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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
032024001609545-1
5 . Número de Identificación Tributaria (NIT)
830028931
6 . DV.
5
11 . Apellidos y nombres o Razón Social
SAMSUNG ELECTRONICS COLOMBIA S.A.
13 . Dirección
CR 7 113 43 OF 607
15 . Teléfono
4870707
12 . Cód. Admón.
03
16 . Cód. Dpto
11
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
860536003
25 . DV.
3
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS ABC REPECEV S.A.S. NIVEL 1
27 . Tipo usuario
26
28 . Cód. usuario
99
29 . Número documento de identificación
102294385
30 . Apellidos y nombres
CARLOS ANDRES ROJAS MATAJUDIOS
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
99900
42 . Manifiesto de carga
No. 116575014980193
43 . Año – Mes – Día
2024 – 11 – 15
44 . Documento de transporte
No. HKG0402598
45 . Año – Mes – Día
2024 – 11 – 10
46 . Nombre exportador o proveedor en el exterior
SAMSUNG ELECTRONICS CO., LTD
47 . Ciudad
GYEONGGI-DO
48 . Cod.País Exportador
190
49 . Dirección exportador o proveedor en el exterior
129, SAMSUNG-RO, YEONGTONG-GU SUWON 16677
50 . E-mail
010-8705-6749
51 . No. de factura
6900316617
52 . Año – Mes – Día
2024 – 11 – 04
53 . Cod. país
procedencia
351
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
244
56 . Cod. Depto
destino
0
57 . Empresa transportadora
EMIRATES SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.475.57
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
01
69 . Tipo de
importación
01
70 . Cod. país
compra
190
71 . Peso bruto kgs. dcms.
137.00
72 . Peso neto kgs. dcms.
105.60
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
400.00
78 .Valor FOB
USD
26.423.72
79 . Valor fletes USD
1.075.45 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
123.080.413
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
123.080.413
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
1.33
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.076.78
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
27.500.50
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)
NAC: 538083-DECL: 1857928-DO: 893127353241- 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 R
ESOLUCIÓN 5050 DEL 10DE NOVIEMBRE DE 2016. (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN)/ NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANC
IA QUE NO REQUIERE REGISTRO DEIMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3077132286. ID DELIVERY:
6078953950. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A057MZKHLTC, PRODUCTO: TELEFONO CELULAR GALAXY A05S DUOS (CON ACCESORIOS PAR
A USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODELO: SM-A057M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y (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
032024001609545
133. Feha: 202411 18
134 . Levante No. 032024001509318 135 . Fecha
2024 – 11 – 18
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 92032408599131
Fecha presentación 2024-11-18 15:51:21
Valor pagado $0.00
Fecha de Impresión: 2024-11-18 15:51:27
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001609545-1
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
AL DETAL/ /MOBILE,SM-A057M/DS,BLACK,LTC( QTY. 400,00 u )(400,00 PCE); IMEIS: 350290618584521/355253228584526. 350290618584547/355
253228584542. 350290618584554/355253228584559. 350290618584562/355253228584567. 350290618584570/355253228584575. 350290618584596/
355253228584591. 350290618584604/355253228584609. 350290618584612/355253228584617. 350290618584638/355253228584633. 3502906185846
46/355253228584641. 350290618584653/355253228584658. 350290618584661/355253228584666. 350290618584679/355253228584674.35029061858
4695/355253228584690. 350290618584703/355253228584708. 350290618584711/355253228584716. 350290618584729/355253228584724. 35029061
8584745/355253228584740. 350290618584778/355253228584773. 350290618584794/355253228584799. 350290618584802/355253228584807. 35029
0618584810/355253228584815. 350290618584828/355253228584823. 350290618584836/355253228584831. 350290618584851/355253228584856. 35
0290618584877/355253228584872. 350290618584885/355253228584880. 350290618584901/35525322858 4906. 350290618584919/355253228584914
. 350290618584927/355253228584922. 350290618584943/355253228584948. 350290618584984/355253228584989. 350290618585023/355253228585
028. 350290618585049/355253228585044. 350290618585056/355253228585051. 350290618585361/355253228585366. 350290618585460/355253228
585465. 350290618587458/355253228587453. 350290618588225/355253228588220. 350290618588258/355253228588253. 350290618588274/355253
228588279. 350290618588282/355253228588287. 350290618588332/355253228588337. 350290618588357/355253228588352. 350290618588365/355
253228588360. 350290618588407/355253228588402. 350290618588449/355253228588444. 350290618588530/355253228588535. 350290618588571/
355253228588576. 350290618588639/355253228588634. 350290618588704/355253228588709. 350290618588712/355253228588717. 3502906185887
20/355253228588725. 350290618588738/355253228588733. 350290618588761/355253228588766. 350290618588779/355253228588774. 3502906185
88803/355253228588808. 350290618588829/355253228588824. 350290618588852/355253228588857. 350290618588878/355253228588873. 3502906
18588894/355253228588899. 350290618588951/355253228588956. 350290618588969/355253228588964. 350290618589009/355253228589004. 3502
90618589066/355253228589061. 350290618589132/355253228589137.350290618589165/355253228589160. 350290618589181/355253228589186. 35
0290618589207/355253228589202. 350290618589223/355253228589228. 350290618589231/355253228589236. 350290618590361/355253228590366.
350290618590387/355253228590382. 350290618590510/355253228590515. 350290618590593/355253228590598. 350290618590759/3552532285907
54. 350290618592599/355253228592594. 350290618593340/355253228593345. 350290618593514/355253228593519. 350290618594090/3552532285
94095. 350290618594108/355253228594103. 350290618594116/355253228594111. 350290618594124/355253228594129.350290618594231/35525322
8594236. 350290618594249/355253228594244. 350290618594256/355253228594251. 350290618594280/355253228594285. 350290618594298/35525
3228594293. 350290618594306/355253228594301. 350290618594355/355253228594350. 350290618594389/355253228594384. 350290618594397/35
5253228594392. 350290618594405/355253228594400. 350290618594447/355253228594442. 350290618594454/355253228594459. 350290618594488
/355253228594483. 350290618594504/355253228594509. 350290618594520/355253228594525. 350290618594538/355253228594533. 350290618594
546/355253228594541. 350290618594553/355253228594558. 350290618594579/355253228594574. 350290618594777/355253228594772. 350290618
595931/355253228595936. 350290618595998/355253228595993. 350290618596087/355253228596082. 350290618596103/355253228596108. 350290
618597077/355253228597072. 350290618597770/355253228597775. 350290618599008/355253228599003. 350290618599016/355253228599011. 350
290618599123/355253228599128. 350290618599180/355253228599185. 350290618599255/355253228599250. 350290618599263/355253228599268.
350290618599347/355253228599342. 350290618599362/355253228599367. 350290618599495/355253228599490. 350290618599685/35525322859968
0. 350290618599693/355253228599698. 350290618599701/355253228599706. 350290618599719/355253228599714. 350290618599768/35525322859
9763. 350290618599776/355253228599771. 350290618599784/355253228599789. 350290618599792/355253228599797. 350290618599800/35525322
8599805. 350290618599974/355253228599979. 350290618601200/355253228601205. 350290618601911/355253228601916. 350290618569746/35525
3228569741. 350290618569761/355253228569766. 350290618569779/355253228569774. 350290618569795/355253228569790. 350290618569803/35
5253228569808. 350290618569811/355253228569816.350290618569837/355253228569832. 350290618569845/355253228569840. 350290618569852/
355253228569857. 350290618569860/355253228569865. 350290618569878/355253228569873. 350290618569886/355253228569881. 3502906185698
94/355253228569899. 350290618569902/355253228569907. 350290618569910/355253228569915. 350290618569928/355253228569923. 3502906185
69936/355253228569931. 350290618569944/355253228569949. 350290618569951/355253228569956. 350290618569969/355253228569964. 3502906
18569977/355253228569972. 350290618569985/355253228569980. 350290618569993/355253228569998.350290618570009/355253228570004. 35029
0618570017/355253228570012. 350290618570033/355253228570038. 350290618570041/355253228570046. 350290618570058/355253228570053. 35
0290618570066/355253228570061. 350290618570074/355253228570079. 350290618570082/355253228570087. 350290618570090/355253228570095.
350290618570108/355253228570103. 350290618570116/355253228570111. 350290618570124/355253228570129. 350290618571528/3552532285715
23. 350290618571544/355253228571549. 350290618571551/355253228571556. 350290618571577/355253228571572. 350290618571601/3552532285
71606. 350290618571700/355253228571705. 350290618571882/355253228571887. 350290618571981/355253228571986. 350290618572039/3552532
28572034. 350290618572070/355253228572075. 350290618575776/355253228575771. 350290618575784/355253228575789. 350290618575792/3552
53228575797. 350290618575818/355253228575813. 350290618576543/355253228576548. 350290618576634/355253228576639. 350290618576675/3
55253228576670. 350290618576691/355253228576696. 350290618576774/355253228576779. 350290618576790/355253228576795. 35029061857683
2/355253228576837. 350290618576899/355253228576894. 350290618577012/355253228577017. 350290618577046/355253228577041. 35029061857
7129/355253228577124. 350290618577152/355253228577157. 350290618577228/355253228577223. 350290618577376/355253228577371. 35029061
8577640/355253228577645. 350290618577657/355253228577652. 350290618577731/355253228577736. 350290618577756/355253228577751. 35029
0618577764/355253228577769. 350290618577780/355253228577785. 350290618577798/355253228577793. 350290618577822/355253228577827. 35
0290618577830/355253228577835. 350290618577848/355253228577843. 350290618577863/355253228577868. 350290618577897/355253228577892.
350290618577913/355253228577918.350290618577954/355253228577959. 350290618577962/355253228577967. 350290618577970/35525322857797
5. 350290618577988/355253228577983. 350290618578002/355253228578007. 350290618578010/355253228578015. 350290618578028/35525322857
8023. 350290618578036/355253228578031. 350290618578051/355253228578056. 350290618578101/355253228578106. 350290618578127/35525322
8578122. 350290618578168/355253228578163. 350290618578176/355253228578171. 350290618578192/355253228578197. 350290618572088/35525
3228572083. 350290618572104/355253228572109. 350290618572138/355253228572133.350290618572146/355253228572141. 350290618572229/355
253228572224. 350290618572252/355253228572257. 350290618572294/355253228572299. 350290618572302/355253228572307. 350290618572310/
355253228572315. 350290618572328/355253228572323. 350290618572336/355253228572331. 350290618572344/355253228572349. 3502906185723
51/355253228572356. 350290618572369/355253228572364. 350290618572377/355253228572372. 350290618572385/355253228572380. 3502906185
72393/355253228572398. 350290618572401/355253228572406. 350290618572435/355253228572430. 350290618572443/355253228572448. 3502906
18572450/355253228572455. 350290618572468/355253228572463. 350290618572476/355253228572471. 350290618572484/355253228572489. 3502
90618572518/355253228572513. 350290618572534/355253228572539. 350290618572542/355253228572547. 350290618572575/355253228572570. 3
50290618572583/355253228572588. 350290618572591/355253228572596. 350290618572609/355253228572604. 350290618572617/355253228572612
. 350290618572633/355253228572638. 350290618572641/355253228572646. 350290618573458/355253228573453. 350290618573615/355253228573
610. 350290618573631/355253228573636. 350290618573672/355253228573677. 350290618573680/355253228573685. 350290618573698/355253228
573693. 350290618573805/355253228573800. 350290618573821/355253228573826. 350290618573904/355253228573909. 350290618573953/355253
228573958. 350290618574027/355253228574022. 350290618574035/355253228574030. 350290618574050/355253228574055. 350290618574076/355
253228574071. 350290618574084/355253228574089. 350290618574100/355253228574105. 350290618574134/355253228574139. 350290618574209/
355253228574204. 350290618574217/355253228574212. 350290618574233/355253228574238. 350290618574266/355253228574261. 3502906185744
49/355253228574444.350290618574555/355253228574550. 350290618574589/355253228574584. 350290618574621/355253228574626. 35029061857
4639/355253228574634. 350290618574662/355253228574667. 350290618574688/355253228574683. 350290618574696/355253228574691. 35029061
8574712/355253228574717. 350290618574738/355253228574733. 350290618574746/355253228574741. 350290618574761/355253228574766. 35029
0618574779/355253228574774. 350290618574902/355253228574907. 350290618574936/355253228574931. 350290618575008/355253228575003. 35
032024001609545-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001609545-1
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
0290618575016/355253228575011. 350290618575099/355253228575094.350290618575172/355253228575177. 350290618575198/355253228575193.
350290618575230/355253228575235. 350290618575248/355253228575243. 350290618575271/355253228575276. 350290618575297/35525322857529
2. 350290618575339/355253228575334. 350290618575347/355253228575342. 350290618575354/355253228575359. 350290618575438/35525322857
5433. 350290618575453/355253228575458. 350290618575495/355253228575490. 350290618575529/355253228575524. 350290618575545/35525322
8575540. 350290618575735/355253228575730. 350290618575743/355253228575748. 350290618575768/355253228575763. 350290618578218/35525
3228578213. 350290618578234/355253228578239. 350290618578259/355253228578254. 350290618578267/355253228578262. 350290618578275/35
5253228578270. 350290618578291/355253228578296. 350290618578309/355253228578304. 350290618578317/355253228578312. 350290618578333
/355253228578338. 350290618578366/355253228578361. 350290618578382/355253228578387. 350290618578390/355253228578395. 350290618578
408/355253228578403. 350290618578424/355253228578429. 350290618578440/355253228578445. 350290618578473/355253228578478. 350290618
578481/355253228578486. 350290618578499/355253228578494. 350290618578515/355253228578510. 350290618578523/355253228578528. 350290
618578556/355253228578551. 350290618578580/355253228578585. 350290618578598/355253228578593. 350290618578671/355253228578676. 350
290618578689/355253228578684. 350290618578697/355253228578692. 350290618578754/355253228578759. 350290618578762/355253228578767.
350290618578770/355253228578775. 350290618578804/355253228578809. 350290618578812/355253228578817. 350290618578887/35525322857888
2. 350290618578903/355253228578908. 350290618578911/355253228578916. 350290618578960/355253228578965. 350290618578986/35525322857
8981.350290618579398/355253228579393. 350290618579943/355253228579948. 350290618580107/355253228580102. 350290618580156/355253228
580151. 350290618580305/355253228580300. 350290618580370/355253228580375. 350290618580545/355253228580540. 350290618580610/355253
228580615. 350290618580628/355253228580623. 350290618580669/355253228580664. 350290618580735/355253228580730. 350290618580958/355
253228580953. 350290618581303/355253228581308. 350290618581915/355253228581910. 350290618581923/355253228581928. 350290618581931/
355253228581936. 350290618581949/355253228581944.350290618581956/355253228581951. 350290618581964/355253228581969. 35029061858197
2/355253228581977. 350290618581980/355253228581985. 350290618581998/355253228581993. 350290618582046/355253228582041. 35029061858
2061/355253228582066. 350290618582079/355253228582074. 350290618582087/355253228582082. 350290618582095/355253228582090. 35029061
8582103/355253228582108. 350290618582111/355253228582116. 350290618582137/355253228582132. 350290618582145/355253228582140. 35029
0618582178/355253228582173. 350290618582186/355253228582181. 350290618582194/355253228582199. 350290618582202/355253228582207. 35
0290618582210/355253228582215. 350290618582228/355253228582223. 350290618582244/355253228582249. 350290618582269/355253228582264.
350290618582277/355253228582272. 350290618582285/355253228582280. 350290618582293/355253228582298. 350290618582319/3552532285823
14. 350290618582327/355253228582322. 350290618582335/355253228582330. 350290618582343/355253228582348. 350290618582350/3552532285
82355. 350290618582368/355253228582363. 350290618582376/355253228582371. 350290618582384/355253228582389. 350290618582392/3552532
28582397. 350290618582418/355253228582413. 350290618582814/355253228582819. 350290618583218/355253228583213XXXXXXXXXXXXXXXXXXXXXX
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032024001609545-1
Espacio para uso exclusivo de la Entidad Recaudadora
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