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REPÚBLICA DE COLOMBIA
Declaración de Importación
Privada
500
1. Año 2024
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
032024000094586-5
5 . Número de Identificación Tributaria (NIT)
830028931 13 . Dirección
CR 7 113 43 OF 607
6 . DV. 5
11 . Apellidos y nombres o Razón Social
SAMSUNG ELECTRONICS COLOMBIA S.A.
15 . Teléfono 12 . Cód. Admón. 16 . Cód. Dpto 17 . Cód. Ciudad Municipio
4870707 03 11 001
24 . Número de Identificación Tributaria (NIT)
860536003
29 . Número documento de identificación
1075625444
25 . DV. 3
26 . Razón social del declarante autorizado 27 . Tipo usuario 28 . Cód. usuario
AGENCIA DE ADUANAS ABC REPECEV S.A.S. NIVEL 1 26 99 30 . Apellidos y nombres
JULIAN APONTE HERNANDEZ
31 . Clase 32 . Tipo declaración 33 . Cod. 34 .No.Formulario Anterior 35 . Año – Mes – Día 36 . Cod. Admón. 37 . Declaración de Exportación 38 . Año – Mes – Día 39 . Cod. Admón. Importador Inicial 1 XXXXXXXXXXXXXX XXXX – XX – XX No. XXXXXXXXXXXXXXX XXXX – XX – XX
02 XX XX
40 . Cod. lugar ingreso 41 . Cod. Depósito 42 . Manifiesto de carga 43 . Año – Mes – Día 44 . Documento de transporte 45 . Año – Mes – Día de las mercancías 99900 No. 116575014084675 2024 – 01 – 19 No. KHAN24015843 2024 – 01 – 14
BOG
46 . Nombre exportador o proveedor en el exterior 47 . Ciudad 48 . Cod.País Exportador SAMSUNG ELECTRONICS CO., LTD GYEONGGI-DO 190
49 . Dirección exportador o proveedor en el exterior 50 . E-mail
129, SAMSUNG-RO, YEONGTONG-GU SUWON 16677 010-8705-6749
51 . No. de factura 52 . Año – Mes – Día 53 . Cod. país 9102270766 2024 – 01 – 12 procedencia 855
54 . Cod. Modo Transporte
4
55 . Código de Bandera
580
56 . Cod. Depto destino
0
57 . Empresa transportadora 58 . Tasa de cambio $ cvs. DHL AERO EXPRESO S A SUCURSAL COLOMBIA
3.939.89
S
59 . Subpartida arancelaria 60 . Cod. 61 . Cod. 62 . Cod. Modalidad 63 . No. cuotas 64 . Valor cuota USD 65 . Periodicidad del 66 . Cod. país 67 . Cod. Acuerdo 8517130000 Complementario Suplementario C134 o meses XXXX pago de la cuota de origen XXX
XXXX XX XX855
68 . Forma de pago 69 . Tipo de 70 . Cod. país de la importación importación compra
01 01 190
71 . Peso bruto kgs. dcms.
72 . Peso neto kgs.
dcms. 73 . Código 143.52 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
156.00
500.00
78 .Valor FOB USD
45.240.35 80 . Valor Seguros
79 . Valor fletes USD
81 . Valor Otros Gastos USD
1.185.60
0
USD
2.25
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
Arancel
92 93 94 95 96
0.00 182.922.001 0 0 0.00
I.V.A.
9798 99 100 101
0.00 182.922.001 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
1.187.85
0.00
Salvaguardia
102 103 104 105 106
0.00 0 0 0 0.00
Derechos 107 Compensatorios
108
109
110
111
0.00
0
0
0
0.00
84 . Valor aduana 85 . Código registro 86 . Número
USD
o licencia
46.428.20
X XXXXXXXXXX
Derechos 112 113 114 115 116
Antidumping 0.00 0 0 0 0.00
Sancion
117 118 119 120 0000
87 . Cod. oficina
99
88 . Año 89 . Programa No 90 . Cód Interno del XXXX XXXXXXXXXX Producto
0
Rescate
121 122 123 124 0000
Total
125 126
0 0.00
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: 504584-DECL: 1756699-DO: 893101022241- 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
RESOLUCIÓN 5050 DEL 10 DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOM
OLOGACIÓN) // NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION.SAMSUNG ELECTRONICS COLOMB
IA S.A. OEA COD. OE0001. . PEDIDOS: 3056712940. ID CONTENEDOR: 6073602392. MERCANCIA MARCA: SAMSUNG REFERENCIA:SM-A155MLBGLTC, PR
ODUCTO: TELEFONO CELULAR GALAXY A15 5G DUOS,(CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL (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 131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración Estado de levante: Levante automático 032024000094586
No hay declaración posterior
133. Feha: 202401 22
134 . Levante No. 032024000092373 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 01 – 22
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 92032400539210
Fecha presentación 2024-01-22 14:36:38 Valor pagado $0.00
Fecha de Impresión: 2024-01-22 14:37:18
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000094586-5 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
CLARO, MODELO:SM-A155M/DSN, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A155M/DSN,LIGHT BLUE,LTC( QTY. 500,00 u
)(500,00 PCE); IMEIS: 351864711168405/350563071168408. 351864711168413/350563071168416. 351864711168439/350563071168432. 35186471
1168454/350563071168457. 351864711168462/350563071168465. 351864711168488/350563071168481. 351864711168496/350563071168499. 35186
4711168504/350563071168507. 351864711168512/350563071168515. 351864711168520/350563071168523. 351864711168538/350563071168531. 35
1864711168546/350563071168549. 351864711168553/350563071168556. 351864711168561/350563071168564. 351864711168579/350563071168572.
351864711168595/350563071168598. 351864711168603/350563071168606. 351864711168611/350563071168614. 351864711168637/3505630711686
30. 351864711168660/350563071168663. 351864711168678/350563071168671. 351864711168686/350563071168689. 351864711168694/3505630711
68697. 351864711168710/350563071168713. 351864711168728/350563071168721. 351864711168744/35 0563071168747. 351864711168769/350563
071168762. 351864711168801/350563071168804. 351864711168835/350563071168838. 351864711168876/350563071168879. 351864711168884/350
563071168887. 351864711168892/350563071168895. 351864711168900/350563071168903. 351864711168942/350563071168945. 351864711169049/
350563071169042. 351864711169080/350563071169083. 351864711169098/350563071169091. 351864711169122/350563071169125. 3518647111691
30/350563071169133. 351864711169148/350563071169141. 351864711169239/350563071169232. 351864711169395/350563071169398. 3518647111
69403/350563071169406. 351864711169494/350563071169497. 351864711178362/350563071178365. 351864711178503/350563071178506. 3518647
11178735/350563071178738. 351864711178768/350563071178761. 351864711178859/350563071178852. 351864711178867/350563071178860. 3518
64711178891/350563071178894.351864711178974/350563071178977. 351864711179063/350563071179066. 351864711179071/350563071179074. 35
1864711179105/350563071179108. 351864711179493/350563071179496. 351864711179600/350563071179603. 351864711179626/350563071179629.
351864711179642/350563071179645. 351864711179659/350563071179652. 351864711179667/350563071179660. 351864711179725/3505630711797
28. 351864711179840/350563071179843. 351864711179907/350563071179900. 351864711180038/350563071180031. 351864711180046/3505630711
80049. 351864711180061/350563071180064. 351864711180186/350563071180189.351864711180244/350563071180247. 351864711180251/35056307
1180254. 351864711180327/350563071180320. 351864711180376/350563071180379. 351864711180392/350563071180395. 351864711180400/35056
3071180403. 351864711180426/350563071180429. 351864711180434/350563071180437. 351864711180442/350563071180445. 351864711180483/35
0563071180486. 351864711180509/350563071180502. 351864711180525/350563071180528. 351864711180590/350563071180593. 351864711180624
/350563071180627. 351864711180657/350563071180650. 351864711180699/350563071180692. 351864711180731/350563071180734. 351864711180
772/350563071180775. 351864711180780/350563071180783. 351864711180798/350563071180791. 351864711180814/350563071180817. 351864711
180822/350563071180825. 351864711180871/350563071180874. 351864711180939/350563071180932. 351864711180947/350563071180940. 351864
711180996/350563071180999. 351864711181051/350563071181054. 351864711181085/350563071181088. 351864711181127/350563071181120. 351
864711181234/350563071181237. 351864711181267/350563071181260. 351864711181846/350563071181849. 351864711182018/350563071182011.
351864711182042/350563071182045. 351864711182075/350563071182078. 351864711202220/350563071202223. 351864711169510/35056307116951
3. 351864711169544/350563071169547. 351864711169551/350563071169554. 351864711169577/350563071169570. 351864711169585/35056307116
9588. 351864711169593/350563071169596. 351864711169643/350563071169646. 351864711169668/350563071169661. 351864711169684/35056307
1169687. 351864711169734/350563071169737. 351864711169742/350563071169745. 351864711169759/350563071169752. 351864711169767/35056
3071169760. 351864711169783/350563071169786. 351864711169833/350563071169836. 351864711169858/350563071169851. 351864711169866/35
0563071169869.351864711169874/350563071169877. 351864711169882/350563071169885. 351864711169890/350563071169893. 351864711169924/
350563071169927. 351864711169932/350563071169935. 351864711169957/350563071169950. 351864711169999/350563071169992. 3518647111700
05/350563071170008. 351864711170021/350563071170024. 351864711170047/350563071170040. 351864711170054/350563071170057. 3518647111
70062/350563071170065. 351864711170104/350563071170107. 351864711170161/350563071170164. 351864711170211/350563071170214. 3518647
11170260/350563071170263. 351864711170286/350563071170289.351864711170344/350563071170347. 351864711170377/350563071170370. 35186
4711170419/350563071170412. 351864711170427/350563071170420. 351864711170435/350563071170438. 351864711170443/350563071170446. 35
1864711170500/350563071170503. 351864711170559/350563071170552. 351864711170575/350563071170578. 351864711170583/350563071170586.
351864711155824/350563071155827. 351864711155832/350563071155835. 351864711157069/350563071157062. 351864711157572/3505630711575
75. 351864711157580/350563071157583. 351864711157648/350563071157641. 351864711157655/350563071157658. 351864711157762/3505630711
57765. 351864711157770/350563071157773. 351864711157812/350563071157815. 351864711160667/350563071160660. 351864711162168/3505630
71162161. 351864711162291/350563071162294. 351864711162390/350563071162393. 351864711162408/350563071162401. 351864711162416/3505
63071162419. 351864711162424/350563071162427. 351864711162499/350563071162492. 351864711162531/350563071162534. 351864711162812/3
50563071162815. 351864711162861/350563071162864. 351864711162937/350563071162930. 351864711162978/350563071162971. 35186471116298
6/350563071162989. 351864711163000/350563071163003. 351864711163026/350563071163029. 351864711163034/350563071163037. 35186471116
3042/350563071163045. 351864711163059/350563071163052. 351864711163067/350563071163060. 351864711163158/350563071163151. 35186471
1163166/350563071163169. 351864711163174/350563071163177. 351864711163182/350563071163185. 351864711163190/350563071163193. 35186
4711163208/350563071163201. 351864711163216/350563071163219. 351864711163224/350563071163227. 351864711163356/350563071163359. 35
1864711163398/350563071163391. 351864711163414/350563071163417. 351864711163455/350563071163458. 351864711163489/350563071163482.
351864711163497/350563071163490. 351864711154371/350563071154374. 351864711154421/350563071154424. 351864711154496/35056307115449
9. 351864711154504/350563071154507. 351864711154520/350563071154523. 351864711154678/350563071154671. 351864711154686/35056307115
4689. 351864711154702/350563071154705. 351864711154744/350563071154747. 351864711154751/350563071154754. 351864711154769/35056307
1154762. 351864711154793/350563071154796. 351864711154835/350563071154838. 351864711154884/350563071154887. 351864711154918/35056
3071154911. 351864711154934/350563071154937.351864711154991/350563071154994. 351864711155022/350563071155025. 351864711155030/350
563071155033. 351864711155048/350563071155041. 351864711155055/350563071155058. 351864711155063/350563071155066. 351864711155105/
350563071155108. 351864711155154/350563071155157. 351864711155162/350563071155165. 351864711155188/350563071155181. 3518647111551
96/350563071155199. 351864711155238/350563071155231. 351864711155246/350563071155249. 351864711155253/350563071155256. 3518647111
55287/350563071155280. 351864711155295/350563071155298. 351864711155303/350563071155306. 351864711155337/350563071155330. 3518647
11155345/350563071155348. 351864711155410/350563071155413. 351864711155436/350563071155439. 351864711155477/350563071155470. 3518
64711155550/350563071155553. 351864711155600/350563071155603. 351864711155659/350563071155652. 351864711155741/350563071155744. 3
51864711155758/350563071155751. 351864711155774/350563071155777. 351864711163505/350563071163508. 351864711163596/350563071163599
. 351864711164172/350563071164175. 351864711164222/350563071164225. 351864711164271/350563071164274. 351864711164354/350563071164
357. 351864711164362/350563071164365. 351864711164396/350563071164399. 351864711164404/350563071164407. 351864711164412/350563071
164415. 351864711164438/350563071164431. 351864711164487/350563071164480. 351864711164537/350563071164530. 351864711164875/350563
071164878. 351864711164891/350563071164894. 351864711164909/350563071164902. 351864711164925/350563071164928. 351864711164974/350
563071164977. 351864711165062/350563071165065. 351864711165070/350563071165073. 351864711165096/350563071165099. 351864711165120/
350563071165123. 351864711165138/350563071165131. 351864711165252/350563071165255. 351864711165278/350563071165271.35186471116530
2/350563071165305. 351864711165344/350563071165347. 351864711165393/350563071165396. 351864711165443/350563071165446. 35186471116
5450/350563071165453. 351864711165583/350563071165586. 351864711165682/350563071165685. 351864711165716/350563071165719. 35186471
1165765/350563071165768. 351864711165781/350563071165784. 351864711165849/350563071165842. 351864711166185/350563071166188. 35186
4711166342/350563071166345. 351864711166359/350563071166352. 351864711166565/350563071166568. 351864711166987/350563071166980. 35
1864711167001/350563071167004.351864711167100/350563071167103. 351864711167597/350563071167590. 351864711151047/350563071151040.
351864711151062/350563071151065. 351864711151070/350563071151073. 351864711151146/350563071151149. 351864711151542/35056307115154
5. 351864711151575/350563071151578. 351864711151666/350563071151669. 351864711151674/350563071151677. 351864711151690/35056307115
032024000094586-5
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000094586-5 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
1693. 351864711151716/350563071151719. 351864711151724/350563071151727. 351864711151781/350563071151784. 351864711151856/35056307
1151859. 351864711151864/350563071151867. 351864711151948/350563071151941. 351864711152441/350563071152444. 351864711152516/35056
3071152519. 351864711152524/350563071152527. 351864711152748/350563071152741. 351864711152755/350563071152758. 351864711152763/35
0563071152766. 351864711152771/350563071152774. 351864711152789/350563071152782. 351864711152797/350563071152790. 351864711152805
/350563071152808. 351864711152813/350563071152816. 351864711152839/350563071152832. 351864711152854/350563071152857. 351864711152
862/350563071152865. 351864711152870/350563071152873. 351864711152904/350563071152907. 351864711152920/350563071152923. 351864711
152953/350563071152956. 351864711152979/350563071152972. 351864711153647/350563071153640. 351864711153654/350563071153657. 351864
711153712/350563071153715. 351864711153795/350563071153798. 351864711153803/350563071153806. 351864711153829/350563071153822. 351
864711153894/350563071153897. 351864711154017/350563071154010. 351864711154330/350563071154333. 351864711154348/350563071154341.
351864711170591/350563071170594. 351864711170609/350563071170602. 351864711170617/350563071170610. 351864711170641/35056307117064
4. 351864711170658/350563071170651. 351864711170682/350563071170685. 351864711170690/350563071170693.351864711170799/350563071170
792. 351864711170831/350563071170834. 351864711170989/350563071170982. 351864711171086/350563071171089. 351864711171094/350563071
171097. 351864711171144/350563071171147. 351864711171177/350563071171170. 351864711171185/350563071171188. 351864711171201/350563
071171204. 351864711171219/350563071171212. 351864711171235/350563071171238. 351864711171268/350563071171261. 351864711171367/350
563071171360. 351864711171425/350563071171428. 351864711171441/350563071171444. 351864711171474/350563071171477. 351864711171508/
350563071171501.351864711171516/350563071171519. 351864711171540/350563071171543. 351864711171557/350563071171550. 35186471117156
5/350563071171568. 351864711171581/350563071171584. 351864711171623/350563071171626. 351864711171664/350563071171667. 35186471117
1672/350563071171675. 351864711171680/350563071171683. 351864711171698/350563071171691. 351864711171706/350563071171709. 35186471
1171714/350563071171717. 351864711171722/350563071171725. 351864711171763/350563071171766. 351864711171797/350563071171790. 35186
4711171839/350563071171832. 351864711171854/350563071171857. 351864711171862/350563071171865. 351864711171888/350563071171881. 35
1864711171912/350563071171915. 351864711171920/350563071171923. 351864711171946/350563071171949. 351864711171995/350563071171998.
351864711172001/350563071172004. 351864711172308/350563071172301. 351864711172399/350563071172392. 351864711172415/3505630711724
18. 351864711172423/350563071172426. 351864711172563/350563071172566. 351864711172688/350563071172681. 351864711172944/3505630711
72947. 351864711173348/350563071173341. 351864711173355/350563071173358. 351864711173371/350563071173374. 351864711173405/3505630
71173408. 351864711173439/350563071173432. 351864711173447/350563071173440. 351864711173454/350563071173457. 351864711173470/3505
63071173473. 351864711173488/350563071173481. 351864711173512/350563071173515. 351864711173538/350563071173531. 351864711173553/3
50563071173556. 351864711173595/350563071173598. 351864711173603/350563071173606. 351864711173629/350563071173622. 35186471117364
5/350563071173648. 351864711173652/350563071173655. 351864711173686/350563071173689. 351864711173744/350563071173747. 35186471117
3777/350563071173770. 351864711173850/350563071173853. 351864711173868/350563071173861.351864711173884/350563071173887. 351864711
173892/350563071173895. 351864711173900/350563071173903. 351864711173918/350563071173911. 351864711173934/350563071173937. 351864
711173959/350563071173952. 351864711173967/350563071173960. 351864711173975/350563071173978. 351864711173991/350563071173994. 351
864711174007/350563071174000. 351864711174015/350563071174018. 351864711167613/350563071167616. 351864711167647/350563071167640.
351864711167654/350563071167657. 351864711167662/350563071167665. 351864711167704/350563071167707. 351864711167712/35056307116771
5.351864711167720/350563071167723. 351864711167746/350563071167749. 351864711167753/350563071167756. 351864711167787/350563071167
780. 351864711167803/350563071167806. 351864711167811/350563071167814. 351864711167829/350563071167822. 351864711167845/350563071
167848. 351864711167852/350563071167855. 351864711167860/350563071167863. 351864711167878/350563071167871. 351864711167886/350563
071167889. 351864711167902/350563071167905. 351864711167936/350563071167939. 351864711167944/350563071167947. 351864711168017/350
563071168010. 351864711168058/350563071168051. 351864711168066/350563071168069. 351864711168116/350563071168119. 351864711168124/
350563071168127. 351864711168157/350563071168150. 351864711168173/350563071168176. 351864711168181/350563071168184. 3518647111682
15/350563071168218. 351864711168223/350563071168226. 351864711168231/350563071168234. 351864711168249/350563071168242. 3518647111
68256/350563071168259. 351864711168272/350563071168275. 351864711168280/350563071168283. 351864711168306/350563071168309. 3518647
11168330/350563071168333. 351864711168348/350563071168341. 351864711168355/350563071168358. 351864711168363/350563071168366. 3518
64711168371/350563071168374. 351864711168389/350563071168382. 351864711168397/350563071168390. 351864711174023/350563071174026. 3
51864711174031/350563071174034. 351864711174056/350563071174059. 351864711174072/350563071174075. 351864711174080/350563071174083
. 351864711174122/350563071174125. 351864711174148/350563071174141. 351864711174155/350563071174158. 351864711174163/350563071174
166. 351864711174189/350563071174182. 351864711174213/350563071174216. 351864711174221/350563071174224. 351864711174239/350563071
174232. 351864711174247/350563071174240. 351864711174254/350563071174257.351864711174262/350563071174265. 351864711174288/3505630
71174281. 351864711174296/350563071174299. 351864711174312/350563071174315. 351864711174320/350563071174323. 351864711174395/3505
63071174398. 351864711174411/350563071174414. 351864711174478/350563071174471. 351864711174536/350563071174539. 351864711175038/3
50563071175031. 351864711175103/350563071175106. 351864711175186/350563071175189. 351864711175483/350563071175486. 35186471117550
9/350563071175502. 351864711175533/350563071175536. 351864711175541/350563071175544. 351864711175798/350563071175791.351864711175
897/350563071175890. 351864711176226/350563071176229. 351864711177018/350563071177011. 351864711177133/350563071177136. 351864711
177257/350563071177250. 351864711177315/350563071177318. 351864711177331/350563071177334. 351864711177596/350563071177599. 351864
711177695/350563071177698. 351864711177703/350563071177706. 351864711177760/350563071177763. 351864711177836/350563071177839XXXXX
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032024000094586-5
Espacio para uso exclusivo de la Entidad Recaudadora
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