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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
032025001948419-4
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. 116575016264458
43 . Año – Mes – Día
2025 – 11 – 07
44 . Documento de transporte
No. 41N0738578
45 . Año – Mes – Día
2025 – 11 – 01
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
6900397677
52 . Año – Mes – Día
2025 – 10 – 27
53 . Cod. país
procedencia
351
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.
3.870.42
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
01
69 . Tipo de
importación
01
70 . Cod. país
compra
190
71 . Peso bruto kgs. dcms.
102.00
72 . Peso neto kgs. dcms.
73.50
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
18.926.63
79 . Valor fletes USD
926.37 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
76.842.003
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
76.842.003
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
0.66
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
927.03
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
19.853.66
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: 579691-DECL: 1970492-DO: 893127523251- 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: 3102007332. ID DELIVERY: 6085407045. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A075MLVHLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A07 5G DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VIOLETA (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
032025001948419
133. Feha: 202511 06
134 . Levante No. 032025001679108 135 . Fecha
2025 – 11 – 10
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 92032508730426
Fecha presentación 2025-11-06 20:00:17
Valor pagado $0.00
Fecha de Impresión: 2025-11-10 13:35:43
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001948419-4
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
CLARO, MODELO:SM-A075M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL./ /MOBILE,SM-A075M/DS,LIGHT VIOLET,LTC( QTY. 300,00 u
)(300,00 PCE ); IMEIS: 352169185460950/354282525460958. 352169185460976/354282525460974. 352169185460984/354282525460982. 352169
185460992/354282525460990. 352169185461008/354282525461006. 352169185461016/354282525461014. 352169185461024/354282525461022. 352
169185461032/354282525461030. 352169185461057/354282525461055. 352169185461065/354282525461063. 352169185461099/354282525461097.
352169185461107/354282525461105. 352169185461115/354282525461113. 352169185461123/354282525461121. 352169185461149/35428252546114
7. 352169185461156/354282525461154. 352169185461164/354282525461162.352169185461172/354282525461170. 352169185461180/354282525461
188. 352169185461198/354282525461196. 352169185461214/354282525461212. 352169185461222/354282525461220. 352169185461230/354282525
461238. 352169185461255/354282525461253. 352169185461263/354282525461261. 352169185461271/ 354282525461279. 352169185461289/35428
2525461287. 352169185461297/354282525461295. 352169185461305/354282525461303. 352169185461313/354282525461311. 352169185461388/35
4282525461386. 352169185461396/354282525461394. 352169185461404/354282525461402. 352169185461412/354282525461410.352169185461438/
354282525461436. 352169185461446/354282525461444. 352169185461453/354282525461451. 352169185461461/354282525461469. 3521691854614
87/354282525461485. 352169185461503/354282525461501. 352169185461511/354282525461519. 352169185461537/354282525461535. 3521691854
61610/354282525461618. 352169185461677/354282525461675. 352169185461685/354282525461683. 352169185461701/354282525461709. 3521691
85461719/354282525461717. 352169185461727/354282525461725. 352169185461735/354282525461733. 352169185461743/354282525461741. 3521
69185461768/354282525461766. 352169185461776/354282525461774. 352169185461784/354282525461782. 352169185461818/354282525461816. 3
52169185461826/354282525461824. 352169185461834/354282525461832. 352169185461842/354282525461840. 352169185461875/354282525461873
. 352169185461883/354282525461881. 352169185461891/354282525461899. 352169185461958/354282525461956. 352169185462006/354282525462
004. 352169185462030/354282525462038. 352169185462048/354282525462046. 352169185462097/354282525462095. 352169185462105/354282525
462103. 352169185462113/354282525462111. 352169185462121/354282525462129. 352169185462139/354282525462137. 352169185462147/354282
525462145. 352169185462188/354282525462186. 352169185462253/354282525462251. 352169185462261/354282525462269. 352169185462287/354
282525462285. 352169185462295/354282525462293. 352169185462436/354282525462434. 352169185462444/354282525462442. 352169185462469/
354282525462467. 352169185462527/354282525462525. 352169185462691/354282525462699. 352169185462741/354282525462749. 3521691854627
74/354282525462772. 352169185462832/354282525462830. 352169185463046/354282525463044. 352169185463079/354282525463077. 3521691854
63095/354282525463093. 352169185463103/354282525463101.352169185463129/354282525463127. 352169185463137/354282525463135. 35216918
5463210/354282525463218. 352169185463244/354282525463242. 352169185463269/354282525463267. 352169185463350/354282525463358. 35216
9185463376/354282525463374. 352169185463384/354282525463382. 352169185463426/354282525463424. 352169185463467/354282525463465. 35
2169185463541/354282525463549. 352169185463566/354282525463564. 352169185463574/354282525463572. 352169185463608/354282525463606.
352169185463681/354282525463689. 352169185463699/354282525463697. 352169185463723/354282525463721.352169185463731/35428252546373
9. 352169185463756/354282525463754. 352169185463772/354282525463770. 352169185463806/354282525463804. 352169185463814/35428252546
3812. 352169185463830/354282525463838. 352169185463848/354282525463846. 352169185463855/354282525463853. 352169185463863/35428252
5463861. 352169185463897/354282525463895. 352169185463947/354282525463945. 352169185463970/354282525463978. 352169185464028/35428
2525464026. 352169185464085/354282525464083. 352169185464093/354282525464091. 352169185464119/354282525464117. 352169185464127/35
4282525464125. 352169185464150/354282525464158. 352169185464168/354282525464166. 352169185464176/354282525464174. 352169185464200
/354282525464208. 352169185464218/354282525464216. 352169185464226/354282525464224. 352169185464234/354282525464232. 352169185464
259/354282525464257. 352169185464267/354282525464265. 352169185464275/354282525464273. 352169185464283/354282525464281. 352169185
464291/354282525464299. 352169185464325/354282525464323. 352169185464341/354282525464349. 352169185464358/354282525464356. 352169
185464382/354282525464380. 352169185464390/354282525464398. 352169185464465/354282525464463. 352169185464515/354282525464513. 352
169185464549/354282525464547. 352169185464556/354282525464554. 352169185464580/354282525464588. 352169185464598/354282525464596.
352169185464614/354282525464612. 352169185464630/354282525464638. 352169185464648/354282525464646. 352169185464655/35428252546465
3. 352169185464663/354282525464661. 352169185464671/354282525464679. 352169185464689/354282525464687. 352169185464697/35428252546
4695. 352169185464705/354282525464703. 352169185464721/354282525464729. 352169185464739/354282525464737. 352169185464747/35428252
5464745. 352169185464754/354282525464752.352169185464762/354282525464760. 352169185464770/354282525464778. 352169185464788/354282
525464786. 352169185464796/354282525464794. 352169185464812/354282525464810. 352169185464820/354282525464828. 352169185464838/354
282525464836. 352169185464846/354282525464844. 352169185464861/354282525464869. 352169185464879/354282525464877. 352169185464887/
354282525464885. 352169185464911/354282525464919. 352169185464937/354282525464935. 352169185464994/354282525464992. 3521691854650
09/354282525465007. 352169185465041/354282525465049. 352169185465132/354282525465130.352169185465165/354282525465163. 35216918546
5173/354282525465171. 352169185465249/354282525465247. 352169185465272/354282525465270. 352169185465298/354282525465296. 35216918
5465363/354282525465361. 352169185465389/354282525465387. 352169185465454/354282525465452. 352169185465538/354282525465536. 35216
9185465587/354282525465585. 352169185465603/354282525465601. 352169185465694/354282525465692. 352169185465702/354282525465700. 35
2169185465728/354282525465726. 352169185465736/354282525465734. 352169185465751/354282525465759. 352169185465769/354282525465767.
352169185465777/354282525465775. 352169185465785/354282525465783. 352169185465793/354282525465791. 352169185465801/3542825254658
09. 352169185465819/354282525465817. 352169185465827/354282525465825. 352169185465843/354282525465841. 352169185465850/3542825254
65858. 352169185465868/354282525465866. 352169185465876/354282525465874. 352169185465884/354282525465882. 352169185465892/3542825
25465890. 352169185465900/354282525465908. 352169185465918/354282525465916. 352169185465934/354282525465932. 352169185465942/3542
82525465940. 352169185465967/354282525465965. 352169185465975/354282525465973. 352169185465991/354282525465999. 352169185466015/3
54282525466013. 352169185466031/354282525466039. 352169185466049/354282525466047. 352169185466064/354282525466062. 35216918546608
0/354282525466088. 352169185466106/354282525466104. 352169185466114/354282525466112. 352169185466122/354282525466120. 35216918546
6130/354282525466138. 352169185466155/354282525466153. 352169185466171/354282525466179. 352169185466189/354282525466187. 35216918
5466239/354282525466237. 352169185466254/354282525466252. 352169185466262/354282525466260. 352169185466270/354282525466278. 35216
9185466288/354282525466286.352169185466296/354282525466294. 352169185466304/354282525466302. 352169185466338/354282525466336. 352
169185466346/354282525466344. 352169185466353/354282525466351. 352169185466361/354282525466369. 352169185466387/354282525466385.
352169185466395/354282525466393. 352169185466403/354282525466401. 352169185466429/354282525466427. 352169185466437/35428252546643
5. 352169185466445/354282525466443. 352169185466452/354282525466450. 352169185466460/354282525466468. 352169185466478/35428252546
6476. 352169185466486/354282525466484. 352169185466494/354282525466492.352169185466528/354282525466526. 352169185466569/354282525
466567. 352169185466585/354282525466583. 352169185466627/354282525466625. 352169185466635/354282525466633. 352169185466650/354282
525466658. 352169185466684/354282525466682. 352169185466783/354282525466781. 352169185466791/354282525466799. 352169185466817/354
282525466815. 352169185466833/354282525466831. 352169185466841/354282525466849. 352169185466858/354282525466856. 352169185466866/
354282525466864. 352169185466874/354282525466872. 352169185466890/354282525466898. 352169185466924/354282525466922. 3521691854669
57/354282525466955. 352169185466973/354282525466971. 352169185466981/354282525466989. 352169185467013/354282525467011. 3521691854
67021/354282525467029. 352169185467062/354282525467060. 352169185467096/354282525467094. 352169185467104/354282525467102. 3521691
85467138/354282525467136. 352169185467179/354282525467177. 352169185467229/354282525467227. 352169185467245/354282525467243. 3521
69185467484/354282525467482. 352169185467732/354282525467730. 352169185467757/354282525467755. 352169185467823/354282525467821. 3
52169185467864/354282525467862. 352169185467872/354282525467870. 352169185467880/354282525467888. 352169185467963/354282525467961
. 352169185467971/354282525467979. 352169185467989/354282525467987. 352169185467997/354282525467995. 352169185468011/354282525468
019. 352169185468029/354282525468027. 352169185468102/354282525468100. 352169185468128/354282525468126. 352169185468177/354282525
032025001948419-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001948419-4
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
468175. 352169185468250/354282525468258. 352169185468284/354282525468282. 352169185468292/354282525468290. 352169185468359/354282
525468357. 352169185468383/354282525468381. 352169185468391/354282525468399. 352169185468409/354282525468407. 352169185468417/354
282525468415.352169185468441/354282525468449. 352169185468458/354282525468456. 352169185468490/354282525468498XXXXXXXXXXXXXXXXXXX
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032025001948419-4
Espacio para uso exclusivo de la Entidad Recaudadora
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