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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
032025001840873-1
5 . Número de Identificación Tributaria (NIT)
830028931
6 . DV.
5
11 . Apellidos y nombres o Razón Social
SAMSUNG ELECTRONICS COLOMBIA S.A.
13 . Dirección
CR 7 113 43 OF 607
15 . Teléfono
4870707
12 . Cód. Admón.
03
16 . Cód. Dpto
11
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
860536003
25 . DV.
3
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS ABC REPECEV S.A.S. NIVEL 1
27 . Tipo usuario
26
28 . Cód. usuario
99
29 . Número documento de identificación
1022943854
30 . Apellidos y nombres
CARLOS ANDRES ROJAS MATAJUDIOS
31 . Clase
Importador
02
32 . Tipo declaración
Inicial
33 . Cod.
1
34 .No.Formulario Anterior
XXXXXXXXXXXXXX
35 . Año – Mes – Día
XXXX – XX – XX
36 . Cod. Admón.
XX
37 . Declaración de Exportación
No. XXXXXXXXXXXXXXX
38 . Año – Mes – Día
XXXX – XX – XX
39 . Cod. Admón.
XX
40 . Cod. lugar ingreso
de las mercancías
BOG
41 . Cod. Depósito
99900
42 . Manifiesto de carga
No. 116575016164881
43 . Año – Mes – Día
2025 – 10 – 16
44 . Documento de transporte
No. SHAN0432928
45 . Año – Mes – Día
2025 – 10 – 10
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
9103847335
52 . Año – Mes – Día
2025 – 10 – 10
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
24.088.43
79 . Valor fletes USD
799.80 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
96.942.601
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
96.942.601
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
0.82
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
800.62
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
24.889.05
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)
NAC: 576879-DECL: 1963709-DO: 893125544251- 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: 3101213468. ID DELIVERY: 6085013652. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FZAFLTC, 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
032025001840873
133. Feha: 202510 17
134 . Levante No. 032025001565690 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 92032508162516
Fecha presentación 2025-10-17 18:33:21
Valor pagado $0.00
Fecha de Impresión: 2025-10-17 18:33:27
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001840873-1
Subpartida : 8517130000
Página 1 de 2
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. 300,00 u )(300,00 PCE )
; IMEIS: 350901800790060/351461260790067. 350901800897055/351461260897052. 350901800898327/351461260898324. 350901800898509/35146
1260898506. 350901800898939/351461260898936. 350901800899416/351461260899413. 350901800899721/351461260899728. 350901800900032/35
1461260900039. 350901800901741/351461260901748.350901800902715/351461260902712. 350901800909090/351461260909097. 350901800909223/
351461260909220. 350901800918646/351461260918643. 350901800923836/351461260923833. 350901800925336/351461260925333. 3509018009254
50/351461260925457. 350901800925484/351461260925481. 350901800925633/351461260925630. 350901800926011/351461260926018. 3509018009
26045/351461260926042. 350901800926193/351461260926190. 350901800926227/351461260926224. 350901800926243/351461260926240. 3509018
00957537/351461260957534. 350901800957610/351461260957617. 350901800958469/351461260958466. 350901800958881/351461260958888. 3509
01800958949/351461260958946. 350901800958956/351461260958953. 350901800958964/351461260958961. 350901800958972/351461260958979. 3
50901800959053/351461260959050. 350901800959061/351461260959068. 350901800959095/351461260959092. 350901800959103/351461260959100
. 350901800959129/351461260959126. 350901800959186/351461260959183. 350901800959210/351461260959217. 350901800959228/351461260959
225. 350901800959236/351461260959233. 350901800959277/351461260959274. 350901800959327/351461260959324. 350901800959368/351461260
959365. 350901800959459/351461260959456. 350901800959574/351461260959571. 350901800959665/351461260959662. 350901800959731/351461
260959738. 350901800959814/351461260959811. 350901800959871/351461260959878. 350901800960028/351461260960025. 350901800960077/351
461260960074. 350901800960176/351461260960173. 350901800960382/351461260960389. 350901800960432/351461260960439. 350901800960481/
351461260960488. 350901800960499/351461260960496. 350901800960523/351461260960520. 350901800960556/351461260960553. 3509018009605
80/351461260960587. 350901800960614/351461260960611. 350901800960648/351461260960645. 350901800960663/351461260960660. 3509018009
60697/351461260960694. 350901800960739/351461260960736. 350901800960762/351461260960769. 350901800960788/351461260960785. 3509018
00960820/351461260960827. 350901800960838/351461260960835. 350901800960903/351461260960900. 350901800960929/351461260960926. 3509
01800960937/351461260960934. 350901800960952/351461260960959. 350901800960960/351461260960967. 350901800960986/351461260960983. 3
50901800960994/351461260960991. 350901800961000/351461260961007. 350901800961026/351461260961023. 350901800961034/351461260961031
. 350901800961109/351461260961106.350901800961117/351461260961114. 350901800961125/351461260961122. 350901800961133/3514612609611
30. 350901800961141/351461260961148. 350901800961166/351461260961163. 350901800961174/351461260961171. 350901800961240/3514612609
61247. 350901800961281/351461260961288. 350901800961299/351461260961296. 350901800961364/351461260961361. 350901800961398/3514612
60961395. 350901800961406/351461260961403. 350901800961414/351461260961411. 350901800961422/351461260961429. 350901800961430/3514
61260961437. 350901800961463/351461260961460. 350901800961471/351461260961478.350901800961489/351461260961486. 350901800961497/35
1461260961494. 350901800961539/351461260961536. 350901800961562/351461260961569. 350901800961570/351461260961577. 350901800961612
/351461260961619. 350901800961638/351461260961635. 350901800961646/351461260961643. 350901800961679/351461260961676. 350901800961
687/351461260961684. 350901800961711/351461260961718. 350901800961729/351461260961726. 350901800961752/351461260961759. 350901800
961778/351461260961775. 350901800961828/351461260961825. 350901800961844/351461260961841. 350901800961869/351461260961866. 350901
800961901/351461260961908. 350901800961919/351461260961916. 350901800961935/351461260961932. 350901800961950/351461260961957. 350
901800961968/351461260961965. 350901800961976/351461260961973. 350901800961992/351461260961999. 350901800962032/351461260962039.
350901800962057/351461260962054. 350901800962115/351461260962112. 350901800962156/351461260962153. 350901800962172/35146126096217
9. 350901800962206/351461260962203. 350901800962214/351461260962211. 350901800962230/351461260962237. 350901800962248/35146126096
2245. 350901800962263/351461260962260. 350901800962271/351461260962278. 350901800962321/351461260962328. 350901800962354/35146126
0962351. 350901800962362/351461260962369. 350901800962388/351461260962385. 350901800962396/351461260962393. 350901800962404/35146
1260962401. 350901800962420/351461260962427. 350901800962438/351461260962435. 350901800962446/351461260962443. 350901800962453/35
1461260962450. 350901800962479/351461260962476. 350901800962495/351461260962492. 350901800962503/351461260962500. 350901800962529
/351461260962526. 350901800962602/351461260962609. 350901800962610/351461260962617. 350901800962651/351461260962658. 350901800962
669/351461260962666.350901800962685/351461260962682. 350901800962727/351461260962724. 350901800962743/351461260962740. 3509018009
62750/351461260962757. 350901800962768/351461260962765. 350901800962792/351461260962799. 350901800962800/351461260962807. 3509018
00962818/351461260962815. 350901800962834/351461260962831. 350901800962842/351461260962849. 350901800962859/351461260962856. 3509
01800962933/351461260962930. 350901800962990/351461260962997. 350901800963006/351461260963003. 350901800963014/351461260963011. 3
50901800963022/351461260963029. 350901800963030/351461260963037.350901800963048/351461260963045. 350901800963097/351461260963094.
350901800963105/351461260963102. 350901800963147/351461260963144. 350901800963154/351461260963151. 350901800963162/3514612609631
69. 350901800963204/351461260963201. 350901800963212/351461260963219. 350901800963287/351461260963284. 350901800963311/3514612609
63318. 350901800963352/351461260963359. 350901800963394/351461260963391. 350901800963402/351461260963409. 350901800963428/3514612
60963425. 350901800963444/351461260963441. 350901800963451/351461260963458. 350901800963485/351461260963482. 350901800963493/3514
61260963490. 350901800963501/351461260963508. 350901800963519/351461260963516. 350901800963535/351461260963532. 350901800963667/3
51461260963664. 350901800963675/351461260963672. 350901800963691/351461260963698. 350901800963717/351461260963714. 35090180096372
5/351461260963722. 350901800963733/351461260963730. 350901800963758/351461260963755. 350901800963808/351461260963805. 35090180096
3816/351461260963813. 350901800963824/351461260963821. 350901800963865/351461260963862. 350901800963873/351461260963870. 35090180
0963881/351461260963888. 350901800963915/351461260963912. 350901800963931/351461260963938. 350901800963998/351461260963995. 35090
1800964004/351461260964001. 350901800964012/351461260964019. 350901800964061/351461260964068. 350901800964079/351461260964076. 35
0901800964095/351461260964092. 350901800964129/351461260964126. 350901800964137/351461260964134. 350901800964160/351461260964167.
350901800964194/351461260964191. 350901800964210/351461260964217. 350901800964228/351461260964225. 350901800964244/3514612609642
41. 350901800964251/351461260964258. 350901800964269/351461260964266. 350901800964277/351461260964274. 350901800964293/3514612609
64290.350901800964301/351461260964308. 350901800964319/351461260964316. 350901800964335/351461260964332. 350901800964350/35146126
0964357. 350901800964368/351461260964365. 350901800964376/351461260964373. 350901800964384/351461260964381. 350901800964400/35146
1260964407. 350901800964418/351461260964415. 350901800964426/351461260964423. 350901800964434/351461260964431. 350901800964442/35
1461260964449. 350901800964459/351461260964456. 350901800964475/351461260964472. 350901800964483/351461260964480. 350901800964517
/351461260964514. 350901800964533/351461260964530.350901800964541/351461260964548. 350901800964558/351461260964555. 3509018009645
74/351461260964571. 350901800964582/351461260964589. 350901800965183/351461260965180. 350901800965217/351461260965214. 3509018009
65233/351461260965230. 350901800965266/351461260965263. 350901800965274/351461260965271. 350901800965522/351461260965529. 3509018
00965621/351461260965628. 350901800965738/351461260965735. 350901800965753/351461260965750. 350901800965787/351461260965784. 3509
01800965852/351461260965859. 350901800965878/351461260965875. 350901800965886/351461260965883. 350901800965902/351461260965909. 3
50901800965944/351461260965941. 350901800966181/351461260966188. 350901800966207/351461260966204. 350901800966298/351461260966295
. 350901800966314/351461260966311. 350901800966413/351461260966410. 350901800966462/351461260966469. 350901800966488/351461260966
485. 350901800966694/351461260966691. 350901800966793/351461260966790. 350901800966801/351461260966808. 350901800966868/351461260
966865. 350901800966876/351461260966873. 350901800966918/351461260966915. 350901800966926/351461260966923. 350901800966942/351461
260966949. 350901800966959/351461260966956. 350901800966975/351461260966972. 350901800966991/351461260966998. 350901800967007/351
461260967004. 350901800967023/351461260967020. 350901800967064/351461260967061. 350901800967106/351461260967103. 350901800967122/
351461260967129. 350901800967130/351461260967137. 350901800967197/351461260967194. 350901800967205/351461260967202. 3509018009672
21/351461260967228. 350901800967288/351461260967285. 350901800967304/351461260967301. 350901800967320/351461260967327. 3509018009
67338/351461260967335. 350901800967353/351461260967350. 350901800967445/351461260967442. 350901800967460/351461260967467.35090180
032025001840873-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001840873-1
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
0967486/351461260967483. 350901800967494/351461260967491. 350901800967551/351461260967558. 350901800967569/351461260967566. 35090
1800967692/351461260967699. 350901800967700/351461260967707. 350901800967718/351461260967715. 350901800967742/351461260967749. 35
0901800967775/351461260967772. 350901800967825/351461260967822. 350901800967833/351461260967830XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001840873-1
Espacio para uso exclusivo de la Entidad Recaudadora
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