODIFIC
ADO POR LEY 1819 DE 29 DE DICIEMBRE 2016, NUEVA REFORMA TRIBUTARIA, ART 175 PARA COMPUTADORES PORTATILES, DE ESCRITORIO TABLETAS
Y CELULARES// DOCUMENTO DE VERIFICACION DE IMEI: DV-247078 FECHA: 2025-11-25// HOMOLOGACIÓN DEL EQUIPO MARCA: REDMI, MODELO: 2507
8RA3EL, RADICACION: 2025519080, FECHA: 2025-06-20//. FACTURA: 24005 FECHA: 2025-11-20 NOS ACOGEMOS AL DECRETO 1881 DEL 2021, NOS
ACOGEMOS AL DECRETO 0925 DE MAYO 9 DEL 2013, MINISTERIO DE COMERCIO EXTERIOR, IMPORTACIÓN EXENTA DE REGISTRO DE IMPORTACIÓN.. CAN
T (1300) UND TELEFONO CELULAR, 1066962 Redmi 15C Mint Green 4GB RAM 256GB ROM// ESPECIFICACIONES: PROCESADO(continúa al respaldo)
127 . Valor pagos anteriores: 0 128 . Recibo oficial de pago anterior No.: XXXXXXXXXXXXXXX 129. Fecha: XXXX XX XX
130 . Espacio reservado DIAN – Actuación aduanera
Estado de levante: Después de insp.: levante
No hay declaración posterior
Acta de inspección No.: 032025000136391
Inició: 2025-12-04 16:54:30 Finalizó: 2025-12-09 10:59:00
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032025002114388
133. Feha: 2025 12 04
134 . Levante No. 032025001834087 135 . Fecha
2025 – 12 – 09
Firma funcionario responsable 136 . Nombre CONTRERAS SUAREZ JOSE LUIS
137 . C.C. No. 88033212
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 92032509634464
Fecha presentación 2025-12-04 16:48:19
Valor pagado $0.00
Fecha de Impresión: 2025-12-09 15:26:24
IMP
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025002114388-9
Subpartida : 8517130000
Página 1 de 7
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
R:Mediatek Helio G81 Ultra (12 nm), PANTALLA/DISPLAY: 6.9 PULGADAS (17,53CM), MEMORIA: 4 GB, ALIMENTACION: 256 GB, SISTEMA OPERAT
IVO Android 15, HyperOS 2// REDMI 15C VERDE MENTA 4GB RAM 256 GB ROM, ALIMENTACION: 5V- 3A 33W MAX, 50MP DUAL CAMERA SYSTEM 4+4 G
B CON EXTENCION: 8GB RAM 256 GB RAM, PANTALLA DE 69 (17.53 CM), EN LA CAJA: TELEFONO CELULAR, ADPATADOR DE CORRIENTE, CABLE USB T
IPO -C, LLAVE PARA SIM CARD, CARCASA PROTECTORA, GUIA DE INICIO, TARJETA DE GARANTIA// EAN: 6932554455941// PRODUCTO CON EMPAQUE
TERMOSELLADO// COD: 1066962; PRODUCTO: TELEFONO CELULAR, MARCA: REDMI/MI, MODELO: 25078RA3EL, REFERENCIA: 69196/MZB0LBWUS, USO O
DESTINO: TELECOMUNICACIONES, SERIAL//IMEI NO. (CODIGO DE QUINCE -15- DIGITOS): 69196/65XR00002//863914088060643//863914088060650,
69196/65XR00006//863914088060726//863914088060734, 69196/65XR00009//863914088060783//863914088060791, 69196/65XR00020//863914088
061005//863914088061013, 69196/65XR00032//863914088061245//863914088061252, 69196/65XR00034//863914088061286//863914088061294, 69
196/65XR00035//863914088061302//863914088061310, 69196/65XR00050//863914088061740//863914088061757, 69196/65XR00053//863914088061
807//863914088061815, 69196/65XR00056//863914088061864//863914088061872, 69196/65XR00058//863914088061906//863914088061914, 69196
/65XR00061//863914088061963//863914088061971, 69196/65XR00065//863914088062045//863914088062052, 69196/65XR00069//863914088062128
//863914088062136, 69196/65XR00073//863914088062201//863914088062219, 69196/65XR00075//863914088062243//863914088062250, 69196/65
XR00079//863914088062326//863914088062334, 69196/65XR00080//863914088062342//863914088062359, 69196/65XR00087//863914088147424//8
63914088147432, 69196/65XR00088//863914088147440//863914088147457, 69196/65XR00089//863914088147465//863914088147473, 69196/65XR0
0091//863914088147507//863914088147515, 69196/65XR00094//863914088062763//863914088062771, 69196/65XR00095//863914088062789//8639
14088062797, 69196/65XR00101//863914088062904//863914088062912, 69196/65XR00103//863914088062946//863914088062953, 69196/65XR0010
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863914088063142//863914088063159, 69196/65XR00114//863914088063167//863914088063175, 69196/65XR00119//863914088063266//8639140880
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088149248//863914088149255, 69196/65XR00189//863914088064900//863914088064918, 69196/65XR00195//863914088065022//863914088065030,
69196/65XR00197//863914088065063//863914088065071, 69196/65XR00199//863914088065105//863914088065113, 69196/65XR00205//863914088
150162//863914088150170, 69196/65XR00211//863914088150287//863914088150295, 69196/65XR00222//863914088150501//863914088150519, 69
196/65XR00225//863914088150568//863914088150576, 69196/65XR00233//863914088065923//863914088065931, 69196/65XR00238//863914088066
020//863914088066038, 69196/65XR00241//863914088151020//863914088151038, 69196/65XR00243//863914088151061//863914088151079, 69196
/65XR00244//863914088151087//863914088151095, 69196/65XR00246//863914088151129//863914088151137, 69196/65XR00247//863914088151145
//863914088151152, 69196/65XR00251//863914088151228//863914088151236, 69196/65XR00252//863914088151244//863914088151251, 69196/65
XR00253//863914088151269//863914088151277, 69196/65XR00254//863914088151285//863914088151293, 69196/65XR00255//863914088151301//8
63914088151319, 69196/65XR00256//863914088151327//863914088151335, 69196/65XR00259//863914088151384//863914088151392, 69196/65XR0
0260//863914088151400//863914088151418, 69196/65XR00261//863914088151426//863914088151434, 69196/65XR00262//863914088151442//8639
14088151459, 69196/65XR00266//863914088151525//863914088151533, 69196/65XR00267//863914088151541//863914088151558, 69196/65XR0026
8//863914088151566//863914088151574, 69196/65XR00270//863914088151608//863914088151616, 69196/65XR00271//863914088151624//8639140
88151632, 69196/65XR00272//863914088151640//863914088151657, 69196/65XR00273//863914088151665//863914088151673, 69196/65XR00274//
863914088151681//863914088151699, 69196/65XR00275//863914088151707//863914088151715, 69196/65XR00277//863914088067002//8639140880
67010, 69196/65XR00278//863914088067028//863914088067036, 69196/65XR00279//863914088067044//863914088067051, 69196/65XR00280//863
914088067069//863914088067077, 69196/65XR00281//863914088151962//863914088151970, 69196/65XR00283//863914088152002//8639140881520
10, 69196/65XR00284//863914088152028//863914088152036, 69196/65XR00286//863914088152069//863914088152077, 69196/65XR00287//863914
088152085//863914088152093, 69196/65XR00288//863914088152101//863914088152119, 69196/65XR00289//863914088152127//863914088152135,
69196/65XR00290//863914088152143//863914088152150, 69196/65XR00291//863914088152168//863914088152176, 69196/65XR00292//863914088
152184//863914088152192, 69196/65XR00293//863914088152200//863914088152218, 69196/65XR00294//863914088152226//863914088152234, 69
196/65XR00295//863914088152242//863914088152259, 69196/65XR00296//863914088152267//863914088152275, 69196/65XR00298//863914088152
309//863914088152317, 69196/65XR00299//863914088152325//863914088152333, 69196/65XR00300//863914088152341//863914088152358, 69196
/65XR00301//863914088152366//863914088152374, 69196/65XR00302//863914088152382//863914088152390, 69196/65XR00304//863914088152424
//863914088152432, 69196/65XR00305//863914088152440//863914088152457, 69196/65XR00306//863914088152465//863914088152473, 69196/65
XR00307//863914088152481//863914088152499, 69196/65XR00308//863914088152507//863914088152515, 69196/65XR00309//863914088152523//8
63914088152531, 69196/65XR00310//863914088152549//863914088152556, 69196/65XR00311//863914088152564//863914088152572, 69196/65XR0
0312//863914088152580//863914088152598, 69196/65XR00313//863914088152606//863914088152614, 69196/65XR00314//863914088152622//8639
14088152630, 69196/65XR00315//863914088152648//863914088152655, 69196/65XR00317//863914088152689//863914088152697, 69196/65XR0031
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88152911, 69196/65XR00322//863914088152929//863914088152937, 69196/65XR00324//863914088152960//863914088152978, 69196/65XR00325//
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69196/65XR00350//863914088153489//863914088153497, 69196/65XR00351//863914088153505//863914088153513, 69196/65XR00352//863914088
153521//863914088153539, 69196/65XR00353//863914088153547//863914088153554, 69196/65XR00354//863914088153562//863914088153570, 69
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/65XR00683//863914088062409//863914088062417, 69196/65XR00685//863914088062441//863914088062458, 69196/65XR00686//863914088062466
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032025002114388-9
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025002114388-9
Subpartida : 8517130000
Página 2 de 7
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
067200//863914088067218, 69196/65XR00886//863914088067226//863914088067234, 69196/65XR00887//863914088067242//863914088067259, 69
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032025002114388-9
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025002114388-9
Subpartida : 8517130000
Página 3 de 7
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025002114388-9
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025002114388-9
Subpartida : 8517130000
Página 4 de 7
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025002114388-9
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025002114388-9
Subpartida : 8517130000
Página 5 de 7
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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67555, 69196/65XT12222//863914088567621//863914088567639, 69196/65XT12223//863914088567647//863914088567654, 69196/65XT12229//863
914088583628//863914088583636, 69196/65XT12246//863914088583966//863914088583974, 69196/65XT12250//863914088568629//8639140885686
37, 69196/65XT12254//863914088568702//863914088568710, 69196/65XT12257//863914088568769//863914088568777, 69196/65XT12259//863914
088568801//863914088568819, 69196/65XT12260//863914088568827//863914088568835, 69196/65XT12261//863914088584709//863914088584717,
69196/65XT12264//863914088584766//863914088584774, 69196/65XT12267//863914088584824//863914088584832, 69196/65XT12270//863914088
584881//863914088584899, 69196/65XT12276//863914088585003//863914088585011, 69196/65XT12278//863914088585045//863914088585052, 69
196/65XT12282//863914088585128//863914088585136, 69196/65XT12305//863914088586100//863914088586118, 69196/65XT12310//863914088586
209//863914088586217, 69196/65XT12311//863914088586225//863914088586233, 69196/65XT12312//863914088586241//863914088586258, 69196
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//863914088586431, 69196/65XT12327//863914088586548//863914088586555, 69196/65XT12330//863914088570864//863914088570872, 69196/65
XT12331//863914088570880//863914088570898, 69196/65XT12333//863914088570922//863914088570930, 69196/65XT12334//863914088570948//8
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2343//863914088586985//863914088586993, 69196/65XT12345//863914088587025//863914088587033, 69196/65XT12347//863914088587066//8639
14088587074, 69196/65XT12348//863914088587082//863914088587090, 69196/65XT12349//863914088587108//863914088587116, 69196/65XT1235
0//863914088587124//863914088587132, 69196/65XT12356//863914088587249//863914088587256, 69196/65XT12358//863914088587280//8639140
88587298, 69196/65XT12362//863914088587363//863914088587371, 69196/65XT12364//863914088587405//863914088587413, 69196/65XT12366//
863914088587447//863914088587454, 69196/65XT12368//863914088571581//863914088571599, 69196/65XT12369//863914088571607//8639140885
71615, 69196/65XT12370//863914088571623//863914088571631, 69196/65XT12371//863914088571649//863914088571656, 69196/65XT12372//863
914088571664//863914088571672, 69196/65XT12373//863914088571680//863914088571698, 69196/65XT12381//863914088571847//8639140885718
54, 69196/65XT12689//863914088596307//863914088596315, 69196/65XT12713//863914088612666//863914088612674, 69196/65XT12742//863914
088563943//863914088563950, 69196/65XT12809//863914088566409//863914088566417, 69196/65XT12814//863914088566508//863914088566516,
69196/65XT12828//863914088582604//863914088582612, 69196/65XT12829//863914088582620//863914088582638, 69196/65XT12835//863914088
582745//863914088582752, 69196/65XT12865//863914088584345//863914088584352, 69196/65XT12891//863914088585300//863914088585318, 69
196/65XT12895//863914088585383//863914088585391, 69196/65XT12896//863914088585409//863914088585417, 69196/65XT12897//863914088585
425//863914088585433, 69196/65XT12899//863914088585466//863914088585474, 69196/65XT12900//863914088585482//863914088585490, 69196
/65XT12901//863914088585508//863914088585516, 69196/65XT12903//863914088585540//863914088585557, 69196/65XT12907//863914088585623
//863914088585631, 69196/65XT12910//863914088585680//863914088585698, 69196/65XT12913//863914088585748//863914088585755, 69196/65
XT12916//863914088601743//863914088601750, 69196/65XT12920//863914088601826//863914088601834, 69196/65XT12925//863914088601925//8
63914088601933, 69196/65XT12929//863914088586589//863914088586597, 69196/65XT12930//863914088586605//863914088586613, 69196/65XT1
2933//863914088586662//863914088586670, 69196/65XT12934//863914088586688//863914088586696, 69196/65XT12935//863914088586704//8639
14088586712, 69196/65XT12939//863914088586787//863914088586795, 69196/65XT12941//863914088586829//863914088586837, 69196/65XT1294
3//863914088602808//863914088602816, 69196/65XT12946//863914088602865//863914088602873, 69196/65XT12950//863914088602949//8639140
88602956, 69196/65XT12951//863914088602964//863914088602972, 69196/65XT12953//863914088603004//863914088603012, 69196/65XT12957//
863914088603087//863914088603095, 69196/65XT12958//863914088603103//863914088603111, 69196/65XT12959//863914088603129//8639140886
03137, 69196/65XT12963//863914088603202//863914088603210, 69196/65XT12968//863914088587488//863914088587496, 69196/65XT12969//863
914088587504//863914088587512, 69196/65XT12970//863914088587520//863914088587538, 69196/65XT12972//863914088587561//8639140885875
79, 69196/65XT12977//863914088587660//863914088587678, 69196/65XT12979//863914088587702//863914088587710, 69196/65XT12981//863914
088587744//863914088587751, 69196/65XT12984//863914088587801//863914088587819, 69196/65XT12988//863914088587884//863914088587892,
69196/65XT12990//863914088587926//863914088587934, 69196/65XT12991//863914088603889//863914088603897, 69196/65XT12992//863914088
603905//863914088603913, 69196/65XT12994//863914088603947//863914088603954, 69196/65XT12995//863914088603962//863914088603970, 69
196/65XT12996//863914088603988//863914088603996, 69196/65XT12997//863914088604002//863914088604010, 69196/65XT12998//863914088604
028//863914088604036, 69196/65XT13000//863914088604069//863914088604077, PAIS ORIGEN: CHINA – 215. //XXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025002114388-9
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