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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
032025002054487-1
5 . Número de Identificación Tributaria (NIT)
900337553
6 . DV.
3
11 . Apellidos y nombres o Razón Social
MOTOROLA MOBILITY COLOMBIA S A S
13 . Dirección
CL 99 14 49 P 5
15 . Teléfono
5872444
12 . Cód. Admón.
03
16 . Cód. Dpto
11
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
830002397
25 . DV.
9
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS DHL GLOBAL FORWARDING COLOMBIA SA NIVEL 1
27 . Tipo usuario
26
28 . Cód. usuario
0048
29 . Número documento de identificación
1018415355
30 . Apellidos y nombres
ANGELA PATRICIA INFANTE JIMENEZ
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
939
42 . Manifiesto de carga
No. 1258295
43 . Año – Mes – Día
2025 – 11 – 20
44 . Documento de transporte
No. AHWUH507150
45 . Año – Mes – Día
2025 – 11 – 06
46 . Nombre exportador o proveedor en el exterior
MOTOROLA MOBILITY LLC
47 . Ciudad
CHICAGO, IL
48 . Cod.País Exportador
249
49 . Dirección exportador o proveedor en el exterior
222 W.MERCHANDISE MART PLAZA SUITE 1800
50 . E-mail
MALBALA@LENOVO.COM
51 . No. de factura
9997134288
52 . Año – Mes – Día
2025 – 11 – 05
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
LINEA AEREA CARGUERA DE COLOMBIA S.A.
58 . Tasa de cambio $ cvs.
3.741.27
S 59 . Subpartida arancelaria
8518300000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C200
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
03
69 . Tipo de
importación
01
70 . Cod. país
compra
249
71 . Peso bruto kgs. dcms.
63.00
72 . Peso neto kgs. dcms.
43.00
73 . Código
embalaje
CS
74 . No. bultos
300
75 . Subpartidas
1
76 . Cod. unidad
comercialU
77 . Cantidad dcms.
300.00
78 .Valor FOB USD
3.724.68
79 . Valor fletes USD
609.56 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($)
Total Liquidado
(USD)
Arancel 92
0.00
93
16.222.483
94
0
95
0
96
0.00
I.V.A. 97
19.00
98
16.222.483
99
3.082.000
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
3.082.000
126
0.00
80 . Valor Seguros USD
1.85
81 . Valor Otros Gastos USD
0
82 . Sumatoria de fletes, seguros
y otros gastos USD
611.41
83 . Ajuste valor USD
0.00
84 . Valor aduana USD
4.336.09
85 . Código registro
o licencia
X
86 . Número
XXXXXXXXXX
87 . Cod. oficina
99
88 . Año
XXXX
89 . Programa No
XXXXXXXXXX
90 . Cód Interno del Producto
0
91 . Descripción de las mercancías(No inicie la descripción de las mercancías a importar con lo señalado en el arancel de aduanas en la subpartida arancelaria – Incluya marcas, seriales y otros) (Si el campo es insuficiente, continúe al respaldo
de este formulario)
DO CO017801220325 PEDIDO TRAMITE: MOTO DECLARACION(1-1) FACTURA: 9997134288 FECHA: 2025-11-05 COD PRODUCTO: PG38C07952, PRODUCTO:
AURICULARES, MARCA: MOTOROLA, MODELO: XT2443-1, REFERENCIA: PG38C07952, SERIAL: HWAL5XNS, HWAL5XNT, HWAL5XNP, HWAL5XNN, HWAL5XNU
, HWAL5XNW, HWAL5XNY, HWAL5XP2, HWAL5XP5, HWAL5XNJ, HWAL5XMW, HWAL5XMS, HWAL5XMP, HWAL5XML, HWAL5XMK, HWAL5XMJ, HWAL5XM6, HWAL5XL
W, HWAL5XP6, HWAL5XP9, HWAL5XQC, HWAL5XQG, HWAL5XQH, HWAL5XQJ, HWAL5XQN, HWAL5XQP, HWAL5XQQ, HWAL5XQR, HWAL5XQT, HWAL5XQW, HWAL5X
QY, HWAL5XR3, HWAL5XR4, HWAL5XR5, HWAL5XR6, HWAL5XR7, HWAL5XR9, HWAL5XLL, HWAL5XK5, HWAL5XK6, HWAL5XK7, HWAL5XK8, HWAL5XK9, HWAL5
XKA, HWAL5XKB, HWAL5XKC, HWAL5XKD, HWAL5XKE, HWAL5XKF, HWAL5XKG, HWAL5XKH, HWAL5XKJ, HWAL5XKK, HWAL5XKL, HW(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
032025002054487
133. Feha: 2025 11 25
134 . Levante No. 032025001767380 135 . Fecha
2025 – 11 – 25
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 Número autoadhesivo
91003047888672
Fecha de Impresión: 2025-11-25 18:33:11
MM
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025002054487-1
Subpartida : 8518300000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
AL5XKM, HWAL5XKN, HWAL5XKQ, HWAL5XKR, HWAL5XKS, HWAL5XKT, HWAL5XKU, HWAL5XKV, HWAL5XKW, HWAL5XKX, HWAL5XKY, HWAL5XKZ, HWAL5XL2, H
WAL5XL3, HWAL5XL4, HWAL5XL5, HWAL5XL6, HWAL5XL8, HWAL5XLC, HWAL5XLD, HWAL5XLJ, HWAL5Y8U, HWAL5Y8V, HWAL5Y8X, HWAL5Y8Y, HWAL5Y92,
HWAL5Y93, HWAL5Y94, HWAL5Y95, HWAL5Y96, HWAL5Y98, HWAL5Y99, HWAL5Y9A, HWAL5Y9C, HWAL5Y9E, HWAL5Y9G, HWAL5Y9H, HWAL5Y9J, HWAL5Y9Q,
HWAL5Y9R, HWAL5Y9Y, HWAL5YA6, HWAL5YA9, HWAL5YAB, HWAL5YAF, HWAL5YAG, HWAL5YAH, HWAL5YAJ, HWAL5YAL, HWAL5YAS, HWAL5YAU, HWAL5YAW
, HWAL5YAY, HWAL5YAZ, HWAL5YB4, HWAL5YB6, HWAL5YB7, HWAL5YB9, HWAL5Y8T, HWAL5XRA, HWAL5XRB, HWAL5XRC, HWAL5XRD, HWAL5XRE, HWAL5XR
F, HWAL5XRG, HWAL5XRH, HWAL5XRJ, HWAL5XRK, HWAL5XRL, HWAL5XRU, HWAL5XRV, HWAL5XRX, HWAL5XRY, HWAL5XS2, HWAL5XUV, HWAL5XV6, HWAL5X
YA, HWAL5Y3V, HWAL5Y4T, HWAL5Y4X, HWAL5Y66, HWAL5Y6C, HWAL5Y6F, HWAL5Y6J, HWAL5Y6S, HWAL5Y6T, HWAL5Y7H, HWAL5Y7J, HWAL5Y7K, HWAL5
Y7L, HWAL5Y7N, HWAL5Y7P, HWAL5Y7Q, HWAL5Y7V, HWAL5Y7W, HWAL5X9Q, HWAL5X9T, HWAL5X9X, HWAL5X9Z, HWAL5XA2, HWAL5XA4, HWAL5XA6, HWAL
5XAW, HWAL5XAX, HWAL5XB4, HWAL5XB8, HWAL5XBB, HWAL5XBW, HWAL5XBY, HWAL5XC3, HWAL5XC5, HWAL5XCE, HWAL5XCG, HWAL5XCW, HWAL5XD2, HWA
L5XD5, HWAL5XD6, HWAL5XD8, HWAL5XD9, HWAL5XDA, HWAL5XDE, HWAL5XDS, HWAL5XDX, HWAL5XDZ, HWAL5XE3, HWAL5XE4, HWAL5XE5, HWAL5XE7, HW
AL5XE8, HWAL5XE9, HWAL5XEB, HWAL5XEC, HWAL5X9J, HWAL5VTF, HWAL5WFC, HWAL5WFE, HWAL5WFH, HWAL5WH7, HWAL5WHU, HWAL5WJN, HWAL5WK5, H
WAL5WM3, HWAL5WMX, HWAL5WNS, HWAL5WQS, HWAL5WR2, HWAL5WSA, HWAL5WT3, HWAL5WVP, HWAL5WWW, HWAL5WX3, HWAL5WXW, HWAL5X4S, HWAL5X55,
HWAL5X56, HWAL5X5Z, HWAL5X67, HWAL5X68, HWAL5X6C, HWAL5X6X, HWAL5X7G, HWAL5X8P, HWAL5X8S, HWAL5X8V, HWAL5X8Y, HWAL5X8Z, HWAL5X95,
HWAL5X9A, HWAL5X9E, HWAL5X9F, HWAL5XHR, HWAL5XHS, HWAL5XHU, HWAL5XHW, HWAL5XHY, HWAL5XHZ, HWAL5XJ2, HWAL5XJ3, HWAL5XJ4, HWAL5XJ5
, HWAL5XJ6, HWAL5XJ7, HWAL5XJ8, HWAL5XJ9, HWAL5XJA, HWAL5XJB, HWAL5XJC, HWAL5XJE, HWAL5XJF, HWAL5XJG, HWAL5XJJ, HWAL5XJK, HWAL5XJ
L, HWAL5XJM, HWAL5XJN, HWAL5XJP, HWAL5XJR, HWAL5XJS, HWAL5XJT, HWAL5XJU, HWAL5XJV, HWAL5XJW, HWAL5XJX, HWAL5XJY, HWAL5XJZ, HWAL5X
K2, HWAL5XK3, HWAL5XHP, HWAL5XED, HWAL5XEF, HWAL5XEG, HWAL5XEH, HWAL5XEJ, HWAL5XEL, HWAL5XEM, HWAL5XEN, HWAL5XEQ, HWAL5XER, HWAL5
XEV, HWAL5XEW, HWAL5XEX, HWAL5XEZ, HWAL5XF2, HWAL5XF3, HWAL5XF5, HWAL5XF7, HWAL5XF8, HWAL5XFA, HWAL5XFB, HWAL5XFC, HWAL5XFD, HWAL
5XFF, HWAL5XFG, HWAL5XFY, HWAL5XGF, HWAL5XGT, HWAL5XGU, HWAL5XGX, HWAL5XH2, HWAL5XHC, HWAL5XHD, HWAL5XHE, HWAL5XHG, HWAL5XHJ, HWA
L5XHL, USO O DESTINO: AUDÍFONOS INALÁMBRICOS BLUETOOTH // DOMESTICO Y PERSONAL, CANT (300) UNIDAD PEDIDO ITEM: MOTO (ITEM 1).XXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025002054487-1
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
032025002055165-1
5 . Número de Identificación Tributaria (NIT)
900337553
6 . DV.
3
11 . Apellidos y nombres o Razón Social
MOTOROLA MOBILITY COLOMBIA S A S
13 . Dirección
CL 99 14 49 P 5
15 . Teléfono
5872444
12 . Cód. Admón.
03
16 . Cód. Dpto
11
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
830002397
25 . DV.
9
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS DHL GLOBAL FORWARDING COLOMBIA SA NIVEL 1
27 . Tipo usuario
26
28 . Cód. usuario
0048
29 . Número documento de identificación
1018415355
30 . Apellidos y nombres
ANGELA PATRICIA INFANTE JIMENEZ
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
939
42 . Manifiesto de carga
No. 1258296
43 . Año – Mes – Día
2025 – 11 – 20
44 . Documento de transporte
No. AHWUH507152
45 . Año – Mes – Día
2025 – 11 – 06
46 . Nombre exportador o proveedor en el exterior
MOTOROLA MOBILITY LLC
47 . Ciudad
CHICAGO, IL
48 . Cod.País Exportador
249
49 . Dirección exportador o proveedor en el exterior
222 W.MERCHANDISE MART PLAZA SUITE 1800
50 . E-mail
MALBALA@LENOVO.COM
51 . No. de factura
9997134290
52 . Año – Mes – Día
2025 – 11 – 05
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
LINEA AEREA CARGUERA DE COLOMBIA S.A.
58 . Tasa de cambio $ cvs.
3.741.27
S 59 . Subpartida arancelaria
8518300000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C200
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
03
69 . Tipo de
importación
01
70 . Cod. país
compra
249
71 . Peso bruto kgs. dcms.
7.50
72 . Peso neto kgs. dcms.
6.94
73 . Código
embalaje
CS
74 . No. bultos
50
75 . Subpartidas
1
76 . Cod. unidad
comercialU
77 . Cantidad dcms.
50.00
78 .Valor FOB USD
616.28
79 . Valor fletes USD
59.09 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($)
Total Liquidado
(USD)
Arancel 92
0.00
93
2.527.901
94
0
95
0
96
0.00
I.V.A. 97
19.00
98
2.527.901
99
480.000
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
480.000
126
0.00
80 . Valor Seguros USD
0.31
81 . Valor Otros Gastos USD
0
82 . Sumatoria de fletes, seguros
y otros gastos USD
59.40
83 . Ajuste valor USD
0.00
84 . Valor aduana USD
675.68
85 . Código registro
o licencia
X
86 . Número
XXXXXXXXXX
87 . Cod. oficina
99
88 . Año
XXXX
89 . Programa No
XXXXXXXXXX
90 . Cód Interno del Producto
0
91 . Descripción de las mercancías(No inicie la descripción de las mercancías a importar con lo señalado en el arancel de aduanas en la subpartida arancelaria – Incluya marcas, seriales y otros) (Si el campo es insuficiente, continúe al respaldo
de este formulario)
DO CO017801220125 PEDIDO TRAMITE: MOTO DECLARACION(1-1) FACTURA: 9997134290 FECHA: 2025-11-05 COD PRODUCTO: PG38C07953, CP ACCY T
WS BTHSET XT2443-1 BJ LATAM; PRODUCTO: AURICULARES, MARCA: MOTOROLA, MODELO: XT2443-1, REFERENCIA: PG38C07953, SERIAL: HWAL52JG,
HWAL52JT, HWAL52JV, HWAL52JY, HWAL52KT, HWAL4ZLW, HWAL4ZR4, HWAL4ZZH, HWAL523F, HWAL523J, HWAL523V, HWAL523X, HWAL5248, HWAL524V,
HWAL5276, HWAL5277, HWAL527W, HWAL528K, HWAL52AG, HWAL52FE, HWAL52H4, HWAL52HE, HWAL52K3, HWAL52LJ, HWAL52MM, HWAL4ZMA, HWAL4ZRT
, HWAL4ZRY, HWAL4ZSP, HWAL4ZSQ, HWAL4ZT7, HWAL4ZVL, HWAL4ZVM, HWAL4ZXB, HWAL522B, HWAL52AB, HWAL52GD, HWAL52GF, HWAL52GG, HWAL52G
Q, HWAL52H5, HWAL52H7, HWAL52H9, HWAL52HB, HWAL52HL, HWAL52HQ, HWAL52HY, HWAL52J8, HWAL52J9, HWAL52JF, USO (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
032025002055165
133. Feha: 2025 11 25
134 . Levante No. 032025001778734 135 . Fecha
2025 – 11 – 27
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 Número autoadhesivo
91003047909914
Fecha de Impresión: 2025-11-27 14:00:30
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025002055165-1
Subpartida : 8518300000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
O DESTINO: AUDÍFONOS INALÁMBRICOS BLUETOOTH // DOMESTICO Y PERSONAL, PAIS DE ORIGEN: CHINA – 215 CANT (50) UND PEDIDO ITEM: MOTO
(ITEM 1).XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025002055165-1
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
032025002070337-2
5 . Número de Identificación Tributaria (NIT)
900337553
6 . DV.
3
11 . Apellidos y nombres o Razón Social
MOTOROLA MOBILITY COLOMBIA S A S
13 . Dirección
CL 99 14 49 P 5
15 . Teléfono
5872444
12 . Cód. Admón.
03
16 . Cód. Dpto
11
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
830002397
25 . DV.
9
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS DHL GLOBAL FORWARDING COLOMBIA SA NIVEL 1
27 . Tipo usuario
26
28 . Cód. usuario
0048
29 . Número documento de identificación
1018415355
30 . Apellidos y nombres
ANGELA PATRICIA INFANTE JIMENEZ
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
939
42 . Manifiesto de carga
No. 1260258
43 . Año – Mes – Día
2025 – 11 – 25
44 . Documento de transporte
No. AHWUH507163
45 . Año – Mes – Día
2025 – 11 – 12
46 . Nombre exportador o proveedor en el exterior
MOTOROLA MOBILITY LLC
47 . Ciudad
CHICAGO, IL
48 . Cod.País Exportador
249
49 . Dirección exportador o proveedor en el exterior
222 W.MERCHANDISE MART PLAZA SUITE 1800
50 . E-mail
MALBALA@LENOVO.COM
51 . No. de factura
9997155338
52 . Año – Mes – Día
2025 – 11 – 11
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
LINEA AEREA CARGUERA DE COLOMBIA S.A.
58 . Tasa de cambio $ cvs.
3.741.27
S 59 . Subpartida arancelaria
8518300000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C200
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
03
69 . Tipo de
importación
01
70 . Cod. país
compra
249
71 . Peso bruto kgs. dcms.
61.00
72 . Peso neto kgs. dcms.
40.00
73 . Código
embalaje
CS
74 . No. bultos
300
75 . Subpartidas
1
76 . Cod. unidad
comercialU
77 . Cantidad dcms.
300.00
78 .Valor FOB USD
3.726.00
79 . Valor fletes USD
622.00 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($)
Total Liquidado
(USD)
Arancel 92
0.00
93
16.274.001
94
0
95
0
96
0.00
I.V.A. 97
19.00
98
16.274.001
99
3.092.000
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
3.092.000
126
0.00
80 . Valor Seguros USD
1.86
81 . Valor Otros Gastos USD
0
82 . Sumatoria de fletes, seguros
y otros gastos USD
623.86
83 . Ajuste valor USD
0.00
84 . Valor aduana USD
4.349.86
85 . Código registro
o licencia
X
86 . Número
XXXXXXXXXX
87 . Cod. oficina
99
88 . Año
XXXX
89 . Programa No
XXXXXXXXXX
90 . Cód Interno del Producto
0
91 . Descripción de las mercancías(No inicie la descripción de las mercancías a importar con lo señalado en el arancel de aduanas en la subpartida arancelaria – Incluya marcas, seriales y otros) (Si el campo es insuficiente, continúe al respaldo
de este formulario)
DO CO017801218925 PEDIDO TRAMITE: MOTO DECLARACION(1-1) FACTURA: 9997155338 FECHA: 2025-11-11 COD PRODUCTO: PG38C07952, CP ACCY T
WS BTHSET XT2443-1 DW LATAM; PRODUCTO: AURICULARES, MARCA: MOTOROLA, MODELO: XT2443-1, REFERENCIA: PG38C07952, SERIAL: HWAL72MX,
HWAL72N3, HWAL72MV, HWAL72MU, HWAL72N4, HWAL72N5, HWAL72N6, HWAL72N8, HWAL72NR, HWAL72MR, HWAL72MQ, HWAL72MP, HWAL72MM, HWAL72ML,
HWAL72MJ, HWAL72MH, HWAL72MF, HWAL72M5, HWAL72NY, HWAL72PA, HWAL72Q6, HWAL72Q9, HWAL72QA, HWAL72QB, HWAL72QC, HWAL72QD, HWAL72QE
, HWAL72QH, HWAL72QJ, HWAL72QK, HWAL72QM, HWAL72QS, HWAL72QT, HWAL72QU, HWAL72QV, HWAL72QX, HWAL72QY, HWAL72M3, HWAL72H5, HWAL72H
6, HWAL72H9, HWAL72HC, HWAL72HD, HWAL72HG, HWAL72HH, HWAL72HL, HWAL72HQ, HWAL72HW, HWAL72HZ, HWAL72J2, HWAL(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
032025002070337
133. Feha: 2025 11 27
134 . Levante No. 032025001780595 135 . Fecha
2025 – 11 – 27
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 Número autoadhesivo
91003047935639
Fecha de Impresión: 2025-11-27 16:20:49
MM
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025002070337-2
Subpartida : 8518300000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
72J5, HWAL72J6, HWAL72J9, HWAL72JA, HWAL72JJ, HWAL72JL, HWAL72JP, HWAL72JQ, HWAL72JR, HWAL72JS, HWAL72JW, HWAL72K6, HWAL72KF, HWA
L72KP, HWAL72KR, HWAL72KS, HWAL72KU, HWAL72KW, HWAL72KX, HWAL72KY, HWAL72L3, HWAL72L4, HWAL72L5, HWAL72L7, HWAL72LZ, HWAL72UH, HW
AL72UM, HWAL72V4, HWAL72V8, HWAL72V9, HWAL72VA, HWAL72VB, HWAL72VC, HWAL72VD, HWAL72VE, HWAL72VF, HWAL72VG, HWAL72VK, HWAL72VL, H
WAL72VM, HWAL72VP, HWAL72VT, HWAL7G6L, HWAL7G6P, HWAL7G6Q, HWAL7G6V, HWAL7G74, HWAL7G76, HWAL7G77, HWAL7G7A, HWAL7G7B, HWAL7G7E,
HWAL7G7J, HWAL7G7L, HWAL7G7P, HWAL7G7R, HWAL7G7V, HWAL7G7X, HWAL7G7Y, HWAL7G7Z, HWAL7G83, HWAL7G85, HWAL72U5, HWAL72QZ, HWAL72R3,
HWAL72R4, HWAL72R6, HWAL72R7, HWAL72R9, HWAL72RB, HWAL72RC, HWAL72RF, HWAL72RH, HWAL72RK, HWAL72RM, HWAL72RN, HWAL72RU, HWAL72RW
, HWAL72RX, HWAL72S4, HWAL72S6, HWAL72SH, HWAL72SQ, HWAL72SS, HWAL72SW, HWAL72T8, HWAL72TA, HWAL72TD, HWAL72TJ, HWAL72TK, HWAL72T
L, HWAL72TM, HWAL72TN, HWAL72TQ, HWAL72TR, HWAL72TV, HWAL72TW, HWAL72TX, HWAL72TY, HWAL72TZ, HWAL6ZYV, HWAL6ZZ7, HWAL6ZZD, HWAL6Z
ZM, HWAL722B, HWAL722M, HWAL722W, HWAL722Z, HWAL7232, HWAL7238, HWAL723E, HWAL723K, HWAL723N, HWAL723Q, HWAL723V, HWAL723Y, HWAL7
23Z, HWAL7242, HWAL7243, HWAL724F, HWAL724K, HWAL724L, HWAL724P, HWAL724R, HWAL724S, HWAL724T, HWAL724U, HWAL724W, HWAL724X, HWAL
724Y, HWAL724Z, HWAL7252, HWAL7254, HWAL7255, HWAL7258, HWAL7259, HWAL725D, HWAL6ZY9, HWAL6XV4, HWAL6XVK, HWAL6XW8, HWAL6XWC, HWA
L6XWD, HWAL6XYU, HWAL6YA4, HWAL6YAU, HWAL6YB3, HWAL6YBX, HWAL6YBZ, HWAL6YCD, HWAL6YCY, HWAL6YCZ, HWAL6YDA, HWAL6YE7, HWAL6YF3, HW
AL6YFS, HWAL6YGY, HWAL6YJ9, HWAL6YTD, HWAL6YTV, HWAL6Z4Y, HWAL6Z8Y, HWAL6Z9G, HWAL6Z9L, HWAL6ZJG, HWAL6ZMX, HWAL6ZNZ, HWAL6ZPA, H
WAL6ZPE, HWAL6ZQL, HWAL6ZRF, HWAL6ZRG, HWAL6ZRQ, HWAL6ZWG, HWAL6ZX7, HWAL727N, HWAL727P, HWAL727Q, HWAL727R, HWAL727S, HWAL727T,
HWAL727U, HWAL727W, HWAL7285, HWAL728D, HWAL728G, HWAL728K, HWAL728L, HWAL729B, HWAL729U, HWAL72D6, HWAL72D9, HWAL72DB, HWAL72DJ,
HWAL72DN, HWAL72DP, HWAL72DQ, HWAL72DR, HWAL72DS, HWAL72DT, HWAL72DV, HWAL72DW, HWAL72DY, HWAL72DZ, HWAL72E2, HWAL72E5, HWAL72EA
, HWAL72G5, HWAL72G6, HWAL72G7, HWAL72GK, HWAL72GX, HWAL727L, HWAL725E, HWAL725F, HWAL725G, HWAL725H, HWAL725J, HWAL725K, HWAL725
L, HWAL725M, HWAL725N, HWAL725P, HWAL725Q, HWAL725S, HWAL725T, HWAL725U, HWAL725V, HWAL725W, HWAL725X, HWAL725Z, HWAL7262, HWAL72
68, HWAL726C, HWAL726M, HWAL726Y, HWAL7272, HWAL7273, HWAL7275, HWAL7277, HWAL7279, HWAL727A, HWAL727B, HWAL727C, HWAL727D, HWAL7
27E, HWAL727G, HWAL727H, HWAL727J, HWAL727K, USO O DESTINO: AUDÍFONOS INALÁMBRICOS BLUETOOTH // DOMESTICO Y PERSONAL, PAIS DE ORI
GEN: CHINA – 215. CANT (300) UND PEDIDO ITEM: MOTO (ITEM 1).XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025002070337-2
Espacio para uso exclusivo de la Entidad Recaudadora