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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
032026000500027-4
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. 116575016882489
43 . Año – Mes – Día
2026 – 04 – 08
44 . Documento de transporte
No. 4397450155
45 . Año – Mes – Día
2026 – 03 – 30
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
6900423309
52 . Año – Mes – Día
2026 – 03 – 25
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
249
56 . Cod. Depto
destino
0
57 . Empresa transportadora
UNITED AIR LINES INC SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
3.660.10
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.
139.00
72 . Peso neto kgs. dcms.
98.00
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
400.00
78 .Valor FOB
USD
23.058.60
79 . Valor fletes USD
1.173.16 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
88.693.593
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
88.693.593
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
0.80
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.173.96
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
24.232.56
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: 596456-DECL: 2018180-DO: 893107677261- 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: 3111441717. ID DELIVERY:
6087948737. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A075MZKGLTC, PRODUCTO: TELEFONO CELULAR GALAXY A07 5G DUOS(CON ACCESORIOS PA
RA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODELO: SM-A075M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y(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
032026000500027
133. Feha: 202604 07
134 . Levante No. 032026000476138 135 . Fecha
2026 – 04 – 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 92032606877605
Fecha presentación 2026-04-07 09:34:03
Valor pagado $0.00
Fecha de Impresión: 2026-04-09 12:28:57
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000500027-4
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
AL DETAL./ /MOBILE,SM-A075M/DS,BLACK,LTC( QTY. 400,00 u )(400,00 PCE ); IMEIS: 357113743262479/359728853262478. 357113743262792/
359728853262791. 357113743262842/359728853262841. 357113743264350/359728853264359. 357113743264616/359728853264615. 3571137432646
40/359728853264649. 357113743264665/359728853264664. 357113743264673/359728853264672. 357113743264681/359728853264680. 3571137432
64707/359728853264706. 357113743264749/359728853264748. 357113743264756/359728853264755. 357113743264764/359728853264763. 3571137
43264780/359728853264789. 357113743264798/359728853264797.357113743264806/359728853264805. 357113743264814/359728853264813. 35711
3743264822/359728853264821. 357113743264830/359728853264839. 357113743264855/359728853264854. 357113743264863/359728853264862. 35
7113743264871/359728853264870. 357113743264889/359728853264888. 357113743264897/359728853264896. 357113743264905/359728853264904.
357113743264921/359728853264920. 357113743264939/359728853264938. 357113743264947/3597288 53264946. 357113743264954/359728853264
953. 357113743264962/359728853264961. 357113743264970/359728853264979. 357113743264988/359728853264987. 357113743265001/359728853
265000. 357113743265019/359728853265018. 357113743265027/359728853265026. 357113743265035/359728853265034. 357113743265050/359728
853265059. 357113743265068/359728853265067. 357113743265076/359728853265075. 357113743265092/359728853265091. 357113743265100/359
728853265109. 357113743265118/359728853265117. 357113743265126/359728853265125. 357113743265134/359728853265133. 357113743265142/
359728853265141. 357113743265159/359728853265158. 357113743265167/359728853265166. 357113743265175/359728853265174. 3571137432651
83/359728853265182. 357113743265191/359728853265190. 357113743265209/359728853265208. 357113743265217/359728853265216. 3571137432
65225/359728853265224. 357113743265241/359728853265240. 357113743265258/359728853265257. 357113743265266/359728853265265. 3571137
43265274/359728853265273. 357113743265282/359728853265281. 357113743265290/359728853265299. 357113743265308/359728853265307. 3571
13743265316/359728853265315. 357113743265365/359728853265364. 357113743265373/359728853265372. 357113743265548/359728853265547. 3
57113743265621/359728853265620. 357113743265639/359728853265638. 357113743265647/359728853265646. 357113743265969/359728853265968
.357113743266314/359728853266313. 357113743266330/359728853266339. 357113743266348/359728853266347. 357113743266371/3597288532663
70. 357113743266389/359728853266388. 357113743266397/359728853266396. 357113743266405/359728853266404. 357113743266413/3597288532
66412. 357113743266447/359728853266446. 357113743266488/359728853266487. 357113743266504/359728853266503. 357113743266512/3597288
53266511. 357113743266520/359728853266529. 357113743266538/359728853266537. 357113743266546/359728853266545. 357113743266553/3597
28853266552. 357113743266587/359728853266586.357113743266595/359728853266594. 357113743266603/359728853266602. 357113743266611/35
9728853266610. 357113743266629/359728853266628. 357113743266637/359728853266636. 357113743266645/359728853266644. 357113743266652
/359728853266651. 357113743266678/359728853266677. 357113743266702/359728853266701. 357113743266769/359728853266768. 357113743266
777/359728853266776. 357113743266785/359728853266784. 357113743266793/359728853266792. 357113743267262/359728853267261. 357113743
267346/359728853267345. 357113743267403/359728853267402. 357113743267429/359728853267428. 357113743267502/359728853267501. 357113
743267536/359728853267535. 357113743267734/359728853267733. 357113743267932/359728853267931. 357113743268237/359728853268236. 357
113743268526/359728853268525. 357113743268534/359728853268533. 357113743268542/359728853268541. 357113743268567/359728853268566.
357113743268591/359728853268590. 357113743268609/359728853268608. 357113743268641/359728853268640. 357113743268690/35972885326869
9. 357113743268708/359728853268707. 357113743268765/359728853268764. 357113743268781/359728853268780. 357113743268799/35972885326
8798. 357113743268807/359728853268806. 357113743268815/359728853268814. 357113743268849/359728853268848. 357113743268872/35972885
3268871. 357113743268880/359728853268889. 357113743268898/359728853268897. 357113743268922/359728853268921. 357113743268930/35972
8853268939. 357113743268948/359728853268947. 357113743268955/359728853268954. 357113743268971/359728853268970. 357113743268989/35
9728853268988. 357113743268997/359728853268996. 357113743269003/359728853269002. 357113743269011/359728853269010. 357113743269029
/359728853269028. 357113743269037/359728853269036. 357113743269052/359728853269051. 357113743269094/359728853269093.3571137432691
02/359728853269101. 357113743269110/359728853269119. 357113743269128/359728853269127. 357113743269169/359728853269168. 3571137432
69334/359728853269333. 357113743269342/359728853269341. 357113743269359/359728853269358. 357113743269367/359728853269366. 3571137
43269375/359728853269374. 357113743269391/359728853269390. 357113743269417/359728853269416. 357113743269425/359728853269424. 3571
13743269458/359728853269457. 357113743269466/359728853269465. 357113743269474/359728853269473. 357113743269482/359728853269481. 3
57113743269508/359728853269507.357113743269607/359728853269606. 357113743269730/359728853269739. 357113743269979/359728853269978.
357113743270167/359728853270166. 357113743270308/359728853270307. 357113743270415/359728853270414. 357113743270530/3597288532705
39. 357113743270605/359728853270604. 357113743270613/359728853270612. 357113743270639/359728853270638. 357113743270662/3597288532
70661. 357113743270688/359728853270687. 357113743270704/359728853270703. 357113743270720/359728853270729. 357113743270746/3597288
53270745. 357113743270878/359728853270877. 357113743271033/359728853271032. 357113743271231/359728853271230. 357113743271306/3597
28853271305. 357113743271322/359728853271321. 357113743271512/359728853271511. 357113743271660/359728853271669. 357113743271736/3
59728853271735. 357113743271751/359728853271750. 357113743271769/359728853271768. 357113743271785/359728853271784. 35711374327179
3/359728853271792. 357113743271801/359728853271800. 357113743271819/359728853271818. 357113743271835/359728853271834. 35711374327
1843/359728853271842. 357113743271884/359728853271883. 357113743271892/359728853271891. 357113743271918/359728853271917. 35711374
3271926/359728853271925. 357113743271934/359728853271933. 357113743271959/359728853271958. 357113743271967/359728853271966. 35711
3743271975/359728853271974. 357113743271991/359728853271990. 357113743272031/359728853272030. 357113743272049/359728853272048. 35
7113743272056/359728853272055. 357113743272064/359728853272063. 357113743272080/359728853272089. 357113743272106/359728853272105.
357113743272114/359728853272113. 357113743272130/359728853272139. 357113743272155/359728853272154. 357113743272163/3597288532721
62. 357113743272171/359728853272170. 357113743272197/359728853272196. 357113743272213/359728853272212.357113743272221/35972885327
2220. 357113743272254/359728853272253. 357113743272288/359728853272287. 357113743272296/359728853272295. 357113743272304/35972885
3272303. 357113743272312/359728853272311. 357113743272320/359728853272329. 357113743272437/359728853272436. 357113743272460/35972
8853272469. 357113743272502/359728853272501. 357113743272643/359728853272642. 357113743272767/359728853272766. 357113743272833/35
9728853272832. 357113743272858/359728853272857. 357113743272890/359728853272899. 357113743272908/359728853272907. 357113743272924
/359728853272923.357113743272940/359728853272949. 357113743272973/359728853272972. 357113743272981/359728853272980. 3571137432729
99/359728853272998. 357113743273013/359728853273012. 357113743273021/359728853273020. 357113743273047/359728853273046. 3571137432
73112/359728853273111. 357113743273120/359728853273129. 357113743273138/359728853273137. 357113743273146/359728853273145. 3571137
43273153/359728853273152. 357113743273161/359728853273160. 357113743273187/359728853273186. 357113743273195/359728853273194. 3571
13743273203/359728853273202. 357113743273229/359728853273228. 357113743273237/359728853273236. 357113743273245/359728853273244. 3
57113743273252/359728853273251. 357113743273260/359728853273269. 357113743273278/359728853273277. 357113743273336/359728853273335
. 357113743273344/359728853273343. 357113743273351/359728853273350. 357113743273401/359728853273400. 357113743273468/359728853273
467. 357113743273484/359728853273483. 357113743273518/359728853273517. 357113743273534/359728853273533. 357113743273542/359728853
273541. 357113743273559/359728853273558. 357113743273567/359728853273566. 357113743273575/359728853273574. 357113743273583/359728
853273582. 357113743273617/359728853273616. 357113743273625/359728853273624. 357113743273633/359728853273632. 357113743273708/359
728853273707. 357113743273732/359728853273731. 357113743273765/359728853273764. 357113743273773/359728853273772. 357113743273781/
359728853273780. 357113743273799/359728853273798. 357113743273807/359728853273806. 357113743273831/359728853273830. 3571137432738
56/359728853273855. 357113743273864/359728853273863. 357113743273872/359728853273871. 357113743273898/359728853273897. 3571137432
73922/359728853273921. 357113743273930/359728853273939. 357113743273948/359728853273947.357113743273955/359728853273954. 35711374
3273963/359728853273962. 357113743273971/359728853273970. 357113743273989/359728853273988. 357113743273997/359728853273996. 35711
3743274011/359728853274010. 357113743274029/359728853274028. 357113743274045/359728853274044. 357113743274052/359728853274051. 35
7113743274060/359728853274069. 357113743274078/359728853274077. 357113743274086/359728853274085. 357113743274094/359728853274093.
032026000500027-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000500027-4
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
357113743274102/359728853274101. 357113743274128/359728853274127. 357113743274169/359728853274168. 357113743274243/3597288532742
42.357113743274300/359728853274309. 357113743274375/359728853274374. 357113743274409/359728853274408. 357113743274417/35972885327
4416. 357113743274524/359728853274523. 357113743275356/359728853275355. 357113743275422/359728853275421. 357113743276784/35972885
3276783. 357113743278095/359728853278094. 357113743280265/359728853280264. 357113743280406/359728853280405. 357113743280422/35972
8853280421. 357113743281040/359728853281049. 357113743281065/359728853281064. 357113743281214/359728853281213. 357113743282717/35
9728853282716. 357113743282733/359728853282732. 357113743282907/359728853282906. 357113743283301/359728853283300. 357113743283939
/359728853283938. 357113743284085/359728853284084. 357113743284291/359728853284290. 357113743285413/359728853285412. 357113743285
660/359728853285669. 357113743286197/359728853286196. 357113743286643/359728853286642. 357113743286734/359728853286733. 357113743
286924/359728853286923. 357113743287393/359728853287392. 357113743287708/359728853287707. 357113743287765/359728853287764. 357113
743287807/359728853287806. 357113743287948/359728853287947. 357113743288011/359728853288010. 357113743288029/359728853288028. 357
113743288060/359728853288069. 357113743288136/359728853288135. 357113743288151/359728853288150. 357113743288169/359728853288168.
357113743288193/359728853288192. 357113743288219/359728853288218. 357113743288243/359728853288242. 357113743288268/35972885328826
7. 357113743288359/359728853288358. 357113743288367/359728853288366. 357113743288383/359728853288382. 357113743288391/35972885328
8390. 357113743288425/359728853288424. 357113743288458/359728853288457. 357113743288466/359728853288465. 357113743288482/35972885
3288481. 357113743288490/359728853288499. 357113743288516/359728853288515.357113743288524/359728853288523. 357113743288540/359728
853288549. 357113743288557/359728853288556. 357113743288565/359728853288564. 357113743288656/359728853288655. 357113743288664/359
728853288663. 357113743288722/359728853288721. 357113743288730/359728853288739. 357113743288748/359728853288747. 357113743288797/
359728853288796. 357113743288862/359728853288861. 357113743289050/359728853289059. 357113743289076/359728853289075. 3571137432892
58/359728853289257. 357113743289480/359728853289489. 357113743289530/359728853289539. 357113743289563/359728853289562.35711374328
9597/359728853289596. 357113743289621/359728853289620. 357113743289647/359728853289646. 357113743289670/359728853289679. 35711374
3289696/359728853289695. 357113743289704/359728853289703. 357113743289837/359728853289836. 357113743289886/359728853289885. 35711
3743289894/359728853289893. 357113743289902/359728853289901. 357113743289928/359728853289927. 357113743289969/359728853289968. 35
7113743289977/359728853289976. 357113743290025/359728853290024. 357113743290124/359728853290123. 357113743290157/359728853290156.
357113743290199/359728853290198. 357113743290223/359728853290222. 357113743290249/359728853290248. 357113743290272/3597288532902
71. 357113743290322/359728853290321. 357113743290330/359728853290339. 357113743290348/359728853290347. 357113743290371/3597288532
90370. 357113743290397/359728853290396. 357113743290405/359728853290404. 357113743290439/359728853290438. 357113743290488/3597288
53290487. 357113743290538/359728853290537. 357113743290553/359728853290552. 357113743290686/359728853290685. 357113743290926/3597
28853290925. 357113743291148/359728853291147. 357113743291320/359728853291329. 357113743291403/359728853291402XXXXXXXXXXXXXXXXXXX
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032026000500027-4
Espacio para uso exclusivo de la Entidad Recaudadora
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