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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
032024000936465-7
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 Anticipada 3 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. 116575014573051 2024 – 07 – 13 No. HKQ006608 2024 – 07 – 06
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 6900278935 2024 – 07 – 01 procedencia 351
54 . Cod. Modo Transporte
4
55 . Código de Bandera
169
56 . Cod. Depto destino
0
57 . Empresa transportadora 58 . Tasa de cambio $ cvs. TAMPA CARGO S.A.S.
4.096.09
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 132.00 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
175.00
500.00
78 .Valor FOB 79 . Valor fletes USD USD
42.129.09
1.179.50
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
80 . Valor Seguros 81 . Valor Otros Gastos USD USD
2.10
0
Arancel
0
0
0.00
92 93 94 0.00 177.404.484
95
96
I.V.A.
9798 99 100 101
0.00 177.404.484 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
1.181.60
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
43.310.69
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: 522833-DECL: 1817692-DO: 893115572241- 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, MERCAN
CIA QUE NO REQUIERE REGISTRO DEIMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3067673236. ID CONTENED
OR: 6076628547. MERCANCIA MARCA: SAMSUNGREFERENCIA: SM-A057MZSHLTC, PRODUCTO: TELEFONO CELULAR GALAXY A05s DUOS (CON ACCESORIOS P
ARA USO Y NORMAL FUNCIONAMIENTO), COLOR: PLATA, MODELO: SM-A057M/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 032024000936465
133. Feha: 202407 10
134 . Levante No. 032024000897418 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 07 – 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 92032405075794
Fecha presentación 2024-07-10 17:43:46 Valor pagado $0.00
Fecha de Impresión: 2024-07-15 12:47:55
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000936465-7 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
Y AL DETAL./ /MOBILE,SM-A057M/DS,SILVER,LTC( QTY. 500,00 u )(500,00 PCE); IMEIS: 350290616499870/355253226499875. 350290616499995
/355253226499990. 350290616500024/355253226500029. 350290616500149/355253226500144. 350290616500156/355253226500151. 350290616500
248/355253226500243. 350290616500255/355253226500250. 350290616500271/355253226500276. 350290616500289/355253226500284. 350290616
500297/355253226500292. 350290616500305/355253226500300. 350290616500313/355253226500318. 350290616500321/355253226500326. 350290
616500339/355253226500334. 350290616500347/355253226500342. 350290616500354/355253226500359. 350290616500362/355253226500367. 350
290616500370/355253226500375. 350290616500388/355253226500383. 350290616500396/355253226500391. 350290616500404/355253226500409.
350290616500412/355253226500417. 350290616500420/355253226500425. 350290616500438/355253226500433. 350290616500446/35525322650044
1. 350290616500453/355253226500458. 350290616500461/355253226500466. 350290616500479/355253 226500474. 350290616500487/3552532265
00482. 350290616500503/355253226500508. 350290616500511/355253226500516. 350290616500529/355253226500524. 350290616500537/3552532
26500532. 350290616500545/355253226500540. 350290616500552/355253226500557. 350290616500560/355253226500565. 350290616500578/3552
53226500573. 350290616500586/355253226500581. 350290616500594/355253226500599. 350290616500602/355253226500607. 350290616500628/3
55253226500623. 350290616500636/355253226500631. 350290616500644/355253226500649. 350290616500651/355253226500656. 35029061650066
9/355253226500664. 350290616500677/355253226500672. 350290616497841/355253226497846. 350290616497858/355253226497853. 35029061649
7866/355253226497861. 350290616497981/355253226497986. 350290616498005/355253226498000.350290616498021/355253226498026. 350290616
498039/355253226498034. 350290616498062/355253226498067. 350290616498104/355253226498109. 350290616498112/355253226498117. 350290
616498146/355253226498141. 350290616498153/355253226498158. 350290616498179/355253226498174. 350290616498211/355253226498216. 350
290616498245/355253226498240. 350290616498252/355253226498257. 350290616498260/355253226498265. 350290616498294/355253226498299.
350290616498310/355253226498315. 350290616498328/355253226498323. 350290616498336/355253226498331. 350290616498344/35525322649834
9.350290616498369/355253226498364. 350290616498377/355253226498372. 350290616498385/355253226498380. 350290616498393/355253226498
398. 350290616498401/355253226498406. 350290616498419/355253226498414. 350290616498427/355253226498422. 350290616498435/355253226
498430. 350290616498450/355253226498455. 350290616498468/355253226498463. 350290616498476/355253226498471. 350290616498484/355253
226498489. 350290616498492/355253226498497. 350290616498500/355253226498505. 350290616498518/355253226498513. 350290616498526/355
253226498521. 350290616498542/355253226498547. 350290616498567/355253226498562. 350290616498575/355253226498570. 350290616498583/
355253226498588. 350290616498641/355253226498646. 350290616498658/355253226498653. 350290616498674/355253226498679. 3502906164986
82/355253226498687. 350290616500685/355253226500680. 350290616500693/355253226500698. 350290616500701/355253226500706. 3502906165
00727/355253226500722. 350290616500735/355253226500730. 350290616500743/355253226500748. 350290616500750/355253226500755. 3502906
16500768/355253226500763. 350290616500784/355253226500789. 350290616500792/355253226500797. 350290616500818/355253226500813. 3502
90616500826/355253226500821. 350290616500842/355253226500847. 350290616500859/355253226500854. 350290616500867/355253226500862. 3
50290616500875/355253226500870. 350290616500883/355253226500888. 350290616500909/355253226500904. 350290616500917/355253226500912
. 350290616500925/355253226500920. 350290616500933/355253226500938. 350290616500941/355253226500946. 350290616500958/355253226500
953. 350290616500966/355253226500961. 350290616500974/355253226500979. 350290616500982/355253226500987. 350290616500990/355253226
500995. 350290616501014/355253226501019. 350290616501030/355253226501035.350290616501048/355253226501043. 350290616501055/3552532
26501050. 350290616501063/355253226501068. 350290616501089/355253226501084. 350290616501097/355253226501092. 350290616501105/3552
53226501100. 350290616501113/355253226501118. 350290616501121/355253226501126. 350290616501139/355253226501134. 350290616501162/3
55253226501167. 350290616501170/355253226501175. 350290616501212/355253226501217. 350290616501246/355253226501241. 35029061650125
3/355253226501258. 350290616501261/355253226501266. 350290616501311/355253226501316. 350290616501329/355253226501324.350290616498
708/355253226498703. 350290616498716/355253226498711. 350290616498724/355253226498729. 350290616498732/355253226498737. 350290616
498740/355253226498745. 350290616498757/355253226498752. 350290616498765/355253226498760. 350290616498773/355253226498778. 350290
616498799/355253226498794. 350290616498823/355253226498828. 350290616498831/355253226498836. 350290616498849/355253226498844. 350
290616498856/355253226498851. 350290616498864/355253226498869. 350290616498872/355253226498877. 350290616498880/355253226498885.
350290616498898/355253226498893. 350290616498914/355253226498919. 350290616498930/355253226498935. 350290616498948/35525322649894
3. 350290616498955/355253226498950. 350290616498963/355253226498968. 350290616498971/355253226498976. 350290616498989/35525322649
8984. 350290616498997/355253226498992. 350290616499003/355253226499008. 350290616499011/355253226499016. 350290616499029/35525322
6499024. 350290616499037/355253226499032. 350290616499045/355253226499040. 350290616499060/355253226499065. 350290616499078/35525
3226499073. 350290616499086/355253226499081. 350290616499094/355253226499099. 350290616499128/355253226499123. 350290616499136/35
5253226499131. 350290616499177/355253226499172. 350290616499185/355253226499180. 350290616499201/355253226499206. 350290616499383
/355253226499388. 350290616499391/355253226499396. 350290616499482/355253226499487. 350290616499607/355253226499602. 350290616499
631/355253226499636. 350290616499748/355253226499743. 350290616499854/355253226499859. 350290616501337/355253226501332. 350290616
501345/355253226501340. 350290616501352/355253226501357. 350290616501378/355253226501373. 350290616501386/355253226501381. 350290
616501394/355253226501399. 350290616501402/355253226501407.350290616501436/355253226501431. 350290616501451/355253226501456. 3502
90616501469/355253226501464. 350290616501485/355253226501480. 350290616501493/355253226501498. 350290616501527/355253226501522. 3
50290616501543/355253226501548. 350290616501568/355253226501563. 350290616501634/355253226501639. 350290616501659/355253226501654
. 350290616501766/355253226501761. 350290616501782/355253226501787. 350290616501790/355253226501795. 350290616501816/355253226501
811. 350290616501832/355253226501837. 350290616501840/355253226501845. 350290616502087/355253226502082.350290616502202/3552532265
02207. 350290616502210/355253226502215. 350290616502327/355253226502322. 350290616502533/355253226502538. 350290616502657/3552532
26502652. 350290616502921/355253226502926. 350290616503150/355253226503155. 350290616503259/355253226503254. 350290616503358/3552
53226503353. 350290616503390/355253226503395. 350290616503408/355253226503403. 350290616503432/355253226503437. 350290616503457/3
55253226503452. 350290616503473/355253226503478. 350290616503481/355253226503486. 350290616503507/355253226503502. 35029061650351
5/355253226503510. 350290616503663/355253226503668. 350290616503697/355253226503692. 350290616503705/355253226503700. 35029061650
3770/355253226503775. 350290616503796/355253226503791. 350290616503812/355253226503817. 350290616503838/355253226503833. 35029061
6503846/355253226503841. 350290616503853/355253226503858. 350290616503861/355253226503866. 350290616503887/355253226503882. 35029
0616503903/355253226503908. 350290616503937/355253226503932. 350290616503945/355253226503940. 350290616503986/355253226503981. 35
0290616504018/355253226504013. 350290616504034/355253226504039. 350290616504042/355253226504047. 350290616504059/355253226504054.
350290616504109/355253226504104. 350290616504125/355253226504120. 350290616504141/355253226504146. 350290616504356/3552532265043
51. 350290616504414/355253226504419. 350290616504430/355253226504435. 350290616504604/355253226504609. 350290616504646/3552532265
04641. 350290616504661/355253226504666. 350290616504752/355253226504757. 350290616504810/355253226504815. 350290616504901/3552532
26504906. 350290616504935/355253226504930. 350290616504950/355253226504955. 350290616504968/355253226504963. 350290616504976/3552
53226504971. 350290616504992/355253226504997.350290616505007/355253226505002. 350290616505015/355253226505010. 350290616505031/35
5253226505036. 350290616505049/355253226505044. 350290616505056/355253226505051. 350290616505130/355253226505135. 350290616505148
/355253226505143. 350290616505155/355253226505150. 350290616505163/355253226505168. 350290616505189/355253226505184. 350290616505
205/355253226505200. 350290616505213/355253226505218. 350290616505221/355253226505226. 350290616505239/355253226505234. 350290616
505254/355253226505259. 350290616505262/355253226505267. 350290616505270/355253226505275.350290616505288/355253226505283. 3502906
16505296/355253226505291. 350290616505304/355253226505309. 350290616505312/355253226505317. 350290616505320/355253226505325. 3502
90616505338/355253226505333. 350290616505346/355253226505341. 350290616505353/355253226505358. 350290616505361/355253226505366. 3
50290616505379/355253226505374. 350290616505403/355253226505408. 350290616505411/355253226505416. 350290616505429/355253226505424
032024000936465-7
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000936465-7 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
. 350290616505437/355253226505432. 350290616505445/355253226505440. 350290616505452/355253226505457. 350290616505478/355253226505
473. 350290616505494/355253226505499. 350290616505601/355253226505606. 350290616505619/355253226505614. 350290616505767/355253226
505762. 350290616505783/355253226505788. 350290616505791/355253226505796. 350290616505825/355253226505820. 350290616505841/355253
226505846. 350290616505973/355253226505978. 350290616505999/355253226505994. 350290616506005/355253226506000. 350290616506013/355
253226506018. 350290616506021/355253226506026. 350290616506039/355253226506034. 350290616506047/355253226506042. 350290616506062/
355253226506067. 350290616506070/355253226506075. 350290616506088/355253226506083. 350290616506096/355253226506091. 3502906165061
04/355253226506109. 350290616506112/355253226506117. 350290616506120/355253226506125. 350290616506138/355253226506133. 3502906165
06161/355253226506166. 350290616506179/355253226506174. 350290616506187/355253226506182. 350290616506195/355253226506190. 3502906
16506203/355253226506208. 350290616506237/355253226506232. 350290616506245/355253226506240. 350290616506252/355253226506257. 3502
90616506260/355253226506265. 350290616506286/355253226506281. 350290616506336/355253226506331. 350290616506344/355253226506349. 3
50290616506351/355253226506356.350290616506377/355253226506372. 350290616506385/355253226506380. 350290616506435/355253226506430.
350290616506443/355253226506448. 350290616506492/355253226506497. 350290616506500/355253226506505. 350290616506526/3552532265065
21. 350290616506542/355253226506547. 350290616506567/355253226506562. 350290616506575/355253226506570. 350290616506583/3552532265
06588. 350290616506591/355253226506596. 350290616506609/355253226506604. 350290616506617/355253226506612. 350290616506633/3552532
26506638. 350290616506641/355253226506646. 350290616506666/355253226506661.350290616506682/355253226506687. 350290616506690/35525
3226506695. 350290616506724/355253226506729. 350290616506799/355253226506794. 350290616506872/355253226506877. 350290616506898/35
5253226506893. 350290616506906/355253226506901. 350290616506922/355253226506927. 350290616506930/355253226506935. 350290616506948
/355253226506943. 350290616506955/355253226506950. 350290616506963/355253226506968. 350290616506971/355253226506976. 350290616506
989/355253226506984. 350290616507003/355253226507008. 350290616507011/355253226507016. 350290616507029/355253226507024. 350290616
507037/355253226507032. 350290616507045/355253226507040. 350290616507052/355253226507057. 350290616507060/355253226507065. 350290
616507094/355253226507099. 350290616507102/355253226507107. 350290616507110/355253226507115. 350290616507128/355253226507123. 350
290616507136/355253226507131. 350290616507201/355253226507206. 350290616507219/355253226507214. 350290616507227/355253226507222.
350290616507235/355253226507230. 350290616507250/355253226507255. 350290616507276/355253226507271. 350290616507284/35525322650728
9. 350290616507300/355253226507305. 350290616507326/355253226507321. 350290616507391/355253226507396. 350290616507409/35525322650
7404. 350290616507425/355253226507420. 350290616507441/355253226507446. 350290616507466/355253226507461. 350290616507508/35525322
6507503. 350290616507573/355253226507578. 350290616507615/355253226507610. 350290616507755/355253226507750. 350290616507896/35525
3226507891. 350290616507920/355253226507925. 350290616508316/355253226508311. 350290616508324/355253226508329. 350290616508415/35
5253226508410. 350290616508548/355253226508543. 350290616508589/355253226508584. 350290616508597/355253226508592. 350290616508605
/355253226508600.350290616508621/355253226508626. 350290616508639/355253226508634. 350290616508647/355253226508642. 3502906165086
62/355253226508667. 350290616508670/355253226508675. 350290616508688/355253226508683. 350290616508696/355253226508691. 3502906165
08704/355253226508709. 350290616508712/355253226508717. 350290616508720/355253226508725. 350290616508738/355253226508733. 3502906
16508746/355253226508741. 350290616508753/355253226508758. 350290616508761/355253226508766. 350290616508787/355253226508782. 3502
90616508795/355253226508790. 350290616508803/355253226508808.350290616508811/355253226508816. 350290616508829/355253226508824. 35
0290616508837/355253226508832. 350290616508845/355253226508840. 350290616508852/355253226508857. 350290616508878/355253226508873.
350290616508886/355253226508881. 350290616508894/355253226508899. 350290616508902/355253226508907. 350290616508910/3552532265089
15. 350290616508928/355253226508923. 350290616508936/355253226508931. 350290616508944/355253226508949. 350290616508977/3552532265
08972. 350290616508993/355253226508998. 350290616509017/355253226509012. 350290616509025/355253226509020. 350290616509033/3552532
26509038. 350290616509041/355253226509046. 350290616509058/355253226509053. 350290616509066/355253226509061. 350290616509074/3552
53226509079. 350290616509082/355253226509087. 350290616509090/355253226509095. 350290616509108/355253226509103. 350290616509116/3
55253226509111. 350290616509124/355253226509129. 350290616509132/355253226509137. 350290616509140/355253226509145. 35029061650915
7/355253226509152. 350290616509165/355253226509160. 350290616509173/355253226509178. 350290616509181/355253226509186. 35029061650
9199/355253226509194. 350290616509207/355253226509202. 350290616509223/355253226509228. 350290616509231/355253226509236. 35029061
6509249/355253226509244. 350290616509264/355253226509269. 350290616509280/355253226509285. 350290616509298/355253226509293. 35029
0616509306/355253226509301. 350290616509314/355253226509319. 350290616509322/355253226509327. 350290616509330/355253226509335. 35
0290616509348/355253226509343. 350290616509355/355253226509350. 350290616509363/355253226509368. 350290616509389/355253226509384.
350290616509397/355253226509392. 350290616509405/355253226509400. 350290616509421/355253226509426. 350290616509439/3552532265094
34.350290616509447/355253226509442. 350290616509454/355253226509459. 350290616509462/355253226509467. 350290616509488/35525322650
9483. 350290616509496/355253226509491. 350290616509504/355253226509509. 350290616509512/355253226509517. 350290616509520/35525322
6509525. 350290616509538/355253226509533. 350290616509553/355253226509558. 350290616509561/355253226509566. 350290616509587/35525
3226509582. 350290616509595/355253226509590. 350290616509629/355253226509624. 350290616509637/355253226509632. 350290616509645/35
5253226509640. 350290616509652/355253226509657.350290616509678/355253226509673. 350290616509694/355253226509699. 350290616509702/
355253226509707. 350290616509728/355253226509723. 350290616509736/355253226509731. 350290616509744/355253226509749. 3502906165097
51/355253226509756. 350290616509769/355253226509764. 350290616509777/355253226509772. 350290616509785/355253226509780. 3502906165
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032024000936465-7
Espacio para uso exclusivo de la Entidad Recaudadora
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