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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
032024001277118-1
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. 116575014777943 2024 – 09 – 15 No. SHAN0342069 2024 – 09 – 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 9102864616 2024 – 09 – 06 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.
4.172.50
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
157.00
500.00
78 .Valor FOB 79 . Valor fletes USD USD
49.415.54
1.125.69
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
1.128.14
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: 530705-DECL: 1838865-DO: 893121268241- 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. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOM
OLOGACIÓN) // NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION.SAMSUNG ELECTRONICS COLOMB
IA S.A. OEA COD. OE0001. . PEDIDOS: 3072684405. ID CONTENEDOR: 6077886902. MERCANCIA MARCA: SAMSUNG REFERENCIA:SM-A155MLBILTC, PR
ODUCTO: TELEFONO CELULAR GALAXY A15 5G DUOS, (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL(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 032024001277118
133. Feha: 202409 13
134 . Levante No. 032024001204439 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 09 – 16
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 92032406848463
Fecha presentación 2024-09-13 20:45:04 Valor pagado $0.00
Fecha de Impresión: 2024-09-16 13:03:26
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001277118-1 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
CLARO, MODELO:SM-A155M/DSN, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A155M/DSN,LIGHT BLUE,LTC( QTY. 500,00 u
)(500,00 PCE); IMEIS: 355170561181308/355533001181305. 355170561181449/355533001181446. 355170561181498/355533001181495. 3551705
61181522/355533001181529. 355170561181548/355533001181545. 355170561181571/355533001181578. 355170561181696/355533001181693. 3551
70561182140/355533001182147. 355170561182157/355533001182154. 355170561182686/355533001182683. 355170561182710/355533001182717. 3
55170561182926/355533001182923. 355170561183106/355533001183103. 355170561183148/355533001183145. 355170561183924/355533001183921
. 355170561183999/355533001183996. 355170561184054/355533001184051. 355170561184138/355533001184135. 355170561184187/355533001184
184. 355170561184245/355533001184242. 355170561184310/355533001184317. 355170561184526/355533001184523. 355170561184997/355533001
184994. 355170561185036/355533001185033. 355170561185051/355533001185058. 355170561185077/3 55533001185074. 355170561185093/35553
3001185090. 355170561185465/355533001185462. 355170561185481/355533001185488. 355170561185499/355533001185496. 355170561185846/35
5533001185843. 355170561185960/355533001185967. 355170561186000/355533001186007. 355170561186018/355533001186015.355170561186083/
355533001186080. 355170561186133/355533001186130. 355170561186216/355533001186213. 355170561186232/355533001186239. 3551705611862
73/355533001186270. 355170561186315/355533001186312. 355170561186323/355533001186320. 355170561186414/355533001186411. 3551705611
86430/355533001186437. 355170561186448/355533001186445. 355170561186455/355533001186452. 355170561186497/355533001186494. 3551705
61186547/355533001186544. 355170561186703/355533001186700. 355170561186794/355533001186791. 355170561186992/355533001186999. 3551
70561187008/355533001187005.355170561187032/355533001187039. 355170561187362/355533001187369. 355170561187552/355533001187559. 35
5170561187602/355533001187609. 355170561187636/355533001187633. 355170561187644/355533001187641. 355170561187651/355533001187658.
355170561187677/355533001187674. 355170561187693/355533001187690. 355170561187941/355533001187948. 355170561187958/3555330011879
55. 355170561187974/355533001187971. 355170561187990/355533001187997. 355170561188030/355533001188037. 355170561188097/3555330011
88094. 355170561188105/355533001188102. 355170561188113/355533001188110. 355170561188238/355533001188235. 355170561188303/3555330
01188300. 355170561188337/355533001188334. 355170561188345/355533001188342. 355170561188485/355533001188482. 355170561188865/3555
33001188862. 355170561188899/355533001188896. 355170561188923/355533001188920. 355170561188956/355533001188953. 355170561188964/3
55533001188961. 355170561188972/355533001188979. 355170561188980/355533001188987. 355170561189004/355533001189001. 35517056118902
0/355533001189027. 355170561189038/355533001189035. 355170561189046/355533001189043. 355170561189079/355533001189076. 35517056118
9087/355533001189084. 355170561189103/355533001189100. 355170561189426/355533001189423. 355170561189483/355533001189480. 35517056
1205321/355533001205328. 355170561205339/355533001205336. 355170561205347/355533001205344. 355170561205370/355533001205377. 35517
0561205388/355533001205385. 355170561205396/355533001205393. 355170561205404/355533001205401. 355170561205412/355533001205419. 35
5170561205420/355533001205427. 355170561205487/355533001205484. 355170561205503/355533001205500. 355170561205529/355533001205526.
355170561205560/355533001205567. 355170561205578/355533001205575. 355170561205628/355533001205625.355170561205644/35553300120564
1. 355170561205651/355533001205658. 355170561205677/355533001205674. 355170561205693/355533001205690. 355170561205727/35553300120
5724. 355170561206071/355533001206078. 355170561206121/355533001206128. 355170561206246/355533001206243. 355170561206295/35553300
1206292. 355170561206436/355533001206433. 355170561206584/355533001206581. 355170561206766/355533001206763. 355170561206808/35553
3001206805. 355170561206816/355533001206813. 355170561206832/355533001206839. 355170561206881/355533001206888. 355170561206915/35
5533001206912.355170561206949/355533001206946. 355170561206956/355533001206953. 355170561207012/355533001207019. 355170561207020/
355533001207027. 355170561207038/355533001207035. 355170561207061/355533001207068. 355170561207079/355533001207076. 3551705612070
87/355533001207084. 355170561207095/355533001207092. 355170561207103/355533001207100. 355170561207129/355533001207126. 3551705612
07152/355533001207159. 355170561207178/355533001207175. 355170561189509/355533001189506. 355170561189517/355533001189514. 3551705
61189525/355533001189522. 355170561189533/355533001189530. 355170561189590/355533001189597. 355170561189624/355533001189621. 3551
70561189780/355533001189787. 355170561189822/355533001189829. 355170561189830/355533001189837. 355170561189848/355533001189845. 3
55170561189889/355533001189886. 355170561189962/355533001189969. 355170561190010/355533001190017. 355170561190028/355533001190025
. 355170561190085/355533001190082. 355170561190093/355533001190090. 355170561190101/355533001190108. 355170561190119/355533001190
116. 355170561190135/355533001190132. 355170561190143/355533001190140. 355170561190176/355533001190173. 355170561190184/355533001
190181. 355170561190226/355533001190223. 355170561190234/355533001190231. 355170561190242/355533001190249. 355170561190259/355533
001190256. 355170561190275/355533001190272. 355170561190283/355533001190280. 355170561190606/355533001190603. 355170561190622/355
533001190629. 355170561190630/355533001190637. 355170561190697/355533001190694. 355170561190788/355533001190785. 355170561191000/
355533001191007. 355170561191018/355533001191015. 355170561191083/355533001191080. 355170561191117/355533001191114. 3551705611911
25/355533001191122. 355170561191133/355533001191130. 355170561191174/355533001191171.355170561191182/355533001191189. 35517056119
1190/355533001191197. 355170561191216/355533001191213. 355170561191240/355533001191247. 355170561194442/355533001194449. 35517056
1194459/355533001194456. 355170561194467/355533001194464. 355170561194483/355533001194480. 355170561194517/355533001194514. 35517
0561194525/355533001194522. 355170561194533/355533001194530. 355170561194541/355533001194548. 355170561194566/355533001194563. 35
5170561194574/355533001194571. 355170561194608/355533001194605. 355170561194624/355533001194621. 355170561194632/355533001194639.
355170561194640/355533001194647. 355170561194665/355533001194662. 355170561194715/355533001194712. 355170561194749/35553300119474
6. 355170561194756/355533001194753. 355170561194798/355533001194795. 355170561194822/355533001194829. 355170561194855/35553300119
4852. 355170561194863/355533001194860. 355170561194889/355533001194886. 355170561194905/355533001194902. 355170561194962/35553300
1194969. 355170561195001/355533001195008. 355170561195043/355533001195040. 355170561195118/355533001195115. 355170561195142/35553
3001195149. 355170561195159/355533001195156. 355170561195209/355533001195206. 355170561195217/355533001195214. 355170561195233/35
5533001195230. 355170561195290/355533001195297. 355170561195373/355533001195370. 355170561195605/355533001195602. 355170561195902
/355533001195909. 355170561196025/355533001196022. 355170561196074/355533001196071. 355170561196140/355533001196147. 355170561196
157/355533001196154. 355170561196181/355533001196188. 355170561196231/355533001196238. 355170561196298/355533001196295. 355170561
196314/355533001196311. 355170561196470/355533001196477. 355170561196595/355533001196592. 355170561196637/355533001196634. 355170
561196686/355533001196683. 355170561196710/355533001196717. 355170561196744/355533001196741. 355170561196751/355533001196758. 355
170561196777/355533001196774. 355170561196793/355533001196790. 355170561196835/355533001196832. 355170561196868/355533001196865.
355170561196892/355533001196899. 355170561196900/355533001196907. 355170561196942/355533001196949. 355170561196967/35553300119696
4. 355170561197007/355533001197004. 355170561197015/355533001197012. 355170561197049/355533001197046. 355170561197064/35553300119
7061. 355170561197098/355533001197095. 355170561197114/355533001197111.355170561197122/355533001197129. 355170561197189/355533001
197186. 355170561197205/355533001197202. 355170561197221/355533001197228. 355170561197247/355533001197244. 355170561197254/355533
001197251. 355170561197262/355533001197269. 355170561197296/355533001197293. 355170561197304/355533001197301. 355170561197312/355
533001197319. 355170561197320/355533001197327. 355170561197353/355533001197350. 355170561197361/355533001197368. 355170561197379/
355533001197376. 355170561197445/355533001197442. 355170561197452/355533001197459. 355170561197460/355533001197467.35517056119748
6/355533001197483. 355170561197494/355533001197491. 355170561197536/355533001197533. 355170561197577/355533001197574. 35517056119
7643/355533001197640. 355170561197676/355533001197673. 355170561197726/355533001197723. 355170561197791/355533001197798. 35517056
1197825/355533001197822. 355170561197981/355533001197988. 355170561197999/355533001197996. 355170561198062/355533001198069. 35517
0561198609/355533001198606. 355170561198674/355533001198671. 355170561198682/355533001198689. 355170561198716/355533001198713. 35
5170561198849/355533001198846. 355170561198898/355533001198895. 355170561198914/355533001198911. 355170561198930/355533001198937.
355170561198971/355533001198978. 355170561199045/355533001199042. 355170561199086/355533001199083. 355170561199169/3555330011991
66. 355170561199185/355533001199182. 355170561199375/355533001199372. 355170561199383/355533001199380. 355170561199391/3555330011
032024001277118-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001277118-1 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
99398. 355170561199409/355533001199406. 355170561199417/355533001199414. 355170561199508/355533001199505. 355170561199516/3555330
01199513. 355170561199524/355533001199521. 355170561199755/355533001199752. 355170561199763/355533001199760. 355170561199813/3555
33001199810. 355170561199854/355533001199851. 355170561199862/355533001199869. 355170561199870/355533001199877. 355170561199896/3
55533001199893. 355170561199912/355533001199919. 355170561199987/355533001199984. 355170561200033/355533001200030. 35517056120038
9/355533001200386. 355170561200439/355533001200436. 355170561200447/355533001200444. 355170561200488/355533001200485. 35517056120
0678/355533001200675. 355170561200710/355533001200717. 355170561200744/355533001200741. 355170561191281/355533001191288. 35517056
1191315/355533001191312. 355170561191323/355533001191320.355170561191349/355533001191346. 355170561191653/355533001191650. 355170
561192032/355533001192039. 355170561192164/355533001192161. 355170561192198/355533001192195. 355170561192222/355533001192229. 355
170561192271/355533001192278. 355170561192297/355533001192294. 355170561192305/355533001192302. 355170561192321/355533001192328.
355170561192339/355533001192336. 355170561192370/355533001192377. 355170561192404/355533001192401. 355170561192412/35553300119241
9. 355170561192438/355533001192435. 355170561192446/355533001192443. 355170561192453/355533001192450.355170561192461/355533001192
468. 355170561192511/355533001192518. 355170561192529/355533001192526. 355170561192784/355533001192781. 355170561193162/355533001
193169. 355170561193360/355533001193367. 355170561193386/355533001193383. 355170561193469/355533001193466. 355170561193477/355533
001193474. 355170561193485/355533001193482. 355170561193501/355533001193508. 355170561193642/355533001193649. 355170561193659/355
533001193656. 355170561193667/355533001193664. 355170561193675/355533001193672. 355170561193709/355533001193706. 355170561194145/
355533001194142. 355170561194293/355533001194290. 355170561194335/355533001194332. 355170561194350/355533001194357. 3551705611943
68/355533001194365. 355170561194392/355533001194399. 355170561194400/355533001194407. 355170561194418/355533001194415. 3551705611
94426/355533001194423. 355170561200793/355533001200790. 355170561200967/355533001200964. 355170561201023/355533001201020. 3551705
61201031/355533001201038. 355170561201056/355533001201053. 355170561201098/355533001201095. 355170561201122/355533001201129. 3551
70561201130/355533001201137. 355170561201189/355533001201186. 355170561201205/355533001201202. 355170561201213/355533001201210. 3
55170561201221/355533001201228. 355170561201239/355533001201236. 355170561201247/355533001201244. 355170561201304/355533001201301
. 355170561201452/355533001201459. 355170561201601/355533001201608. 355170561201767/355533001201764. 355170561201817/355533001201
814. 355170561201825/355533001201822. 355170561201882/355533001201889. 355170561201890/355533001201897. 355170561201916/355533001
201913. 355170561201940/355533001201947. 355170561201965/355533001201962. 355170561201973/355533001201970. 355170561201999/355533
001201996. 355170561202021/355533001202028.355170561202062/355533001202069. 355170561202138/355533001202135. 355170561202377/3555
33001202374. 355170561202542/355533001202549. 355170561202666/355533001202663. 355170561202682/355533001202689. 355170561202955/3
55533001202952. 355170561202971/355533001202978. 355170561202989/355533001202986. 355170561203060/355533001203067. 35517056120308
6/355533001203083. 355170561203110/355533001203117. 355170561203136/355533001203133. 355170561203391/355533001203398. 35517056120
3508/355533001203505. 355170561203789/355533001203786. 355170561203797/355533001203794.355170561203946/355533001203943. 355170561
203987/355533001203984. 355170561204050/355533001204057. 355170561204290/355533001204297. 355170561204308/355533001204305. 355170
561204357/355533001204354. 355170561204373/355533001204370. 355170561204456/355533001204453. 355170561204472/355533001204479. 355
170561204480/355533001204487. 355170561204498/355533001204495. 355170561204571/355533001204578. 355170561204621/355533001204628.
355170561204639/355533001204636. 355170561204654/355533001204651. 355170561204670/355533001204677. 355170561204688/35553300120468
5. 355170561204720/355533001204727. 355170561204746/355533001204743. 355170561204795/355533001204792. 355170561204829/35553300120
4826. 355170561204852/355533001204859. 355170561204894/355533001204891. 355170561204928/355533001204925. 355170561204936/35553300
1204933. 355170561204951/355533001204958. 355170561204969/355533001204966. 355170561204993/355533001204990. 355170561205024/35553
3001205021. 355170561205032/355533001205039. 355170561205057/355533001205054. 355170561205073/355533001205070. 355170561205099/35
5533001205096. 355170561205149/355533001205146. 355170561205164/355533001205161. 355170561205180/355533001205187. 355170561205222
/355533001205229. 355170561205248/355533001205245. 355170561205263/355533001205260. 355170561205271/355533001205278. 355170561205
289/355533001205286. 355170561205297/355533001205294. 355170561205305/355533001205302. 355170561205313/355533001205310. 355170561
207228/355533001207225. 355170561207749/355533001207746. 355170561207855/355533001207852. 355170561208002/355533001208009. 355170
561208069/355533001208066. 355170561208093/355533001208090. 355170561208101/355533001208108. 355170561208127/355533001208124. 355
170561208150/355533001208157.355170561208457/355533001208454. 355170561208689/355533001208686. 355170561209067/355533001209064. 3
55170561209083/355533001209080. 355170561209125/355533001209122. 355170561209539/355533001209536. 355170561209562/355533001209569
. 355170561209588/355533001209585. 355170561209679/355533001209676. 355170561209711/355533001209718. 355170561209729/355533001209
726. 355170561209752/355533001209759. 355170561209760/355533001209767. 355170561209778/355533001209775. 355170561209786/355533001
209783. 355170561209802/355533001209809. 355170561209828/355533001209825.355170561209836/355533001209833. 355170561209869/3555330
01209866. 355170561209885/355533001209882. 355170561209984/355533001209981. 355170561210008/355533001210005. 355170561210024/3555
33001210021. 355170561210032/355533001210039. 355170561210040/355533001210047. 355170561210065/355533001210062. 355170561210073/3
55533001210070. 355170561210081/355533001210088. 355170561210123/355533001210120. 355170561210149/355533001210146. 35517056121017
2/355533001210179. 355170561210180/355533001210187. 355170561210198/355533001210195. 355170561210230/355533001210237. 35517056121
1808/355533001211805. 355170561212301/355533001212308. 355170561213143/355533001213140. 355170561214414/355533001214411. 35517056
1214422/355533001214429. 355170561214455/355533001214452. 355170561214539/355533001214536. 355170561214554/355533001214551. 35517
0561214612/355533001214619. 355170561214638/355533001214635. 355170561214653/355533001214650. 355170561214661/355533001214668XXXX
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032024001277118-1
Espacio para uso exclusivo de la Entidad Recaudadora
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