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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
032024001319119-0
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. 116575014803697 2024 – 09 – 22 No. KHAN24096201 2024 – 09 – 17
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 9102886672 2024 – 09 – 17 procedencia 855
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.
4.175.10
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
855
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 103.60 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
134.50
370.00
78 .Valor FOB 79 . Valor fletes USD USD
64.056.98
964.37
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
80 . Valor Seguros 81 . Valor Otros Gastos USD USD
3.15
0
Arancel
0
0
0.00
92 93 94 0.00 271.483.790
95
96
I.V.A.
9798 99 100 101
0.00 271.483.790 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
967.52
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
65.024.50
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: 531608-DECL: 1841216-DO: 893122089241- 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: 3073253532. ID CONTENEDO
R: 6078039124. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A356EZKGLTC, PRODUCTO: TELEFONO CELULAR GALAXY A35 5G DUOS (CON ACCESORIOS
PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODELO: SM-A356E/DS, USO O DESTINO: PARA LA VENTA AL MAYO(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 032024001319119
133. Feha: 202409 23
134 . Levante No. 032024001239807 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 09 – 23
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 92032407074257
Fecha presentación 2024-09-23 13:53:20 Valor pagado $0.00
Fecha de Impresión: 2024-09-23 13:53:25
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001319119-0 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
R Y AL DETAL/ /MOBILE,SM-A356E/DS,BLACK,LTC( QTY. 370,00 u )(370,00 PCE); IMEIS: 351676563693573/357896813693579. 351676563693607
/357896813693603. 351676563693698/357896813693694. 351676563962143/357896813962149. 351676563962150/357896813962156. 351676563962
168/357896813962164. 351676563962176/357896813962172. 351676563962184/357896813962180. 351676563962192/357896813962198. 351676563
962200/357896813962206. 351676563962218/357896813962214. 351676563962234/357896813962230. 351676563962242/357896813962248. 351676
563962267/357896813962263. 351676563962275/357896813962271.351676563962283/357896813962289. 351676563962291/357896813962297. 3516
76563962309/357896813962305. 351676563962341/357896813962347. 351676563962358/357896813962354. 351676563962366/357896813962362. 3
51676563962382/357896813962388. 351676563962390/357896813962396. 351676563962416/357896813962412. 351676563962432/357896813962438
. 351676563962457/357896813962453. 351676563962515/357896813962511. 351676563962549/3578968 13962545. 351676563962556/35789681396
2552. 351676563962564/357896813962560. 351676563962572/357896813962578. 351676563962580/357896813962586. 351676563962598/35789681
3962594. 351676563962606/357896813962602. 351676563962614/357896813962610. 351676563962622/357896813962628. 351676563962630/35789
6813962636. 351676563962648/357896813962644. 351676563962655/357896813962651. 351676563962671/357896813962677. 351676563962689/35
7896813962685. 351676563962697/357896813962693. 351676563962705/357896813962701. 351676563962713/357896813962719. 351676563962721
/357896813962727. 351676563962739/357896813962735. 351676563962754/357896813962750. 351676563962762/357896813962768. 351676563962
770/357896813962776. 351676563962788/357896813962784. 351676563962796/357896813962792. 351676563962804/357896813962800. 351676563
962812/357896813962818. 351676563962838/357896813962834. 351676563962846/357896813962842. 351676563962853/357896813962859. 351676
563962861/357896813962867. 351676563962879/357896813962875. 351676563962887/357896813962883. 351676563962895/357896813962891. 351
676563962903/357896813962909. 351676563962911/357896813962917. 351676563962929/357896813962925. 351676563962937/357896813962933.
351676563962945/357896813962941. 351676563962952/357896813962958. 351676563962960/357896813962966. 351676563962978/35789681396297
4.351676563962986/357896813962982. 351676563962994/357896813962990. 351676563963000/357896813963006. 351676563963018/357896813963
014. 351676563963026/357896813963022. 351676563963034/357896813963030. 351676563963042/357896813963048. 351676563963059/357896813
963055. 351676563963067/357896813963063. 351676563963075/357896813963071. 351676563963083/357896813963089. 351676563963091/357896
813963097. 351676563963117/357896813963113. 351676563963125/357896813963121. 351676563963141/357896813963147. 351676563963265/357
896813963261. 351676563963471/357896813963477.351676563963919/357896813963915. 351676563964081/357896813964087. 351676563964099/3
57896813964095. 351676563964115/357896813964111. 351676563964131/357896813964137. 351676563964156/357896813964152. 35167656396418
0/357896813964186. 351676563964198/357896813964194. 351676563964206/357896813964202. 351676563964214/357896813964210. 35167656396
4339/357896813964335. 351676563964347/357896813964343. 351676563964354/357896813964350. 351676563964362/357896813964368. 35167656
3964388/357896813964384. 351676563964784/357896813964780. 351676563965286/357896813965282. 351676563965344/357896813965340. 35167
6563965377/357896813965373. 351676563965757/357896813965753. 351676563966029/357896813966025. 351676563966060/357896813966066. 35
1676563967068/357896813967064. 351676563967159/357896813967155. 351676563967175/357896813967171. 351676563967183/357896813967189.
351676563967241/357896813967247. 351676563967258/357896813967254. 351676563967266/357896813967262. 351676563967274/3578968139672
70. 351676563967308/357896813967304. 351676563967316/357896813967312. 351676563967332/357896813967338. 351676563967340/3578968139
67346. 351676563967365/357896813967361. 351676563967373/357896813967379. 351676563967399/357896813967395. 351676563967407/3578968
13967403. 351676563967423/357896813967429. 351676563967431/357896813967437. 351676563967456/357896813967452. 351676563967472/3578
96813967478. 351676563967498/357896813967494. 351676563967506/357896813967502. 351676563967530/357896813967536. 351676563967563/3
57896813967569. 351676563967571/357896813967577. 351676563967589/357896813967585. 351676563967597/357896813967593. 35167656396760
5/357896813967601. 351676563967639/357896813967635. 351676563967647/357896813967643. 351676563967654/357896813967650.351676563967
662/357896813967668. 351676563967670/357896813967676. 351676563967688/357896813967684. 351676563967696/357896813967692. 351676563
967704/357896813967700. 351676563967712/357896813967718. 351676563967720/357896813967726. 351676563967738/357896813967734. 351676
563967761/357896813967767. 351676563967829/357896813967825. 351676563968256/357896813968252. 351676563968447/357896813968443. 351
676563968470/357896813968476. 351676563968850/357896813968856. 351676563968926/357896813968922. 351676563968942/357896813968948.
351676563968975/357896813968971.351676563968991/357896813968997. 351676563969015/357896813969011. 351676563969023/357896813969029
. 351676563969049/357896813969045. 351676563969338/357896813969334. 351676563969361/357896813969367. 351676563969510/357896813969
516. 351676563969528/357896813969524. 351676563969536/357896813969532. 351676563969544/357896813969540. 351676563969551/357896813
969557. 351676563969635/357896813969631. 351676563969643/357896813969649. 351676563969676/357896813969672. 351676563969700/357896
813969706. 351676563969718/357896813969714. 351676563970237/357896813970233. 351676563971300/357896813971306. 351676563971474/357
896813971470. 351676563971524/357896813971520. 351676563971565/357896813971561. 351676563971599/357896813971595. 351676563971607/
357896813971603. 351676563971649/357896813971645. 351676563971680/357896813971686. 351676563971771/357896813971777. 3516765639718
05/357896813971801. 351676563971813/357896813971819. 351676563971821/357896813971827. 351676563971839/357896813971835. 3516765639
71854/357896813971850. 351676563971862/357896813971868. 351676563971870/357896813971876. 351676563971888/357896813971884. 3516765
63971896/357896813971892. 351676563971904/357896813971900. 351676563971912/357896813971918. 351676563971920/357896813971926. 3516
76563971938/357896813971934. 351676563971946/357896813971942. 351676563971961/357896813971967. 351676563971987/357896813971983. 3
51676563971995/357896813971991. 351676563972001/357896813972007. 351676563972035/357896813972031. 351676563972043/357896813972049
. 351676563972068/357896813972064. 351676563972084/357896813972080. 351676563972100/357896813972106. 351676563972126/357896813972
122. 351676563972134/357896813972130. 351676563972167/357896813972163. 351676563972217/357896813972213.351676563972233/3578968139
72239. 351676563972266/357896813972262. 351676563972282/357896813972288. 351676563972290/357896813972296. 351676563972324/3578968
13972320. 351676563972332/357896813972338. 351676563972340/357896813972346. 351676563972365/357896813972361. 351676563972373/3578
96813972379. 351676563972399/357896813972395. 351676563972407/357896813972403. 351676563972423/357896813972429. 351676563974684/3
57896813974680. 351676563974692/357896813974698. 351676563974718/357896813974714. 351676563974726/357896813974722. 35167656397474
2/357896813974748.351676563974759/357896813974755. 351676563974767/357896813974763. 351676563974783/357896813974789. 351676563974
791/357896813974797. 351676563974817/357896813974813. 351676563974825/357896813974821. 351676563974833/357896813974839. 351676563
974841/357896813974847. 351676563974858/357896813974854. 351676563974874/357896813974870. 351676563974916/357896813974912. 351676
563974924/357896813974920. 351676563974932/357896813974938. 351676563972431/357896813972437. 351676563972449/357896813972445. 351
676563972456/357896813972452. 351676563972464/357896813972460. 351676563972472/357896813972478. 351676563972480/357896813972486.
351676563972498/357896813972494. 351676563972514/357896813972510. 351676563972522/357896813972528. 351676563972530/35789681397253
6. 351676563972548/357896813972544. 351676563972555/357896813972551. 351676563972563/357896813972569. 351676563972571/35789681397
2577. 351676563972589/357896813972585. 351676563972597/357896813972593. 351676563972605/357896813972601. 351676563972613/35789681
3972619. 351676563972621/357896813972627. 351676563972639/357896813972635. 351676563972647/357896813972643. 351676563972654/35789
6813972650. 351676563972662/357896813972668. 351676563972670/357896813972676. 351676563972712/357896813972718. 351676563972738/35
7896813972734. 351676563972746/357896813972742. 351676563972753/357896813972759. 351676563972795/357896813972791. 351676563972803
/357896813972809. 351676563972829/357896813972825. 351676563972845/357896813972841. 351676563972886/357896813972882. 351676563972
894/357896813972890. 351676563972902/357896813972908. 351676563972928/357896813972924. 351676563972936/357896813972932. 351676563
972944/357896813972940. 351676563972969/357896813972965. 351676563972977/357896813972973.351676563972985/357896813972981. 3516765
63972993/357896813972999. 351676563973009/357896813973005. 351676563973025/357896813973021. 351676563973033/357896813973039. 3516
76563973041/357896813973047. 351676563973058/357896813973054. 351676563973066/357896813973062. 351676563973074/357896813973070. 3
51676563973124/357896813973120. 351676563973157/357896813973153. 351676563973165/357896813973161. 351676563973173/357896813973179
032024001319119-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001319119-0 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
. 351676563973181/357896813973187. 351676563973207/357896813973203. 351676563973223/357896813973229. 351676563973249/357896813973
245.351676563973256/357896813973252. 351676563973264/357896813973260. 351676563973272/357896813973278. 351676563973280/3578968139
73286. 351676563973298/357896813973294. 351676563973306/357896813973302. 351676563973314/357896813973310. 351676563973322/3578968
13973328. 351676563973330/357896813973336. 351676563973348/357896813973344. 351676563973363/357896813973369. 351676563973371/3578
96813973377. 351676563973389/357896813973385. 351676563973397/357896813973393. 351676563973405/357896813973401. 351676563973413/3
57896813973419. 351676563973439/357896813973435. 351676563973454/357896813973450. 351676563973462/357896813973468. 35167656397347
0/357896813973476. 351676563973488/357896813973484. 351676563973504/357896813973500. 351676563973512/357896813973518. 35167656397
3546/357896813973542. 351676563973553/357896813973559. 351676563973579/357896813973575. 351676563973595/357896813973591. 35167656
3973603/357896813973609. 351676563973660/357896813973666. 351676563973702/357896813973708. 351676563973728/357896813973724. 35167
6563973827/357896813973823. 351676563973843/357896813973849. 351676563973876/357896813973872. 351676563973892/357896813973898. 35
1676563973918/357896813973914. 351676563973959/357896813973955. 351676563973967/357896813973963. 351676563974197/357896813974193.
351676563974239/357896813974235. 351676563974247/357896813974243. 351676563974262/357896813974268. 351676563974288/3578968139742
84. 351676563974320/357896813974326. 351676563974346/357896813974342. 351676563974353/357896813974359. 351676563974361/3578968139
74367. 351676563974387/357896813974383. 351676563974395/357896813974391. 351676563974411/357896813974417. 351676563974437/3578968
13974433. 351676563974445/357896813974441. 351676563974452/357896813974458.351676563974460/357896813974466. 351676563974478/35789
6813974474. 351676563974486/357896813974482. 351676563974494/357896813974490. 351676563974502/357896813974508. 351676563974510/35
7896813974516. 351676563974528/357896813974524. 351676563974536/357896813974532. 351676563974544/357896813974540. 351676563974551
/357896813974557. 351676563974569/357896813974565. 351676563974577/357896813974573. 351676563974585/357896813974581. 351676563974
593/357896813974599. 351676563974601/357896813974607. 351676563974619/357896813974615. 351676563974627/357896813974623.3516765639
74635/357896813974631. 351676563974643/357896813974649. 351676563974650/357896813974656. 351676563974668/357896813974664. 3516765
63974676/357896813974672XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001319119-0
Espacio para uso exclusivo de la Entidad Recaudadora
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