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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
032025002117661-9
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
13907
42 . Manifiesto de carga
No. 9194657343
43 . Año – Mes – Día
2025 – 12 – 04
44 . Documento de transporte
No. SHAN0445218
45 . Año – Mes – Día
2025 – 11 – 23
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
9103950667
52 . Año – Mes – Día
2025 – 11 – 23
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.
3.773.60
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
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.
154.00
72 . Peso neto kgs. dcms.
141.68
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
500.00
78 .Valor FOB
USD
34.188.69
79 . Valor fletes USD
1.321.32 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
134.004.989
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
134.004.989
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
1.17
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.322.49
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
35.511.18
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: 583179-DECL: 1980450-DO: 893129498251- 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: 3104466298. ID DELIVERY:
6085800191. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FZAFLTC, 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
032025002117661
133. Feha: 202512 05
134 . Levante No. 032025001823338 135 . Fecha
2025 – 12 – 05
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 92032509657341
Fecha presentación 2025-12-05 09:20:46
Valor pagado $0.00
Fecha de Impresión: 2025-12-05 09:20:53
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025002117661-9
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. 500,00 u )(500,00 PCE ); IMEIS: 350901801915781/351461261915788. 350901801920518/
351461261920515. 350901801926812/351461261926819. 350901801928305/351461261928302. 350901801928727/351461261928724. 3509018019291
39/351461261929136. 350901801929360/351461261929367. 350901801929436/351461261929433. 350901801935094/351461261935091. 3509018019
35110/351461261935117. 350901801935169/351461261935166. 350901801935219/351461261935216. 350901801935227/351461261935224. 3509018
01935243/351461261935240. 350901801935276/351461261935273.350901801935292/351461261935299. 350901801935375/351461261935372. 35090
1801935425/351461261935422. 350901801935458/351461261935455. 350901801935482/351461261935489. 350901801935490/351461261935497. 35
0901801935508/351461261935505. 350901801935516/351461261935513. 350901801935540/351461261935547. 350901801935557/351461261935554.
350901801935599/351461261935596. 350901801935607/351461261935604. 350901801935631/35146126 1935638. 350901801935656/351461261935
653. 350901801935755/351461261935752. 350901801935771/351461261935778. 350901801936126/351461261936123.350901801936308/3514612619
36305. 350901801936324/351461261936321. 350901801936332/351461261936339. 350901801936340/351461261936347. 350901801936423/3514612
61936420. 350901801936530/351461261936537. 350901801936555/351461261936552. 350901801936605/351461261936602. 350901801936639/3514
61261936636. 350901801936738/351461261936735. 350901801936795/351461261936792. 350901801936803/351461261936800. 350901801936829/3
51461261936826. 350901801936845/351461261936842. 350901801936894/351461261936891. 350901801936928/351461261936925. 35090180193697
7/351461261936974. 350901801937017/351461261937014. 350901801937025/351461261937022. 350901801937124/351461261937121. 35090180193
7157/351461261937154. 350901801937165/351461261937162. 350901801937207/351461261937204. 350901801937223/351461261937220. 35090180
1937231/351461261937238. 350901801937249/351461261937246. 350901801937272/351461261937279. 350901801937280/351461261937287. 35090
1801937298/351461261937295. 350901801937306/351461261937303. 350901801937330/351461261937337. 350901801937348/351461261937345. 35
0901801937355/351461261937352. 350901801937413/351461261937410. 350901801937462/351461261937469. 350901801937496/351461261937493.
350901801937546/351461261937543. 350901801937603/351461261937600. 350901801937611/351461261937618. 350901801937652/3514612619376
59. 350901801937660/351461261937667. 350901801937678/351461261937675. 350901801937686/351461261937683. 350901801937736/3514612619
37733. 350901801937751/351461261937758. 350901801937835/351461261937832. 350901801937868/351461261937865. 350901801937892/3514612
61937899. 350901801937942/351461261937949. 350901801938064/351461261938061. 350901801938072/351461261938079. 350901801938114/3514
61261938111. 350901801938163/351461261938160.350901801938205/351461261938202. 350901801938213/351461261938210. 350901801938239/35
1461261938236. 350901801938262/351461261938269. 350901801938288/351461261938285. 350901801938296/351461261938293. 350901801938403
/351461261938400. 350901801938452/351461261938459. 350901801938486/351461261938483. 350901801938536/351461261938533. 350901801938
569/351461261938566. 350901801938619/351461261938616. 350901801938684/351461261938681. 350901801938692/351461261938699. 350901801
938742/351461261938749. 350901801938767/351461261938764. 350901801938775/351461261938772.350901801938783/351461261938780. 3509018
01938791/351461261938798. 350901801938809/351461261938806. 350901801938825/351461261938822. 350901801938866/351461261938863. 3509
01801938874/351461261938871. 350901801938924/351461261938921. 350901801938932/351461261938939. 350901801938965/351461261938962. 3
50901801939047/351461261939044. 350901801939054/351461261939051. 350901801939211/351461261939218. 350901801939229/351461261939226
. 350901801939252/351461261939259. 350901801939260/351461261939267. 350901801939278/351461261939275. 350901801939286/351461261939
283. 350901801939294/351461261939291. 350901801939328/351461261939325. 350901801939336/351461261939333. 350901801939377/351461261
939374. 350901801939401/351461261939408. 350901801939443/351461261939440. 350901801939450/351461261939457. 350901801939476/351461
261939473. 350901801939609/351461261939606. 350901801939641/351461261939648. 350901801939674/351461261939671. 350901801939682/351
461261939689. 350901801939690/351461261939697. 350901801939708/351461261939705. 350901801939724/351461261939721. 350901801939732/
351461261939739. 350901801939757/351461261939754. 350901801939823/351461261939820. 350901801939849/351461261939846. 3509018019399
06/351461261939903. 350901801939914/351461261939911. 350901801939948/351461261939945. 350901801939955/351461261939952. 3509018019
39989/351461261939986. 350901801940011/351461261940018. 350901801940029/351461261940026. 350901801940128/351461261940125. 3509018
01940151/351461261940158. 350901801940243/351461261940240. 350901801940342/351461261940349. 350901801940433/351461261940430. 3509
01801940599/351461261940596. 350901801940607/351461261940604. 350901801940664/351461261940661. 350901801940722/351461261940729. 3
50901801940763/351461261940760.350901801940771/351461261940778. 350901801940805/351461261940802. 350901801940813/351461261940810.
350901801940870/351461261940877. 350901801940912/351461261940919. 350901801940987/351461261940984. 350901801941001/3514612619410
08. 350901801941035/351461261941032. 350901801941050/351461261941057. 350901801941092/351461261941099. 350901801941126/3514612619
41123. 350901801941142/351461261941149. 350901801941175/351461261941172. 350901801941233/351461261941230. 350901801941258/3514612
61941255. 350901801941266/351461261941263. 350901801941290/351461261941297.350901801941316/351461261941313. 350901801941324/35146
1261941321. 350901801941332/351461261941339. 350901801941381/351461261941388. 350901801941399/351461261941396. 350901801941407/35
1461261941404. 350901801941472/351461261941479. 350901801941555/351461261941552. 350901801941621/351461261941628. 350901801941746
/351461261941743. 350901801942025/351461261942022. 350901801942132/351461261942139. 350901801942140/351461261942147. 350901801942
165/351461261942162. 350901801942173/351461261942170. 350901801942181/351461261942188. 350901801942231/351461261942238. 350901801
942264/351461261942261. 350901801942272/351461261942279. 350901801942348/351461261942345. 350901801942363/351461261942360. 350901
801942389/351461261942386. 350901801942405/351461261942402. 350901801942413/351461261942410. 350901801942439/351461261942436. 350
901801942462/351461261942469. 350901801942470/351461261942477. 350901801942488/351461261942485. 350901801942504/351461261942501.
350901801942512/351461261942519. 350901801942538/351461261942535. 350901801942553/351461261942550. 350901801942561/35146126194256
8. 350901801942587/351461261942584. 350901801942595/351461261942592. 350901801942611/351461261942618. 350901801942652/35146126194
2659. 350901801942660/351461261942667. 350901801942678/351461261942675. 350901801943494/351461261943491. 350901801943502/35146126
1943509. 350901801943510/351461261943517. 350901801943528/351461261943525. 350901801943536/351461261943533. 350901801943544/35146
1261943541. 350901801943619/351461261943616. 350901801943635/351461261943632. 350901801943650/351461261943657. 350901801943726/35
1461261943723. 350901801943734/351461261943731. 350901801943775/351461261943772. 350901801943809/351461261943806. 350901801943817
/351461261943814.350901801943908/351461261943905. 350901801943940/351461261943947. 350901801943957/351461261943954. 3509018019439
65/351461261943962. 350901801944062/351461261944069. 350901801944112/351461261944119. 350901801944146/351461261944143. 3509018019
44369/351461261944366. 350901801944393/351461261944390. 350901801944401/351461261944408. 350901801944492/351461261944499. 3509018
01944526/351461261944523. 350901801944559/351461261944556. 350901801944591/351461261944598. 350901801944617/351461261944614. 3509
01801944633/351461261944630. 350901801944641/351461261944648.350901801944658/351461261944655. 350901801944674/351461261944671. 35
0901801944682/351461261944689. 350901801944708/351461261944705. 350901801944716/351461261944713. 350901801944724/351461261944721.
350901801944765/351461261944762. 350901801944799/351461261944796. 350901801944807/351461261944804. 350901801944815/3514612619448
12. 350901801944823/351461261944820. 350901801944849/351461261944846. 350901801944864/351461261944861. 350901801944872/3514612619
44879. 350901801944898/351461261944895. 350901801944914/351461261944911. 350901801944922/351461261944929. 350901801944930/3514612
61944937. 350901801944955/351461261944952. 350901801944971/351461261944978. 350901801944997/351461261944994. 350901801945010/3514
61261945017. 350901801945028/351461261945025. 350901801945051/351461261945058. 350901801945085/351461261945082. 350901801945135/3
51461261945132. 350901801945507/351461261945504. 350901801945523/351461261945520. 350901801945705/351461261945702. 35090180194575
4/351461261945751. 350901801945770/351461261945777. 350901801945804/351461261945801. 350901801945838/351461261945835. 35090180194
5853/351461261945850. 350901801946356/351461261946353. 350901801946398/351461261946395. 350901801946422/351461261946429. 35090180
1946539/351461261946536. 350901801946547/351461261946544. 350901801946554/351461261946551. 350901801946687/351461261946684. 35090
1801946745/351461261946742. 350901801946760/351461261946767. 350901801946836/351461261946833. 350901801946943/351461261946940. 35
0901801947081/351461261947088. 350901801947099/351461261947096. 350901801947107/351461261947104. 350901801947123/351461261947120.
032025002117661-9
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025002117661-9
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
350901801947131/351461261947138. 350901801947149/351461261947146. 350901801947156/351461261947153. 350901801947164/3514612619471
61.350901801947172/351461261947179. 350901801947180/351461261947187. 350901801947198/351461261947195. 350901801947206/35146126194
7203. 350901801947222/351461261947229. 350901801947230/351461261947237. 350901801947255/351461261947252. 350901801947370/35146126
1947377. 350901801947388/351461261947385. 350901801947396/351461261947393. 350901801947404/351461261947401. 350901801947412/35146
1261947419. 350901801947438/351461261947435. 350901801947461/351461261947468. 350901801947511/351461261947518. 350901801947529/35
1461261947526. 350901801947545/351461261947542.350901801947560/351461261947567. 350901801947636/351461261947633. 350901801947883/
351461261947880. 350901801947990/351461261947997. 350901801948089/351461261948086. 350901801948394/351461261948391. 3509018019484
77/351461261948474. 350901801948485/351461261948482. 350901801948501/351461261948508. 350901801948535/351461261948532. 3509018019
49301/351461261949308. 350901801949913/351461261949910. 350901801950192/351461261950199. 350901801950341/351461261950348. 3509018
01950440/351461261950447. 350901801950457/351461261950454. 350901801950572/351461261950579. 350901801950598/351461261950595. 3509
01801950614/351461261950611. 350901801950655/351461261950652. 350901801950861/351461261950868. 350901801950945/351461261950942. 3
50901801950952/351461261950959. 350901801951034/351461261951031. 350901801951133/351461261951130. 350901801951224/351461261951221
. 350901801951232/351461261951239. 350901801951257/351461261951254. 350901801951265/351461261951262. 350901801951307/351461261951
304. 350901801951323/351461261951320. 350901801951331/351461261951338. 350901801951422/351461261951429. 350901801951489/351461261
951486. 350901801951505/351461261951502. 350901801951539/351461261951536. 350901801951554/351461261951551. 350901801951604/351461
261951601. 350901801951646/351461261951643. 350901801951703/351461261951700. 350901801951711/351461261951718. 350901801951786/351
461261951783. 350901801951794/351461261951791. 350901801951810/351461261951817. 350901801951893/351461261951890. 350901801951935/
351461261951932. 350901801951950/351461261951957. 350901801952016/351461261952013. 350901801952032/351461261952039. 3509018019520
73/351461261952070. 350901801952081/351461261952088. 350901801952099/351461261952096. 350901801952107/351461261952104.35090180195
2115/351461261952112. 350901801952156/351461261952153. 350901801952255/351461261952252. 350901801952297/351461261952294. 35090180
1952305/351461261952302. 350901801952313/351461261952310. 350901801952347/351461261952344. 350901801952370/351461261952377. 35090
1801952412/351461261952419. 350901801952420/351461261952427. 350901801952446/351461261952443. 350901801952453/351461261952450. 35
0901801952511/351461261952518. 350901801952529/351461261952526. 350901801952560/351461261952567. 350901801952602/351461261952609.
350901801952610/351461261952617.350901801952628/351461261952625. 350901801952651/351461261952658. 350901801952727/35146126195272
4. 350901801952800/351461261952807. 350901801952933/351461261952930. 350901801952941/351461261952948. 350901801952974/35146126195
2971. 350901801952982/351461261952989. 350901801953014/351461261953011. 350901801953022/351461261953029. 350901801953030/35146126
1953037. 350901801953048/351461261953045. 350901801953055/351461261953052. 350901801953063/351461261953060. 350901801953071/35146
1261953078. 350901801953089/351461261953086. 350901801953097/351461261953094. 350901801953105/351461261953102. 350901801953121/35
1461261953128. 350901801953139/351461261953136. 350901801953154/351461261953151. 350901801953162/351461261953169. 350901801953170
/351461261953177. 350901801953188/351461261953185. 350901801953196/351461261953193. 350901801953204/351461261953201. 350901801953
212/351461261953219. 350901801953220/351461261953227. 350901801953238/351461261953235. 350901801953246/351461261953243. 350901801
953253/351461261953250. 350901801953261/351461261953268. 350901801953279/351461261953276. 350901801953295/351461261953292. 350901
801953311/351461261953318. 350901801953337/351461261953334. 350901801953345/351461261953342. 350901801953352/351461261953359. 350
901801953378/351461261953375. 350901801953394/351461261953391. 350901801953436/351461261953433. 350901801953493/351461261953490.
350901801953501/351461261953508. 350901801953683/351461261953680. 350901801953741/351461261953748. 350901801953899/35146126195389
6. 350901801953980/351461261953987. 350901801954012/351461261954019. 350901801954020/351461261954027. 350901801954038/35146126195
4035. 350901801954046/351461261954043. 350901801954061/351461261954068. 350901801954103/351461261954100.350901801954111/351461261
954118. 350901801954145/351461261954142. 350901801954202/351461261954209. 350901801954210/351461261954217. 350901801954236/351461
261954233. 350901801954475/351461261954472. 350901801954483/351461261954480. 350901801954517/351461261954514. 350901801954533/351
461261954530. 350901801954574/351461261954571. 350901801954616/351461261954613. 350901801954657/351461261954654. 350901801954681/
351461261954688. 350901801954699/351461261954696. 350901801954749/351461261954746. 350901801954764/351461261954761. 3509018019548
06/351461261954803.350901801954814/351461261954811. 350901801954822/351461261954829. 350901801954830/351461261954837. 35090180195
4855/351461261954852. 350901801954889/351461261954886. 350901801954897/351461261954894. 350901801954905/351461261954902. 35090180
1954913/351461261954910. 350901801954921/351461261954928. 350901801954939/351461261954936. 350901801954954/351461261954951. 35090
1801954962/351461261954969. 350901801955001/351461261955008. 350901801955019/351461261955016. 350901801955035/351461261955032. 35
0901801955050/351461261955057. 350901801955076/351461261955073. 350901801955092/351461261955099. 350901801955118/351461261955115.
350901801955126/351461261955123. 350901801955142/351461261955149. 350901801955159/351461261955156. 350901801955167/3514612619551
64. 350901801955209/351461261955206. 350901801955217/351461261955214. 350901801955225/351461261955222. 350901801955233/3514612619
55230. 350901801955241/351461261955248. 350901801955258/351461261955255. 350901801955274/351461261955271. 350901801955282/3514612
61955289. 350901801955290/351461261955297. 350901801955308/351461261955305. 350901801955316/351461261955313. 350901801955324/3514
61261955321. 350901801955340/351461261955347. 350901801955357/351461261955354. 350901801955365/351461261955362. 350901801955373/3
51461261955370. 350901801955381/351461261955388. 350901801955399/351461261955396. 350901801955407/351461261955404. 35090180195541
5/351461261955412. 350901801955423/351461261955420. 350901801955456/351461261955453. 350901801955472/351461261955479. 35090180195
5480/351461261955487. 350901801956041/351461261956048MERCANCIA UBICADA EN: ABC STORAGE S.A.S – ZFB – Cra. 106 No. 15 A 25 Manzana
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032025002117661-9
Espacio para uso exclusivo de la Entidad Recaudadora
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
032025002157738-8
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. 116575016430740
43 . Año – Mes – Día
2025 – 12 – 16
44 . Documento de transporte
No. SHAN0445420
45 . Año – Mes – Día
2025 – 12 – 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
9103993648
52 . Año – Mes – Día
2025 – 12 – 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.
3.757.92
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.
154.50
72 . Peso neto kgs. dcms.
142.14
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
500.00
78 .Valor FOB
USD
34.292.39
79 . Valor fletes USD
1.365.78 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
134.004.985
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
134.004.985
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
1.18
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.366.96
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
35.659.35
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: 583981-DECL: 1982654-DO: 893130730251- 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
RESOLUCIÓN 5050 DEL 10 DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOM
OLOGACIÓN) // NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION.SAMSUNG ELECTRONICS COLOMB
IA S.A. OEA COD. OE0001. . PEDIDOS: 3105409025. ID DELIVERY: 6086095894. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FZKFLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A17 LTE DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO(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
032025002157738
133. Feha: 202512 12
134 . Levante No. 032025001886071 135 . Fecha
2025 – 12 – 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 92032509879286
Fecha presentación 2025-12-12 15:49:50
Valor pagado $0.00
Fecha de Impresión: 2025-12-17 18:53:33
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025002157738-8
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
, MODELO: SM-A175F/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A175F/DS,BLACK,LTC( QTY. 500,00 u )(500,00 PC
E ); IMEIS: 350901802175823/351461262175820. 350901802175898/351461262175895. 350901802175963/351461262175960. 350901802175989/35
1461262175986. 350901802176037/351461262176034. 350901802176060/351461262176067. 350901802176425/351461262176422. 350901802176524
/351461262176521. 350901802176821/351461262176828. 350901802176920/351461262176927. 350901802177001/351461262177008. 350901802177
019/351461262177016. 350901802177266/351461262177263. 350901802177340/351461262177347. 350901802177381/351461262177388. 350901802
177399/351461262177396. 350901802177415/351461262177412. 350901802177423/351461262177420. 350901802177431/351461262177438. 350901
802177480/351461262177487. 350901802177530/351461262177537. 350901802177597/351461262177594. 350901802177613/351461262177610. 350
901802177639/351461262177636. 350901802177654/351461262177651. 350901802177712/35146126217771 9. 350901802177753/351461262177750.
350901802177977/351461262177974. 350901802178033/351461262178030. 350901802178090/351461262178097. 350901802178140/3514612621781
47. 350901802178207/351461262178204. 350901802178223/351461262178220. 350901802178231/351461262178238. 350901802178256/3514612621
78253. 350901802178272/351461262178279. 350901802178447/351461262178444. 350901802178470/351461262178477. 350901802178579/3514612
62178576. 350901802178587/351461262178584. 350901802178652/351461262178659. 350901802178660/351461262178667. 350901802178785/3514
61262178782. 350901802178819/351461262178816. 350901802178850/351461262178857.350901802178884/351461262178881. 350901802178892/35
1461262178899. 350901802178918/351461262178915. 350901802178942/351461262178949. 350901802179056/351461262179053. 350901802179122
/351461262179129. 350901802179155/351461262179152. 350901802179189/351461262179186. 350901802179239/351461262179236. 350901802179
247/351461262179244. 350901802179262/351461262179269. 350901802179270/351461262179277. 350901802179288/351461262179285. 350901802
179312/351461262179319. 350901802179528/351461262179525. 350901802179577/351461262179574. 350901802180369/351461262180366.3509018
02180518/351461262180515. 350901802180534/351461262180531. 350901802180641/351461262180648. 350901802180724/351461262180721. 3509
01802180799/351461262180796. 350901802191507/351461262191504. 350901802191523/351461262191520. 350901802191556/351461262191553. 3
50901802191564/351461262191561. 350901802191580/351461262191587. 350901802191697/351461262191694. 350901802191705/351461262191702
. 350901802191739/351461262191736. 350901802191770/351461262191777. 350901802191788/351461262191785. 350901802191804/351461262191
801. 350901802191838/351461262191835. 350901802191861/351461262191868. 350901802191879/351461262191876. 350901802191887/351461262
191884. 350901802191903/351461262191900. 350901802191911/351461262191918. 350901802191945/351461262191942. 350901802191952/351461
262191959. 350901802191994/351461262191991. 350901802192000/351461262192007. 350901802192059/351461262192056. 350901802192109/351
461262192106. 350901802192133/351461262192130. 350901802192141/351461262192148. 350901802192166/351461262192163. 350901802192174/
351461262192171. 350901802192190/351461262192197. 350901802192216/351461262192213. 350901802192224/351461262192221. 3509018021922
32/351461262192239. 350901802192257/351461262192254. 350901802192273/351461262192270. 350901802192281/351461262192288. 3509018021
92299/351461262192296. 350901802192323/351461262192320. 350901802192331/351461262192338. 350901802192349/351461262192346. 3509018
02192356/351461262192353. 350901802192364/351461262192361. 350901802192398/351461262192395. 350901802192406/351461262192403. 3509
01802192414/351461262192411. 350901802192448/351461262192445. 350901802192455/351461262192452. 350901802192463/351461262192460. 3
50901802192471/351461262192478. 350901802192505/351461262192502.350901802192513/351461262192510. 350901802192547/351461262192544.
350901802192554/351461262192551. 350901802192562/351461262192569. 350901802192570/351461262192577. 350901802192612/3514612621926
19. 350901802192620/351461262192627. 350901802192653/351461262192650. 350901802192687/351461262192684. 350901802192711/3514612621
92718. 350901802192729/351461262192726. 350901802192786/351461262192783. 350901802192844/351461262192841. 350901802192901/3514612
62192908. 350901802192919/351461262192916. 350901802192950/351461262192957. 350901802193024/351461262193021.350901802193107/35146
1262193104. 350901802193222/351461262193229. 350901802193289/351461262193286. 350901802193347/351461262193344. 350901802193479/35
1461262193476. 350901802193552/351461262193559. 350901802193610/351461262193617. 350901802193651/351461262193658. 350901802193677
/351461262193674. 350901802193750/351461262193757. 350901802193776/351461262193773. 350901802193784/351461262193781. 350901802193
867/351461262193864. 350901802193982/351461262193989. 350901802194022/351461262194029. 350901802194030/351461262194037. 350901802
194097/351461262194094. 350901802194535/351461262194532. 350901802194865/351461262194862. 350901802194899/351461262194896. 350901
802195003/351461262195000. 350901802195094/351461262195091. 350901802195169/351461262195166. 350901802195185/351461262195182. 350
901802195235/351461262195232. 350901802195276/351461262195273. 350901802195300/351461262195307. 350901802195383/351461262195380.
350901802195607/351461262195604. 350901802195706/351461262195703. 350901802195748/351461262195745. 350901802195755/35146126219575
2. 350901802195797/351461262195794. 350901802195870/351461262195877. 350901802195896/351461262195893. 350901802195912/35146126219
5919. 350901802195946/351461262195943. 350901802195987/351461262195984. 350901802196001/351461262196008. 350901802196019/35146126
2196016. 350901802196027/351461262196024. 350901802196035/351461262196032. 350901802196068/351461262196065. 350901802196084/35146
1262196081. 350901802196092/351461262196099. 350901802196126/351461262196123. 350901802196134/351461262196131. 350901802196183/35
1461262196180. 350901802196191/351461262196198. 350901802196225/351461262196222. 350901802196274/351461262196271. 350901802196332
/351461262196339. 350901802196381/351461262196388.350901802196977/351461262196974. 350901802197165/351461262197162. 3509018021972
31/351461262197238. 350901802197330/351461262197337. 350901802197348/351461262197345. 350901802197363/351461262197360. 3509018021
97371/351461262197378. 350901802197397/351461262197394. 350901802197405/351461262197402. 350901802197413/351461262197410. 3509018
02197421/351461262197428. 350901802197439/351461262197436. 350901802197454/351461262197451. 350901802197488/351461262197485. 3509
01802197496/351461262197493. 350901802197561/351461262197568. 350901802197744/351461262197741.350901802197892/351461262197899. 35
0901802199732/351461262199739. 350901802199757/351461262199754. 350901802199765/351461262199762. 350901802199781/351461262199788.
350901802199872/351461262199879. 350901802199914/351461262199911. 350901802199922/351461262199929. 350901802200035/3514612622000
32. 350901802200050/351461262200057. 350901802200134/351461262200131. 350901802200159/351461262200156. 350901802200167/3514612622
00164. 350901802200225/351461262200222. 350901802200241/351461262200248. 350901802200266/351461262200263. 350901802200290/3514612
62200297. 350901802200308/351461262200305. 350901802200332/351461262200339. 350901802200340/351461262200347. 350901802200357/3514
61262200354. 350901802200365/351461262200362. 350901802200373/351461262200370. 350901802200381/351461262200388. 350901802200399/3
51461262200396. 350901802200407/351461262200404. 350901802200415/351461262200412. 350901802200423/351461262200420. 35090180220043
1/351461262200438. 350901802200449/351461262200446. 350901802200464/351461262200461. 350901802200472/351461262200479. 35090180220
0498/351461262200495. 350901802200514/351461262200511. 350901802200530/351461262200537. 350901802200555/351461262200552. 35090180
2200563/351461262200560. 350901802200621/351461262200628. 350901802200647/351461262200644. 350901802200670/351461262200677. 35090
1802200746/351461262200743. 350901802200787/351461262200784. 350901802200795/351461262200792. 350901802200803/351461262200800. 35
0901802200845/351461262200842. 350901802200860/351461262200867. 350901802200894/351461262200891. 350901802200902/351461262200909.
350901802200910/351461262200917. 350901802200928/351461262200925. 350901802200936/351461262200933. 350901802200944/3514612622009
41. 350901802200951/351461262200958.350901802200969/351461262200966. 350901802200977/351461262200974. 350901802200985/35146126220
0982. 350901802200993/351461262200990. 350901802201017/351461262201014. 350901802201025/351461262201022. 350901802201033/35146126
2201030. 350901802201041/351461262201048. 350901802201108/351461262201105. 350901802201124/351461262201121. 350901802201132/35146
1262201139. 350901802201173/351461262201170. 350901802201181/351461262201188. 350901802201207/351461262201204. 350901802201223/35
1461262201220. 350901802201256/351461262201253. 350901802201314/351461262201311.350901802201413/351461262201410. 350901802201421/
351461262201428. 350901802201454/351461262201451. 350901802201603/351461262201600. 350901802201652/351461262201659. 3509018022017
77/351461262201774. 350901802201793/351461262201790. 350901802201843/351461262201840. 350901802202221/351461262202228. 3509018022
02270/351461262202277. 350901802203070/351461262203077. 350901802203385/351461262203382. 350901802203989/351461262203986. 3509018
02204011/351461262204018. 350901802204037/351461262204034. 350901802204060/351461262204067. 350901802204086/351461262204083. 3509
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REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025002157738-8
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
01802204094/351461262204091. 350901802204102/351461262204109. 350901802204128/351461262204125. 350901802204284/351461262204281. 3
50901802204367/351461262204364. 350901802204425/351461262204422. 350901802204474/351461262204471. 350901802204508/351461262204505
. 350901802204581/351461262204588. 350901802204656/351461262204653. 350901802204755/351461262204752. 350901802204854/351461262204
851. 350901802205018/351461262205015. 350901802205042/351461262205049. 350901802205059/351461262205056. 350901802205083/351461262
205080. 350901802205091/351461262205098. 350901802205125/351461262205122. 350901802205158/351461262205155. 350901802205182/351461
262205189. 350901802205190/351461262205197. 350901802205232/351461262205239. 350901802205299/351461262205296. 350901802205307/351
461262205304. 350901802205315/351461262205312. 350901802205323/351461262205320. 350901802205331/351461262205338. 350901802205349/
351461262205346. 350901802205380/351461262205387. 350901802205398/351461262205395. 350901802205414/351461262205411. 3509018022054
30/351461262205437. 350901802205448/351461262205445. 350901802205471/351461262205478. 350901802205497/351461262205494. 3509018022
05513/351461262205510.350901802205521/351461262205528. 350901802205547/351461262205544. 350901802205554/351461262205551. 35090180
2205562/351461262205569. 350901802205570/351461262205577. 350901802205646/351461262205643. 350901802205737/351461262205734. 35090
1802205752/351461262205759. 350901802205810/351461262205817. 350901802205851/351461262205858. 350901802205885/351461262205882. 35
0901802205893/351461262205890. 350901802205901/351461262205908. 350901802205919/351461262205916. 350901802205935/351461262205932.
350901802205950/351461262205957. 350901802205984/351461262205981.350901802205992/351461262205999. 350901802206016/35146126220601
3. 350901802206024/351461262206021. 350901802206057/351461262206054. 350901802206081/351461262206088. 350901802206149/35146126220
6146. 350901802206248/351461262206245. 350901802206255/351461262206252. 350901802206271/351461262206278. 350901802206370/35146126
2206377. 350901802206412/351461262206419. 350901802206438/351461262206435. 350901802206479/351461262206476. 350901802206503/35146
1262206500. 350901802206511/351461262206518. 350901802206529/351461262206526. 350901802206537/351461262206534. 350901802206545/35
1461262206542. 350901802206628/351461262206625. 350901802206768/351461262206765. 350901802206826/351461262206823. 350901802206859
/351461262206856. 350901802206891/351461262206898. 350901802206909/351461262206906. 350901802206941/351461262206948. 350901802207
303/351461262207300. 350901802207311/351461262207318. 350901802207451/351461262207458. 350901802207626/351461262207623. 350901802
207766/351461262207763. 350901802207832/351461262207839. 350901802207873/351461262207870. 350901802208012/351461262208019. 350901
802208129/351461262208126. 350901802208160/351461262208167. 350901802208251/351461262208258. 350901802208277/351461262208274. 350
901802208293/351461262208290. 350901802208335/351461262208332. 350901802208475/351461262208472. 350901802208699/351461262208696.
350901802208723/351461262208720. 350901802208756/351461262208753. 350901802208798/351461262208795. 350901802209358/35146126220935
5. 350901802209465/351461262209462. 350901802209523/351461262209520. 350901802209564/351461262209561. 350901802209606/35146126220
9603. 350901802209663/351461262209660. 350901802209911/351461262209918. 350901802209978/351461262209975. 350901802210000/35146126
2210007.350901802210018/351461262210015. 350901802210208/351461262210205. 350901802210257/351461262210254. 350901802210281/351461
262210288. 350901802210380/351461262210387. 350901802210422/351461262210429. 350901802210448/351461262210445. 350901802210471/351
461262210478. 350901802210596/351461262210593. 350901802210604/351461262210601. 350901802210612/351461262210619. 350901802210679/
351461262210676. 350901802210711/351461262210718. 350901802210745/351461262210742. 350901802210919/351461262210916. 3509018022109
35/351461262210932. 350901802211073/351461262211070.350901802211081/351461262211088. 350901802211149/351461262211146. 35090180221
1164/351461262211161. 350901802211180/351461262211187. 350901802211222/351461262211229. 350901802211230/351461262211237. 35090180
2211248/351461262211245. 350901802211289/351461262211286. 350901802211313/351461262211310. 350901802211347/351461262211344. 35090
1802211354/351461262211351. 350901802211370/351461262211377. 350901802211842/351461262211849. 350901802211933/351461262211930. 35
0901802211966/351461262211963. 350901802212071/351461262212078. 350901802212303/351461262212300. 350901802212337/351461262212334.
350901802212360/351461262212367. 350901802212477/351461262212474. 350901802212493/351461262212490. 350901802212527/3514612622125
24. 350901802212550/351461262212557. 350901802212618/351461262212615. 350901802212626/351461262212623. 350901802212733/3514612622
12730. 350901802212816/351461262212813. 350901802212865/351461262212862. 350901802212923/351461262212920. 350901802212972/3514612
62212979. 350901802212980/351461262212987. 350901802212998/351461262212995. 350901802213004/351461262213001. 350901802213046/3514
61262213043. 350901802213053/351461262213050. 350901802213061/351461262213068. 350901802213137/351461262213134. 350901802213145/3
51461262213142. 350901802213186/351461262213183. 350901802213228/351461262213225. 350901802213236/351461262213233. 35090180221326
9/351461262213266. 350901802213319/351461262213316. 350901802213368/351461262213365. 350901802213418/351461262213415. 35090180221
3426/351461262213423. 350901802213434/351461262213431. 350901802213475/351461262213472. 350901802213483/351461262213480. 35090180
2213509/351461262213506. 350901802213517/351461262213514. 350901802213525/351461262213522. 350901802213533/351461262213530.350901
802213541/351461262213548. 350901802213558/351461262213555. 350901802213566/351461262213563. 350901802213574/351461262213571. 350
901802213582/351461262213589. 350901802213590/351461262213597. 350901802213608/351461262213605. 350901802213616/351461262213613.
350901802213657/351461262213654. 350901802213665/351461262213662. 350901802213673/351461262213670. 350901802213699/35146126221369
6. 350901802213707/351461262213704. 350901802213715/351461262213712. 350901802213723/351461262213720. 350901802213731/35146126221
3738. 350901802213756/351461262213753.350901802213772/351461262213779. 350901802213780/351461262213787. 350901802213798/351461262
213795. 350901802213806/351461262213803. 350901802213830/351461262213837. 350901802213897/351461262213894. 350901802213913/351461
262213910. 350901802213939/351461262213936. 350901802213947/351461262213944. 350901802213954/351461262213951. 350901802213970/351
461262213977. 350901802213988/351461262213985. 350901802213996/351461262213993. 350901802214168/351461262214165. 350901802214606/
351461262214603. 350901802214705/351461262214702. 350901802214820/351461262214827. 350901802214895/351461262214892XXXXXXXXXXXXXXX
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