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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
032025001841012-1
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. SHAN0428104
45 . Año – Mes – Día
2025 – 10 – 09
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
9103843866
52 . Año – Mes – Día
2025 – 10 – 09
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: 576637-DECL: 1963220-DO: 893125352251- 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: 3101215354. ID DELIVERY:
6084971612. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FZKFLTC, PRODUCTO: TELEFONO CELULAR GALAXY A17 LTE DUOS (CON ACCESORIOS
PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, 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
032025001841012
133. Feha: 202510 17
134 . Levante No. 032025001565856 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 92032508163507
Fecha presentación 2025-10-17 19:24:18
Valor pagado $0.00
Fecha de Impresión: 2025-10-17 19:25:31
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001841012-1
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
Y AL DETAL/ /MOBILE,SM-A175F/DS,BLACK,LTC( QTY. 300,00 u )(300,00 PCE ); IMEIS: 350901800831831/351461260831838. 350901800831849
/351461260831846. 350901800831856/351461260831853. 350901800831948/351461260831945. 350901800831971/351461260831978. 350901800832
565/351461260832562. 350901800832599/351461260832596. 350901800832615/351461260832612. 350901800832623/351461260832620. 350901800
832631/351461260832638. 350901800832649/351461260832646. 350901800832656/351461260832653. 350901800832664/351461260832661. 350901
800832672/351461260832679. 350901800832680/351461260832687.350901800832698/351461260832695. 350901800832714/351461260832711. 3509
01800832722/351461260832729. 350901800832748/351461260832745. 350901800832763/351461260832760. 350901800832789/351461260832786. 3
50901800832821/351461260832828. 350901800832847/351461260832844. 350901800832904/351461260832901. 350901800832920/351461260832927
. 350901800832938/351461260832935. 350901800832995/351461260832992. 350901800833027/3514612 60833024. 350901800833043/35146126083
3040. 350901800833050/351461260833057. 350901800833076/351461260833073. 350901800833092/351461260833099. 350901800833100/35146126
0833107. 350901800833142/351461260833149. 350901800833159/351461260833156. 350901800833183/351461260833180. 350901800833209/35146
1260833206. 350901800833217/351461260833214. 350901800833233/351461260833230. 350901800833316/351461260833313. 350901800836202/35
1461260836209. 350901800837440/351461260837447. 350901800837515/351461260837512. 350901800837713/351461260837710. 350901800838190
/351461260838197. 350901800838240/351461260838247. 350901800838455/351461260838452. 350901800838539/351461260838536. 350901800838
562/351461260838569. 350901800838596/351461260838593. 350901800839230/351461260839237. 350901800839305/351461260839302. 350901800
839446/351461260839443. 350901800839578/351461260839575. 350901800839636/351461260839633. 350901800840303/351461260840300. 350901
800840493/351461260840490. 350901800841061/351461260841068. 350901800841111/351461260841118. 350901800841129/351461260841126. 350
901800842077/351461260842074. 350901800842093/351461260842090. 350901800842200/351461260842207. 350901800842234/351461260842231.
350901800842408/351461260842405. 350901800842523/351461260842520. 350901800842564/351461260842561. 350901800842747/35146126084274
4.350901800842770/351461260842777. 350901800842812/351461260842819. 350901800842911/351461260842918. 350901800842978/351461260842
975. 350901800842986/351461260842983. 350901800843075/351461260843072. 350901800843141/351461260843148. 350901800843299/351461260
843296. 350901800843489/351461260843486. 350901800843547/351461260843544. 350901800843653/351461260843650. 350901800844594/351461
260844591. 350901800844701/351461260844708. 350901800844719/351461260844716. 350901800844958/351461260844955. 350901800845047/351
461260845044. 350901800845054/351461260845051.350901800845070/351461260845077. 350901800845088/351461260845085. 350901800845096/3
51461260845093. 350901800845138/351461260845135. 350901800845153/351461260845150. 350901800845195/351461260845192. 35090180084521
1/351461260845218. 350901800845229/351461260845226. 350901800845237/351461260845234. 350901800845260/351461260845267. 35090180084
5286/351461260845283. 350901800845773/351461260845770. 350901800848090/351461260848097. 350901800848306/351461260848303. 35090180
0848330/351461260848337. 350901800848363/351461260848360. 350901800848371/351461260848378. 350901800848389/351461260848386. 35090
1800848470/351461260848477. 350901800848579/351461260848576. 350901800848645/351461260848642. 350901800848660/351461260848667. 35
0901800848686/351461260848683. 350901800848843/351461260848840. 350901800848900/351461260848907. 350901800849197/351461260849194.
350901800849247/351461260849244. 350901800849478/351461260849475. 350901800849999/351461260849996. 350901800850542/3514612608505
49. 350901800851136/351461260851133. 350901800851235/351461260851232. 350901800851284/351461260851281. 350901800852415/3514612608
52412. 350901800852548/351461260852545. 350901800852829/351461260852826. 350901800852894/351461260852891. 350901800855673/3514612
60855670. 350901800855988/351461260855985. 350901800856036/351461260856033. 350901800857299/351461260857296. 350901800858230/3514
61260858237. 350901800858271/351461260858278. 350901800858297/351461260858294. 350901800882701/351461260882708. 350901800882719/3
51461260882716. 350901800882784/351461260882781. 350901800882792/351461260882799. 350901800882842/351461260882849. 35090180088287
5/351461260882872. 350901800882941/351461260882948. 350901800882974/351461260882971. 350901800883006/351461260883003.350901800883
097/351461260883094. 350901800883113/351461260883110. 350901800883121/351461260883128. 350901800883139/351461260883136. 350901800
883147/351461260883144. 350901800883170/351461260883177. 350901800883188/351461260883185. 350901800883196/351461260883193. 350901
800883204/351461260883201. 350901800883212/351461260883219. 350901800883238/351461260883235. 350901800883261/351461260883268. 350
901800883279/351461260883276. 350901800883287/351461260883284. 350901800883295/351461260883292. 350901800883337/351461260883334.
350901800883345/351461260883342.350901800883600/351461260883607. 350901800883626/351461260883623. 350901800883634/351461260883631
. 350901800883683/351461260883680. 350901800883741/351461260883748. 350901800883790/351461260883797. 350901800883873/351461260883
870. 350901800883899/351461260883896. 350901800883964/351461260883961. 350901800883972/351461260883979. 350901800884020/351461260
884027. 350901800884079/351461260884076. 350901800884087/351461260884084. 350901800884095/351461260884092. 350901800884111/351461
260884118. 350901800884129/351461260884126. 350901800884137/351461260884134. 350901800884145/351461260884142. 350901800884152/351
461260884159. 350901800884160/351461260884167. 350901800884178/351461260884175. 350901800884186/351461260884183. 350901800884194/
351461260884191. 350901800884202/351461260884209. 350901800884210/351461260884217. 350901800884228/351461260884225. 3509018008842
44/351461260884241. 350901800884251/351461260884258. 350901800884277/351461260884274. 350901800884285/351461260884282. 3509018008
84293/351461260884290. 350901800884301/351461260884308. 350901800884319/351461260884316. 350901800884327/351461260884324. 3509018
00884335/351461260884332. 350901800884343/351461260884340. 350901800884350/351461260884357. 350901800884376/351461260884373. 3509
01800884384/351461260884381. 350901800884392/351461260884399. 350901800884400/351461260884407. 350901800884418/351461260884415. 3
50901800884426/351461260884423. 350901800884434/351461260884431. 350901800884459/351461260884456. 350901800884467/351461260884464
. 350901800884533/351461260884530. 350901800884582/351461260884589. 350901800884608/351461260884605. 350901800884657/351461260884
654. 350901800884681/351461260884688. 350901800884699/351461260884696. 350901800884715/351461260884712.350901800884723/3514612608
84720. 350901800884756/351461260884753. 350901800884772/351461260884779. 350901800884780/351461260884787. 350901800884806/3514612
60884803. 350901800884814/351461260884811. 350901800884830/351461260884837. 350901800884848/351461260884845. 350901800884863/3514
61260884860. 350901800884889/351461260884886. 350901800884897/351461260884894. 350901800884905/351461260884902. 350901800884913/3
51461260884910. 350901800884947/351461260884944. 350901800884954/351461260884951. 350901800884962/351461260884969. 35090180088497
0/351461260884977.350901800884988/351461260884985. 350901800885035/351461260885032. 350901800885043/351461260885040. 350901800885
050/351461260885057. 350901800885084/351461260885081. 350901800885134/351461260885131. 350901800885142/351461260885149. 350901800
885159/351461260885156. 350901800885266/351461260885263. 350901800885464/351461260885461. 350901800885530/351461260885537. 350901
800885548/351461260885545. 350901800885571/351461260885578. 350901800885605/351461260885602. 350901800885720/351461260885727. 350
901800885761/351461260885768. 350901800885845/351461260885842. 350901800885852/351461260885859. 350901800885886/351461260885883.
350901800885894/351461260885891. 350901800885928/351461260885925. 350901800885936/351461260885933. 350901800885944/35146126088594
1. 350901800886017/351461260886014. 350901800890233/351461260890230. 350901800890258/351461260890255. 350901800891777/35146126089
1774. 350901800891793/351461260891790. 350901800891876/351461260891873. 350901800891942/351461260891949. 350901800892072/35146126
0892079. 350901800892155/351461260892152. 350901800892213/351461260892210. 350901800892403/351461260892400. 350901800892411/35146
1260892418. 350901800892445/351461260892442. 350901800892536/351461260892533. 350901800892551/351461260892558. 350901800892569/35
1461260892566. 350901800892643/351461260892640. 350901800892908/351461260892905. 350901800893013/351461260893010. 350901800893054
/351461260893051. 350901800893062/351461260893069. 350901800893187/351461260893184. 350901800893823/351461260893820. 350901800893
856/351461260893853. 350901800893864/351461260893861. 350901800894417/351461260894414. 350901800894425/351461260894422. 350901800
894466/351461260894463. 350901800894482/351461260894489. 350901800894532/351461260894539.350901800894615/351461260894612. 3509018
00894623/351461260894620. 350901800894631/351461260894638. 350901800894649/351461260894646. 350901800894680/351461260894687. 3509
01800894698/351461260894695. 350901800894706/351461260894703. 350901800894714/351461260894711. 350901800894722/351461260894729. 3
50901800894755/351461260894752. 350901800894763/351461260894760. 350901800894771/351461260894778. 350901800894789/351461260894786
032025001841012-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001841012-1
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
. 350901800894797/351461260894794. 350901800894813/351461260894810. 350901800894847/351461260894844. 350901800894862/351461260894
869.350901800894888/351461260894885. 350901800894912/351461260894919. 350901800894946/351461260894943. 350901800894995/3514612608
94992. 350901800895067/351461260895064XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001841012-1
Espacio para uso exclusivo de la Entidad Recaudadora
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