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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
0320240006328821
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. 116575014380506
43 . Año Mes
Día
2024 05
07
44 . Documento de transporte
No. 41N0662658
45 . Año Mes
Día
2024 04
27
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
20983
52 . Año Mes
Día
2024 04
27
53 . Cod. país
procedencia
351
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
ATLAS AIR INC SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
3.898.62
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.
851.36
72 . Peso neto kgs. dcms.
766.22
73 . Código
embalaje
PK
74 . No. bultos
6
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
2.060.00
78 .Valor FOB
USD
125.238.45
79 . Valor fletes USD
6.496.59 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
513.937.531
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
513.937.531
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
90.46
81 . Valor Otros Gastos USD
0
82 . Sumatoria
de fletes,
seguros
y otros gastos
USD
6.587.05
83 . Ajuste valor USD
0.00
84 . Valor
aduana USD
131.825.50
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 202429496 CODIGO / RESOLUCION OEA IMPORTADOR: OE0169; DECLARACION(33)
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.. FACTURA: 20983 FECHA: 20240427
NOS ACOGEMOS AL DECRETO 1881 DEL 2021, NOS ACOGEMOS AL DECRETO 0925 DE MAYO 9 DEL
2013, MINISTERIO DE COMERCIO EXTERIOR, IMPORTACIÓN EXENTA DE REGISTRO DE IMPORTACIÓN.. CANT (2060) U DOCUMENTO DE VERIFICACION DE
IMEI: DV202995
FECHA: 20240430.
REFERENCIA: 54102// MZB0GHTVS, HOMOLOGACION DE EQUIPO MARCA REDMI MODELO: 2312CRNCCL, RADICAC
ION:2024501192, FECHA:23/01/2024, TELEFONO CELULAR, 1062954 MZB0GHTUS MOBILE PHONE REDMI A3 STAR BLUE 3GB R(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
032024000632882
133. Feha: 2024 05 09
134 . Levante No. 032024000600335 135 . Fecha
2024 05
09
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 92032403455046
Fecha presentación 20240509
17:08:47
Valor pagado $0.00
Fecha de Impresión: 20240509
17:32:08
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320240006328821
Subpartida :
8517130000
Página 1 de 11
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
AM 64GB ROM, ESPECIFICACIONES: PROCESADOR: MEDIATEK HELIO G36, PANTALLA/DISPLAY: 6.71, MEMORIA: 3 GB ALMACENAMIENTO: 64 GB, SISTE
MA OPERATIVO: Android 14, EAN: 6941812766675, REDMI A3 AZUL ESTELAR,ALIMENTACION: 5V=2A. EAN: 6941812766675, CONTIENE: TELEFONO C
ELULAR, ADAPTADOR DE CORRIENTE, CABLE USB TIPO C, LLAVE PARA SIM CARD, GUIA DE INICIO, TARJETA DE GARANTIA, PRODUCTO CON EMPAQUE
TERMOSELLADO. // COD:1062954. PRODUCTO: TELEFONO CELULAR, MARCA: REDMI/MI, MODELO: 2312CRNCCL, REFERENCIA: 54102/MZB0GHTVS, USO O
DESTINO: COMUNICACIÓN, PARA ALMACENAMIENTO Y PROCESAMIENTO DE DATOS, SERIAL:IMEI NO. (CODIGO DE QUINCE 15DIGITOS):
54102/64RF0
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0320240006328821
Espacio para uso exclusivo de la Entidad
Recaudadora
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320240006328821
Subpartida :
8517130000
Página 2 de 11
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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0320240006328821
Espacio para uso exclusivo de la Entidad
Recaudadora
REPÚBLICA DE COLOMBIA
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de
Importación
Aceptación :
0320240006328821
Subpartida :
8517130000
Página 3 de 11
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 11
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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0320240006328821
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Página 6 de 11
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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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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0320240006328821
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Página 9 de 11
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 11 de 11
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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RJ08919//869857076171027//869857076171035, 54102/64RJ08922//869857076115784//869857076115792, 54102/64RJ08924//869857076181000//8
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57076111338, 54102/64RJ08954//869857076117707//869857076117715, 54102/64RJ09047//869857076200362//869857076200370, 54102/64RJ0906
1//869857076168247//869857076168254, 54102/64RJ09160//869857076114381//869857076114399, 54102/64RJ09258//869857076170326//8698570
76170334, 54102/64RJ09261//869857076171308//869857076171316, 54102/64RJ09264//869857076130163//869857076130171, 54102/64RJ09270//
869857076115248//869857076115255, 54102/64RJ09271//869857076141640//869857076141657, 54102/64RJ09272//869857076145088//8698570761
45096, 54102/64RJ09274//869857076138364//869857076138372, 54102/64RJ09276//869857076150484//869857076150492, 54102/64RJ09281//869
857076163040//869857076163057, 54102/64RJ09285//869857076122921//869857076122939, 54102/64RJ09291//869857076177149//8698570761771
56, 54102/64RJ09295//869857076178501//869857076178519, 54102/64RJ09423//869857076128068//869857076128076, 54102/64RJ09425//869857
076047789//869857076047797, 54102/64RJ09431//869857076139982//869857076139990, 54102/64RJ09438//869857076132607//869857076132615,
54102/64RJ09547//869857076126468//869857076126476, 54102/64RJ09665//869857076125320//869857076125338, 54102/64RJ09671//869857076
116386//869857076116394, 54102/64RJ09673//869857076121543//869857076121550, 54102/64RJ09759//869857076149783//869857076149791, 54
102/64RJ09769//869857076139842//869857076139859, 54102/64RJ09795//869857076143729//869857076143737, 54102/64RJ09856//869857075984
248//869857075984255, 54102/64RJ09872//869857076104309//869857076104317, 54102/64RJ09873//869857076115107//869857076115115, 54102
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//869857076137119, 54102/64RJ10069//869857076131500//869857076131518, 54102/64RJ10073//869857076135006//869857076135014, 54102/64
RJ10080//869857076000929//869857076000937, 54102/64RJ10086//869857076056905//869857076056913, 54102/64RJ10087//869857076135865//8
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0105//869857076163305//869857076163313, 54102/64RJ10120//869857076180242//869857076180259, 54102/64RJ10121//869857076167702//8698
57076167710, 54102/64RJ10122//869857076176182//869857076176190, 54102/64RJ10218//869857076135840//869857076135857, 54102/64RJ1022
9//869857076137846//869857076137853, 54102/64RJ10252//869857076133282//869857076133290, 54102/64RJ10255//869857076139362//8698570
76139370, 54102/64RJ10257//869857076138281//869857076138299, 54102/64RJ10259//869857076055428//869857076055436, 54102/64RJ10261//
869857076140022//869857076140030, 54102/64RJ10263//869857076055246//869857076055253, 54102/64RJ10264//869857076124406//8698570761
24414, 54102/64RJ10265//869857076139081//869857076139099, 54102/64RJ10267//869857076140428//869857076140436, 54102/64RJ10270//869
857076136962//869857076136970, 54102/64RJ10275//869857076140584//869857076140592, 54102/64RJ10280//869857076134207//8698570761342
15, 54102/64RJ10281//869857076140204//869857076140212, 54102/64RJ10289//869857076130700//869857076130718, 54102/64RJ10293//869857
076134082//869857076134090, 54102/64RJ10352//869857075907868//869857075907876, 54102/64RJ10373//869857076010944//869857076010951,
54102/64RJ10433//869857075690183//869857075690191, 54102/64RJ10443//869857076069346//869857076069353, 54102/64RJ10446//869857075
999626//869857075999634, 54102/64RJ10450//869857075881188//869857075881196, 54102/64RJ10454//869857075888944//869857075888951, 54
102/64RJ10554//869857076132565//869857076132573, 54102/64RJ10556//869857076154668//869857076154676, 54102/64RJ10559//869857076155
624//869857076155632, 54102/64RJ10560//869857076136301//869857076136319, 54102/64RJ10561//869857076136921//869857076136939, 54102
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//869857076135717, 54102/64RJ10570//869857075863061//869857075863079, 54102/64RJ10572//869857075882764//869857075882772, 54102/64
RJ10580//869857076131005//869857076131013, PAIS ORIGEN: CHINA 215.
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