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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
032024001213832-8
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
102294385
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
CARLOS ANDRES ROJAS MATAJUDIOS
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. 116575014725138 2024 – 09 – 01 No. PVG71378289 2024 – 08 – 27
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 6900295818 2024 – 08 – 26 procedencia 215
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.
4.132.11
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 137.50 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
170.00
500.00
78 .Valor FOB 79 . Valor fletes USD USD
25.337.04
1.159.40
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
80 . Valor Seguros 81 . Valor Otros Gastos USD USD
1.28
0
Arancel
0
0
0.00
92 93 94 0.00 109.491.494
95
96
I.V.A.
9798 99 100 101
0.00 109.491.494 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
1.160.68
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
26.497.72
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: 529245-DECL: 1835522-DO: 893120139241- 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. (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN) // NOSACOGEMOS: AL DECRETO 0925 DE 2013, MERC
ANCIA QUE NO REQUIERE REGISTRODE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3072171860. ID CONTEN
EDOR: 6077705196. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A065MLBGLTC, PRODUCTO: TELEFONO CELULAR GALAXY A06 DUOS (CON ACCESORIOS
PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL CLARO, MODELO: SM-A065M/DS, USO O DESTINO: PARA LA VENTA AL(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 032024001213832
133. Feha: 202409 02
134 . Levante No. 032024001138984 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 09 – 02
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 92032406527783
Fecha presentación 2024-09-02 18:13:09 Valor pagado $0.00
Fecha de Impresión: 2024-09-02 18:13:16
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001213832-8 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
MAYOR Y AL DETAL/ /MOBILE,SM-A065M/DS,LIGHT BLUE,LTC( QTY. 500,00 u )(500,00 PCE); IMEIS: 354106700582411/357809260582419. 35410
6700582452/357809260582450. 354106700582486/357809260582484. 354106700582510/357809260582518. 354106700582528/357809260582526. 35
4106700582536/357809260582534. 354106700582544/357809260582542. 354106700582569/357809260582567. 354106700583419/357809260583417.
354106700583757/357809260583755. 354106700583781/357809260583789. 354106700583880/357809260583888. 354106700583971/3578092605839
79. 354106700583997/357809260583995. 354106700584250/357809260584258. 354106700584342/357809260584340. 354106700584367/3578092605
84365. 354106700584573/357809260584571. 354106700584722/357809260584720. 354106700584730/357809260584738. 354106700584755/3578092
60584753. 354106700584797/357809260584795. 354106700584870/357809260584878. 354106700584888/357809260584886. 354106700584979/3578
09260584977. 354106700585026/357809260585024. 354106700585208/357809260585206. 3541067005852 32/357809260585230. 354106700585257/
357809260585255. 354106700585323/357809260585321. 354106700585331/357809260585339. 354106700585349/357809260585347. 3541067005853
56/357809260585354. 354106700585364/357809260585362. 354106700585372/357809260585370. 354106700585380/357809260585388. 3541067005
85414/357809260585412. 354106700585448/357809260585446.354106700585455/357809260585453. 354106700585463/357809260585461. 35410670
0585489/357809260585487. 354106700585521/357809260585529. 354106700585562/357809260585560. 354106700585604/357809260585602. 35410
6700585612/357809260585610. 354106700585638/357809260585636. 354106700585703/357809260585701. 354106700585737/357809260585735. 35
4106700585745/357809260585743. 354106700585752/357809260585750. 354106700585760/357809260585768. 354106700585778/357809260585776.
354106700585786/357809260585784. 354106700585828/357809260585826. 354106700585836/357809260585834.354106700585844/35780926058584
2. 354106700585851/357809260585859. 354106700586040/357809260586048. 354106700586305/357809260586303. 354106700586453/35780926058
6451. 354106700586644/357809260586642. 354106700586909/357809260586907. 354106700586917/357809260586915. 354106700587071/35780926
0587079. 354106700587287/357809260587285. 354106700587329/357809260587327. 354106700587337/357809260587335. 354106700587386/35780
9260587384. 354106700587394/357809260587392. 354106700587451/357809260587459. 354106700587618/357809260587616. 354106700588160/35
7809260588168. 354106700588236/357809260588234. 354106700588319/357809260588317. 354106700588491/357809260588499. 354106700589119
/357809260589117. 354106700589176/357809260589174. 354106700589291/357809260589299. 354106700589309/357809260589307. 354106700589
325/357809260589323. 354106700589333/357809260589331. 354106700589341/357809260589349. 354106700589366/357809260589364. 354106700
589374/357809260589372. 354106700589390/357809260589398. 354106700589408/357809260589406. 354106700589432/357809260589430. 354106
700589457/357809260589455. 354106700589465/357809260589463. 354106700589473/357809260589471. 354106700589481/357809260589489. 354
106700589499/357809260589497. 354106700589515/357809260589513. 354106700589549/357809260589547. 354106700589564/357809260589562.
354106700589572/357809260589570. 354106700589580/357809260589588. 354106700589606/357809260589604. 354106700589630/35780926058963
8. 354106700589655/357809260589653. 354106700589721/357809260589729. 354106700589739/357809260589737. 354106700589754/35780926058
9752. 354106700589762/357809260589760. 354106700589770/357809260589778. 354106700589820/357809260589828. 354106700589838/35780926
0589836. 354106700589937/357809260589935.354106700589960/357809260589968. 354106700590034/357809260590032. 354106700590125/357809
260590123. 354106700590133/357809260590131. 354106700590521/357809260590529. 354106700590711/357809260590719. 354106700590737/357
809260590735. 354106700590760/357809260590768. 354106700590778/357809260590776. 354106700590786/357809260590784. 354106700590794/
357809260590792. 354106700590802/357809260590800. 354106700590810/357809260590818. 354106700590844/357809260590842. 3541067005908
51/357809260590859. 354106700590869/357809260590867. 354106700590877/357809260590875.354106700590885/357809260590883. 35410670059
0893/357809260590891. 354106700590901/357809260590909. 354106700590919/357809260590917. 354106700590935/357809260590933. 35410670
0590943/357809260590941. 354106700590950/357809260590958. 354106700590968/357809260590966. 354106700590976/357809260590974. 35410
6700590984/357809260590982. 354106700591008/357809260591006. 354106700591040/357809260591048. 354106700591065/357809260591063. 35
4106700591073/357809260591071. 354106700591115/357809260591113. 354106700591149/357809260591147. 354106700591206/357809260591204.
354106700591230/357809260591238. 354106700591248/357809260591246. 354106700591263/357809260591261. 354106700591347/3578092605913
45. 354106700591388/357809260591386. 354106700591412/357809260591410. 354106700591461/357809260591469. 354106700591545/3578092605
91543. 354106700591719/357809260591717. 354106700591909/357809260591907. 354106700592113/357809260592111. 354106700592147/3578092
60592145. 354106700592204/357809260592202. 354106700592220/357809260592228. 354106700592238/357809260592236. 354106700592261/3578
09260592269. 354106700592287/357809260592285. 354106700592345/357809260592343. 354106700592535/357809260592533. 354106700592543/3
57809260592541. 354106700592584/357809260592582. 354106700592618/357809260592616. 354106700592683/357809260592681. 35410670059272
5/357809260592723. 354106700592758/357809260592756. 354106700592766/357809260592764. 354106700592790/357809260592798. 35410670059
2808/357809260592806. 354106700592816/357809260592814. 354106700592824/357809260592822. 354106700592840/357809260592848. 35410670
0592857/357809260592855. 354106700592873/357809260592871. 354106700592881/357809260592889. 354106700592899/357809260592897. 35410
6700592907/357809260592905.354106700592915/357809260592913. 354106700592931/357809260592939. 354106700592964/357809260592962. 354
106700593004/357809260593002. 354106700593012/357809260593010. 354106700593038/357809260593036. 354106700593046/357809260593044.
354106700593053/357809260593051. 354106700593079/357809260593077. 354106700593087/357809260593085. 354106700593095/35780926059309
3. 354106700593129/357809260593127. 354106700593160/357809260593168. 354106700593202/357809260593200. 354106700593210/35780926059
3218. 354106700593228/357809260593226. 354106700593384/357809260593382.354106700593962/357809260593960. 354106700594028/357809260
594026. 354106700594200/357809260594208. 354106700594218/357809260594216. 354106700594291/357809260594299. 354106700594325/357809
260594323. 354106700594366/357809260594364. 354106700594374/357809260594372. 354106700594382/357809260594380. 354106700594390/357
809260594398. 354106700594408/357809260594406. 354106700594416/357809260594414. 354106700594432/357809260594430. 354106700594440/
357809260594448. 354106700594457/357809260594455. 354106700594465/357809260594463. 354106700594473/357809260594471. 3541067005944
81/357809260594489. 354106700594507/357809260594505. 354106700594523/357809260594521. 354106700594531/357809260594539. 3541067005
94549/357809260594547. 354106700594580/357809260594588. 354106700594598/357809260594596. 354106700594606/357809260594604. 3541067
00594630/357809260594638. 354106700594663/357809260594661. 354106700594689/357809260594687. 354106700594739/357809260594737. 3541
06700594754/357809260594752. 354106700594796/357809260594794. 354106700594812/357809260594810. 354106700594846/357809260594844. 3
54106700594887/357809260594885. 354106700594978/357809260594976. 354106700594986/357809260594984. 354106700606384/357809260606382
. 354106700607119/357809260607117. 354106700570481/357809260570489. 354106700570499/357809260570497. 354106700570507/357809260570
505. 354106700570531/357809260570539. 354106700570549/357809260570547. 354106700570572/357809260570570. 354106700570598/357809260
570596. 354106700570606/357809260570604. 354106700570622/357809260570620. 354106700570630/357809260570638. 354106700570648/357809
260570646. 354106700570663/357809260570661. 354106700570697/357809260570695. 354106700570705/357809260570703. 354106700570721/357
809260570729.354106700570747/357809260570745. 354106700570788/357809260570786. 354106700570804/357809260570802. 354106700570820/3
57809260570828. 354106700570853/357809260570851. 354106700570861/357809260570869. 354106700570887/357809260570885. 35410670057089
5/357809260570893. 354106700570903/357809260570901. 354106700570911/357809260570919. 354106700570937/357809260570935. 35410670057
0945/357809260570943. 354106700570978/357809260570976. 354106700570986/357809260570984. 354106700571000/357809260571008. 35410670
0571034/357809260571032. 354106700571042/357809260571040.354106700571075/357809260571073. 354106700571125/357809260571123. 354106
700571141/357809260571149. 354106700571182/357809260571180. 354106700571216/357809260571214. 354106700571257/357809260571255. 354
106700571265/357809260571263. 354106700571273/357809260571271. 354106700571281/357809260571289. 354106700571380/357809260571388.
354106700571414/357809260571412. 354106700571430/357809260571438. 354106700571497/357809260571495. 354106700571505/35780926057150
3. 354106700571539/357809260571537. 354106700571547/357809260571545. 354106700571570/357809260571578. 354106700571588/35780926057
1586. 354106700571612/357809260571610. 354106700571646/357809260571644. 354106700571786/357809260571784. 354106700571810/35780926
0571818. 354106700571893/357809260571891. 354106700571984/357809260571982. 354106700572099/357809260572097. 354106700572123/35780
032024001213832-8
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001213832-8 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
9260572121. 354106700572172/357809260572170. 354106700572321/357809260572329. 354106700572800/357809260572808. 354106700572834/35
7809260572832. 354106700572883/357809260572881. 354106700572933/357809260572931. 354106700572941/357809260572949. 354106700573055
/357809260573053. 354106700573154/357809260573152. 354106700573162/357809260573160. 354106700573329/357809260573327. 354106700573
477/357809260573475. 354106700573493/357809260573491. 354106700573956/357809260573954. 354106700574020/357809260574028. 354106700
574095/357809260574093. 354106700574103/357809260574101. 354106700574152/357809260574150. 354106700574202/357809260574200. 354106
700574236/357809260574234. 354106700574244/357809260574242. 354106700574327/357809260574325. 354106700574335/357809260574333. 354
106700574350/357809260574358. 354106700574368/357809260574366. 354106700574392/357809260574390. 354106700574418/357809260574416.3
54106700574434/357809260574432. 354106700574442/357809260574440. 354106700574459/357809260574457. 354106700574467/357809260574465
. 354106700574525/357809260574523. 354106700574533/357809260574531. 354106700574640/357809260574648. 354106700574665/357809260574
663. 354106700574707/357809260574705. 354106700574715/357809260574713. 354106700574749/357809260574747. 354106700574772/357809260
574770. 354106700574798/357809260574796. 354106700574822/357809260574820. 354106700574863/357809260574861. 354106700574889/357809
260574887. 354106700574905/357809260574903.354106700574988/357809260574986. 354106700575043/357809260575041. 354106700575373/3578
09260575371. 354106700575423/357809260575421. 354106700575449/357809260575447. 354106700575456/357809260575454. 354106700575506/3
57809260575504. 354106700575514/357809260575512. 354106700575530/357809260575538. 354106700575563/357809260575561. 35410670057560
5/357809260575603. 354106700575613/357809260575611. 354106700575647/357809260575645. 354106700575704/357809260575702. 35410670057
5753/357809260575751. 354106700575787/357809260575785. 354106700575902/357809260575900. 354106700575985/357809260575983. 35410670
0576025/357809260576023. 354106700576132/357809260576130. 354106700576165/357809260576163. 354106700576306/357809260576304. 35410
6700576371/357809260576379. 354106700576397/357809260576395. 354106700576520/357809260576528. 354106700576538/357809260576536. 35
4106700576546/357809260576544. 354106700576579/357809260576577. 354106700576587/357809260576585. 354106700576603/357809260576601.
354106700576611/357809260576619. 354106700576637/357809260576635. 354106700576785/357809260576783. 354106700576793/3578092605767
91. 354106700576843/357809260576841. 354106700576942/357809260576940. 354106700577049/357809260577047. 354106700577056/3578092605
77054. 354106700577080/357809260577088. 354106700577098/357809260577096. 354106700577122/357809260577120. 354106700577130/3578092
60577138. 354106700577148/357809260577146. 354106700577163/357809260577161. 354106700577189/357809260577187. 354106700577205/3578
09260577203. 354106700577213/357809260577211. 354106700577247/357809260577245. 354106700577254/357809260577252. 354106700577288/3
57809260577286. 354106700577296/357809260577294. 354106700577304/357809260577302. 354106700577338/357809260577336.354106700577346
/357809260577344. 354106700577361/357809260577369. 354106700577379/357809260577377. 354106700577437/357809260577435. 354106700577
452/357809260577450. 354106700577460/357809260577468. 354106700577478/357809260577476. 354106700577510/357809260577518. 354106700
577528/357809260577526. 354106700577536/357809260577534. 354106700577544/357809260577542. 354106700577569/357809260577567. 354106
700577593/357809260577591. 354106700577619/357809260577617. 354106700577668/357809260577666. 354106700577676/357809260577674. 354
106700577684/357809260577682.354106700577700/357809260577708. 354106700577767/357809260577765. 354106700577775/357809260577773. 3
54106700577940/357809260577948. 354106700578195/357809260578193. 354106700578344/357809260578342. 354106700579037/357809260579035
. 354106700579086/357809260579084. 354106700579102/357809260579100. 354106700579151/357809260579159. 354106700579227/357809260579
225. 354106700579383/357809260579381. 354106700579433/357809260579431. 354106700579706/357809260579704. 354106700579771/357809260
579779. 354106700579862/357809260579860. 354106700579870/357809260579878. 354106700579896/357809260579894. 354106700579938/357809
260579936. 354106700579953/357809260579951. 354106700579961/357809260579969. 354106700579979/357809260579977. 354106700580019/357
809260580017. 354106700580043/357809260580041. 354106700580084/357809260580082. 354106700580118/357809260580116. 354106700580134/
357809260580132. 354106700580142/357809260580140. 354106700580183/357809260580181. 354106700580241/357809260580249. 3541067005802
66/357809260580264. 354106700580290/357809260580298. 354106700580324/357809260580322. 354106700580332/357809260580330. 3541067005
80357/357809260580355. 354106700580472/357809260580470. 354106700580480/357809260580488. 354106700580571/357809260580579. 3541067
00580589/357809260580587. 354106700580654/357809260580652. 354106700580696/357809260580694. 354106700580720/357809260580728. 3541
06700580860/357809260580868. 354106700580886/357809260580884. 354106700580902/357809260580900. 354106700580951/357809260580959. 3
54106700580969/357809260580967. 354106700580977/357809260580975. 354106700581017/357809260581015. 354106700581025/357809260581023
. 354106700581066/357809260581064. 354106700581280/357809260581288. 354106700581306/357809260581304.354106700581371/3578092605813
79. 354106700581454/357809260581452. 354106700581462/357809260581460. 354106700581470/357809260581478. 354106700581488/3578092605
81486. 354106700581520/357809260581528. 354106700581546/357809260581544. 354106700581553/357809260581551. 354106700581587/3578092
60581585. 354106700581595/357809260581593. 354106700581629/357809260581627. 354106700581637/357809260581635. 354106700581652/3578
09260581650. 354106700581660/357809260581668. 354106700581678/357809260581676. 354106700581686/357809260581684. 354106700581801/3
57809260581809.354106700581835/357809260581833. 354106700581843/357809260581841. 354106700581850/357809260581858. 354106700581868
/357809260581866. 354106700581926/357809260581924. 354106700581942/357809260581940. 354106700581959/357809260581957. 354106700581
975/357809260581973. 354106700581983/357809260581981. 354106700582015/357809260582013. 354106700582023/357809260582021. 354106700
582056/357809260582054. 354106700582080/357809260582088. 354106700582098/357809260582096. 354106700582106/357809260582104. 354106
700582114/357809260582112. 354106700582130/357809260582138. 354106700582148/357809260582146. 354106700582155/357809260582153. 354
106700582163/357809260582161. 354106700582189/357809260582187. 354106700582197/357809260582195. 354106700582205/357809260582203.
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032024001213832-8
Espacio para uso exclusivo de la Entidad Recaudadora
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