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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
032025001139160-1
5 . Número de Identificación Tributaria (NIT)
900561761
6 . DV.
8
11 . Apellidos y nombres o Razón Social
INGRAM MICRO S.A.S.
13 . Dirección
KM 1 5 VIA SIBERIA -TENJO COSTADO NORTE BG 5 6
15 . Teléfono
8985361
12 . Cód. Admón.
03
16 . Cód. Dpto
25
17 . Cód. Ciudad Municipio
214
24 . Número de Identificación Tributaria (NIT)
830098132
25 . DV.
6
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS INTERLOGISTICA S.A. NIVEL 1
27 . Tipo usuario
26
28 . Cód. usuario
442
29 . Número documento de identificación
52446347
30 . Apellidos y nombres
GOMEZ ALVAREZ BIBIANA ANDREA
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
13907
42 . Manifiesto de carga
No. 9194547321
43 . Año – Mes – Día
2025 – 06 – 12
44 . Documento de transporte
No. AHWUHA505406
45 . Año – Mes – Día
2025 – 03 – 31
46 . Nombre exportador o proveedor en el exterior
MOTOROLA MOBILITY LLC
47 . Ciudad
CHICAGO
48 . Cod.País Exportador
249
49 . Dirección exportador o proveedor en el exterior
222 W MERCHANDISE MART PLAZA, CHICAGO 60654 USA
50 . E-mail
DIANAMC@MOTOROLA.COM
51 . No. de factura
6279528249
52 . Año – Mes – Día
2025 – 03 – 29
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
211
56 . Cod. Depto
destino
0
57 . Empresa transportadora
LINEA AEREA CARGUERA DE COLOMBIA S.A.
58 . Tasa de cambio $ cvs.
4.097.66
S 59 . Subpartida arancelaria
8517130000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C234
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
05
69 . Tipo de
importación
01
70 . Cod. país
compra
249
71 . Peso bruto kgs. dcms.
664.00
72 . Peso neto kgs. dcms.
624.00
73 . Código
embalaje
YY
74 . No. bultos
1.495
75 . Subpartidas
1
76 . Cod. unidad
comercialU
77 . Cantidad dcms.
1.495.00
78 .Valor FOB USD
235.941.31
79 . Valor fletes USD
4.920.24 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($)
Total Liquidado
(USD)
Arancel 92
0.00
93
987.450.214
94
0
95
0
96
0.00
I.V.A. 97
0.00
98
987.450.214
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
117.50
81 . Valor Otros Gastos USD
0
82 . Sumatoria de fletes, seguros
y otros gastos USD
5.037.74
83 . Ajuste valor USD
0.00
84 . Valor aduana USD
240.979.05
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 BOGI0233097-001 CODIGO / RESOLUCION OEA IMPORTADOR: OE0362; PEDIDO TRAMITE: CELULARES DECLARACION(1-1) MERCANCÍA UBICADA EN LO
GISTICA ZONA FRANCA BOGOTA, CRA. 106 NO. 15-25, MANZANA 5LOTE 32 Y 33 // CONFORME A LA RESOLUCION 5050 DE 2016 SE DECLARA CERTIFI
CADO DE HOMOLOGACIÓN DE EQUIPO MARCA MOTOROLA, MODELO: XT2427-1, CÓDIGO: TM-24-0415 DE FECHA 2024-06-07// NOS ACOGEMOS AL DECRETO
2142 DEL 23-12-2016; CON NUMERO DV-233788 DE FECHA: 2025-06-05 // IMPORTACIÓN EXCLUIDA DEL PAGO DE IVA POR SER DISPOSITIVOS MÓVI
LES INTELIGENTES CUYO VALOR NO EXCEDE DE VEINTIDÓS (22) UVT, SEGÚN EL DECRETO ÚNICO REGLAMENTARIO NÚMERO 1625 DE 2016, ARTICULO 4
24, NUMERAL 6 DEL ESTATUTO TRUBUTARIO Y ARTICULO 175 NUMERAL 6 DE LA LEY 1819 DE 2016; MEDIANTE LA RESOLUCI(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
032025001139160
133. Feha: 2025 06 12
134 . Levante No. 032025000916329 135 . Fecha
2025 – 06 – 12
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 92032504540070
Fecha presentación 2025-06-12 19:55:21
Valor pagado $0.00
Fecha de Impresión: 2025-06-12 19:56:50
ING
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001139160-1
Subpartida : 8517130000
Página 1 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ON 193 DEL 04 DE DICIEMBRE DE 2024, SE INFORMÓ QUE EL VALOR DE LA UNIDAD DE VALOR TRIBUTARIO (UVT) APLICABLE A PARTIR DEL 1 DE
EN ERO DE 2025 ES DE 49.799 COP // SE DECLARA CONFORME ACTA DE REEMPAQUE CON NUMERO DE ACEPTACION 2025136354 FECHA 2025-04-14//.
MER CANCIA NUEVA, NO APLICA REGISTRO DE IMPORTACION SEGUN DECRETO 0925 DEL 2013 ,; FACTURA: 6279528249 FECHA: 2025-03-29
PRODUCTO: TE LEFONO CELULAR, MARCA: MOTOROLA, MODELO: XT2427-1, REFERENCIA: PB290013CO, USO O DESTINO: PERSONAL COMERCIAL Y
TELECOMUNICACIONES , SERIAL: NO TIENE, IMEI NO. (CODIGO DE QUINCE -15- DIGITOS): 352079790959413 352079790959298 352079790959959
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352079790956633 352079790962771 352079790962557 352 079790961377 352079790962656 352079790962292 352079790962615 352079790962532
352079790962599 352079790961559 352079790949216 3520 79790960619 352079790962839 352079790962813 352079790948135 352079790962854
352079790962797 352079790962870 352079790948119 35207 9790960593 352079790949695 352079790952491 352079790952673 352079790959272
352079790960858 352079790960072 352079790959371 352079 790960874 352079790952137 352079790952194 352079790954190 352079790963415
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352079790948978 352079790973893 352079790973851 35207979 0973919 352079790973794 352079790973315 352079790973398 352079790973414
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352079790967952 352079790968034 352079790968133 3520797909 68091 352079790967234 352079790967630 352079790967614 352079790967713
352079790967135 352079790967770 352079790967739 35207979096 7697 352079790967655 352079790963712 352079790954455 352079790964413
352079790961831 352079790955718 352079790967259 352079790949 570 352079790950099 352079790974578 352079790969891 352079790971970
352079790965915 352079790962953 352079790966590 3520797909666 16 352079790966897 352079790966756 352079790966798 352079790966830
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352079790963654 352079790964074 352079790963977 352079790964157 35207979096395 1 352079790963134 352079790961195 352079790963399
352079790963159 352079790961450 352079790963092 352079790960577 352079790963530 352079790948952 352079790963571 352079790965279
352079790965071 352079790965014 352079790965196 352079790965295 352079790965055 352079790964694 352079790964991 352079790950255
352079790958639 352079790918138 352079790917874 352079790917593 352079790918013 3 52079790917890 352079790917718 352079790917692
352079790918039 352079790917858 352079790917916 352079790908139 352079790918278 35 2079790908253 352079790908170 352079790908097
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352079790911539 352079790917551 352079790917759 352079790914590 352079790917510 3520 79790917635 352079790914996 352079790958373
352079790960379 352079790960213 352079790960254 352079790960098 352079790960353 35207 9790960270 352079790954257 352079790960239
352079790960130 352079790964298 352079790964553 352079790973356 352079790974115 352079 790972630 352079790958357 352079790972374
352079790971152 352079790974552 352079790974032 352079790971897 352079790973711 3520797 90973075 352079790973679 352079790970535
352079790973497 352079790970758 352079790973430 352079790973372 352079790972531 35207979 0955536 352079790958811 352079790955312
352079790955056 352079790958332 352079790958852 352079790958399 352079790950859 352079790
032025001139160-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001139160-1
Subpartida : 8517130000
Página 2 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
958118 352079790958837 352079790955197 352079790957557 352079790958514 352079790958670 352079790958753 352079790958795
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35207979096123 7 352079790956690 352079790974776 352079790949794 352079790949950 352079790971517 352079790947855 352079790973257
352079790974396 352079790949554 352079790948911 352079790949539 352079790968356 352079790972499 352079790970410 352079790972739
352079790972457 352079790972432 352079790972275 352079790972515 352079790972713 352079790972671 352079790974651 352079790973091
352079790970576 3 52079790974792 352079790974230 352079790974214 352079790973174 352079790974677 352079790974693 352079790974438
352079790972135 35 2079790973638 352079790970378 352079790972770 352079790974172 352079790958134 352079790972192 352079790973695
352079790970790 352 079790974073 352079790971913 352079790971939 352079790966533 352079790971830 352079790971491 352079790971996
352079790971632 3520 79790971855 352079790971715 352079790971434 352079790971251 352079790971236 352079790970899 352079790971038
352079790969511 35207 9790968596 352079790970915 352079790971178 352079790970717 352079790970931 352079790966376 352079790972317
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032025001139160-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001139160-1
Subpartida : 8517130000
Página 3 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025001139160-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001139160-1
Subpartida : 8517130000
Página 4 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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352079790955205 352079790957565 3520797909 58522 352079790958688 352079790958761 352079790958803 352079790957987 352079790958563
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352079790948028 352079790947707 3520797909499 27 352079790952566 352079790959249 352079790959686 352079790961286 352079790961328
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352079790973141 352079790973166 352079790974768 352079790965980 352079790974529 3
032025001139160-1
Espacio para uso exclusivo de la Entidad Recaudadora
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Aceptación : 032025001139160-1
Subpartida : 8517130000
Página 5 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
52079790972861 352079790974388 352079790974628 352079790948267 352079790971665 352079790948242 352079790949505 352079790950800
35 2079790950149 352079790950164 352079790974321 352079790949620 352079790950065 352079790973885 352079790973620 352079790972606
352 079790971145 352079790973745 352079790973489 352079790973281 352079790970402 352079790973604 352079790966707 352079790973968
3520 79790973984 352079790973828 352079790974545 352079790973661 352079790971780 352079790973786 352079790972705 352079790974008
35207 9790972564 352079790971061 352079790971129 352079790971343 352079790971004 352079790963381 352079790968968 352079790963746
352079 790971285 352079790971467 352079790963886 352079790969164 352079790970048 352079790970261 352079790970105 352079790970287
3520797 90970188 352079790970360 352079790968505 352079790969826 352079790969925 352079790966509 352079790972242 352079790972184
35207979 0970741 352079790966426 352079790972309 352079790972341 352079790971749 352079790971707 352079790971541 352079790963027
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352079790962 102 352079790962185 352079790962201 352079790962482 352079790960841 352079790952442 352079790948366 352079790961880
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35207979096246 6 352079790962508 352079790962243 352079790961989 352079790962524 352079790960668 352079790960809 352079790957284
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352079790967440 3 52079790967366 352079790967820 352079790967929 352079790967945 352079790949109 352079790958266 352079790958282
352079790958027 35 2079790957961 352079790957425 352079790957946 352079790958043 352079790954604 352079790957367 352079790956500
352079790953788 352 079790947905 352079790954844 352079790957227 352079790956682 352079790954364 352079790956484 352079790949463
352079790957169 3520 79790952483 352079790955569 352079790955700 352079790947749 352079790951865 352079790955742 352079790955783
352079790955288 35207 9790949265 352079790951980 352079790956963 352079790956666 352079790957409 352079790955528 352079790957102
352079790953465 352079 790956062 352079790956880 352079790956104 352079790957342 352079790957045 352079790956849 352079790957524
352079790949364 3520797 90957508 352079790956781 352079790948705 352079790957540 352079790957326 352079790956906 352079790954968
352079790954943 35207979 0954885 352079790954703 352079790955049 352079790954760 352079790947681 352079790954869 352079790949281
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352079790959140 352079790959066 352 079790958969 352079790959207 352079790954281 352079790954521 352079790956146 352079790957060
352079790957243 352079790948200 3520 79790949448 352079790957300 352079790950685 352079790956807 352079790948408 352079790957201
352079790955163 352079790955106 35207 9790947624 352079790955643 352079790955585 352079790951485 352079790954984 352079790951923
352079790955627 352079790948168 352079 790955924 352079790955965 352079790954406 352079790955007 352079790955940 352079790955445
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352079790952863 352079790947921 35207979 0948820 352079790952384 352079790948564 352079790948424 352079790952608 352079790952624
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352079790947665 352079790947582 352079790948 580 352079790952988 352079790951824 352079790951568 352079790951808 352079790951626
352079790950347 352079790951964 3520797909486 48 352079790951543 352079790951709 352079790951584 352079790950362 352079790951428
352079790951741 352079790951725 35207979094884 6 352079790952061 352079790948523 352079790952046 352079790951840 352079790951881
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352079790951105 352079790948549 352079790906828 352079790915860 352079790916223 352079790908402 352079790917627 352079790908246
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032025001139160-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001139160-1
Subpartida : 8517130000
Página 6 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
721 352079790950321 352079790951527 352079790950206, DESCRIPCION SEGUN FACTURA: CODIGO:PB290013CO -PHN MOTO XT2427-1 CO OV 8+256
DS CLA // ACCESORIOS:MANUAL // CARGADOR PARA VIAJE // CABLE DE SINCRONIZACION // HERRAMIENTA DE REMOCION SIM ,COLOR GRIS// PAIS O
RIGEN: CHINA – 215. CANT (1495) U (ITEM 1).XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001139160-1
Espacio para uso exclusivo de la Entidad Recaudadora
