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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
032024001637529-0
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
Anticipada
33 . Cod.
3
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. 116575015007515
43 . Año – Mes – Día
2024 – 11 – 23
44 . Documento de transporte
No. SHAN0358597
45 . Año – Mes – Día
2024 – 11 – 16
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
9103035292
52 . Año – Mes – Día
2024 – 11 – 16
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
TAMPA CARGO S.A.S.
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
855
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.
107.00
72 . Peso neto kgs. dcms.
84.00
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
300.00
78 .Valor FOB
USD
48.143.80
79 . Valor fletes USD
1.036.83 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
220.122.004
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
220.122.004
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
2.38
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.039.21
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
49.183.01
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: 538853-DECL: 1860775-DO: 893127956241- 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: 3078058219. ID DELIVERY:
6079077126. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A356ELVGLTC, PRODUCTO: TELEFONO CELULAR GALAXY A35 5G DUOS(CON ACCESORIOS PA
RA USO Y NORMAL FUNCIONAMIENTO), COLOR: VIOLETA CLARO, MODELO: SM-A356E/DS, USO O DESTINO: PARA LA VENTA AL(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
032024001637529
133. Feha: 202411 22
134 . Levante No. 032024001545565 135 . Fecha
2024 – 11 – 25
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 92032408737520
Fecha presentación 2024-11-22 13:24:28
Valor pagado $0.00
Fecha de Impresión: 2024-11-25 15:05:01
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001637529-0
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
MAYOR Y AL DETAL./ /MOBILE,SM-A356E/DS,LIGHT VIOLET,LTC( QTY. 300,00 u )(300,00 PCE); IMEIS: 351676567199999/357896817199995. 35
1676567200011/357896817200017. 351676567200029/357896817200025. 351676567200037/357896817200033. 351676567200045/357896817200041.
351676567200078/357896817200074. 351676567200086/357896817200082. 351676567200094/357896817200090. 351676567200136/3578968172001
32. 351676567200169/357896817200165. 351676567200177/357896817200173. 351676567200185/357896817200181. 351676567200201/3578968172
00207. 351676567200227/357896817200223. 351676567200276/357896817200272. 351676567200318/357896817200314. 351676567200391/3578968
17200397. 351676567200433/357896817200439. 351676567200565/357896817200561. 351676567200615/357896817200611. 351676567200664/3578
96817200660. 351676567200714/357896817200710. 351676567200813/357896817200819. 351676567201118/357896817201114. 351676567201126/3
57896817201122. 351676567201217/357896817201213. 351676567201233/357896817201239. 351676567 201241/357896817201247. 3516765672012
66/357896817201262. 351676567201274/357896817201270. 351676567201290/357896817201296. 351676567201324/357896817201320. 3516765672
01332/357896817201338. 351676567201340/357896817201346. 351676567201357/357896817201353. 351676567201365/357896817201361. 3516765
67201373/357896817201379. 351676567201381/357896817201387. 351676567201399/357896817201395. 351676567201407/357896817201403.35167
6567201415/357896817201411. 351676567201431/357896817201437. 351676567201449/357896817201445. 351676567201456/357896817201452. 35
1676567201464/357896817201460. 351676567201472/357896817201478. 351676567201480/357896817201486. 351676567201506/357896817201502.
351676567201514/357896817201510. 351676567201522/357896817201528. 351676567201548/357896817201544. 351676567201563/3578968172015
69. 351676567201571/357896817201577. 351676567201589/357896817201585. 351676567201597/357896817201593. 351676567201605/3578968172
01601. 351676567201613/357896817201619.351676567201621/357896817201627. 351676567201639/357896817201635. 351676567201662/35789681
7201668. 351676567201670/357896817201676. 351676567201696/357896817201692. 351676567201787/357896817201783. 351676567201852/35789
6817201858. 351676567201886/357896817201882. 351676567201951/357896817201957. 351676567201969/357896817201965. 351676567202033/35
7896817202039. 351676567202074/357896817202070. 351676567202082/357896817202088. 351676567202090/357896817202096. 351676567202108
/357896817202104. 351676567202124/357896817202120. 351676567202132/357896817202138. 351676567202140/357896817202146. 351676567202
157/357896817202153. 351676567202165/357896817202161. 351676567202173/357896817202179. 351676567202199/357896817202195. 351676567
202215/357896817202211. 351676567202223/357896817202229. 351676567202231/357896817202237. 351676567202256/357896817202252. 351676
567202298/357896817202294. 351676567202314/357896817202310. 351676567202348/357896817202344. 351676567202363/357896817202369. 351
676567202397/357896817202393. 351676567202405/357896817202401. 351676567202413/357896817202419. 351676567202439/357896817202435.
351676567202447/357896817202443. 351676567202462/357896817202468. 351676567202470/357896817202476. 351676567202488/35789681720248
4. 351676567202504/357896817202500. 351676567202520/357896817202526. 351676567202538/357896817202534. 351676567202579/35789681720
2575. 351676567202611/357896817202617. 351676567202637/357896817202633. 351676567202694/357896817202690. 351676567202702/35789681
7202708. 351676567202728/357896817202724. 351676567202736/357896817202732. 351676567202769/357896817202765. 351676567202819/35789
6817202815. 351676567202900/357896817202906. 351676567202967/357896817202963. 351676567203031/357896817203037.351676567203148/357
896817203144. 351676567203247/357896817203243. 351676567203312/357896817203318. 351676567203411/357896817203417. 351676567203429/
357896817203425. 351676567203437/357896817203433. 351676567203452/357896817203458. 351676567203486/357896817203482. 3516765672035
02/357896817203508. 351676567203510/357896817203516. 351676567203528/357896817203524. 351676567203536/357896817203532. 3516765672
03569/357896817203565. 351676567203627/357896817203623. 351676567203676/357896817203672. 351676567203700/357896817203706. 3516765
67203726/357896817203722.351676567203734/357896817203730. 351676567203767/357896817203763. 351676567203783/357896817203789. 35167
6567203791/357896817203797. 351676567203809/357896817203805. 351676567203866/357896817203862. 351676567204021/357896817204027. 35
1676567204112/357896817204118. 351676567204120/357896817204126. 351676567204146/357896817204142. 351676567204153/357896817204159.
351676567204161/357896817204167. 351676567204187/357896817204183. 351676567204328/357896817204324. 351676567204468/3578968172044
64. 351676567204484/357896817204480. 351676567204526/357896817204522. 351676567205010/357896817205016. 351676567205127/3578968172
05123. 351676567205135/357896817205131. 351676567205143/357896817205149. 351676567205655/357896817205651. 351676567205705/3578968
17205701. 351676567205713/357896817205719. 351676567205721/357896817205727. 351676567205739/357896817205735. 351676567205754/3578
96817205750. 351676567205762/357896817205768. 351676567205770/357896817205776. 351676567205788/357896817205784. 351676567205796/3
57896817205792. 351676567205804/357896817205800. 351676567205853/357896817205859. 351676567205895/357896817205891. 35167656720610
9/357896817206105. 351676567206125/357896817206121. 351676567206182/357896817206188. 351676567206224/357896817206220. 35167656720
6265/357896817206261. 351676567206463/357896817206469. 351676567206539/357896817206535. 351676567206547/357896817206543. 35167656
7206588/357896817206584. 351676567206612/357896817206618. 351676567206653/357896817206659. 351676567206703/357896817206709. 35167
6567206745/357896817206741. 351676567206794/357896817206790. 351676567206877/357896817206873. 351676567206927/357896817206923. 35
1676567206935/357896817206931. 351676567206976/357896817206972. 351676567206984/357896817206980.351676567206992/357896817206998.
351676567207016/357896817207012. 351676567207024/357896817207020. 351676567207032/357896817207038. 351676567207040/35789681720704
6. 351676567207065/357896817207061. 351676567207073/357896817207079. 351676567207081/357896817207087. 351676567207099/35789681720
7095. 351676567207115/357896817207111. 351676567207123/357896817207129. 351676567207149/357896817207145. 351676567207156/35789681
7207152. 351676567207172/357896817207178. 351676567207198/357896817207194. 351676567207206/357896817207202. 351676567207214/35789
6817207210.351676567207222/357896817207228. 351676567207248/357896817207244. 351676567207255/357896817207251. 351676567207263/357
896817207269. 351676567207271/357896817207277. 351676567207305/357896817207301. 351676567207339/357896817207335. 351676567207347/
357896817207343. 351676567207354/357896817207350. 351676567207370/357896817207376. 351676567207388/357896817207384. 3516765672074
04/357896817207400. 351676567207412/357896817207418. 351676567207511/357896817207517. 351676567207529/357896817207525. 3516765672
07537/357896817207533. 351676567207545/357896817207541. 351676567207560/357896817207566. 351676567207578/357896817207574. 3516765
67207586/357896817207582. 351676567207743/357896817207749. 351676567207800/357896817207806. 351676567207842/357896817207848. 3516
76567207859/357896817207855. 351676567207867/357896817207863. 351676567207891/357896817207897. 351676567208121/357896817208127. 3
51676567208410/357896817208416. 351676567208485/357896817208481. 351676567208527/357896817208523. 351676567208535/357896817208531
. 351676567208543/357896817208549. 351676567208550/357896817208556. 351676567208576/357896817208572. 351676567208584/357896817208
580. 351676567208618/357896817208614. 351676567208626/357896817208622. 351676567208634/357896817208630. 351676567208667/357896817
208663. 351676567208675/357896817208671. 351676567208725/357896817208721. 351676567208741/357896817208747. 351676567208758/357896
817208754. 351676567208816/357896817208812. 351676567208824/357896817208820. 351676567208857/357896817208853. 351676567208865/357
896817208861. 351676567208873/357896817208879. 351676567208899/357896817208895. 351676567208923/357896817208929. 351676567208949/
357896817208945. 351676567208956/357896817208952. 351676567208964/357896817208960.351676567208998/357896817208994. 35167656724611
3/357896817246119. 351676567246246/357896817246242. 351676567256369/357896817256365. 351676567256385/357896817256381. 35167656725
6443/357896817256449. 351676567146735/357896817146731. 351676567196672/357896817196678. 351676567196714/357896817196710. 35167656
7196730/357896817196736. 351676567196748/357896817196744. 351676567196847/357896817196843. 351676567196854/357896817196850. 35167
6567196862/357896817196868. 351676567196961/357896817196967. 351676567196979/357896817196975. 351676567197019/357896817197015.351
676567197027/357896817197023. 351676567197035/357896817197031. 351676567197092/357896817197098. 351676567197126/357896817197122.
351676567197142/357896817197148. 351676567197167/357896817197163. 351676567197175/357896817197171. 351676567197183/35789681719718
9. 351676567197191/357896817197197. 351676567197209/357896817197205. 351676567197217/357896817197213. 351676567197258/35789681719
7254. 351676567198736/357896817198732. 351676567199296/357896817199292. 351676567199320/357896817199326. 351676567199395/35789681
7199391. 351676567199411/357896817199417. 351676567199437/357896817199433. 351676567199452/357896817199458. 351676567199486/35789
6817199482. 351676567199510/357896817199516. 351676567199536/357896817199532. 351676567199569/357896817199565. 351676567199577/35
032024001637529-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001637529-0
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
7896817199573. 351676567199593/357896817199599. 351676567199601/357896817199607. 351676567199668/357896817199664. 351676567199734
/357896817199730. 351676567199825/357896817199821. 351676567199858/357896817199854. 351676567199908/357896817199904. 351676567199
932/357896817199938. 351676567199973/357896817199979XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001637529-0
Espacio para uso exclusivo de la Entidad Recaudadora
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