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REPÚBLICA DE COLOMBIA
13 . Dirección 15 . Teléfono 12 . Cód. Admón. 16 . Cód. Dpto 17 . Cód. Ciudad Municipio AUT MEDELLIN CL 80 KM 2 8766500 03 25 214
24 . Número de Identificación Tributaria (NIT) 25 . DV. 26 . Razón social del declarante autorizado 27 . Tipo usuario 28 . Cód. usuario 830122083 6 AGENCIA DE ADUANAS LATINOAMERICANA DE ADUANAS SAS NIVEL2 26 459
29 . Número documento de identificación 30 . Apellidos y nombres
1024471947 SOLER CASAS JEIMY CAROLINA
31 . Clase 32 . Tipo declaración 33 . Cod. 34 .No.Formulario Anterior
35 . Año Mes Día XXXX XX XX
43 . Año Mes Día 2024 09 21
36 . Cod. Admón. 37 . Declaración de Exportación
XX No. XXXXXXXXXXXXXXX
38 . Año Mes Día 39 . Cod. Admón. XXXX XX XX XX
Importador 02
40 . Cod. lugar ingreso de las mercancías
Inicial
41 . Cod. Depósito 26924
1 XXXXXXXXXXXXXX
42 . Manifiesto de carga
No. 116575014802137
44 . Documento de transporte No. 41N0677844
50 . Email
45 . Año Mes Día 2024 09 14
48 . Cod.País Exportador 249
58.Tasadecambio$cvs. 4.175.10
BOG
46 . Nombre exportador o proveedor en el exterior IMC INTERNATIONAL INC
49 . Dirección exportador o proveedor en el exterior 7707 NW 46 STREET MIAMI, FL 33166
47 . Ciudad MIAMI
EMIRATES SUCURSAL COLOMBIA
74 . No. bultos 75 . Subpartidas 2 1
51.No.defactura 21448
3059947965 52.AñoMesDía 53.Cod.país 54.Cod.Modo 55.Códigode 56.Cod.Depto 57.Empresatransportadora
2024 09 14
70 . Cod. país
procedencia Transporte 351 4
Bandera destino 169
0
59 . Subpartida arancelaria
S
8517130000
60 . Cod. Complementario
XX
61 . Cod. Suplementario
XX
Declaración de Importación
62 . Cod. Modalidad 63 . No. cuotas C134 o meses
XX
64 . Valor cuota USD XXXX
65 . Periodicidad del pago de la cuota
XX
66 . Cod. país 67 . Cod. Acuerdo de origen XXX
215
Privada
500
1. Año 2024
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
0320240013450723
5 . Número de Identificación Tributaria (NIT) 6 . DV. 11 . Apellidos y nombres o Razón Social 800091549 2 IMPRESISTEM S A S
68 . Forma de pago 69 . Tipo de de la importación importación
71 . Peso bruto kgs. dcms. 548.50
72 . Peso neto kgs.
dcms. 493.65embalaje
76 . Cod. unidad comercial
U
77 . Cantidad dcms.
compra 03 01 249
73 . Código PK
700.00
78 .Valor FOB 79 . Valor fletes USD USD
Concepto % Base Total Liquidado ($) Total a pagar con esta Total Liquidado (USD) declaración ($)
80 . Valor 81 . Valor Otros Gastos USD Seguros USD
0
Arancel
0
0
0.00
92 93 94 0.00
95
96
82 . Sumatoria 83 . Ajuste valor USD de fletes,
seguros
y otros gastos
USD
0.00
I.V.A.
9798 99 100 101
0.00 0 0 0.00
Salvaguardia
102 103 104 105 106
0.00 0 0 0 0.00
Derechos Compensatorios
107
108
109
110
111
0.00
0
0
0
0.00
Derechos Antidumping
112
113
114
115
116
0.00
0
0
0
0.00
84 . Valor 85 . Código registro 86 . Número aduana USD o licencia
X XXXXXXXXXX
Sancion
117 118 119 120 0000
87 . 88 . Año89 . Programa No 90 . Cód Interno del
Cod. XXXX XXXXXXXXXX Producto oficina
99
Rescate
121 122 123 124 0000
0
125
Total
0
126
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)
DO 202431053 CODIGO / RESOLUCION OEA IMPORTADOR: OE0169; DECLARACION(11) NOS ACOGEMOS AL ART 424 DEL ESTATUTO TRIBUTARIO MODIFIC ADO POR LEY 1819 DE 29 DE DICIEMBRE 2016, NUEVA REFORMA TRIBUTARIA, ART 175 PARA COMPUTADORES PORTATILES, DE ESCRITORIO TABLETAS Y CELULARES. HOMOLOGACION DE EQUIPO MARCA REDMI MODELO: 2409BRN2CL, RADICACION: CRC 2024523502, FECHA: 29/07/2024. DOCUMENTO DE V ERIFICACION DE IMEI: DV214137 FECHA: 20240920.. FACTURA: 21448 FECHA: 20240914 NOS ACOGEMOS AL DECRETO 1881 DEL 2021, NOS AC OGEMOS AL DECRETO 0925 DE MAYO 9 DEL 2013, MINISTERIO DE COMERCIO EXTERIOR, IMPORTACIÓN EXENTA DE REGISTRO DE IMPORTACIÓN.. CANT (700) 81,71 TELEFONO CELULAR, 1064242 REDMI 14C MIDNIGHT BLACK 4GB RAM 128GB ROM. // ESPECIFICACIONES: HELI(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 No hay declaración posterior
032024001345072 133. Feha: 2024 09 27
134 . Levante No. 032024001265092
135 . Fecha
2024 09 27
Firma funcionario responsable
Kelly Johanna Gonzalez Acero
136 . Nombre
137 . C.C. No.
C.C 1.023.862.658
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 92032407213454
Fecha presentación 20240927 09:11:01 Valor pagado $0.00
Fecha de Impresión: 20240927 09:19:53
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación :
032024001345072 3
Subpartida : 8517130000
Página 1 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
O G81 ULTRA, PANTALLA: PANTALLA GRANDE DE 6,88 PULGADAS (17,47CM), MEMORIA: 4GB RAM, ALMACENAMIENTO: 128GB ROM, SISTEMA OPERATIVO : HYPER OS. // EAN: 6941812798317. // TELEFONO CELULAR, REDMI 14C NEGRO OCE 4GB RAM 128GB ROM, ALIMENTACION: 5V3A/ 3,611V 3A ( 33W MAX). PANTALLA DE 6.88 PULG (17.47CM) CAMARA DUAL DE 50MPCON IA MESSIVE 5160MAH TYP BATTERY, CONTIENE: TELEFONO CELULAR, ADAP TADOR DE CORRIENTE, CABLE USB TIPOC, LLAVE PARA SIM CARD, CARCASA PROTECTORA, GUIA DE INICIO RAPIDO Y TARJETA DE GARANTIA. PRODU CTO TERMOSELLADO. COD: 1064242. PRODUCTO: TELEFONO CELULAR, MARCA: REDMI/MI, MODELO: 2409BRN2CL, REFERENCIA: 58574/MZB0HQ8US, USO
O DESTINO: COMUNICACIÓN, PARA ALMACENAMIENTO Y PROCESAMIENTO DE DATOS, SERIAL // IMEI NO. (CODIGO DE QUINCE 15 DIGITOS): 58574 /64VM03772//867957071523586//867957071523594, 58574/64VM03773//867957071523602//867957071523610, 58574/64VM03775//867957071523644 //867957071523651, 58574/64VM03776//867957071523669//867957071523677, 58574/64VM03777//867957071523685//867957071523693, 58574/64 VM03778//867957071523701//867957071523719, 58574/64VM03779//867957071523727//867957071523735, 58574/64VM03780//867957071523743//8 67957071523750, 58574/64VM03781//867957071523768//867957071523776, 58574/64VM03782//867957071523784//867957071523792, 58574/64VM0 3783//867957071523800//867957071523818, 58574/64VM03784//867957071523826//867957071523834, 58574/64VM03785//867957071523842//8679 57071523859, 58574/64VM03786//867957071523867//867957071523875, 58574/64VM03787//867957071523883//867957071523891, 58574/64VM0378 8//867957071523909//867957071523917, 58574/64VM03789//867957071523925//867957071523933, 58574/64VM03790//867957071523941//8679570 71523958, 58574/64VM03791//867957071523966//867957071523974, 58574/64VM03792//867957071523982//867957071523990, 58574/64VM03793// 867957071524006//867957071524014, 58574/64VM03794//867957071524022//867957071524030, 58574/64VM03795//867957071524048//8679570715 24055, 58574/64VM03797//867957071524089//867957071524097, 58574/64VM03798//867957071524105//867957071524113, 58574/64VM03799//867 957071524121//867957071524139, 58574/64VM03800//867957071524147//867957071524154, 58574/64VM03802//867957071524188//8679570715241 96, 58574/64VM03803//867957071524204//867957071524212, 58574/64VM03806//867957071524261//867957071524279, 58574/64VM03807//867957 071524287//867957071524295, 58574/64VM03808//867957071524303//867957071524311, 58574/64VM03809//867957071524329//867957071524337,
58574/64VM03810//867957071524345//867957071524352, 58574/64VM03811//867957071524360//867957071524378, 58574/64VM03812//867957071 524386//867957071524394, 58574/64VM03813//867957071524402//867957071524410, 58574/64VM03814//867957071524428//867957071524436, 58 574/64VM03815//867957071524444//867957071524451, 58574/64VM03816//867957071524469//867957071524477, 58574/64VM03817//867957071524 485//867957071524493, 58574/64VM03818//867957071524501//867957071524519, 58574/64VM03819//867957071524527//867957071524535, 58574 /64VM03820//867957071524543//867957071524550, 58574/64VM03821//867957071524568//867957071524576, 58574/64VM03822//867957071524584 //867957071524592, 58574/64VM03823//867957071524600//867957071524618, 58574/64VM03824//867957071524626//867957071524634, 58574/64 VM03826//867957071524667//867957071524675, 58574/64VM03828//867957071524709//867957071524717, 58574/64VM03829//867957071524725//8 67957071524733, 58574/64VM03830//867957071524741//867957071524758, 58574/64VM03831//867957071524766//867957071524774, 58574/64VM0 3832//867957071524782//867957071524790, 58574/64VM03833//867957071524808//867957071524816, 58574/64VM03835//867957071524840//8679 57071524857, 58574/64VM03836//867957071524865//867957071524873, 58574/64VM03837//867957071524881//867957071524899, 58574/64VM0383 9//867957071524923//867957071524931, 58574/64VM03840//867957071525425//867957071525433, 58574/64VM03841//867957071525441//8679570 71525458, 58574/64VM03938//867957071547346//867957071547353, 58574/64VM05312//867957071629060//867957071629078, 58574/64VM05313// 867957071629086//867957071629094, 58574/64VM05314//867957071629102//867957071629110, 58574/64VM05315//867957071629128//8679570716 29136, 58574/64VM05316//867957071629144//867957071629151, 58574/64VM05317//867957071629169//867957071629177, 58574/64VM05318//867 957071629185//867957071629193, 58574/64VM05319//867957071629201//867957071629219, 58574/64VM05320//867957071629227//8679570716292 35, 58574/64VM05321//867957071629243//867957071629250, 58574/64VM05322//867957071629268//867957071629276, 58574/64VM05323//867957 071629284//867957071629292, 58574/64VM05324//867957071629300//867957071629318, 58574/64VM05326//867957071629342//867957071629359,
58574/64VM05327//867957071629367//867957071629375, 58574/64VM05328//867957071629383//867957071629391, 58574/64VM05329//867957071 629409//867957071629417, 58574/64VM05330//867957071629425//867957071629433, 58574/64VM05332//867957071629466//867957071629474, 58 574/64VM05335//867957071629524//867957071629532, 58574/64VM05336//867957071629540//867957071629557, 58574/64VM05338//867957071629 581//867957071629599, 58574/64VM05339//867957071629607//867957071629615, 58574/64VM05340//867957071629623//867957071629631, 58574 /64VM05342//867957071629664//867957071629672, 58574/64VM05343//867957071629680//867957071629698, 58574/64VM05344//867957071629706 //867957071629714, 58574/64VM05346//867957071629748//867957071629755, 58574/64VM05347//867957071629763//867957071629771, 58574/64 VM05348//867957071629789//867957071629797, 58574/64VM05350//867957071629821//867957071629839, 58574/64VM05351//867957071629847//8 67957071629854, 58574/64VM05352//867957071629862//867957071629870, 58574/64VM05353//867957071629888//867957071629896, 58574/64VM0 5387//867957071648201//867957071648219, 58574/64VM05412//867957071649548//867957071649555, 58574/64VM05433//867957071649969//8679 57071649977, 58574/64VM05435//867957071650009//867957071650017, 58574/64VM05437//867957071650041//867957071650058, 58574/64VM0543 8//867957071650900//867957071650918, 58574/64VM05441//867957071650967//867957071650975, 58574/64VM05443//867957071651007//8679570 71651015, 58574/64VM05446//867957071651064//867957071651072, 58574/64VM05448//867957071651106//867957071651114, 58574/64VM05451// 867957071651163//867957071651171, 58574/64VM05455//867957071651247//867957071651254, 58574/64VM05458//867957071651304//8679570716 51312, 58574/64VM05460//867957071651346//867957071651353, 58574/64VM05463//867957071651403//867957071651411, 58574/64VM05470//867 957071668340//867957071668357, 58574/64VM05472//867957071668381//867957071668399, 58574/64VM05482//867957071669421//8679570716694 39, 58574/64VM05486//867957071669504//867957071669512, 58574/64VM05487//867957071669520//867957071669538, 58574/64VM05488//867957 071669546//867957071669553, 58574/64VM05489//867957071669561//867957071669579, 58574/64VM05492//867957071669629//867957071669637,
58574/64VM05495//867957071669686//867957071669694, 58574/64VM05496//867957071669702//867957071669710, 58574/64VM05497//867957071 669728//867957071669736, 58574/64VM05498//867957071669744//867957071669751, 58574/64VM05499//867957071669769//867957071669777, 58 574/64VM05500//867957071669785//867957071669793, 58574/64VM05501//867957071669801//867957071669819, 58574/64VM05503//867957071669 843//867957071669850, 58574/64VM05504//867957071669868//867957071669876, 58574/64VM05505//867957071669884//867957071669892, 58574 /64VM05506//867957071669900//867957071669918, 58574/64VM05508//867957071669942//867957071669959, 58574/64VM05509//867957071669967 //867957071669975, 58574/64VM05510//867957071669983//867957071669991, 58574/64VM05511//867957071670007//867957071670015, 58574/64 VM05512//867957071670023//867957071670031, 58574/64VM05514//867957071670064//867957071670072, 58574/64VM05515//867957071670080//8 67957071670098, 58574/64VM05517//867957071670122//867957071670130, 58574/64VM05519//867957071670163//867957071670171, 58574/64VM0 5520//867957071670189//867957071670197, 58574/64VM05521//867957071670205//867957071670213, 58574/64VM05522//867957071671062//8679 57071671070, 58574/64VM05523//867957071671088//867957071671096, 58574/64VM05524//867957071671104//867957071671112, 58574/64VM0552 5//867957071671120//867957071671138, 58574/64VM05526//867957071671146//867957071671153, 58574/64VM05527//867957071671161//8679570 71671179, 58574/64VM05528//867957071671187//867957071671195, 58574/64VM05530//867957071671229//867957071671237, 58574/64VM05531// 867957071671245//867957071671252, 58574/64VM05532//867957071671260//867957071671278, 58574/64VM05533//867957071671286//8679570716 71294, 58574/64VM05534//867957071671302//867957071671310, 58574/64VM05535//867957071671328//867957071671336, 58574/64VM05536//867 957071671344//867957071671351, 58574/64VM05538//867957071671385//867957071671393, 58574/64VM05542//867957071671468//8679570716714 76, 58574/64VM05544//867957071671500//867957071671518, 58574/64VM05545//867957071671526//867957071671534, 58574/64VM05546//867957 071671542//867957071671559, 58574/64VM05549//867957071671609//867957071671617, 58574/64VM05550//867957071688421//867957071688439,
58574/64VM05551//867957071688447//867957071688454, 58574/64VM05553//867957071688488//867957071688496, 58574/64VM05555//867957071 688520//867957071688538, 58574/64VM05556//867957071688546//867957071688553, 58574/64VM05561//867957071688645//867957071688652, 58 574/64VM05562//867957071688660//867957071688678, 58574/64VM05563//867957071688686//867957071688694, 58574/64VM05564//867957071689 544//867957071689551, 58574/64VM05565//867957071689569//867957071689577, 58574/64VM05567//867957071689601//867957071689619, 58574 /64VM05570//867957071689668//867957071689676, 58574/64VM05571//867957071689684//867957071689692, 58574/64VM05573//867957071689726
0320240013450723
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación :
032024001345072 3
Subpartida : 8517130000
Página 2 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
//867957071689734, 58574/64VM05574//867957071689742//867957071689759, 58574/64VM05577//867957071689809//867957071689817, 58574/64 VM05578//867957071689825//867957071689833, 58574/64VM05583//867957071689924//867957071689932, 58574/64VM05584//867957071689940//8 67957071689957, 58574/64VM05585//867957071689965//867957071689973, 58574/64VM05586//867957071689981//867957071689999, 58574/64VM0 5587//867957071690005//867957071690013, 58574/64VM05588//867957071690021//867957071690039, 58574/64VM05589//867957071690047//8679 57071690054, 58574/64VM05591//867957071690088//867957071690096, 58574/64VM05598//867957071690229//867957071690237, 58574/64VM0559 9//867957071690245//867957071690252, 58574/64VM05600//867957071690260//867957071690278, 58574/64VM05601//867957071690286//8679570 71690294, 58574/64VM05602//867957071690302//867957071690310, 58574/64VM05603//867957071690328//867957071690336, 58574/64VM05604// 867957071690344//867957071690351, 58574/64VM05605//867957071690369//867957071690377, 58574/64VM05606//867957071691227//8679570716 91235, 58574/64VM05607//867957071691243//867957071691250, 58574/64VM05609//867957071691284//867957071691292, 58574/64VM05611//867 957071691326//867957071691334, 58574/64VM05612//867957071691342//867957071691359, 58574/64VM05613//867957071691367//8679570716913 75, 58574/64VM05618//867957071691466//867957071691474, 58574/64VM05619//867957071691482//867957071691490, 58574/64VM05622//867957 071691540//867957071691557, 58574/64VM05624//867957071691581//867957071691599, 58574/64VM05625//867957071691607//867957071691615,
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0320240013450723
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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0320240013450723
Espacio para uso exclusivo de la Entidad Recaudadora
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Página 4 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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0320240013450723
Espacio para uso exclusivo de la Entidad Recaudadora
