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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
032026000042595-0
5 . Número de Identificación Tributaria (NIT)
830028931
6 . DV.
5
11 . Apellidos y nombres o Razón Social
SAMSUNG ELECTRONICS COLOMBIA S.A.
13 . Dirección
CR 7 113 43 OF 607
15 . Teléfono
4870707
12 . Cód. Admón.
03
16 . Cód. Dpto
11
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
860536003
25 . DV.
3
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS ABC REPECEV S.A.S. NIVEL 1
27 . Tipo usuario
26
28 . Cód. usuario
99
29 . Número documento de identificación
1022943854
30 . Apellidos y nombres
CARLOS ANDRES ROJAS MATAJUDIOS
31 . Clase
Importador
02
32 . Tipo declaración
Inicial
33 . Cod.
1
34 .No.Formulario Anterior
XXXXXXXXXXXXXX
35 . Año – Mes – Día
XXXX – XX – XX
36 . Cod. Admón.
XX
37 . Declaración de Exportación
No. XXXXXXXXXXXXXXX
38 . Año – Mes – Día
XXXX – XX – XX
39 . Cod. Admón.
XX
40 . Cod. lugar ingreso
de las mercancías
BOG
41 . Cod. Depósito
99900
42 . Manifiesto de carga
No. 116575016508738
43 . Año – Mes – Día
2026 – 01 – 08
44 . Documento de transporte
No. HKL045878
45 . Año – Mes – Día
2026 – 01 – 03
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
6900407862
52 . Año – Mes – Día
2025 – 12 – 30
53 . Cod. país
procedencia
351
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.
3.757.08
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
215
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.
173.00
72 . Peso neto kgs. dcms.
155.70
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
79 . Valor fletes USD
Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92 93
79.513.489
94
0
95
0
96
0.00
I.V.A.
97 98
79.513.489
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
81 . Valor Otros Gastos USD
82 . Sumatoria de
fletes, seguros
y otros gastos USD
83 . Ajuste valor USD
84 . Valor aduana
USD
21.163.64
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: 586634-DECL: 1990546-DO: 893100150261- DECL 1 DE 1.- //NOS ACOGEMOS AL ARTICULO 424 DEL ESTATUTO TRIBUTARIO MODIFICADO POR L
A LEY 1819DEL 29/12/2016 ARTÍCULO 175 NUMERAL 6 (EXCLUSIÓN DEL IVA). //NOS ACOGEMOS AL ARTÍCULO 2.8.3.1 ORDINAL 2.8.3.1.4 DE LA R
ESOLUCIÓN 5050 DEL 10DE NOVIEMBRE DE 2016. (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN)/ NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANC
IA QUE NO REQUIERE REGISTRO DEIMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3106208193. ID DELIVERY:
6086441607. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A075MZKDLTC, PRODUCTO: TELEFONO CELULAR GALAXY A07 LTE DUOS (CON ACCESORIOS
PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODELO: SM-A075M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR(continúa al respaldo)
127 . Valor pagos anteriores: 0 128 . Recibo oficial de pago anterior No.: XXXXXXXXXXXXXXX 129. Fecha: XXXX XX XX
130 . Espacio reservado DIAN – Actuación aduanera
Estado de levante: Levante automático
No hay declaración posterior
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032026000042595
133. Feha: 202601 09
134 . Levante No. 032026000048292 135 . Fecha
2026 – 01 – 09
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 92032604458153
Fecha presentación 2026-01-09 11:22:01
Valor pagado $0.00
Fecha de Impresión: 2026-01-09 11:22:06
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000042595-0
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
Y AL DETAL/ /MOBILE,SM-A075M/DS,BLACK,LTC( QTY. 500,00 u )(500,00 PCE ); IMEIS: 352169188854324/354282528854322. 352169188854332
/354282528854330. 352169188855156/354282528855154. 352169188855230/354282528855238. 352169188855289/354282528855287. 352169188855
321/354282528855329. 352169188855347/354282528855345. 352169188855404/354282528855402. 352169188855552/354282528855550. 352169188
855958/354282528855956. 352169188855966/354282528855964. 352169188855990/354282528855998. 352169188856139/354282528856137. 352169
188856345/354282528856343. 352169188856360/354282528856368.352169188856774/354282528856772. 352169188856840/354282528856848. 3521
69188856956/354282528856954. 352169188857004/354282528857002. 352169188857046/354282528857044. 352169188857061/354282528857069. 3
52169188857095/354282528857093. 352169188857129/354282528857127. 352169188857210/354282528857218. 352169188857301/354282528857309
. 352169188857376/354282528857374. 352169188857384/354282528857382. 352169188857400/3542825 28857408. 352169188857418/35428252885
7416. 352169188857442/354282528857440. 352169188857459/354282528857457. 352169188857491/354282528857499. 352169188857566/35428252
8857564. 352169188857582/354282528857580. 352169188857616/354282528857614. 352169188857624/354282528857622. 352169188857640/35428
2528857648. 352169188857673/354282528857671. 352169188857681/354282528857689. 352169188857731/354282528857739. 352169188857756/35
4282528857754. 352169188857798/354282528857796. 352169188857814/354282528857812. 352169188857863/354282528857861. 352169188857905
/354282528857903. 352169188857913/354282528857911. 352169188857921/354282528857929. 352169188857939/354282528857937. 352169188857
947/354282528857945. 352169188857962/354282528857960. 352169188857988/354282528857986. 352169188857996/354282528857994. 352169188
858002/354282528858000. 352169188858010/354282528858018. 352169188858028/354282528858026. 352169188858036/354282528858034. 352169
188858044/354282528858042. 352169188858051/354282528858059. 352169188858069/354282528858067. 352169188858085/354282528858083. 352
169188858093/354282528858091. 352169188858101/354282528858109. 352169188858119/354282528858117. 352169188858127/354282528858125.
352169188858135/354282528858133. 352169188858143/354282528858141. 352169188858168/354282528858166. 352169188858176/35428252885817
4.352169188858184/354282528858182. 352169188858192/354282528858190. 352169188858200/354282528858208. 352169188858218/354282528858
216. 352169188858226/354282528858224. 352169188858267/354282528858265. 352169188858283/354282528858281. 352169188858291/354282528
858299. 352169188858309/354282528858307. 352169188858325/354282528858323. 352169188858341/354282528858349. 352169188858358/354282
528858356. 352169188858366/354282528858364. 352169188858374/354282528858372. 352169188858382/354282528858380. 352169188858390/354
282528858398. 352169188858416/354282528858414.352169188858432/354282528858430. 352169188858440/354282528858448. 352169188858457/3
54282528858455. 352169188858465/354282528858463. 352169188858473/354282528858471. 352169188858481/354282528858489. 35216918885849
9/354282528858497. 352169188858515/354282528858513. 352169188858531/354282528858539. 352169188858549/354282528858547. 35216918885
8556/354282528858554. 352169188858564/354282528858562. 352169188858572/354282528858570. 352169188858580/354282528858588. 35216918
8858598/354282528858596. 352169188858614/354282528858612. 352169188858630/354282528858638. 352169188858648/354282528858646. 35216
9188858655/354282528858653. 352169188858663/354282528858661. 352169188858671/354282528858679. 352169188858689/354282528858687. 35
2169188858697/354282528858695. 352169188858713/354282528858711. 352169188858721/354282528858729. 352169188858739/354282528858737.
352169188858747/354282528858745. 352169188858754/354282528858752. 352169188858762/354282528858760. 352169188858770/3542825288587
78. 352169188858788/354282528858786. 352169188858796/354282528858794. 352169188858804/354282528858802. 352169188858812/3542825288
58810. 352169188858820/354282528858828. 352169188858846/354282528858844. 352169188858853/354282528858851. 352169188858879/3542825
28858877. 352169188858887/354282528858885. 352169188858895/354282528858893. 352169188858903/354282528858901. 352169188858911/3542
82528858919. 352169188858937/354282528858935. 352169188858945/354282528858943. 352169188858952/354282528858950. 352169188858960/3
54282528858968. 352169188858978/354282528858976. 352169188858986/354282528858984. 352169188858994/354282528858992. 35216918885900
0/354282528859008. 352169188859018/354282528859016. 352169188859026/354282528859024. 352169188859042/354282528859040.352169188859
067/354282528859065. 352169188859083/354282528859081. 352169188859109/354282528859107. 352169188859117/354282528859115. 352169188
859133/354282528859131. 352169188859141/354282528859149. 352169188859158/354282528859156. 352169188859166/354282528859164. 352169
188859182/354282528859180. 352169188859190/354282528859198. 352169188859208/354282528859206. 352169188859224/354282528859222. 352
169188859232/354282528859230. 352169188859257/354282528859255. 352169188859265/354282528859263. 352169188859273/354282528859271.
352169188859281/354282528859289.352169188859299/354282528859297. 352169188859307/354282528859305. 352169188859364/354282528859362
. 352169188859372/354282528859370. 352169188859414/354282528859412. 352169188859422/354282528859420. 352169188859430/354282528859
438. 352169188859455/354282528859453. 352169188859463/354282528859461. 352169188859489/354282528859487. 352169188859539/354282528
859537. 352169188859554/354282528859552. 352169188859562/354282528859560. 352169188859604/354282528859602. 352169188859679/354282
528859677. 352169188859810/354282528859818. 352169188859901/354282528859909. 352169188859992/354282528859990. 352169188860164/354
282528860162. 352169188860222/354282528860220. 352169188860263/354282528860261. 352169188860305/354282528860303. 352169188860388/
354282528860386. 352169188860412/354282528860410. 352169188860438/354282528860436. 352169188860503/354282528860501. 3521691888605
29/354282528860527. 352169188860545/354282528860543. 352169188860594/354282528860592. 352169188860636/354282528860634. 3521691888
60685/354282528860683. 352169188860727/354282528860725. 352169188860735/354282528860733. 352169188860743/354282528860741. 3521691
88860784/354282528860782. 352169188860834/354282528860832. 352169188860842/354282528860840. 352169188860859/354282528860857. 3521
69188860867/354282528860865. 352169188860883/354282528860881. 352169188860917/354282528860915. 352169188860925/354282528860923. 3
52169188860941/354282528860949. 352169188860958/354282528860956. 352169188860982/354282528860980. 352169188861014/354282528861012
. 352169188861022/354282528861020. 352169188861030/354282528861038. 352169188861048/354282528861046. 352169188861055/354282528861
053. 352169188861063/354282528861061. 352169188861089/354282528861087. 352169188861121/354282528861129.352169188861147/3542825288
61145. 352169188861170/354282528861178. 352169188861196/354282528861194. 352169188861279/354282528861277. 352169188861287/3542825
28861285. 352169188861303/354282528861301. 352169188861311/354282528861319. 352169188861329/354282528861327. 352169188861337/3542
82528861335. 352169188861360/354282528861368. 352169188861378/354282528861376. 352169188861386/354282528861384. 352169188861410/3
54282528861418. 352169188861436/354282528861434. 352169188864836/354282528864834. 352169188866294/354282528866292. 35216918886631
0/354282528866318.352169188866351/354282528866359. 352169188866369/354282528866367. 352169188866377/354282528866375. 352169188866
385/354282528866383. 352169188866815/354282528866813. 352169188866906/354282528866904. 352169188867292/354282528867290. 352169188
867623/354282528867621. 352169188867649/354282528867647. 352169188867656/354282528867654. 352169188867664/354282528867662. 352169
188867672/354282528867670. 352169188867680/354282528867688. 352169188867698/354282528867696. 352169188868142/354282528868140. 352
169188868175/354282528868173. 352169188872953/354282528872951. 352169188873142/354282528873140. 352169188873167/354282528873165.
352169188873449/354282528873447. 352169188873456/354282528873454. 352169188873464/354282528873462. 352169188873548/35428252887354
6. 352169188873738/354282528873736. 352169188874207/354282528874205. 352169188875220/354282528875228. 352169188876327/35428252887
6325. 352169188876343/354282528876341. 352169188876574/354282528876572. 352169188876590/354282528876598. 352169188876962/35428252
8876960. 352169188876970/354282528876978. 352169188877036/354282528877034. 352169188877085/354282528877083. 352169188877143/35428
2528877141. 352169188877341/354282528877349. 352169188877390/354282528877398. 352169188877416/354282528877414. 352169188877432/35
4282528877430. 352169188877440/354282528877448. 352169188877457/354282528877455. 352169188877473/354282528877471. 352169188877499
/354282528877497. 352169188877507/354282528877505. 352169188877523/354282528877521. 352169188877564/354282528877562. 352169188877
572/354282528877570. 352169188877580/354282528877588. 352169188877606/354282528877604. 352169188877614/354282528877612. 352169188
877622/354282528877620. 352169188877630/354282528877638. 352169188877648/354282528877646.352169188877655/354282528877653. 3521691
88877663/354282528877661. 352169188877671/354282528877679. 352169188877689/354282528877687. 352169188877697/354282528877695. 3521
69188877721/354282528877729. 352169188877747/354282528877745. 352169188877762/354282528877760. 352169188877770/354282528877778. 3
52169188877788/354282528877786. 352169188877796/354282528877794. 352169188877804/354282528877802. 352169188877812/354282528877810
032026000042595-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000042595-0
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
. 352169188877838/354282528877836. 352169188877853/354282528877851. 352169188877861/354282528877869. 352169188877887/354282528877
885.352169188877895/354282528877893. 352169188877903/354282528877901. 352169188877937/354282528877935. 352169188877945/3542825288
77943. 352169188877952/354282528877950. 352169188877960/354282528877968. 352169188877978/354282528877976. 352169188877986/3542825
28877984. 352169188878000/354282528878008. 352169188878018/354282528878016. 352169188878034/354282528878032. 352169188878042/3542
82528878040. 352169188878067/354282528878065. 352169188878083/354282528878081. 352169188878091/354282528878099. 352169188878190/3
54282528878198. 352169188878265/354282528878263. 352169188878273/354282528878271. 352169188878430/354282528878438. 35216918887859
6/354282528878594. 352169188878638/354282528878636. 352169188878646/354282528878644. 352169188878695/354282528878693. 35216918887
8737/354282528878735. 352169188878778/354282528878776. 352169188878836/354282528878834. 352169188878885/354282528878883. 35216918
8879008/354282528879006. 352169188879024/354282528879022. 352169188879032/354282528879030. 352169188879040/354282528879048. 35216
9188879073/354282528879071. 352169188879081/354282528879089. 352169188879099/354282528879097. 352169188879107/354282528879105. 35
2169188879115/354282528879113. 352169188879156/354282528879154. 352169188879172/354282528879170. 352169188879206/354282528879204.
352169188879222/354282528879220. 352169188879230/354282528879238. 352169188879255/354282528879253. 352169188879289/3542825288792
87. 352169188879297/354282528879295. 352169188879305/354282528879303. 352169188879313/354282528879311. 352169188879321/3542825288
79329. 352169188879339/354282528879337. 352169188879347/354282528879345. 352169188879354/354282528879352. 352169188879370/3542825
28879378. 352169188879396/354282528879394. 352169188879453/354282528879451.352169188879461/354282528879469. 352169188879479/35428
2528879477. 352169188879487/354282528879485. 352169188879503/354282528879501. 352169188879511/354282528879519. 352169188879537/35
4282528879535. 352169188879552/354282528879550. 352169188879578/354282528879576. 352169188879586/354282528879584. 352169188879594
/354282528879592. 352169188879602/354282528879600. 352169188879610/354282528879618. 352169188879628/354282528879626. 352169188879
636/354282528879634. 352169188879644/354282528879642. 352169188879651/354282528879659. 352169188879669/354282528879667.3521691888
79677/354282528879675. 352169188879685/354282528879683. 352169188879693/354282528879691. 352169188879701/354282528879709. 3521691
88879719/354282528879717. 352169188879727/354282528879725. 352169188879735/354282528879733. 352169188879743/354282528879741. 3521
69188879750/354282528879758. 352169188879768/354282528879766. 352169188879776/354282528879774. 352169188879784/354282528879782. 3
52169188879792/354282528879790. 352169188879800/354282528879808. 352169188879818/354282528879816. 352169188879826/354282528879824
. 352169188879834/354282528879832. 352169188879842/354282528879840. 352169188879859/354282528879857. 352169188879867/354282528879
865. 352169188879875/354282528879873. 352169188879883/354282528879881. 352169188879891/354282528879899. 352169188879909/354282528
879907. 352169188879917/354282528879915. 352169188879925/354282528879923. 352169188879933/354282528879931. 352169188879941/354282
528879949. 352169188879958/354282528879956. 352169188879966/354282528879964. 352169188879974/354282528879972. 352169188879982/354
282528879980. 352169188879990/354282528879998. 352169188880006/354282528880004. 352169188880014/354282528880012. 352169188880022/
354282528880020. 352169188880030/354282528880038. 352169188880048/354282528880046. 352169188880055/354282528880053. 3521691888800
63/354282528880061. 352169188880071/354282528880079. 352169188880089/354282528880087. 352169188880097/354282528880095. 3521691888
80105/354282528880103. 352169188880113/354282528880111. 352169188880121/354282528880129. 352169188880139/354282528880137. 3521691
88880147/354282528880145. 352169188880154/354282528880152. 352169188880162/354282528880160. 352169188880170/354282528880178. 3521
69188880188/354282528880186. 352169188880196/354282528880194.352169188880204/354282528880202. 352169188880212/354282528880210. 35
2169188880220/354282528880228. 352169188880238/354282528880236. 352169188880246/354282528880244. 352169188880261/354282528880269.
352169188880287/354282528880285. 352169188880295/354282528880293. 352169188880303/354282528880301. 352169188880311/3542825288803
19. 352169188880337/354282528880335. 352169188880345/354282528880343. 352169188880352/354282528880350. 352169188880360/3542825288
80368. 352169188880378/354282528880376. 352169188880386/354282528880384. 352169188880394/354282528880392.352169188880402/35428252
8880400. 352169188880428/354282528880426. 352169188880436/354282528880434. 352169188880451/354282528880459. 352169188880469/35428
2528880467. 352169188880485/354282528880483. 352169188880493/354282528880491. 352169188880501/354282528880509. 352169188880527/35
4282528880525. 352169188880535/354282528880533. 352169188880543/354282528880541. 352169188880550/354282528880558. 352169188880568
/354282528880566. 352169188880576/354282528880574. 352169188880584/354282528880582. 352169188880592/354282528880590. 352169188880
600/354282528880608. 352169188880618/354282528880616. 352169188880626/354282528880624. 352169188880642/354282528880640. 352169188
880659/354282528880657. 352169188880667/354282528880665. 352169188880675/354282528880673. 352169188880683/354282528880681. 352169
188880691/354282528880699. 352169188880709/354282528880707. 352169188880717/354282528880715. 352169188880725/354282528880723. 352
169188880733/354282528880731. 352169188880766/354282528880764. 352169188880774/354282528880772. 352169188880782/354282528880780.
352169188880790/354282528880798. 352169188880816/354282528880814. 352169188880824/354282528880822. 352169188880832/35428252888083
0. 352169188880840/354282528880848. 352169188880857/354282528880855. 352169188880865/354282528880863. 352169188880873/35428252888
0871. 352169188880881/354282528880889. 352169188880907/354282528880905. 352169188880923/354282528880921. 352169188880931/35428252
8880939. 352169188880949/354282528880947. 352169188880956/354282528880954. 352169188880964/354282528880962. 352169188880998/35428
2528880996. 352169188881004/354282528881002. 352169188881012/354282528881010. 352169188881038/354282528881036. 352169188881046/35
4282528881044. 352169188881061/354282528881069.352169188881079/354282528881077. 352169188881087/354282528881085. 352169188881095/
354282528881093. 352169188881103/354282528881101. 352169188881145/354282528881143. 352169188881152/354282528881150. 3521691888811
60/354282528881168. 352169188881202/354282528881200. 352169188881210/354282528881218. 352169188881228/354282528881226. 3521691888
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032026000042595-0
Espacio para uso exclusivo de la Entidad Recaudadora
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