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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
032026000429865-7
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
032026000395413
35 . Año – Mes – Día
2026 – 03 – 13
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. 9194717180
43 . Año – Mes – Día
2026 – 03 – 18
44 . Documento de transporte
No. SHAN0471988
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
9104194991
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.
187.00
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
112.511.98
79 . Valor fletes USD
1.520.31 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
1.524.07
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: 593608-DECL: 2009443-DO: 893105813261- 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: 3110505500. ID DELIVERY: 6087477644. 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
032026000429865
133. Feha: 2026 03 20
134 . Levante No. 032026000394998 135 . Fecha
2026 – 03 – 20
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 92032606479499
Fecha presentación 2026-03-20 10:40:27
Valor pagado $No se aplicó el pago
Fecha de Impresión: 2026-03-20 11:37:04
SEC
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032026000429865-7
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: 356599700357743/356975820357740. 356599700357750/356975820357757. 356599700357768/356975820357765. 356599700357776/35697582
0357773. 356599700357792/356975820357799. 356599700357883/356975820357880. 356599700357891/356975820357898.356599700357933/356975
820357930. 356599700358014/356975820358011. 356599700358022/356975820358029. 356599700358055/356975820358052. 356599700358063/356
975820358060. 356599700358071/356975820358078. 356599700358089/356975820358086. 356599700358097/356975820358094. 356599700358105/
356975820358102. 356599700358113/356975820358110. 356599700358121/356975820358128. 356599700358139/356975820358136. 3565997003581
47/356975820358144. 356599700358154/356975820358151. 356599700358162/356975820358169. 356599700358170/356975820358177. 3565997003
58188/356975820358185. 356599700358196/356975820358193. 356599700358204/356975820358201. 35 6599700358220/356975820358227. 356599
700358238/356975820358235. 356599700358246/356975820358243. 356599700358253/356975820358250. 356599700358261/356975820358268. 356
599700358279/356975820358276. 356599700358295/356975820358292. 356599700358303/356975820358300. 356599700358311/356975820358318.
356599700358329/356975820358326. 356599700358345/356975820358342. 356599700358352/356975820358359. 356599700358360/35697582035836
7. 356599700358378/356975820358375. 356599700358386/356975820358383. 356599700358394/356975820358391. 356599700358402/35697582035
8409. 356599700358410/356975820358417. 356599700358428/356975820358425. 356599700358436/356975820358433. 356599700358444/35697582
0358441. 356599700358469/356975820358466. 356599700358477/356975820358474. 356599700358485/356975820358482. 356599700358493/35697
5820358490. 356599700358501/356975820358508. 356599700358527/356975820358524. 356599700358535/356975820358532. 356599700358543/35
6975820358540. 356599700358550/356975820358557. 356599700358568/356975820358565. 356599700358576/356975820358573. 356599700358584
/356975820358581. 356599700358592/356975820358599.356599700358600/356975820358607. 356599700358618/356975820358615. 3565997003586
26/356975820358623. 356599700358634/356975820358631. 356599700358642/356975820358649. 356599700358659/356975820358656. 3565997003
58691/356975820358698. 356599700358709/356975820358706. 356599700358717/356975820358714. 356599700358725/356975820358722. 3565997
00358733/356975820358730. 356599700358741/356975820358748. 356599700358758/356975820358755. 356599700358766/356975820358763. 3565
99700358774/356975820358771. 356599700358790/356975820358797. 356599700358808/356975820358805.356599700358816/356975820358813. 35
6599700358824/356975820358821. 356599700358832/356975820358839. 356599700358865/356975820358862. 356599700358873/356975820358870.
356599700358881/356975820358888. 356599700358899/356975820358896. 356599700358915/356975820358912. 356599700358931/3569758203589
38. 356599700358949/356975820358946. 356599700358956/356975820358953. 356599700358972/356975820358979. 356599700358998/3569758203
58995. 356599700359012/356975820359019. 356599700359020/356975820359027. 356599700359038/356975820359035. 356599700359046/3569758
20359043. 356599700359087/356975820359084. 356599700359095/356975820359092. 356599700359103/356975820359100. 356599700359111/3569
75820359118. 356599700359152/356975820359159. 356599700359160/356975820359167. 356599700359194/356975820359191. 356599700359202/3
56975820359209. 356599700359236/356975820359233. 356599700359277/356975820359274. 356599700359285/356975820359282. 35659970035932
7/356975820359324. 356599700359343/356975820359340. 356599700359350/356975820359357. 356599700359376/356975820359373. 35659970035
9392/356975820359399. 356599700359418/356975820359415. 356599700359509/356975820359506. 356599700359525/356975820359522. 35659970
0359533/356975820359530. 356599700359574/356975820359571. 356599700359640/356975820359647. 356599700359665/356975820359662. 35659
9700359673/356975820359670. 356599700359681/356975820359688. 356599700359731/356975820359738. 356599700359780/356975820359787. 35
6599700359806/356975820359803. 356599700359855/356975820359852. 356599700359871/356975820359878. 356599700360010/356975820360017.
356599700360044/356975820360041. 356599700360101/356975820360108. 356599700360135/356975820360132. 356599700360341/3569758203603
48. 356599700360366/356975820360363.356599700360481/356975820360488. 356599700360648/356975820360645. 356599700360697/35697582036
0694. 356599700360762/356975820360769. 356599700360895/356975820360892. 356599700360929/356975820360926. 356599700360937/35697582
0360934. 356599700361166/356975820361163. 356599700361190/356975820361197. 356599700361232/356975820361239. 356599700361281/35697
5820361288. 356599700361307/356975820361304. 356599700361323/356975820361320. 356599700361372/356975820361379. 356599700361380/35
6975820361387. 356599700361398/356975820361395. 356599700361406/356975820361403.356599700361430/356975820361437. 356599700361448/
356975820361445. 356599700361455/356975820361452. 356599700361463/356975820361460. 356599700361471/356975820361478. 3565997003614
89/356975820361486. 356599700361497/356975820361494. 356599700361505/356975820361502. 356599700361513/356975820361510. 3565997003
61521/356975820361528. 356599700361539/356975820361536. 356599700361547/356975820361544. 356599700361554/356975820361551. 3565997
00361562/356975820361569. 356599700361570/356975820361577. 356599700361588/356975820361585. 356599700361596/356975820361593. 3565
99700361604/356975820361601. 356599700361612/356975820361619. 356599700361620/356975820361627. 356599700361638/356975820361635. 3
56599700361646/356975820361643. 356599700361653/356975820361650. 356599700361679/356975820361676. 356599700361687/356975820361684
. 356599700361695/356975820361692. 356599700361703/356975820361700. 356599700361711/356975820361718. 356599700361729/356975820361
726. 356599700361737/356975820361734. 356599700361745/356975820361742. 356599700361752/356975820361759. 356599700361760/356975820
361767. 356599700361778/356975820361775. 356599700361786/356975820361783. 356599700361794/356975820361791. 356599700361802/356975
820361809. 356599700361810/356975820361817. 356599700361828/356975820361825. 356599700361844/356975820361841. 356599700361851/356
975820361858. 356599700361869/356975820361866. 356599700361877/356975820361874. 356599700361885/356975820361882. 356599700361893/
356975820361890. 356599700361919/356975820361916. 356599700361927/356975820361924. 356599700361935/356975820361932. 3565997003619
43/356975820361940. 356599700361950/356975820361957. 356599700361968/356975820361965. 356599700361976/356975820361973. 3565997003
61984/356975820361981.356599700361992/356975820361999. 356599700362008/356975820362005. 356599700362016/356975820362013. 35659970
0362024/356975820362021. 356599700362032/356975820362039. 356599700362040/356975820362047. 356599700362057/356975820362054. 35659
9700362065/356975820362062. 356599700362073/356975820362070. 356599700362081/356975820362088. 356599700362099/356975820362096. 35
6599700362107/356975820362104. 356599700362115/356975820362112. 356599700362123/356975820362120. 356599700362131/356975820362138.
356599700362149/356975820362146. 356599700362156/356975820362153.356599700362164/356975820362161. 356599700362263/35697582036226
0. 356599700362271/356975820362278. 356599700362289/356975820362286. 356599700362297/356975820362294. 356599700362305/35697582036
2302. 356599700362313/356975820362310. 356599700362321/356975820362328. 356599700362339/356975820362336. 356599700362347/35697582
0362344. 356599700362354/356975820362351. 356599700362362/356975820362369. 356599700362370/356975820362377. 356599700362388/35697
5820362385. 356599700362396/356975820362393. 356599700362404/356975820362401. 356599700362412/356975820362419. 356599700362420/35
6975820362427. 356599700362438/356975820362435. 356599700362446/356975820362443. 356599700362453/356975820362450. 356599700362461
/356975820362468. 356599700362479/356975820362476. 356599700362594/356975820362591. 356599700363303/356975820363300. 356599700363
725/356975820363722. 356599700363790/356975820363797. 356599700366330/356975820366337. 356599700366496/356975820366493. 356599700
368120/356975820368127. 356599700368385/356975820368382. 356599700368401/356975820368408. 356599700368534/356975820368531. 356599
700369441/356975820369448. 356599700369482/356975820369489. 356599700369755/356975820369752. 356599700369920/356975820369927. 356
599700370522/356975820370529. 356599700370670/356975820370677. 356599700370811/356975820370818. 356599700370902/356975820370909.
356599700370936/356975820370933. 356599700371009/356975820371006. 356599700371074/356975820371071. 356599700371264/35697582037126
1. 356599700371322/356975820371329. 356599700371488/356975820371485. 356599700371512/356975820371519. 356599700371520/35697582037
1527. 356599700371546/356975820371543. 356599700371595/356975820371592. 356599700371611/356975820371618. 356599700371637/35697582
0371634.356599700371645/356975820371642. 356599700371686/356975820371683. 356599700371694/356975820371691. 356599700371702/356975
820371709. 356599700371728/356975820371725. 356599700371736/356975820371733. 356599700371744/356975820371741. 356599700371751/356
975820371758. 356599700371769/356975820371766. 356599700371777/356975820371774. 356599700371785/356975820371782. 356599700371793/
356975820371790. 356599700371827/356975820371824. 356599700371835/356975820371832. 356599700371868/356975820371865. 3565997003720
07/356975820372004. 356599700372114/356975820372111.356599700373260/356975820373267. 356599700373294/356975820373291. 35659970037
032026000429865-7
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032026000429865-7
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
3351/356975820373358. 356599700373815/356975820373812. 356599700373864/356975820373861. 356599700376206/356975820376203. 35659970
0376388/356975820376385. 356599700377055/356975820377052. 356599700377691/356975820377698. 356599700382329/356975820382326. 35659
9700382568/356975820382565. 356599700384093/356975820384090. 356599700384234/356975820384231. 356599700384994/356975820384991. 35
6599700385009/356975820385006. 356599700385017/356975820385014. 356599700385025/356975820385022. 356599700385033/356975820385030.
356599700385058/356975820385055. 356599700385066/356975820385063. 356599700385074/356975820385071. 356599700385082/3569758203850
89. 356599700385090/356975820385097. 356599700385116/356975820385113. 356599700385124/356975820385121. 356599700385132/3569758203
85139. 356599700385140/356975820385147. 356599700385157/356975820385154. 356599700385165/356975820385162. 356599700385199/3569758
20385196. 356599700385223/356975820385220. 356599700385231/356975820385238. 356599700385249/356975820385246. 356599700385256/3569
75820385253. 356599700385264/356975820385261. 356599700385272/356975820385279. 356599700385298/356975820385295. 356599700385348/3
56975820385345. 356599700385355/356975820385352. 356599700385447/356975820385444. 356599700385504/356975820385501. 35659970038554
6/356975820385543. 356599700385579/356975820385576. 356599700385587/356975820385584. 356599700385595/356975820385592. 35659970038
5611/356975820385618. 356599700385629/356975820385626. 356599700385637/356975820385634. 356599700385645/356975820385642. 35659970
0385660/356975820385667. 356599700385686/356975820385683. 356599700385694/356975820385691. 356599700385710/356975820385717.356599
700385728/356975820385725. 356599700385744/356975820385741. 356599700385751/356975820385758. 356599700385819/356975820385816. 356
599700385835/356975820385832. 356599700385868/356975820385865. 356599700385876/356975820385873. 356599700385975/356975820385972.
356599700386049/356975820386046. 356599700386205/356975820386202. 356599700386239/356975820386236. 356599700386270/35697582038627
7. 356599700386288/356975820386285. 356599700386320/356975820386327. 356599700386338/356975820386335. 356599700386353/35697582038
6350. 356599700386361/356975820386368.356599700386379/356975820386376. 356599700386387/356975820386384. 356599700386403/356975820
386400. 356599700386411/356975820386418. 356599700386478/356975820386475. 356599700386486/356975820386483. 356599700386494/356975
820386491. 356599700386619/356975820386616. 356599700386635/356975820386632. 356599700386643/356975820386640. 356599700386650/356
975820386657. 356599700386668/356975820386665. 356599700386718/356975820386715. 356599700386742/356975820386749. 356599700386791/
356975820386798. 356599700386833/356975820386830. 356599700386858/356975820386855. 356599700386890/356975820386897. 3565997003869
08/356975820386905. 356599700386957/356975820386954. 356599700386973/356975820386970. 356599700387005/356975820387002. 3565997003
87013/356975820387010. 356599700387021/356975820387028. 356599700387039/356975820387036. 356599700387047/356975820387044. 3565997
00387054/356975820387051. 356599700387070/356975820387077. 356599700387112/356975820387119. 356599700387187/356975820387184. 3565
99700387203/356975820387200. 356599700387252/356975820387259. 356599700387369/356975820387366. 356599700387377/356975820387374. 3
56599700387401/356975820387408. 356599700387443/356975820387440. 356599700387450/356975820387457. 356599700387468/356975820387465
. 356599700387492/356975820387499. 356599700387518/356975820387515. 356599700387526/356975820387523. 356599700387542/356975820387
549. 356599700387559/356975820387556. 356599700387567/356975820387564. 356599700387575/356975820387572. 356599700387583/356975820
387580. 356599700387633/356975820387630. 356599700387641/356975820387648. 356599700387658/356975820387655. 356599700387674/356975
820387671. 356599700387716/356975820387713. 356599700387724/356975820387721. 356599700387732/356975820387739.356599700387773/3569
75820387770. 356599700387781/356975820387788. 356599700387807/356975820387804. 356599700387815/356975820387812. 356599700387823/3
56975820387820. 356599700387864/356975820387861. 356599700387963/356975820387960. 356599700387971/356975820387978. 35659970038803
7/356975820388034. 356599700388078/356975820388075. 356599700388094/356975820388091. 356599700388102/356975820388109. 35659970038
8136/356975820388133. 356599700388177/356975820388174. 356599700388607/356975820388604. 356599700388722/356975820388729. 35659970
0388763/356975820388760.356599700388771/356975820388778. 356599700388854/356975820388851. 356599700388862/356975820388869. 356599
700388870/356975820388877. 356599700388912/356975820388919. 356599700388953/356975820388950. 356599700388961/356975820388968. 356
599700389001/356975820389008. 356599700389019/356975820389016. 356599700389035/356975820389032. 356599700389043/356975820389040.
356599700389050/356975820389057. 356599700389076/356975820389073. 356599700389142/356975820389149. 356599700389159/35697582038915
6. 356599700389175/356975820389172. 356599700389183/356975820389180. 356599700389191/356975820389198. 356599700389209/35697582038
9206. 356599700389217/356975820389214. 356599700389225/356975820389222. 356599700389233/356975820389230. 356599700389241/35697582
0389248. 356599700389258/356975820389255. 356599700389274/356975820389271. 356599700390009/356975820390006. 356599700390017/35697
5820390014. 356599700390025/356975820390022. 356599700390173/356975820390170. 356599700390348/356975820390345. 356599700390363/35
6975820390360. 356599700390587/356975820390584. 356599700390959/356975820390956. 356599700391098/356975820391095. 356599700391155
/356975820391152. 356599700391189/356975820391186. 356599700391742/356975820391749. 356599700391817/356975820391814. 356599700391
973/356975820391970. 356599700392476/356975820392473. 356599700392518/356975820392515. 356599700392708/356975820392705. 356599700
392955/356975820392952. 356599700393060/356975820393067. 356599700393300/356975820393307. 356599700393375/356975820393372. 356599
700397814/356975820397811. 356599700397848/356975820397845. 356599700397863/356975820397860. 356599700397871/356975820397878. 356
599700397913/356975820397910. 356599700397939/356975820397936. 356599700428908/356975820428905.356599700428916/356975820428913. 3
56599700428924/356975820428921. 356599700428932/356975820428939. 356599700428940/356975820428947. 356599700428957/356975820428954
. 356599700428965/356975820428962. 356599700428981/356975820428988. 356599700428999/356975820428996. 356599700429005/356975820429
002. 356599700429013/356975820429010. 356599700429039/356975820429036. 356599700429047/356975820429044. 356599700429054/356975820
429051. 356599700429062/356975820429069. 356599700429070/356975820429077. 356599700429088/356975820429085. 356599700429096/356975
820429093.356599700429112/356975820429119. 356599700429120/356975820429127. 356599700429138/356975820429135XXXXXXXXXXXXXXXXXXXXXX
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032026000429865-7
Espacio para uso exclusivo de la Entidad Recaudadora
