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VER MAS
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
032024001418867-6
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. 116575014859438 2024 – 10 – 09 No. HKJ011376 2024 – 10 – 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 6900303594 2024 – 09 – 25 procedencia 351
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.
4.197.73
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 108.40 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
140.00
400.00
78 .Valor FOB 79 . Valor fletes USD USD
17.785.15
935.20
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
80 . Valor Seguros 81 . Valor Otros Gastos USD USD
0.91
0
Arancel
0
0
0.00
92 93 94 0.00 78.586.795
95
96
I.V.A.
9798 99 100 101
0.00 78.586.795 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
936.11
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
18.721.26
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: 533833-DECL: 1846801-DO: 893123926241- 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: 3074299103. ID CONTENEDOR: 6078364359. MERCANCIA MARCA: SAMSUNG REFERENCIA:SM-A055MZSDLTC, PR
ODUCTO: TELEFONO CELULAR GALAXY A05 DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: PLATA, M(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 032024001418867
133. Feha: 202410 10
134 . Levante No. 032024001333237 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 10 – 10
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 92032407599229
Fecha presentación 2024-10-10 18:58:11 Valor pagado $0.00
Fecha de Impresión: 2024-10-10 18:58:18
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001418867-6 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ODELO: SM-A055M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A055M/DS,SILVER,LTC( QTY. 400,00 u )(400,00 PCE)
; IMEIS: 351864758556611/354706948556612. 351864758556629/354706948556620. 351864758556637/354706948556638. 351864758556645/35470
6948556646. 351864758556652/354706948556653. 351864758556694/354706948556695. 351864758556751/354706948556752. 351864758556785/35
4706948556786. 351864758556793/354706948556794.351864758556801/354706948556802. 351864758556827/354706948556828. 351864758556835/
354706948556836. 351864758556843/354706948556844. 351864758556850/354706948556851. 351864758556876/354706948556877. 3518647585569
00/354706948556901. 351864758556918/354706948556919. 351864758556926/354706948556927. 351864758556934/354706948556935. 3518647585
56975/354706948556976. 351864758556991/354706948556992. 351864758557007/354706948557008. 351864758557015/354706948557016. 3518647
58557023/354706948557024. 351864758557031/354706948557032. 351864758557049/354706948557040. 351864758557056/354706948557057. 3518
64758557072/354706948557073. 351864758557106/354706948557107. 351864758557114/354706948557115. 351864758557148/354706948557149. 3
51864758557155/354706948557156. 351864758557163/354706948557164. 351864758557171/354706948557172. 351864758557197/354706948557198
. 351864758557221/354706948557222. 351864758557247/354706948557248. 351864758557270/354706948557271. 351864758557312/354706948557
313. 351864758557320/354706948557321. 351864758557338/354706948557339. 351864758557346/354706948557347. 351864758557395/354706948
557396. 351864758557437/354706948557438. 351864758557494/354706948557495. 351864758557502/354706948557503. 351864758557510/354706
948557511. 351864758557585/354706948557586. 351864758557601/354706948557602. 351864758557619/354706948557610. 351864758557635/354
706948557636. 351864758557767/354706948557768. 351864758557809/354706948557800. 351864758557817/354706948557818. 351864758557833/
354706948557834. 351864758557858/354706948557859. 351864758557866/354706948557867. 351864758557890/354706948557891. 3518647585579
16/354706948557917. 351864758557924/354706948557925. 351864758557932/354706948557933. 351864758557957/354706948557958. 3518647585
57999/354706948557990. 351864758558005/354706948558006. 351864758558013/354706948558014. 351864758558021/354706948558022. 3518647
58558096/354706948558097. 351864758558104/354706948558105. 351864758558120/354706948558121. 351864758558138/354706948558139. 3518
64758558153/354706948558154. 351864758558179/354706948558170. 351864758558187/354706948558188. 351864758558195/354706948558196. 3
51864758558211/354706948558212. 351864758558237/354706948558238. 351864758558252/354706948558253. 351864758558260/354706948558261
. 351864758558294/354706948558295.351864758558302/354706948558303. 351864758558310/354706948558311. 351864758558328/3547069485583
29. 351864758558336/354706948558337. 351864758558344/354706948558345. 351864758558351/354706948558352. 351864758558369/3547069485
58360. 351864758558393/354706948558394. 351864758558435/354706948558436. 351864758558443/354706948558444. 351864758558450/3547069
48558451. 351864758558468/354706948558469. 351864758558476/354706948558477. 351864758555837/354706948555838. 351864758555845/3547
06948555846. 351864758555860/354706948555861. 351864758555886/354706948555887.351864758555894/354706948555895. 351864758555902/35
4706948555903. 351864758555910/354706948555911. 351864758555928/354706948555929. 351864758555944/354706948555945. 351864758555951
/354706948555952. 351864758555969/354706948555960. 351864758555977/354706948555978. 351864758555985/354706948555986. 351864758555
993/354706948555994. 351864758556017/354706948556018. 351864758556025/354706948556026. 351864758556033/354706948556034. 351864758
556041/354706948556042. 351864758556058/354706948556059. 351864758556066/354706948556067. 351864758556108/354706948556109. 351864
758556116/354706948556117. 351864758556124/354706948556125. 351864758556132/354706948556133. 351864758556140/354706948556141. 351
864758556157/354706948556158. 351864758556181/354706948556182. 351864758556199/354706948556190. 351864758556207/354706948556208.
351864758556215/354706948556216. 351864758556249/354706948556240. 351864758556256/354706948556257. 351864758556264/35470694855626
5. 351864758556272/354706948556273. 351864758556306/354706948556307. 351864758556314/354706948556315. 351864758556330/35470694855
6331. 351864758556355/354706948556356. 351864758556371/354706948556372. 351864758556405/354706948556406. 351864758556439/35470694
8556430. 351864758556504/354706948556505. 351864758556546/354706948556547. 351864758556587/354706948556588. 351864758556595/35470
6948556596. 351864758556603/354706948556604. 351864758555092/354706948555093. 351864758555175/354706948555176. 351864758555225/35
4706948555226. 351864758555233/354706948555234. 351864758555258/354706948555259. 351864758555266/354706948555267. 351864758555274
/354706948555275. 351864758555282/354706948555283. 351864758555290/354706948555291. 351864758555308/354706948555309. 351864758555
316/354706948555317.351864758555332/354706948555333. 351864758555340/354706948555341. 351864758555373/354706948555374. 3518647585
55381/354706948555382. 351864758555399/354706948555390. 351864758555407/354706948555408. 351864758555423/354706948555424. 3518647
58555456/354706948555457. 351864758555464/354706948555465. 351864758555480/354706948555481. 351864758555498/354706948555499. 3518
64758555506/354706948555507. 351864758555514/354706948555515. 351864758555522/354706948555523. 351864758555530/354706948555531. 3
51864758555555/354706948555556. 351864758555571/354706948555572.351864758555589/354706948555580. 351864758555597/354706948555598.
351864758555621/354706948555622. 351864758555639/354706948555630. 351864758555647/354706948555648. 351864758555654/3547069485556
55. 351864758555662/354706948555663. 351864758555688/354706948555689. 351864758555696/354706948555697. 351864758555738/3547069485
55739. 351864758555746/354706948555747. 351864758555753/354706948555754. 351864758555761/354706948555762. 351864758555787/3547069
48555788. 351864758555795/354706948555796. 351864758555803/354706948555804. 351864758555811/354706948555812. 351864758555829/3547
06948555820. 351864758553667/354706948553668. 351864758553683/354706948553684. 351864758553691/354706948553692. 351864758553709/3
54706948553700. 351864758553741/354706948553742. 351864758553790/354706948553791. 351864758553816/354706948553817. 35186475855386
5/354706948553866. 351864758553881/354706948553882. 351864758553931/354706948553932. 351864758553980/354706948553981. 35186475855
4087/354706948554088. 351864758554186/354706948554187. 351864758554210/354706948554211. 351864758554236/354706948554237. 35186475
8554301/354706948554302. 351864758554343/354706948554344. 351864758554368/354706948554369. 351864758554434/354706948554435. 35186
4758554467/354706948554468. 351864758554475/354706948554476. 351864758554491/354706948554492. 351864758554517/354706948554518. 35
1864758554525/354706948554526. 351864758554566/354706948554567. 351864758554590/354706948554591. 351864758554608/354706948554609.
351864758554616/354706948554617. 351864758554624/354706948554625. 351864758554632/354706948554633. 351864758554640/3547069485546
41. 351864758554673/354706948554674. 351864758554780/354706948554781. 351864758554798/354706948554799. 351864758554814/3547069485
54815.351864758554822/354706948554823. 351864758554905/354706948554906. 351864758554939/354706948554930. 351864758554954/35470694
8554955. 351864758554970/354706948554971. 351864758554988/354706948554989. 351864758554996/354706948554997. 351864758555001/35470
6948555002. 351864758555019/354706948555010. 351864758555035/354706948555036. 351864758555043/354706948555044. 351864758546539/35
4706948546530. 351864758546612/354706948546613. 351864758546695/354706948546696. 351864758546711/354706948546712. 351864758546877
/354706948546878. 351864758546927/354706948546928.351864758547040/354706948547041. 351864758547065/354706948547066. 3518647585471
07/354706948547108. 351864758547131/354706948547132. 351864758547180/354706948547181. 351864758547396/354706948547397. 3518647585
47990/354706948547991. 351864758548022/354706948548023. 351864758548089/354706948548080. 351864758548592/354706948548593. 3518647
58548725/354706948548726. 351864758549053/354706948549054. 351864758549103/354706948549104. 351864758549244/354706948549245. 3518
64758549442/354706948549443. 351864758549475/354706948549476. 351864758549632/354706948549633. 351864758549723/354706948549724. 3
51864758549905/354706948549906. 351864758549988/354706948549989. 351864758550085/354706948550086. 351864758550101/354706948550102
. 351864758550143/354706948550144. 351864758550259/354706948550250. 351864758550267/354706948550268. 351864758550291/354706948550
292. 351864758550374/354706948550375. 351864758550432/354706948550433. 351864758550838/354706948550839. 351864758550945/354706948
550946. 351864758551026/354706948551027. 351864758551109/354706948551100. 351864758551158/354706948551159. 351864758551216/354706
948551217. 351864758551281/354706948551282. 351864758551562/354706948551563. 351864758551638/354706948551639. 351864758551935/354
706948551936. 351864758551968/354706948551969. 351864758551992/354706948551993. 351864758558484/354706948558485. 351864758558492/
354706948558493. 351864758558500/354706948558501. 351864758558534/354706948558535. 351864758558542/354706948558543. 3518647585585
59/354706948558550. 351864758558567/354706948558568. 351864758558575/354706948558576. 351864758558583/354706948558584. 3518647585
58591/354706948558592. 351864758558633/354706948558634. 351864758558641/354706948558642. 351864758558658/354706948558659.35186475
032024001418867-6
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001418867-6 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
8558666/354706948558667. 351864758558674/354706948558675. 351864758558682/354706948558683. 351864758558690/354706948558691. 35186
4758558716/354706948558717. 351864758558724/354706948558725. 351864758558740/354706948558741. 351864758558757/354706948558758. 35
1864758558781/354706948558782. 351864758558799/354706948558790. 351864758558807/354706948558808. 351864758558823/354706948558824.
351864758558831/354706948558832. 351864758558864/354706948558865. 351864758558898/354706948558899. 351864758558906/3547069485589
07. 351864758558914/354706948558915.351864758558963/354706948558964. 351864758559029/354706948559020. 351864758559045/35470694855
9046. 351864758559078/354706948559079. 351864758559094/354706948559095. 351864758559102/354706948559103. 351864758559128/35470694
8559129. 351864758559136/354706948559137. 351864758559144/354706948559145. 351864758559151/354706948559152. 351864758559177/35470
6948559178. 351864758559193/354706948559194. 351864758559227/354706948559228. 351864758559250/354706948559251. 351864758559292/35
4706948559293. 351864758559425/354706948559426. 351864758559466/354706948559467. 351864758559581/354706948559582. 351864758559599
/354706948559590. 351864758559615/354706948559616. 351864758559656/354706948559657. 351864758559680/354706948559681. 351864758559
698/354706948559699. 351864758559706/354706948559707. 351864758559722/354706948559723. 351864758559730/354706948559731. 351864758
559748/354706948559749. 351864758559771/354706948559772. 351864758559789/354706948559780. 351864758559797/354706948559798. 351864
758559805/354706948559806. 351864758559813/354706948559814. 351864758559821/354706948559822. 351864758559839/354706948559830. 351
864758559847/354706948559848. 351864758559854/354706948559855. 351864758559862/354706948559863. 351864758559870/354706948559871.
351864758559888/354706948559889. 351864758559896/354706948559897. 351864758559904/354706948559905. 351864758559912/35470694855991
3. 351864758559920/354706948559921. 351864758559938/354706948559939. 351864758559953/354706948559954. 351864758559979/35470694855
9970. 351864758559987/354706948559988. 351864758559995/354706948559996. 351864758552057/354706948552058. 351864758552073/35470694
8552074. 351864758552164/354706948552165. 351864758552180/354706948552181. 351864758552248/354706948552249.351864758552396/354706
948552397. 351864758552446/354706948552447. 351864758552479/354706948552470. 351864758552586/354706948552587. 351864758552594/354
706948552595. 351864758552636/354706948552637. 351864758552644/354706948552645. 351864758552701/354706948552702. 351864758552743/
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032024001418867-6
Espacio para uso exclusivo de la Entidad Recaudadora
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