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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
032026000445696-6
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
ROJAS MATAJUDIOS CARLOS ANDRES
31 . Clase
Importador
02
32 . Tipo declaración
Corrección
33 . Cod.
4
34 .No.Formulario Anterior
032026000378488
35 . Año – Mes – Día
2026 – 03 – 11
36 . Cod. Admón.
03
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. 9194717949
43 . Año – Mes – Día
2026 – 03 – 19
44 . Documento de transporte
No. SHAN0471995
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 1667
50 . E-mail
010-8705-6749
51 . No. de factura
9104194998
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
S59 . 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.
186.00
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
112.520.11
79 . Valor fletes USD
1.512.18 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
1.515.94
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: 593694-DECL: 2009645-DO: 893105820261- 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: 3110499277. ID DELIVERY: 6087481044. 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: Después de insp.: levante
No hay declaración posterior
Acta de inspección No.: 032026000040543
Inició: 2026-03-25 10:56:26 Finalizó: 2026-03-26 13:48:00
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032026000445696
133. Feha: 2026 03 25
134 . Levante No. 032026000418728 135 . Fecha
2026 – 03 – 26
Firma funcionario responsable 136 . Nombre VELASCO PENA MARIA CAROLINA
137 . C.C. No. 52464928
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 92032606578343
Fecha presentación 2026-03-25 09:05:22
Valor pagado $No se aplicó el pago
Fecha de Impresión: 2026-03-26 14:35:56
SEC
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032026000445696-6
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: 356599700359244/356975820359241. 356599700359251/356975820359258. 356599700359269/356975820359266. 356599700359368/35697582
0359365. 356599700359384/356975820359381. 356599700359426/356975820359423. 356599700359434/356975820359431.356599700359442/356975
820359449. 356599700359475/356975820359472. 356599700359517/356975820359514. 356599700359566/356975820359563. 356599700361075/356
975820361072. 356599700361083/356975820361080. 356599700361133/356975820361130. 356599700366355/356975820366352. 356599700366371/
356975820366378. 356599700366389/356975820366386. 356599700366413/356975820366410. 356599700366439/356975820366436. 3565997003664
62/356975820366469. 356599700366546/356975820366543. 356599700366603/356975820366600. 356599700366637/356975820366634. 3565997003
66645/356975820366642. 356599700366660/356975820366667. 356599700366686/356975820366683. 35 6599700366702/356975820366709. 356599
700366736/356975820366733. 356599700366751/356975820366758. 356599700366793/356975820366790. 356599700366900/356975820366907. 356
599700366918/356975820366915. 356599700366926/356975820366923. 356599700366934/356975820366931. 356599700366942/356975820366949.
356599700366959/356975820366956. 356599700367023/356975820367020. 356599700367031/356975820367038. 356599700367049/35697582036704
6. 356599700367064/356975820367061. 356599700367080/356975820367087. 356599700367098/356975820367095. 356599700367122/35697582036
7129. 356599700367163/356975820367160. 356599700367171/356975820367178. 356599700367247/356975820367244. 356599700367254/35697582
0367251. 356599700367262/356975820367269. 356599700367270/356975820367277. 356599700367304/356975820367301. 356599700367320/35697
5820367327. 356599700367346/356975820367343. 356599700367353/356975820367350. 356599700367387/356975820367384. 356599700367395/35
6975820367392. 356599700367403/356975820367400. 356599700367429/356975820367426. 356599700367437/356975820367434. 356599700367445
/356975820367442. 356599700367452/356975820367459.356599700367460/356975820367467. 356599700367494/356975820367491. 3565997003675
28/356975820367525. 356599700367536/356975820367533. 356599700367544/356975820367541. 356599700367551/356975820367558. 3565997003
67569/356975820367566. 356599700367577/356975820367574. 356599700367585/356975820367582. 356599700367593/356975820367590. 3565997
00367601/356975820367608. 356599700367643/356975820367640. 356599700367726/356975820367723. 356599700367759/356975820367756. 3565
99700367767/356975820367764. 356599700367809/356975820367806. 356599700367817/356975820367814.356599700367825/356975820367822. 35
6599700367833/356975820367830. 356599700367973/356975820367970. 356599700368393/356975820368390. 356599700368625/356975820368622.
356599700368641/356975820368648. 356599700368658/356975820368655. 356599700368674/356975820368671. 356599700368690/3569758203686
97. 356599700368757/356975820368754. 356599700368799/356975820368796. 356599700368807/356975820368804. 356599700368849/3569758203
68846. 356599700368856/356975820368853. 356599700368872/356975820368879. 356599700368880/356975820368887. 356599700368930/3569758
20368937. 356599700368963/356975820368960. 356599700368971/356975820368978. 356599700369128/356975820369125. 356599700369169/3569
75820369166. 356599700369185/356975820369182. 356599700369284/356975820369281. 356599700369516/356975820369513. 356599700369565/3
56975820369562. 356599700369623/356975820369620. 356599700369649/356975820369646. 356599700369664/356975820369661. 35659970036967
2/356975820369679. 356599700369680/356975820369687. 356599700369706/356975820369703. 356599700369763/356975820369760. 35659970036
9797/356975820369794. 356599700369805/356975820369802. 356599700369847/356975820369844. 356599700369912/356975820369919. 35659970
0369946/356975820369943. 356599700370035/356975820370032. 356599700370050/356975820370057. 356599700370100/356975820370107. 35659
9700370126/356975820370123. 356599700370233/356975820370230. 356599700370308/356975820370305. 356599700370415/356975820370412. 35
6599700370498/356975820370495. 356599700370555/356975820370552. 356599700370589/356975820370586. 356599700370597/356975820370594.
356599700370613/356975820370610. 356599700370639/356975820370636. 356599700370647/356975820370644. 356599700370654/3569758203706
51. 356599700370696/356975820370693.356599700370712/356975820370719. 356599700370738/356975820370735. 356599700370753/35697582037
0750. 356599700370761/356975820370768. 356599700370803/356975820370800. 356599700370878/356975820370875. 356599700370910/35697582
0370917. 356599700370928/356975820370925. 356599700370944/356975820370941. 356599700370977/356975820370974. 356599700370985/35697
5820370982. 356599700370993/356975820370990. 356599700371033/356975820371030. 356599700371132/356975820371139. 356599700371199/35
6975820371196. 356599700371348/356975820371345. 356599700371355/356975820371352.356599700371652/356975820371659. 356599700371660/
356975820371667. 356599700371678/356975820371675. 356599700371710/356975820371717. 356599700371843/356975820371840. 3565997003718
50/356975820371857. 356599700371884/356975820371881. 356599700371900/356975820371907. 356599700371926/356975820371923. 3565997003
71934/356975820371931. 356599700371983/356975820371980. 356599700372023/356975820372020. 356599700372049/356975820372046. 3565997
00372098/356975820372095. 356599700372155/356975820372152. 356599700372171/356975820372178. 356599700372247/356975820372244. 3565
99700372262/356975820372269. 356599700372270/356975820372277. 356599700372304/356975820372301. 356599700372338/356975820372335. 3
56599700372353/356975820372350. 356599700372486/356975820372483. 356599700372528/356975820372525. 356599700372544/356975820372541
. 356599700372551/356975820372558. 356599700372593/356975820372590. 356599700372635/356975820372632. 356599700372668/356975820372
665. 356599700372676/356975820372673. 356599700372692/356975820372699. 356599700372700/356975820372707. 356599700372718/356975820
372715. 356599700372742/356975820372749. 356599700372775/356975820372772. 356599700372783/356975820372780. 356599700372791/356975
820372798. 356599700372809/356975820372806. 356599700372817/356975820372814. 356599700372833/356975820372830. 356599700372858/356
975820372855. 356599700372882/356975820372889. 356599700372890/356975820372897. 356599700372924/356975820372921. 356599700372932/
356975820372939. 356599700372940/356975820372947. 356599700372957/356975820372954. 356599700372965/356975820372962. 3565997003729
99/356975820372996. 356599700373062/356975820373069. 356599700373161/356975820373168. 356599700373195/356975820373192. 3565997003
73229/356975820373226.356599700373252/356975820373259. 356599700373278/356975820373275. 356599700373344/356975820373341. 35659970
0373427/356975820373424. 356599700373526/356975820373523. 356599700373567/356975820373564. 356599700373708/356975820373705. 35659
9700373716/356975820373713. 356599700373724/356975820373721. 356599700373781/356975820373788. 356599700373823/356975820373820. 35
6599700373831/356975820373838. 356599700373856/356975820373853. 356599700373880/356975820373887. 356599700373906/356975820373903.
356599700373922/356975820373929. 356599700373971/356975820373978.356599700374037/356975820374034. 356599700374201/35697582037420
8. 356599700374318/356975820374315. 356599700374367/356975820374364. 356599700374383/356975820374380. 356599700375810/35697582037
5817. 356599700375828/356975820375825. 356599700375836/356975820375833. 356599700375844/356975820375841. 356599700375851/35697582
0375858. 356599700375877/356975820375874. 356599700375885/356975820375882. 356599700375901/356975820375908. 356599700375919/35697
5820375916. 356599700375927/356975820375924. 356599700375935/356975820375932. 356599700375950/356975820375957. 356599700375968/35
6975820375965. 356599700375976/356975820375973. 356599700375984/356975820375981. 356599700375992/356975820375999. 356599700376008
/356975820376005. 356599700376016/356975820376013. 356599700376024/356975820376021. 356599700376032/356975820376039. 356599700376
040/356975820376047. 356599700376057/356975820376054. 356599700376065/356975820376062. 356599700376073/356975820376070. 356599700
376107/356975820376104. 356599700376115/356975820376112. 356599700376123/356975820376120. 356599700376149/356975820376146. 356599
700376156/356975820376153. 356599700376164/356975820376161. 356599700376198/356975820376195. 356599700376214/356975820376211. 356
599700376230/356975820376237. 356599700376248/356975820376245. 356599700376255/356975820376252. 356599700376271/356975820376278.
356599700376321/356975820376328. 356599700376339/356975820376336. 356599700376354/356975820376351. 356599700376362/35697582037636
9. 356599700376396/356975820376393. 356599700376404/356975820376401. 356599700376420/356975820376427. 356599700376438/35697582037
6435. 356599700376453/356975820376450. 356599700376461/356975820376468. 356599700376479/356975820376476. 356599700376487/35697582
0376484.356599700377436/356975820377433. 356599700382675/356975820382672. 356599700382709/356975820382706. 356599700382733/356975
820382730. 356599700382741/356975820382748. 356599700382766/356975820382763. 356599700382857/356975820382854. 356599700382923/356
975820382920. 356599700383129/356975820383126. 356599700383137/356975820383134. 356599700383152/356975820383159. 356599700383194/
356975820383191. 356599700383368/356975820383365. 356599700383723/356975820383720. 356599700383939/356975820383936. 3565997003839
54/356975820383951. 356599700384143/356975820384140.356599700384259/356975820384256. 356599700384309/356975820384306. 35659970038
032026000445696-6
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032026000445696-6
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
4374/356975820384371. 356599700384382/356975820384389. 356599700384457/356975820384454. 356599700384473/356975820384470. 35659970
0384481/356975820384488. 356599700384507/356975820384504. 356599700384531/356975820384538. 356599700384549/356975820384546. 35659
9700384671/356975820384678. 356599700384945/356975820384942. 356599700385652/356975820385659. 356599700385678/356975820385675. 35
6599700385736/356975820385733. 356599700385777/356975820385774. 356599700385793/356975820385790. 356599700385827/356975820385824.
356599700386452/356975820386459. 356599700386460/356975820386467. 356599700386528/356975820386525. 356599700386569/3569758203865
66. 356599700386585/356975820386582. 356599700386627/356975820386624. 356599700386676/356975820386673. 356599700386700/3569758203
86707. 356599700386734/356975820386731. 356599700386775/356975820386772. 356599700386809/356975820386806. 356599700386866/3569758
20386863. 356599700386932/356975820386939. 356599700386981/356975820386988. 356599700387062/356975820387069. 356599700387138/3569
75820387135. 356599700387385/356975820387382. 356599700387419/356975820387416. 356599700387435/356975820387432. 356599700387476/3
56975820387473. 356599700387484/356975820387481. 356599700387500/356975820387507. 356599700387534/356975820387531. 35659970038759
1/356975820387598. 356599700387609/356975820387606. 356599700387617/356975820387614. 356599700387625/356975820387622. 35659970038
7856/356975820387853. 356599700387880/356975820387887. 356599700387906/356975820387903. 356599700387914/356975820387911. 35659970
0388581/356975820388588. 356599700388623/356975820388620. 356599700389092/356975820389099. 356599700389605/356975820389602.356599
700389613/356975820389610. 356599700389639/356975820389636. 356599700389647/356975820389644. 356599700389654/356975820389651. 356
599700389688/356975820389685. 356599700389761/356975820389768. 356599700389779/356975820389776. 356599700389795/356975820389792.
356599700389829/356975820389826. 356599700389977/356975820389974. 356599700390033/356975820390030. 356599700390157/35697582039015
4. 356599700390215/356975820390212. 356599700390231/356975820390238. 356599700390264/356975820390261. 356599700390272/35697582039
0279. 356599700390413/356975820390410.356599700390538/356975820390535. 356599700390546/356975820390543. 356599700390686/356975820
390683. 356599700390702/356975820390709. 356599700390710/356975820390717. 356599700390819/356975820390816. 356599700390868/356975
820390865. 356599700390876/356975820390873. 356599700390884/356975820390881. 356599700390967/356975820390964. 356599700390983/356
975820390980. 356599700391015/356975820391012. 356599700391023/356975820391020. 356599700391049/356975820391046. 356599700391080/
356975820391087. 356599700391205/356975820391202. 356599700391213/356975820391210. 356599700391262/356975820391269. 3565997003912
96/356975820391293. 356599700391320/356975820391327. 356599700391338/356975820391335. 356599700391361/356975820391368. 3565997003
91379/356975820391376. 356599700391387/356975820391384. 356599700391403/356975820391400. 356599700391411/356975820391418. 3565997
00391429/356975820391426. 356599700391445/356975820391442. 356599700391460/356975820391467. 356599700391478/356975820391475. 3565
99700391486/356975820391483. 356599700391502/356975820391509. 356599700391510/356975820391517. 356599700391536/356975820391533. 3
56599700391551/356975820391558. 356599700391569/356975820391566. 356599700391585/356975820391582. 356599700391593/356975820391590
. 356599700391619/356975820391616. 356599700391627/356975820391624. 356599700391635/356975820391632. 356599700391643/356975820391
640. 356599700391650/356975820391657. 356599700391676/356975820391673. 356599700391684/356975820391681. 356599700391718/356975820
391715. 356599700391726/356975820391723. 356599700391734/356975820391731. 356599700391759/356975820391756. 356599700391767/356975
820391764. 356599700391791/356975820391798. 356599700391809/356975820391806. 356599700391825/356975820391822.356599700391833/3569
75820391830. 356599700391841/356975820391848. 356599700391874/356975820391871. 356599700391882/356975820391889. 356599700391908/3
56975820391905. 356599700391924/356975820391921. 356599700391932/356975820391939. 356599700391940/356975820391947. 35659970039195
7/356975820391954. 356599700391965/356975820391962. 356599700391981/356975820391988. 356599700391999/356975820391996. 35659970039
2013/356975820392010. 356599700392021/356975820392028. 356599700392039/356975820392036. 356599700392047/356975820392044. 35659970
0392070/356975820392077.356599700392088/356975820392085. 356599700392096/356975820392093. 356599700392104/356975820392101. 356599
700392112/356975820392119. 356599700392120/356975820392127. 356599700392138/356975820392135. 356599700392153/356975820392150. 356
599700392161/356975820392168. 356599700392179/356975820392176. 356599700392187/356975820392184. 356599700392195/356975820392192.
356599700392203/356975820392200. 356599700392211/356975820392218. 356599700392229/356975820392226. 356599700392237/35697582039223
4. 356599700392245/356975820392242. 356599700392252/356975820392259. 356599700392260/356975820392267. 356599700392286/35697582039
2283. 356599700392294/356975820392291. 356599700392302/356975820392309. 356599700392328/356975820392325. 356599700392336/35697582
0392333. 356599700392344/356975820392341. 356599700392369/356975820392366. 356599700392385/356975820392382. 356599700392401/35697
5820392408. 356599700392419/356975820392416. 356599700392427/356975820392424. 356599700392435/356975820392432. 356599700392443/35
6975820392440. 356599700392450/356975820392457. 356599700392468/356975820392465. 356599700392484/356975820392481. 356599700392492
/356975820392499. 356599700392534/356975820392531. 356599700392542/356975820392549. 356599700392567/356975820392564. 356599700392
575/356975820392572. 356599700392583/356975820392580. 356599700392609/356975820392606. 356599700392617/356975820392614. 356599700
392625/356975820392622. 356599700392633/356975820392630. 356599700392674/356975820392671. 356599700392682/356975820392689. 356599
700392716/356975820392713. 356599700392724/356975820392721. 356599700392732/356975820392739. 356599700392740/356975820392747. 356
599700392765/356975820392762. 356599700392773/356975820392770. 356599700392815/356975820392812.356599700392823/356975820392820. 3
56599700392831/356975820392838. 356599700392849/356975820392846. 356599700392856/356975820392853. 356599700392864/356975820392861
. 356599700392880/356975820392887. 356599700392914/356975820392911. 356599700392922/356975820392929. 356599700392971/356975820392
978. 356599700392989/356975820392986. 356599700393003/356975820393000. 356599700393011/356975820393018. 356599700393029/356975820
393026. 356599700393086/356975820393083. 356599700393144/356975820393141. 356599700393177/356975820393174. 356599700393250/356975
820393257.356599700393268/356975820393265. 356599700393441/356975820393448. 356599700397855/356975820397852XXXXXXXXXXXXXXXXXXXXXX
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032026000445696-6
Espacio para uso exclusivo de la Entidad Recaudadora
