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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
032024001254451-0
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 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. 116575014766277 2024 – 09 – 12 No. SHAN0342035 2024 – 09 – 05
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 9102861917 2024 – 09 – 05 procedencia 855
54 . Cod. Modo Transporte
4
55 . Código de Bandera
249
56 . Cod. Depto destino
0
57 . Empresa transportadora 58 . Tasa de cambio $ cvs. DHL AERO EXPRESO S A SUCURSAL COLOMBIA
4.172.50
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 120.00 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
154.00
500.00
78 .Valor FOB 79 . Valor fletes USD USD
49.437.05
1.104.18
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
80 . Valor Seguros 81 . Valor Otros Gastos USD USD
2.45
0
Arancel
0
0
0.00
92 93 94 0.00 210.893.505
95
96
I.V.A.
9798 99 100 101
0.00 210.893.505 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
1.106.63
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
50.543.68
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: 530073-DECL: 1837414-DO: 893120997241- 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: 3072685763. ID CONTEN
EDOR: 6077845598. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A155MZKILTC, PRODUCTO: TELEFONO CELULAR GALAXY A15 5GDUOS, (CON ACCESOR
IOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODELO: SM-A155M/DSN, 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 032024001254451
133. Feha: 202409 10
134 . Levante No. 032024001194681 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 09 – 13
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 92032406733053
Fecha presentación 2024-09-10 18:26:27 Valor pagado $0.00
Fecha de Impresión: 2024-09-13 10:46:28
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001254451-0 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
MAYOR Y AL DETAL/ /MOBILE,SM-A155M/DSN,BLACK,LTC( QTY. 500,00 u )(500,00 PCE); IMEIS: 355170561170137/355533001170134. 3551705611
70145/355533001170142. 355170561170152/355533001170159. 355170561170491/355533001170498. 355170561170616/355533001170613. 3551705
61170665/355533001170662. 355170561170673/355533001170670. 355170561170699/355533001170696. 355170561170707/355533001170704. 3551
70561170715/355533001170712. 355170561170731/355533001170738. 355170561097207/355533001097204. 355170561105810/355533001105817. 3
55170561105836/355533001105833. 355170561105893/355533001105890. 355170561106842/355533001106849. 355170561107071/355533001107078
. 355170561110802/355533001110809. 355170561116957/355533001116954. 355170561117252/355533001117259. 355170561117286/355533001117
283. 355170561117971/355533001117978. 355170561122310/355533001122317. 355170561122328/355533001122325. 355170561122344/355533001
122341. 355170561122351/355533001122358. 355170561122369/355533001122366. 355170561122393/3 55533001122390. 355170561122401/35553
3001122408. 355170561122419/355533001122416. 355170561122476/355533001122473. 355170561122492/355533001122499. 355170561122518/35
5533001122515. 355170561122526/355533001122523. 355170561122534/355533001122531. 355170561122625/355533001122622.355170561122641/
355533001122648. 355170561122690/355533001122697. 355170561122708/355533001122705. 355170561122716/355533001122713. 3551705611227
24/355533001122721. 355170561122732/355533001122739. 355170561122740/355533001122747. 355170561122765/355533001122762. 3551705611
22773/355533001122770. 355170561122781/355533001122788. 355170561122799/355533001122796. 355170561122807/355533001122804. 3551705
61122880/355533001122887. 355170561122898/355533001122895. 355170561122906/355533001122903. 355170561122922/355533001122929. 3551
70561122963/355533001122960.355170561122997/355533001122994. 355170561123060/355533001123067. 355170561123094/355533001123091. 35
5170561123516/355533001123513. 355170561124514/355533001124511. 355170561124555/355533001124552. 355170561124571/355533001124578.
355170561124613/355533001124610. 355170561124621/355533001124628. 355170561124639/355533001124636. 355170561124670/3555330011246
77. 355170561124696/355533001124693. 355170561124704/355533001124701. 355170561124720/355533001124727. 355170561124753/3555330011
24750. 355170561124761/355533001124768. 355170561124779/355533001124776. 355170561124837/355533001124834. 355170561124845/3555330
01124842. 355170561124852/355533001124859. 355170561124886/355533001124883. 355170561124894/355533001124891. 355170561124928/3555
33001124925. 355170561124936/355533001124933. 355170561124951/355533001124958. 355170561124977/355533001124974. 355170561125008/3
55533001125005. 355170561125024/355533001125021. 355170561125032/355533001125039. 355170561125107/355533001125104. 35517056112517
2/355533001125179. 355170561126519/355533001126516. 355170561126527/355533001126524. 355170561126535/355533001126532. 35517056112
6543/355533001126540. 355170561126568/355533001126565. 355170561126576/355533001126573. 355170561126584/355533001126581. 35517056
1127293/355533001127290. 355170561127319/355533001127316. 355170561127418/355533001127415. 355170561127426/355533001127423. 35517
0561127442/355533001127449. 355170561127459/355533001127456. 355170561127467/355533001127464. 355170561127475/355533001127472. 35
5170561127491/355533001127498. 355170561127517/355533001127514. 355170561127541/355533001127548. 355170561127558/355533001127555.
355170561127566/355533001127563. 355170561127574/355533001127571. 355170561127582/355533001127589.355170561127590/35553300112759
7. 355170561127699/355533001127696. 355170561127764/355533001127761. 355170561127772/355533001127779. 355170561127798/35553300112
7795. 355170561127822/355533001127829. 355170561127830/355533001127837. 355170561127848/355533001127845. 355170561127871/35553300
1127878. 355170561127889/355533001127886. 355170561127905/355533001127902. 355170561127921/355533001127928. 355170561127939/35553
3001127936. 355170561127947/355533001127944. 355170561127954/355533001127951. 355170561127962/355533001127969. 355170561127996/35
5533001127993.355170561128002/355533001128009. 355170561128010/355533001128017. 355170561128036/355533001128033. 355170561128044/
355533001128041. 355170561128069/355533001128066. 355170561128077/355533001128074. 355170561128101/355533001128108. 3551705611281
19/355533001128116. 355170561128333/355533001128330. 355170561128358/355533001128355. 355170561128457/355533001128454. 3551705611
28481/355533001128488. 355170561128523/355533001128520. 355170561128531/355533001128538. 355170561128549/355533001128546. 3551705
61128572/355533001128579. 355170561128580/355533001128587. 355170561128598/355533001128595. 355170561128606/355533001128603. 3551
70561128614/355533001128611. 355170561128630/355533001128637. 355170561128648/355533001128645. 355170561128697/355533001128694. 3
55170561128721/355533001128728. 355170561128739/355533001128736. 355170561128747/355533001128744. 355170561128754/355533001128751
. 355170561128820/355533001128827. 355170561128846/355533001128843. 355170561128879/355533001128876. 355170561128903/355533001128
900. 355170561128945/355533001128942. 355170561128994/355533001128991. 355170561129000/355533001129007. 355170561129042/355533001
129049. 355170561129067/355533001129064. 355170561129083/355533001129080. 355170561129091/355533001129098. 355170561129109/355533
001129106. 355170561129117/355533001129114. 355170561129125/355533001129122. 355170561129133/355533001129130. 355170561129141/355
533001129148. 355170561129166/355533001129163. 355170561129182/355533001129189. 355170561129190/355533001129197. 355170561129208/
355533001129205. 355170561129216/355533001129213. 355170561129232/355533001129239. 355170561129240/355533001129247. 3551705611292
65/355533001129262. 355170561129307/355533001129304. 355170561129315/355533001129312.355170561129331/355533001129338. 35517056112
9349/355533001129346. 355170561129364/355533001129361. 355170561129380/355533001129387. 355170561129422/355533001129429. 35517056
1129463/355533001129460. 355170561129554/355533001129551. 355170561131667/355533001131664. 355170561131683/355533001131680. 35517
0561131741/355533001131748. 355170561131766/355533001131763. 355170561131782/355533001131789. 355170561131808/355533001131805. 35
5170561131824/355533001131821. 355170561131832/355533001131839. 355170561132947/355533001132944. 355170561132954/355533001132951.
355170561132962/355533001132969. 355170561132988/355533001132985. 355170561132996/355533001132993. 355170561133002/35553300113300
9. 355170561133010/355533001133017. 355170561133028/355533001133025. 355170561133036/355533001133033. 355170561133044/35553300113
3041. 355170561133051/355533001133058. 355170561133069/355533001133066. 355170561133077/355533001133074. 355170561133085/35553300
1133082. 355170561133093/355533001133090. 355170561133119/355533001133116. 355170561133127/355533001133124. 355170561133135/35553
3001133132. 355170561133143/355533001133140. 355170561133150/355533001133157. 355170561133218/355533001133215. 355170561133226/35
5533001133223. 355170561133234/355533001133231. 355170561133861/355533001133868. 355170561133887/355533001133884. 355170561133945
/355533001133942. 355170561133952/355533001133959. 355170561133960/355533001133967. 355170561133994/355533001133991. 355170561134
018/355533001134015. 355170561134034/355533001134031. 355170561134042/355533001134049. 355170561134059/355533001134056. 355170561
134067/355533001134064. 355170561134075/355533001134072. 355170561134083/355533001134080. 355170561134109/355533001134106. 355170
561134125/355533001134122. 355170561134133/355533001134130. 355170561134141/355533001134148. 355170561134216/355533001134213. 355
170561134224/355533001134221. 355170561156672/355533001156679. 355170561156680/355533001156687. 355170561156698/355533001156695.
355170561156706/355533001156703. 355170561156763/355533001156760. 355170561156821/355533001156828. 355170561156854/35553300115685
1. 355170561156938/355533001156935. 355170561156946/355533001156943. 355170561156987/355533001156984. 355170561157019/35553300115
7016. 355170561157373/355533001157370. 355170561157407/355533001157404.355170561157415/355533001157412. 355170561157464/355533001
157461. 355170561157472/355533001157479. 355170561157688/355533001157685. 355170561158314/355533001158311. 355170561158322/355533
001158329. 355170561158611/355533001158618. 355170561158637/355533001158634. 355170561158751/355533001158758. 355170561158769/355
533001158766. 355170561158819/355533001158816. 355170561158827/355533001158824. 355170561158850/355533001158857. 355170561159502/
355533001159509. 355170561159544/355533001159541. 355170561161565/355533001161562. 355170561164312/355533001164319.35517056116610
1/355533001166108. 355170561166184/355533001166181. 355170561166242/355533001166249. 355170561166499/355533001166496. 35517056116
6507/355533001166504. 355170561166523/355533001166520. 355170561166531/355533001166538. 355170561166549/355533001166546. 35517056
1166663/355533001166660. 355170561168750/355533001168757. 355170561169238/355533001169235. 355170561169923/355533001169920. 35517
0561169980/355533001169987. 355170561170061/355533001170068. 355170561134265/355533001134262. 355170561134315/355533001134312. 35
5170561134323/355533001134320. 355170561134349/355533001134346. 355170561134364/355533001134361. 355170561134372/355533001134379.
355170561134380/355533001134387. 355170561134398/355533001134395. 355170561134406/355533001134403. 355170561134414/3555330011344
11. 355170561134422/355533001134429. 355170561134463/355533001134460. 355170561134471/355533001134478. 355170561134489/3555330011
032024001254451-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001254451-0 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
34486. 355170561134513/355533001134510. 355170561134539/355533001134536. 355170561147507/355533001147504. 355170561147879/3555330
01147876. 355170561148091/355533001148098. 355170561148885/355533001148882. 355170561148893/355533001148890. 355170561148992/3555
33001148999. 355170561149008/355533001149005. 355170561149040/355533001149047. 355170561149230/355533001149237. 355170561149354/3
55533001149351. 355170561149370/355533001149377. 355170561149388/355533001149385. 355170561149396/355533001149393. 35517056114940
4/355533001149401. 355170561149438/355533001149435. 355170561149446/355533001149443. 355170561149461/355533001149468. 35517056114
9479/355533001149476. 355170561149487/355533001149484. 355170561149495/355533001149492. 355170561149503/355533001149500. 35517056
1149511/355533001149518. 355170561149529/355533001149526.355170561149537/355533001149534. 355170561149545/355533001149542. 355170
561149552/355533001149559. 355170561149586/355533001149583. 355170561149594/355533001149591. 355170561149610/355533001149617. 355
170561149628/355533001149625. 355170561149651/355533001149658. 355170561149669/355533001149666. 355170561149701/355533001149708.
355170561149719/355533001149716. 355170561149750/355533001149757. 355170561149768/355533001149765. 355170561149776/35553300114977
3. 355170561149784/355533001149781. 355170561149818/355533001149815. 355170561150196/355533001150193.355170561150592/355533001150
599. 355170561150741/355533001150748. 355170561150931/355533001150938. 355170561151053/355533001151050. 355170561151525/355533001
151522. 355170561151798/355533001151795. 355170561151970/355533001151977. 355170561152028/355533001152025. 355170561152184/355533
001152181. 355170561152309/355533001152306. 355170561152333/355533001152330. 355170561152374/355533001152371. 355170561152382/355
533001152389. 355170561152390/355533001152397. 355170561152416/355533001152413. 355170561152424/355533001152421. 355170561152432/
355533001152439. 355170561152440/355533001152447. 355170561152457/355533001152454. 355170561152465/355533001152462. 3551705611524
81/355533001152488. 355170561152499/355533001152496. 355170561152507/355533001152504. 355170561152515/355533001152512. 3551705611
52523/355533001152520. 355170561152531/355533001152538. 355170561152549/355533001152546. 355170561152556/355533001152553. 3551705
61152564/355533001152561. 355170561152598/355533001152595. 355170561152614/355533001152611. 355170561152622/355533001152629. 3551
70561152663/355533001152660. 355170561152671/355533001152678. 355170561152697/355533001152694. 355170561152705/355533001152702. 3
55170561152713/355533001152710. 355170561152739/355533001152736. 355170561152747/355533001152744. 355170561152754/355533001152751
. 355170561152762/355533001152769. 355170561152770/355533001152777. 355170561152788/355533001152785. 355170561152796/355533001152
793. 355170561152804/355533001152801. 355170561152812/355533001152819. 355170561152820/355533001152827. 355170561152838/355533001
152835. 355170561152846/355533001152843. 355170561152853/355533001152850. 355170561152879/355533001152876. 355170561152887/355533
001152884. 355170561152895/355533001152892.355170561152903/355533001152900. 355170561152911/355533001152918. 355170561152929/3555
33001152926. 355170561152945/355533001152942. 355170561152952/355533001152959. 355170561152960/355533001152967. 355170561152978/3
55533001152975. 355170561152986/355533001152983. 355170561152994/355533001152991. 355170561153000/355533001153007. 35517056115301
8/355533001153015. 355170561153026/355533001153023. 355170561153034/355533001153031. 355170561153042/355533001153049. 35517056115
3059/355533001153056. 355170561153067/355533001153064. 355170561153141/355533001153148.355170561153174/355533001153171. 355170561
153182/355533001153189. 355170561153190/355533001153197. 355170561153216/355533001153213. 355170561153224/355533001153221. 355170
561153240/355533001153247. 355170561153257/355533001153254. 355170561153265/355533001153262. 355170561153471/355533001153478. 355
170561153505/355533001153502. 355170561153562/355533001153569. 355170561153679/355533001153676. 355170561153695/355533001153692.
355170561153703/355533001153700. 355170561154388/355533001154385. 355170561154578/355533001154575. 355170561154586/35553300115458
3. 355170561154602/355533001154609. 355170561154628/355533001154625. 355170561154644/355533001154641. 355170561154651/35553300115
4658. 355170561154669/355533001154666. 355170561154677/355533001154674. 355170561154693/355533001154690. 355170561154701/35553300
1154708. 355170561154719/355533001154716. 355170561154727/355533001154724. 355170561154735/355533001154732. 355170561154743/35553
3001154740. 355170561154768/355533001154765. 355170561154776/355533001154773. 355170561154792/355533001154799. 355170561154800/35
5533001154807. 355170561154818/355533001154815. 355170561154834/355533001154831. 355170561154842/355533001154849. 355170561154859
/355533001154856. 355170561154867/355533001154864. 355170561154891/355533001154898. 355170561154909/355533001154906. 355170561154
917/355533001154914. 355170561154933/355533001154930. 355170561154958/355533001154955. 355170561154982/355533001154989. 355170561
154990/355533001154997. 355170561155021/355533001155028. 355170561155039/355533001155036. 355170561155088/355533001155085. 355170
561155096/355533001155093. 355170561155104/355533001155101. 355170561155112/355533001155119. 355170561155120/355533001155127. 355
170561155138/355533001155135.355170561155146/355533001155143. 355170561155179/355533001155176. 355170561155187/355533001155184. 3
55170561155195/355533001155192. 355170561155203/355533001155200. 355170561155245/355533001155242. 355170561155252/355533001155259
. 355170561155286/355533001155283. 355170561155310/355533001155317. 355170561155369/355533001155366. 355170561155377/355533001155
374. 355170561155385/355533001155382. 355170561155393/355533001155390. 355170561155401/355533001155408. 355170561155443/355533001
155440. 355170561155450/355533001155457. 355170561155468/355533001155465.355170561155476/355533001155473. 355170561155492/3555330
01155499. 355170561155500/355533001155507. 355170561155518/355533001155515. 355170561155526/355533001155523. 355170561155534/3555
33001155531. 355170561155542/355533001155549. 355170561155559/355533001155556. 355170561155575/355533001155572. 355170561155583/3
55533001155580. 355170561155591/355533001155598. 355170561155609/355533001155606. 355170561155617/355533001155614. 35517056115563
3/355533001155630. 355170561155641/355533001155648. 355170561155658/355533001155655. 355170561155666/355533001155663. 35517056115
5674/355533001155671. 355170561155682/355533001155689. 355170561155708/355533001155705. 355170561155724/355533001155721. 35517056
1155757/355533001155754. 355170561155765/355533001155762. 355170561156334/355533001156331. 355170561156565/355533001156562. 35517
0561156649/355533001156646. 355170561156664/355533001156661XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001254451-0
Espacio para uso exclusivo de la Entidad Recaudadora
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