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VER MAS
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
032024000502430-7
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 XX No. XXXXXXXXXXXXXXX XXXX – XX – XX XX
02
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. 116575014310013 2024 – 04 – 12 No. HKG0361992 2024 – 04 – 11
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 6900257127 2024 – 04 – 08 procedencia 351
54 . Cod. Modo Transporte
4
55 . Código de Bandera
249
56 . Cod. Depto destino
0
57 . Empresa transportadora 58 . Tasa de cambio $ cvs. ATLAS AIR INC SUCURSAL COLOMBIA
3.820.10
S
59 . Subpartida arancelaria 60 . Cod. 8517130000 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 67 . Cod. Acuerdo de origen XXX
215
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 236.70 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
263.00
800.00
78 .Valor FOB 79 . Valor fletes USD USD
73.177.30
1.746.32
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
80 . Valor Seguros 81 . Valor Otros Gastos USD USD
3.63
0
Arancel
0
0
0.00
92 93 94 0.00 286.229.588
95
96
I.V.A.
9798 99 100 101
0.00 286.229.588 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
1.749.95
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
74.927.25
X XXXXXXXXXX
Derechos 112 Antidumping
113
114
115
116
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: 513428-DECL: 1785233-DO: 893107958241- 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: 3062239142. ID CONTENEDOR: 6075058046. MERCANCIA MARCA: SAMSUNG REFERENCIA:SM-A057MLVECOM, PR
ODUCTO: TELEFONO CELULAR GALAXY A05s (CON ACCESORIOSPARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VIOLETA CLARO(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 032024000502430
133. Feha: 202404 15
134 . Levante No. 032024000475086 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 04 – 15
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 92032402744271
Fecha presentación 2024-04-15 13:44:11 Valor pagado $0.00
Fecha de Impresión: 2024-04-15 13:44:48
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000502430-7 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
, MODELO: SM-A057M, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL./ /MOBILE,SM-A057M,LIGHT VIOL ET,COM( QTY. 800,00 u )(800,00
PCE); IMEIS: 354208764730512. 354208764730520. 354208764730538. 354208764730546. 354208764730553. 354208764730561. 3542087647305
79. 354208764730587. 354208764730595. 354208764730603. 354208764730611. 354208764730629. 354208764730637.354208764730645. 3542087
64730652. 354208764730660. 354208764730678. 354208764730686. 354208764730694. 354208764730702. 354208764730710. 354208764730728.
354208764730736. 354208764730744. 354208764730751. 354208764730769. 354208764730777. 354208764730785. 354208764730793. 3542087647
30801. 354208764730819. 354208764730827. 354208764730835. 354208764730843. 354208764730850. 354208764730868. 354208764730876. 354
208764730884. 354208764730892. 354208764730900. 354208764730918. 354208764730926. 354208764730934. 354208764730942. 3542087647309
59. 354208764730967.354208764730975. 354208764730983. 354208764730991. 354208764731007. 3 54208764731015. 354208764731023. 354208
764731031. 354208764731049. 354208764731056. 354208764731064. 354208764731072. 354208764731080. 354208764731098. 354208764731106.
354208764731114. 354208764731122. 354208764731130. 354208764731148. 354208764731155. 354208764731163. 354208764731171. 354208764
731189. 354208764731197. 354208764731205. 354208764731213. 354208764731221. 354208764731239. 354208764731247. 354208764731254. 35
4208764731262. 354208764731270. 354208764731288. 354208764731296. 354208764731304. 354208764731312. 354208764731320. 354208764731
338.354208764731346. 354208764731353. 354208764731361. 354208764731379. 354208764731387. 354208764731395. 354208764731403. 354208
764731411. 354208764731429. 354208764731437. 354208764731445. 354208764731452. 354208764731460. 354208764731478. 354208764731486.
354208764731494. 354208764731502. 354208764731510. 354208764731528. 354208764731536. 354208764731544. 354208764731551. 354208764
731569. 354208764731577. 354208764731585. 354208764731593. 354208764731601. 354208764731619. 354208764731627. 354208764731635. 35
4208764731643. 354208764731650. 354208764731668.354208764731676. 354208764731684. 354208764731692. 354208764731700. 3542087647317
18. 354208764731726. 354208764731734. 354208764731742. 354208764731759. 354208764731767. 354208764731775. 354208764731783. 354208
764731791. 354208764731809. 354208764731817. 354208764731825. 354208764731833. 354208764731841. 354208764731858. 354208764731866.
354208764731874. 354208764731882. 354208764731890. 354208764731908. 354208764731916. 354208764731924. 354208764731932. 354208764
731940. 354208764731957. 354208764731965. 354208764731973. 354208764731981. 354208764731999. 354208764732005. 354208764732013. 35
4208764732021. 354208764732039.354208764732047. 354208764732054. 354208764732062. 354208764732070. 354208764732088. 3542087647320
96. 354208764732104. 354208764732112. 354208764732120. 354208764732138. 354208764732146. 354208764732153. 354208764732161. 354208
764732179. 354208764732187. 354208764732195. 354208764732203. 354208764732211. 354208764732229. 354208764732237. 354208764732245.
354208764732252. 354208764732260. 354208764732278. 354208764732286. 354208764732294. 354208764732302. 354208764732310. 354208764
732328. 354208764732336. 354208764732344. 354208764732351. 354208764732369.354208764732377. 354208764732385. 354208764732393. 354
208764732401. 354208764732419. 354208764732427. 354208764732435. 354208764732443. 354208764732450. 354208764732468. 3542087647324
76. 354208764732484. 354208764732492. 354208764732500. 354208764732518. 354208764732526. 354208764732534. 354208764732542. 354208
764732559. 354208764732567. 354208764732575. 354208764732583. 354208764732591. 354208764732609. 354208764732617. 354208764732625.
354208764732633. 354208764732641. 354208764732658. 354208764732666. 354208764732674. 354208764732682. 354208764732690. 354208764
732708. 354208764732716. 354208764732724. 354208764732732.354208764732740. 354208764732757. 354208764732765. 354208764732773. 354
208764732781. 354208764732799. 354208764732807. 354208764732815. 354208764732823. 354208764732831. 354208764732849. 3542087647328
56. 354208764732864. 354208764732872. 354208764732880. 354208764732898. 354208764732906. 354208764732914. 354208764732922. 354208
764732930. 354208764732948. 354208764732955. 354208764732963. 354208764732971. 354208764732989. 354208764732997. 354208764733003.
354208764733011. 354208764733029. 354208764733037. 354208764733045. 354208764733052. 354208764733060.354208764733078. 3542087647
33086. 354208764733094. 354208764733102. 354208764733110. 354208764733128. 354208764733136. 354208764733144. 354208764733151. 354
208764733169. 354208764733177. 354208764733185. 354208764733193. 354208764733201. 354208764733219. 354208764733227. 3542087647332
35. 354208764733243. 354208764733250. 354208764733268. 354208764733276. 354208764733284. 354208764733292. 354208764733300. 354208
764733318. 354208764733326. 354208764733334. 354208764733342. 354208764733359. 354208764733367. 354208764733375. 354208764733383.
354208764733391. 354208764733409. 354208764733417. 354208764733425. 354208764733433.354208764733441. 354208764733458. 3542087647
33466. 354208764733474. 354208764733482. 354208764733490. 354208764733508. 354208764733516. 354208764733524. 354208764733532. 354
208764733540. 354208764733557. 354208764733565. 354208764733573. 354208764733581. 354208764733599. 354208764733607. 3542087647336
15. 354208764733623. 354208764733631. 354208764733649. 354208764733656. 354208764733664. 354208764733672. 354208764733680. 354208
764733698. 354208764733706. 354208764733714. 354208764733722. 354208764733730. 354208764733748. 354208764733755. 354208764733763.
354208764733771. 354208764733789. 354208764733797. 354208764733805. 354208764733813. 354208764733821. 354208764733839. 3542087647
33847. 354208764733854. 354208764733862. 354208764733870. 354208764733888. 354208764733896. 354208764733904. 354208764733912. 354
208764733920. 354208764733938. 354208764733946. 354208764733953. 354208764733961. 354208764733979. 354208764733987. 3542087647339
95. 354208764734001. 354208764734019. 354208764734027. 354208764734035. 354208764734043. 354208764734050. 354208764734068. 354208
764734076. 354208764734084. 354208764734092. 354208764734100. 354208764734118. 354208764734126. 354208764734134.354208764734142.
354208764734159. 354208764734167. 354208764734175. 354208764734183. 354208764734191. 354208764734209. 354208764734217. 3542087647
34225. 354208764734233. 354208764734241. 354208764734258. 354208764734266. 354208764734274. 354208764734282. 354208764734290. 354
208764734308. 354208764734316. 354208764734324. 354208764734332. 354208764734340. 354208764734357. 354208764734365. 3542087647343
73. 354208764734381. 354208764734399. 354208764734407. 354208764734415. 354208764734423. 354208764734431. 354208764734449. 354208
764734456. 354208764734464.354208764734472. 354208764734480. 354208764734498. 354208764734506. 354208764734514. 354208764734522.
354208764734530. 354208764734548. 354208764734555. 354208764734563. 354208764734571. 354208764734589. 354208764734597. 3542087647
34605. 354208764734613. 354208764734621. 354208764734639. 354208764734647. 354208764734654. 354208764734662. 354208764734670. 354
208764734688. 354208764734696. 354208764734704. 354208764734712. 354208764734720. 354208764734738. 354208764734746. 3542087647347
53. 354208764734761. 354208764734779. 354208764734787. 354208764734795. 354208764734803. 354208764734811. 354208764734829. 354208
764734837.354208764734845. 354208764734852. 354208764734860. 354208764734878. 354208764734886. 354208764734894. 354208764734902.
354208764734910. 354208764734928. 354208764734936. 354208764734944. 354208764734951. 354208764734969. 354208764734977. 3542087647
34985. 354208764734993. 354208764735008. 354208764737707. 354208764737731. 354208764737749. 354208764737756. 354208764737772. 354
208764737780. 354208764737806. 354208764737848. 354208764737855. 354208764737871. 354208764737889. 354208764737913. 3542087647379
62. 354208764737970. 354208764738002. 354208764738010.354208764738028. 354208764738036. 354208764738051. 354208764738077. 3542087
64738127. 354208764738135. 354208764738143. 354208764738176. 354208764738184. 354208764738200. 354208764738218. 354208764738234.
354208764738259. 354208764738275. 354208764738309. 354208764738317. 354208764738333. 354208764738366. 354208764738382. 3542087647
38390. 354208764738416. 354208764738424. 354208764738432. 354208764738440. 354208764738457. 354208764738473. 354208764738499. 354
208764737327. 354208764737335. 354208764737343. 354208764737376. 354208764737392. 354208764737418. 354208764737426. 3542087647375
74. 354208764737590. 354208764737616.354208764737640. 354208764737673. 354208764737764. 354208764737798. 354208764737814. 3542087
64737822. 354208764737863. 354208764737897. 354208764737921. 354208764737939. 354208764737947. 354208764737996. 354208764738044.
354208764738069. 354208764738085. 354208764738093. 354208764738119. 354208764738150. 354208764738192. 354208764738226. 3542087647
38242. 354208764738267. 354208764738283. 354208764738341. 354208764738374. 354208764738408. 354208764738481. 354208764735016. 354
208764737293. 354208764737301. 354208764737442. 354208764737459. 354208764737467.354208764737491. 354208764737525. 35420876473754
1. 354208764737558. 354208764737699. 354208764737715. 354208764737830. 354208764737905. 354208764737954. 354208764737988. 3542087
64738101. 354208764738168. 354208764738291. 354208764738325. 354208764738358. 354208764738465. 354208764738507. 354208764735024.
354208764735032. 354208764735040. 354208764735057. 354208764735065. 354208764735073. 354208764735081. 354208764735099. 3542087647
032024000502430-7
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000502430-7 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
35107. 354208764735115. 354208764735123. 354208764735131. 354208764735149. 354208764735156. 354208764735164. 354208764735172. 354
208764735180. 354208764735198. 354208764735206. 354208764735214.354208764735222. 354208764735230. 354208764735248. 35420876473525
5. 354208764735263. 354208764735271. 354208764735289. 354208764735297. 354208764735305. 354208764735313. 354208764735321. 3542087
64735339. 354208764735347. 354208764735354. 354208764735362. 354208764735370. 354208764735388. 354208764735396. 354208764735404.
354208764735412. 354208764735420. 354208764735438. 354208764735446. 354208764735453. 354208764735461. 354208764735479. 3542087647
35487. 354208764735495. 354208764735503. 354208764735511. 354208764735529. 354208764735537. 354208764735545.354208764735552. 3542
08764735560. 354208764735578. 354208764735586. 354208764735594. 354208764735602. 354208764735610. 354208764735628. 35420876473563
6. 354208764735644. 354208764735651. 354208764735669. 354208764735677. 354208764735685. 354208764735693. 354208764735701. 3542087
64735719. 354208764735727. 354208764735735. 354208764735743. 354208764735750. 354208764735768. 354208764735776. 354208764735784.
354208764735792. 354208764735800. 354208764735818. 354208764735826. 354208764735834. 354208764735842. 354208764735859. 3542087647
35867. 354208764735875. 354208764735883. 354208764735891. 354208764735909. 354208764735917.354208764735925. 354208764735933. 3542
08764735941. 354208764735958. 354208764735966. 354208764735974. 354208764735982. 354208764735990. 354208764736006. 35420876473601
4. 354208764736022. 354208764736030. 354208764736048. 354208764736055. 354208764736063. 354208764736071. 354208764736089. 3542087
64736097. 354208764736105. 354208764736113. 354208764736121. 354208764736139. 354208764736147. 354208764736154. 354208764736162.
354208764736170. 354208764736188. 354208764736196. 354208764736204. 354208764736212. 354208764736220. 354208764736238. 3542087647
36246.354208764736253. 354208764736261. 354208764736279. 354208764736287. 354208764736295. 354208764736303. 354208764736311. 3542
08764736329. 354208764736337. 354208764736345. 354208764736352. 354208764736360. 354208764736378. 354208764736386. 35420876473639
4. 354208764736402. 354208764736410. 354208764736428. 354208764736436. 354208764736444. 354208764736451. 354208764736469. 3542087
64736477. 354208764736485. 354208764736493. 354208764736501. 354208764736519. 354208764736527. 354208764736535. 354208764736543.
354208764736550. 354208764736568. 354208764736576. 354208764736584. 354208764736592. 354208764736600. 354208764736618.35420876473
6626. 354208764736634. 354208764736642. 354208764736659. 354208764736667. 354208764736675. 354208764736683. 354208764736691. 3542
08764736709. 354208764736717. 354208764736725. 354208764736733. 354208764736741. 354208764736758. 354208764736766. 35420876473677
4. 354208764736782. 354208764736790. 354208764736808. 354208764736816. 354208764736824. 354208764736832. 354208764736840. 3542087
64736857. 354208764736865. 354208764736873. 354208764736881. 354208764736899. 354208764736907. 354208764736915. 354208764736923.
354208764736931. 354208764736949.354208764736956. 354208764736964. 354208764736972. 354208764736980. 354208764736998. 35420876473
7004. 354208764737012. 354208764737020. 354208764737038. 354208764737046. 354208764737053. 354208764737061. 354208764737079. 3542
08764737087. 354208764737095. 354208764737103. 354208764737111. 354208764737129. 354208764737137. 354208764737145. 35420876473715
2. 354208764737160. 354208764737178. 354208764737186. 354208764737194. 354208764737202. 354208764737210. 354208764737228. 3542087
64737236. 354208764737244. 354208764737251. 354208764737269. 354208764737277. 354208764737285. 354208764737350. 354208764737368.
354208764737400.354208764737434. 354208764737483. 354208764737509. 354208764737533. 354208764737566. 354208764737582. 35420876473
7632. 354208764737665. 354208764737681. 354208764737723. 354208764737319. 354208764737384. 354208764737475. 354208764737517. 3542
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032024000502430-7
Espacio para uso exclusivo de la Entidad Recaudadora
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