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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
0320240013449557
5 . Número de Identificación Tributaria (NIT)
800091549
6 . DV.
2
11 . Apellidos y nombres o Razón Social
IMPRESISTEM S A S
13 . Dirección
AUT MEDELLIN CL 80 KM 2
15 . Teléfono
8766500
12 . Cód. Admón.
03
16 . Cód. Dpto
25
17 . Cód. Ciudad Municipio
214
24 . Número de Identificación Tributaria (NIT)
830122083
25 . DV.
6
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS LATINOAMERICANA DE ADUANAS SAS NIVEL2
27 . Tipo usuario
26
28 . Cód. usuario
459
29 . Número documento de identificación
1024471947
30 . Apellidos y nombres
SOLER CASAS JEIMY CAROLINA
31 . Clase
Importador
02
32 . Tipo declaración
Inicial
33 . Cod.
1
34 .No.Formulario Anterior
XXXXXXXXXXXXXX
35 . Año Mes
Día
XXXX XX
XX
36 . Cod. Admón.
XX
37 . Declaración de Exportación
No. XXXXXXXXXXXXXXX
38 . Año Mes
Día
XXXX XX
XX
39 . Cod. Admón.
XX
40 . Cod. lugar ingreso
de las mercancías
BOG
41 . Cod. Depósito
26924
42 . Manifiesto de carga
No. 116575014803769
43 . Año Mes
Día
2024 09
22
44 . Documento de transporte
No. 41N0677844
45 . Año Mes
Día
2024 09
14
46 . Nombre exportador o proveedor en el exterior
IMC INTERNATIONAL INC
47 . Ciudad
MIAMI
48 . Cod.País Exportador
249
49 . Dirección exportador o proveedor en el exterior
7707 NW 46 STREET MIAMI, FL 33166
50 . Email
3059947965
51 . No. de factura
21448
52 . Año Mes
Día
2024 09
14
53 . Cod. país
procedencia
351
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
EMIRATES SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.175.10
S 59 . Subpartida arancelaria
8517130000
60 . Cod.
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
de origen
215
67 . Cod. Acuerdo
XXX
68 . Forma de pago
de la importación
03
69 . Tipo de
importación
01
70 . Cod. país
compra
249
71 . Peso bruto kgs. dcms.
485.00
72 . Peso neto kgs. dcms.
436.50
73 . Código
embalaje
PK
74 . No. bultos
3
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
1.000.00
78 .Valor FOB
USD
79 . Valor fletes USD
Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93 94
0
95
0
96
0.00
I.V.A.
97
0.00
98 99
0
100
0
101
0.00
Salvaguardia
102
0.00
103
0
104
0
105
0
106
0.00
Derechos
Compensatorios
107
0.00
108
0
109
0
110
0
111
0.00
Derechos
Antidumping
112
0.00
113
0
114
0
115
0
116
0.00
Sancion
117
0
118
0
119
0
120
0
Rescate
121
0
122
0
123
0
124
0
Total
125
0
126
0.00
80 . Valor
Seguros USD
81 . Valor Otros Gastos USD
0
82 . Sumatoria
de fletes,
seguros
y otros gastos
USD
83 . Ajuste valor USD
0.00
84 . Valor
aduana USD
85 . Código registro
o licencia
X
86 . Número
XXXXXXXXXX
87 .
Cod.
oficina
99
88 . Año
XXXX
89 . Programa No
XXXXXXXXXX
90 . Cód Interno del
Producto
0
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(23)
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: DV214129
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
(1000) 81,71 TELEFONO CELULAR, 1064244 REDMI 14C STARRY BLUE 4GB RAM 128GB ROM // ESPECIFICACIONES: PROCESA(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
032024001344955
133. Feha: 2024 09 27
134 . Levante No. 032024001264976 135 . Fecha
2024 09
27
Firma funcionario responsable 136 . Nombre
137 . C.C. No.
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 92032407212718
Fecha presentación 20240927
08:58:33
Valor pagado $0.00
Fecha de Impresión: 20240927
09:00:58
Kelly Johanna Gonzalez Acero
C.C 1.023.862.658
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320240013449557
Subpartida :
8517130000
Página 1 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
DOR: MEDIATEK HELIO G81 ULTRA, PANTALLA: 6.88 PULGADAS (17.47 CM), MEMORIA: 4GB, ALMACENAMIENTO: 128GB, SISTEMA OPERATIVO: HYPERO
S// EAN: 6941812762820 // REDMI 14C AZUL ASTRAL (4GB RAM128GB
ROM), ALIMENTACION: 5V3A/
3.611V3A
(33 W MAX), CAMARA DUAL DE 50
MP CON IA MASSIVE 5160MAH TYP BATTERY, CONTIENE: TELEFONO CELULAR, ADAPTADOR DE CORRIENTE, CABLE USB TIPOC,
LLAVE PARA SIM CARD,
CARCASA PROTECTORA, GUIA DE INICIO RAPIDO, TARJETA DE GARANTIA, PRODUCTO TERMOSELLADO. COD: 1064244. PRODUCTO: TELEFONO CELULAR,
MARCA: REDMI/MI, MODELO: 2409BRN2CL, REFERENCIA: 59141/MZB0HX6US, USO O DESTINO: COMUNICACIÓN, PARA ALMACENAMIENTO Y PROCESAMIEN
TO DE DATOS, SERIAL// IMEI NO. (CODIGO DE QUINCE 15DIGITOS):
59141/64VW08171//866572073174121//866572073174139, 59141/64VW0818
0//866572073174303//866572073174311, 59141/64VW08184//866572073174386//866572073174394, 59141/64VW08192//866572073174543//8665720
73174550, 59141/64VW08823//866572073174568//866572073174576, 59141/64VW08827//866572073174642//866572073174659, 59141/64VW08829//
866572073174683//866572073174691, 59141/64VW08839//866572073174881//866572073174899, 59141/64VW08848//866572073176084//8665720731
76092, 59141/64VW08849//866572073176100//866572073176118, 59141/64VW08861//866572073176340//866572073176357, 59141/64VW08864//866
572073176407//866572073176415, 59141/64VW08869//866572073176480//866572073176498, 59141/64VW08878//866572073176662//8665720731766
70, 59141/64VW08896//866572073202328//866572073202336, 59141/64VW09081//866572073203524//866572073203532, 59141/64VW09316//866572
073215643//866572073215650, 59141/64VW10619//866572073172521//866572073172539, 59141/64VW11255//866572073260821//866572073260839,
59141/64VW11460//866572073272487//866572073272495, 59141/64VW12517//866572073267487//866572073267495, 59141/64VW12676//866572073
283021//866572073283039, 59141/64VW13200//866572073252083//866572073252091, 59141/64VW13228//866572073252646//866572073252653, 59
141/64VW13374//866572073267925//866572073267933, 59141/64VW13388//866572073268204//866572073268212, 59141/64VW13395//866572073268
345//866572073268352, 59141/64VW13399//866572073268428//866572073268436, 59141/64VW13400//866572073268444//866572073268451, 59141
/64VW13530//866572073268527//866572073268535, 59141/64VW13536//866572073268642//866572073268659, 59141/64VW13537//866572073268667
//866572073268675, 59141/64VW13540//866572073268725//866572073268733, 59141/64VW13543//866572073268782//866572073268790, 59141/64
VW13544//866572073268808//866572073268816, 59141/64VW13546//866572073268840//866572073268857, 59141/64VW13548//866572073268881//8
66572073268899, 59141/64VW13549//866572073268907//866572073268915, 59141/64VW13555//866572073288160//866572073288178, 59141/64VW1
3556//866572073288186//866572073288194, 59141/64VW13561//866572073288285//866572073288293, 59141/64VW13564//866572073288343//8665
72073288350, 59141/64VW13566//866572073288384//866572073288392, 59141/64VW13660//866572073288582//866572073288590, 59141/64VW1415
1//866572073269327//866572073269335, 59141/64VW14244//866572073269509//866572073269517, 59141/64VW14245//866572073269525//8665720
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90, 59141/64VX00869//867957078029520//867957078029538, 59141/64VX01152//867957078011403//867957078011411, 59141/64VX01170//867957
078019984//867957078019992, 59141/64VX01214//867957078012765//867957078012773, 59141/64VX01215//867957078012781//867957078012799,
59141/64VX01228//867957078013045//867957078013052, 59141/64VX01328//867957077974965//867957077974973, 59141/64VX01539//867957077
978701//867957077978719, 59141/64VX01546//867957077978842//867957077978859, 59141/64VX01549//867957077978909//867957077978917, 59
141/64VX01564//867957077986845//867957077986852, 59141/64VX01570//867957077986969//867957077986977, 59141/64VX01577//867957077987
108//867957077987116, 59141/64VX01708//867957078018044//867957078018051, 59141/64VX01774//867957077988007//867957077988015, 59141
/64VX01780//867957077988122//867957077988130, 59141/64VX01789//867957077988304//867957077988312, 59141/64VX01880//867957078020388
//867957078020396, 59141/64VX01883//867957078020446//867957078020453, 59141/64VX01896//867957078020701//867957078020719, 59141/64
VX01897//867957078020727//867957078020735, 59141/64VX01911//867957078021006//867957078021014, 59141/64VX01912//867957078027383//8
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1963//867957077953324//867957077953332, 59141/64VX02212//867957077987207//867957077987215, 59141/64VX02222//867957077987405//8679
57077987413, 59141/64VX02291//867957078023622//867957078023630, 59141/64VX02404//867957078026104//867957078026112, 59141/64VX0255
1//867957078027565//867957078027573, 59141/64VX02554//867957078027623//867957078027631, 59141/64VX02560//867957078027748//8679570
78027755, 59141/64VX02561//867957078027763//867957078027771, 59141/64VX02569//867957078027920//867957078027938, 59141/64VX02572//
867957078027987//867957078027995, 59141/64VX02573//867957078028001//867957078028019, 59141/64VX02576//867957078028068//8679570780
28076, 59141/64VX02577//867957078028084//867957078028092, 59141/64VX02583//867957078028209//867957078028217, 59141/64VX02584//867
957078028225//867957078028233, 59141/64VX02588//867957077931122//867957077931130, 59141/64VX02849//867957077951047//8679570779510
54, 59141/64VX02850//867957077951062//867957077951070, 59141/64VX03184//867957077982026//867957077982034, 59141/64VX03676//867957
077947284//867957077947292, 59141/64VX03874//867957078004408//867957078004416, 59141/64VX04006//867957077948001//867957077948019,
59141/64VX04196//867957078004960//867957078004978, 59141/64VX04219//867957077990920//867957077990938, 59141/64VX04447//867957077
969502//867957077969510, 59141/64VX04520//867957077991068//867957077991076, 59141/64VX04530//867957077991266//867957077991274, 59
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428//867957077960436, 59141/64VX04797//867957077977927//867957077977935, 59141/64VX04881//867957077995606//867957077995614, 59141
/64VX04923//867957077939125//867957077939133, 59141/64VX04945//867957077960881//867957077960899, 59141/64VX04967//867957077967167
//867957077967175, 59141/64VX04968//867957077967183//867957077967191, 59141/64VX05015//867957073981964//867957073981972, 59141/64
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5//867957073945282//867957073945290, 59141/64VX05356//867957073945308//867957073945316, 59141/64VX05357//867957073945324//8679570
0320240013449557
Espacio para uso exclusivo de la Entidad
Recaudadora
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320240013449557
Subpartida :
8517130000
Página 2 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
73945332, 59141/64VX05358//867957073945340//867957073945357, 59141/64VX05359//867957073945365//867957073945373, 59141/64VX05360//
867957073945381//867957073945399, 59141/64VX05361//867957073945407//867957073945415, 59141/64VX05364//867957073945464//8679570739
45472, 59141/64VX05365//867957073952445//867957073952452, 59141/64VX05367//867957073952486//867957073952494, 59141/64VX05368//867
957073952502//867957073952510, 59141/64VX05369//867957073952528//867957073952536, 59141/64VX05370//867957073952544//8679570739525
51, 59141/64VX05371//867957073952569//867957073952577, 59141/64VX05372//867957073952585//867957073952593, 59141/64VX05373//867957
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0320240013449557
Espacio para uso exclusivo de la Entidad
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Página 3 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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Página 5 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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0320240013449557
Espacio para uso exclusivo de la Entidad
Recaudadora
REPÚBLICA DE COLOMBIA
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Aceptación :
0320240013449557
Subpartida :
8517130000
Página 6 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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46757, 59141/64VX10599//867957074146765//867957074146773, 59141/64VX10600//867957074146781//867957074146799, PAIS ORIGEN: CHINA 215.
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0320240013449557
Espacio para uso exclusivo de la Entidad
Recaudadora
