Ir al contenido
VER MAS
REPÚBLICA DE COLOMBIA
Declaración de Importación Privada 500
1. Año 2026
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
032026000374657-3
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. 116575016792807
43 . Año – Mes – Día
2026 – 03 – 12
44 . Documento de transporte
No. SHAN0471990
45 . Año – Mes – Día
2026 – 03 – 07
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
9104194993
52 . Año – Mes – Día
2026 – 03 – 07
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.
3.767.94
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.
185.50
72 . Peso neto kgs. dcms.
140.00
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
112.524.17
79 . Valor fletes USD
1.508.12 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
429.680.994
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
429.680.994
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
3.76
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.511.88
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
114.036.05
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: 593611-DECL: 2009445-DO: 893105815261- DECL 1 DE 1.- //NOS ACOGEMOS AL ARTICULO 424 DEL ESTATUTO TRIBUTARIO MODIFICADO POR L
A LEY 1819DEL 29/12/2016 ARTÍCULO 175 NUMERAL 6 (EXCLUSIÓN DEL IVA). //NOS ACOGEMOS AL ARTÍCULO 2.8.3.1 ORDINAL 2.8.3.1.4 DE LA R
ESOLUCIÓN 5050 DEL 10DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOMOL
OGACIÓN) // NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION.SAMSUNG ELECTRONICS COLOMBIA
S.A. OEA COD. OE0001. . PEDIDOS: 3110504812. ID DELIVERY: 6087476987. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A376BZAKLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A37 5G DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS,MOD(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
032026000374657
133. Feha: 202603 10
134 . Levante No. 032026000359158 135 . Fecha
2026 – 03 – 13
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 92032606167357
Fecha presentación 2026-03-10 20:20:09
Valor pagado $0.00
Fecha de Impresión: 2026-03-13 14:01:43
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000374657-3
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ELO: SM-A376B/DS,USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL./ /MOBILE,SM-A376B/DS,GRAY,LTC( QTY. 500,00 u )(500,00 PCE ); I
MEIS: 356599700357784/356975820357781. 356599700358212/356975820358219. 356599700358923/356975820358920. 356599700359335/35697582
0359332. 356599700359467/356975820359464. 356599700359541/356975820359548. 356599700359756/356975820359753.356599700359889/356975
820359886. 356599700359913/356975820359910. 356599700360028/356975820360025. 356599700360119/356975820360116. 356599700360283/356
975820360280. 356599700360333/356975820360330. 356599700360473/356975820360470. 356599700360556/356975820360553. 356599700360564/
356975820360561. 356599700360572/356975820360579. 356599700360606/356975820360603. 356599700360614/356975820360611. 3565997003606
22/356975820360629. 356599700360630/356975820360637. 356599700360655/356975820360652. 356599700360705/356975820360702. 3565997003
60721/356975820360728. 356599700362180/356975820362187. 356599700362495/356975820362492. 35 6599700362503/356975820362500. 356599
700362511/356975820362518. 356599700362552/356975820362559. 356599700362560/356975820362567. 356599700362578/356975820362575. 356
599700362586/356975820362583. 356599700362602/356975820362609. 356599700362610/356975820362617. 356599700362628/356975820362625.
356599700362636/356975820362633. 356599700362644/356975820362641. 356599700362651/356975820362658. 356599700362669/35697582036266
6. 356599700362685/356975820362682. 356599700362693/356975820362690. 356599700362701/356975820362708. 356599700362719/35697582036
2716. 356599700362727/356975820362724. 356599700362735/356975820362732. 356599700362743/356975820362740. 356599700362750/35697582
0362757. 356599700362768/356975820362765. 356599700362776/356975820362773. 356599700362784/356975820362781. 356599700362792/35697
5820362799. 356599700362800/356975820362807. 356599700362818/356975820362815. 356599700362826/356975820362823. 356599700362842/35
6975820362849. 356599700362859/356975820362856. 356599700362867/356975820362864. 356599700362875/356975820362872. 356599700362883
/356975820362880. 356599700362891/356975820362898.356599700362909/356975820362906. 356599700362917/356975820362914. 3565997003629
33/356975820362930. 356599700362941/356975820362948. 356599700362958/356975820362955. 356599700362966/356975820362963. 3565997003
62974/356975820362971. 356599700362982/356975820362989. 356599700362990/356975820362997. 356599700363014/356975820363011. 3565997
00363022/356975820363029. 356599700363048/356975820363045. 356599700363055/356975820363052. 356599700363071/356975820363078. 3565
99700363089/356975820363086. 356599700363097/356975820363094. 356599700363105/356975820363102.356599700363113/356975820363110. 35
6599700363121/356975820363128. 356599700363139/356975820363136. 356599700363147/356975820363144. 356599700363162/356975820363169.
356599700363170/356975820363177. 356599700363188/356975820363185. 356599700363196/356975820363193. 356599700363204/3569758203632
01. 356599700363212/356975820363219. 356599700363220/356975820363227. 356599700363246/356975820363243. 356599700363253/3569758203
63250. 356599700363261/356975820363268. 356599700363279/356975820363276. 356599700363287/356975820363284. 356599700363311/3569758
20363318. 356599700363329/356975820363326. 356599700363337/356975820363334. 356599700363345/356975820363342. 356599700363360/3569
75820363367. 356599700363378/356975820363375. 356599700363386/356975820363383. 356599700363402/356975820363409. 356599700363410/3
56975820363417. 356599700363428/356975820363425. 356599700363436/356975820363433. 356599700363444/356975820363441. 35659970036345
1/356975820363458. 356599700363493/356975820363490. 356599700363501/356975820363508. 356599700363519/356975820363516. 35659970036
3543/356975820363540. 356599700363550/356975820363557. 356599700363568/356975820363565. 356599700363584/356975820363581. 35659970
0363592/356975820363599. 356599700363600/356975820363607. 356599700363626/356975820363623. 356599700363717/356975820363714. 35659
9700363824/356975820363821. 356599700364376/356975820364373. 356599700364426/356975820364423. 356599700364483/356975820364480. 35
6599700364509/356975820364506. 356599700364533/356975820364530. 356599700364566/356975820364563. 356599700364574/356975820364571.
356599700364608/356975820364605. 356599700364616/356975820364613. 356599700364657/356975820364654. 356599700364665/3569758203646
62. 356599700364681/356975820364688.356599700364913/356975820364910. 356599700364947/356975820364944. 356599700365035/35697582036
5032. 356599700365084/356975820365081. 356599700365159/356975820365156. 356599700365209/356975820365206. 356599700365316/35697582
0365313. 356599700365720/356975820365727. 356599700366454/356975820366451. 356599700366488/356975820366485. 356599700366520/35697
5820366527. 356599700366538/356975820366535. 356599700366553/356975820366550. 356599700366561/356975820366568. 356599700366587/35
6975820366584. 356599700366629/356975820366626. 356599700367007/356975820367004.356599700367015/356975820367012. 356599700367213/
356975820367210. 356599700368013/356975820368010. 356599700368039/356975820368036. 356599700368047/356975820368044. 3565997003680
54/356975820368051. 356599700368062/356975820368069. 356599700368088/356975820368085. 356599700368096/356975820368093. 3565997003
68104/356975820368101. 356599700368146/356975820368143. 356599700368153/356975820368150. 356599700368161/356975820368168. 3565997
00368179/356975820368176. 356599700368187/356975820368184. 356599700368203/356975820368200. 356599700368211/356975820368218. 3565
99700368229/356975820368226. 356599700368237/356975820368234. 356599700368245/356975820368242. 356599700368252/356975820368259. 3
56599700368278/356975820368275. 356599700368294/356975820368291. 356599700368302/356975820368309. 356599700368310/356975820368317
. 356599700368328/356975820368325. 356599700368336/356975820368333. 356599700368351/356975820368358. 356599700368369/356975820368
366. 356599700368419/356975820368416. 356599700368427/356975820368424. 356599700368435/356975820368432. 356599700368443/356975820
368440. 356599700368450/356975820368457. 356599700368468/356975820368465. 356599700368476/356975820368473. 356599700368484/356975
820368481. 356599700368492/356975820368499. 356599700368500/356975820368507. 356599700368518/356975820368515. 356599700368542/356
975820368549. 356599700368559/356975820368556. 356599700368567/356975820368564. 356599700368575/356975820368572. 356599700368591/
356975820368598. 356599700368609/356975820368606. 356599700368682/356975820368689. 356599700368922/356975820368929. 3565997003690
29/356975820369026. 356599700369045/356975820369042. 356599700369086/356975820369083. 356599700369102/356975820369109. 3565997003
69136/356975820369133.356599700369144/356975820369141. 356599700369151/356975820369158. 356599700369193/356975820369190. 35659970
0369201/356975820369208. 356599700369227/356975820369224. 356599700369235/356975820369232. 356599700369243/356975820369240. 35659
9700369250/356975820369257. 356599700369276/356975820369273. 356599700369326/356975820369323. 356599700369342/356975820369349. 35
6599700369359/356975820369356. 356599700369367/356975820369364. 356599700369375/356975820369372. 356599700369383/356975820369380.
356599700369425/356975820369422. 356599700369433/356975820369430.356599700369458/356975820369455. 356599700369466/35697582036946
3. 356599700369474/356975820369471. 356599700369490/356975820369497. 356599700369508/356975820369505. 356599700369813/35697582036
9810. 356599700369904/356975820369901. 356599700369987/356975820369984. 356599700370068/356975820370065. 356599700370076/35697582
0370073. 356599700370191/356975820370198. 356599700370621/356975820370628. 356599700372288/356975820372285. 356599700372502/35697
5820372509. 356599700372916/356975820372913. 356599700373005/356975820373002. 356599700373013/356975820373010. 356599700373021/35
6975820373028. 356599700373039/356975820373036. 356599700373070/356975820373077. 356599700373518/356975820373515. 356599700373617
/356975820373614. 356599700373633/356975820373630. 356599700373674/356975820373671. 356599700373690/356975820373697. 356599700373
740/356975820373747. 356599700373773/356975820373770. 356599700373914/356975820373911. 356599700374029/356975820374026. 356599700
374094/356975820374091. 356599700374227/356975820374224. 356599700374243/356975820374240. 356599700374300/356975820374307. 356599
700374391/356975820374398. 356599700374409/356975820374406. 356599700374714/356975820374711. 356599700374862/356975820374869. 356
599700375455/356975820375452. 356599700375943/356975820375940. 356599700376172/356975820376179. 356599700376446/356975820376443.
356599700376701/356975820376708. 356599700377121/356975820377128. 356599700377394/356975820377391. 356599700377709/35697582037770
6. 356599700378350/356975820378357. 356599700378780/356975820378787. 356599700378871/356975820378878. 356599700379028/35697582037
9025. 356599700379051/356975820379058. 356599700379085/356975820379082. 356599700379119/356975820379116. 356599700379135/35697582
0379132.356599700379226/356975820379223. 356599700379333/356975820379330. 356599700379374/356975820379371. 356599700379416/356975
820379413. 356599700379549/356975820379546. 356599700379572/356975820379579. 356599700379648/356975820379645. 356599700379713/356
975820379710. 356599700379721/356975820379728. 356599700379739/356975820379736. 356599700379754/356975820379751. 356599700379762/
356975820379769. 356599700379770/356975820379777. 356599700379788/356975820379785. 356599700379804/356975820379801. 3565997003798
12/356975820379819. 356599700379838/356975820379835.356599700379846/356975820379843. 356599700379853/356975820379850. 35659970037
032026000374657-3
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000374657-3
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
9861/356975820379868. 356599700379879/356975820379876. 356599700379887/356975820379884. 356599700379895/356975820379892. 35659970
0379911/356975820379918. 356599700379929/356975820379926. 356599700379937/356975820379934. 356599700379945/356975820379942. 35659
9700379952/356975820379959. 356599700379960/356975820379967. 356599700379978/356975820379975. 356599700379986/356975820379983. 35
6599700379994/356975820379991. 356599700380000/356975820380007. 356599700380018/356975820380015. 356599700380026/356975820380023.
356599700380034/356975820380031. 356599700380059/356975820380056. 356599700380067/356975820380064. 356599700380075/3569758203800
72. 356599700380083/356975820380080. 356599700380091/356975820380098. 356599700380109/356975820380106. 356599700380133/3569758203
80130. 356599700380141/356975820380148. 356599700380158/356975820380155. 356599700380166/356975820380163. 356599700380182/3569758
20380189. 356599700380208/356975820380205. 356599700380232/356975820380239. 356599700380240/356975820380247. 356599700380307/3569
75820380304. 356599700380323/356975820380320. 356599700380331/356975820380338. 356599700380349/356975820380346. 356599700380356/3
56975820380353. 356599700380372/356975820380379. 356599700380380/356975820380387. 356599700380398/356975820380395. 35659970038040
6/356975820380403. 356599700380414/356975820380411. 356599700380422/356975820380429. 356599700380430/356975820380437. 35659970038
0448/356975820380445. 356599700380455/356975820380452. 356599700380463/356975820380460. 356599700380471/356975820380478. 35659970
0380489/356975820380486. 356599700380497/356975820380494. 356599700380505/356975820380502. 356599700380513/356975820380510.356599
700380521/356975820380528. 356599700380539/356975820380536. 356599700380547/356975820380544. 356599700380554/356975820380551. 356
599700380562/356975820380569. 356599700380570/356975820380577. 356599700380588/356975820380585. 356599700380596/356975820380593.
356599700380604/356975820380601. 356599700380612/356975820380619. 356599700380620/356975820380627. 356599700380638/35697582038063
5. 356599700380646/356975820380643. 356599700380653/356975820380650. 356599700380661/356975820380668. 356599700380679/35697582038
0676. 356599700380687/356975820380684.356599700380695/356975820380692. 356599700380703/356975820380700. 356599700380711/356975820
380718. 356599700380729/356975820380726. 356599700380737/356975820380734. 356599700380745/356975820380742. 356599700380752/356975
820380759. 356599700380760/356975820380767. 356599700380778/356975820380775. 356599700380786/356975820380783. 356599700380794/356
975820380791. 356599700380802/356975820380809. 356599700380810/356975820380817. 356599700380828/356975820380825. 356599700380836/
356975820380833. 356599700380851/356975820380858. 356599700380869/356975820380866. 356599700380877/356975820380874. 3565997003808
85/356975820380882. 356599700380893/356975820380890. 356599700380901/356975820380908. 356599700380919/356975820380916. 3565997003
80927/356975820380924. 356599700380935/356975820380932. 356599700380943/356975820380940. 356599700380950/356975820380957. 3565997
00380968/356975820380965. 356599700380976/356975820380973. 356599700380992/356975820380999. 356599700381024/356975820381021. 3565
99700381057/356975820381054. 356599700381065/356975820381062. 356599700381073/356975820381070. 356599700381081/356975820381088. 3
56599700381099/356975820381096. 356599700381107/356975820381104. 356599700381115/356975820381112. 356599700381131/356975820381138
. 356599700381149/356975820381146. 356599700381156/356975820381153. 356599700381164/356975820381161. 356599700381180/356975820381
187. 356599700381206/356975820381203. 356599700381214/356975820381211. 356599700381222/356975820381229. 356599700381230/356975820
381237. 356599700381248/356975820381245. 356599700381313/356975820381310. 356599700381347/356975820381344. 356599700381354/356975
820381351. 356599700381362/356975820381369. 356599700381388/356975820381385. 356599700381404/356975820381401.356599700381511/3569
75820381518. 356599700381651/356975820381658. 356599700381669/356975820381666. 356599700381693/356975820381690. 356599700381743/3
56975820381740. 356599700382212/356975820382219. 356599700382725/356975820382722. 356599700383517/356975820383514. 35659970038449
9/356975820384496. 356599700385207/356975820385204. 356599700385900/356975820385907. 356599700385983/356975820385980. 35659970038
6122/356975820386129. 356599700386148/356975820386145. 356599700386197/356975820386194. 356599700386213/356975820386210. 35659970
0386825/356975820386822.356599700386924/356975820386921. 356599700388086/356975820388083. 356599700389308/356975820389305. 356599
700389316/356975820389313. 356599700389324/356975820389321. 356599700389340/356975820389347. 356599700389365/356975820389362. 356
599700389621/356975820389628. 356599700389811/356975820389818. 356599700389852/356975820389859. 356599700389860/356975820389867.
356599700389886/356975820389883. 356599700389894/356975820389891. 356599700389910/356975820389917. 356599700389928/35697582038992
5. 356599700389951/356975820389958. 356599700389985/356975820389982. 356599700389993/356975820389990. 356599700390330/35697582039
0337. 356599700390835/356975820390832. 356599700391288/356975820391285. 356599700392781/356975820392788. 356599700392948/35697582
0392945. 356599700392963/356975820392960. 356599700393102/356975820393109. 356599700393193/356975820393190. 356599700393201/35697
5820393208. 356599700393391/356975820393398. 356599700422976/356975820422973. 356599700427900/356975820427907. 356599700427926/35
6975820427923. 356599700427934/356975820427931. 356599700427959/356975820427956. 356599700428007/356975820428004. 356599700428080
/356975820428087. 356599700428098/356975820428095. 356599700429104/356975820429101. 356599700438436/356975820438433. 356599700438
444/356975820438441. 356599700438451/356975820438458. 356599700438469/356975820438466. 356599700438477/356975820438474. 356599700
438485/356975820438482. 356599700438493/356975820438490. 356599700438501/356975820438508. 356599700438519/356975820438516. 356599
700438527/356975820438524. 356599700438535/356975820438532. 356599700438543/356975820438540. 356599700438550/356975820438557. 356
599700438568/356975820438565. 356599700438576/356975820438573. 356599700438584/356975820438581.356599700438592/356975820438599. 3
56599700438600/356975820438607. 356599700438618/356975820438615. 356599700438626/356975820438623. 356599700438634/356975820438631
. 356599700438642/356975820438649. 356599700438659/356975820438656. 356599700438675/356975820438672. 356599700438683/356975820438
680. 356599700438691/356975820438698. 356599700438709/356975820438706. 356599700438717/356975820438714. 356599700438725/356975820
438722. 356599700438733/356975820438730. 356599700438741/356975820438748. 356599700438766/356975820438763. 356599700438774/356975
820438771.356599700438782/356975820438789. 356599700438816/356975820438813. 356599700438824/356975820438821XXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032026000374657-3
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3
