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REPÚBLICA DE COLOMBIA
Declaración de Importación Privada 500
1. Año 2025
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
032025000089000-2
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. 116575015175561
43 . Año – Mes – Día
2025 – 01 – 17
44 . Documento de transporte
No. 023-90836104
45 . Año – Mes – Día
2025 – 01 – 15
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
9103168808
52 . Año – Mes – Día
2025 – 01 – 15
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
249
56 . Cod. Depto
destino
0
57 . Empresa transportadora
FEDERAL EXPRESS CORPORATION
58 . Tasa de cambio $ cvs.
4.338.15
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.
127.50
72 . Peso neto kgs. dcms.
114.75
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
40.460.51
79 . Valor fletes USD
757.00 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
178.816.417
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
178.816.417
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
2.00
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
759.00
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
41.219.51
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: 544571-DECL: 1877753-DO: 893101093251- DECL 1 DE 1.//NOS ACOGEMOSAL ARTICULO 424 DEL ESTATUTO TRIBUTARIO MODIFICADO POR LA L
EY 1819 DEL 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 RE
SOLUCIÓN 5050 DEL 10DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOMOLO
GACIÓN) // NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA
S.A. OEA COD. OE0001. . PEDIDOS: 3081873307. ID DELIVERY: 6079990796. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A165MZKILTC, PRODU
CTO: TELEFONO CELULAR GALAXY A16 DUOS (CON ACCESORIOSPARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODEL(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
032025000089000
133. Feha: 202501 20
134 . Levante No. 032025000084416 135 . Fecha
2025 – 01 – 20
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 92032500516467
Fecha presentación 2025-01-20 17:45:29
Valor pagado $0.00
Fecha de Impresión: 2025-01-20 17:45:35
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000089000-2
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
O: SM-A165M/DS,USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A165M/DS,BLACK,LTC( QTY. 400,00 u )(400,00 PCE); IMEI
S: 356927263249652/358318113249654. 356927263249678/358318113249670. 356927263249884/358318113249886. 356927263250064/35831811325
0066. 356927263250221/358318113250223. 356927263250288/358318113250280. 356927263250387/358318113250389. 356927263250460/35831811
3250462. 356927263250486/358318113250488. 356927263250536/358318113250538. 356927263250569/358318113250561. 356927263250700/35831
8113250702. 356927263250718/358318113250710. 356927263250767/358318113250769. 356927263250817/358318113250819. 356927263250866/35
8318113250868. 356927263251005/358318113251007. 356927263251047/358318113251049. 356927263251054/358318113251056. 356927263251062
/358318113251064. 356927263251088/358318113251080. 356927263251104/358318113251106. 356927263251807/358318113251809. 356927263251
922/358318113251924.356927263252003/358318113252005. 356927263252052/358318113252054. 3569 27263252060/358318113252062. 356927263
252102/358318113252104. 356927263252128/358318113252120. 356927263252151/358318113252153. 356927263252169/358318113252161. 356927
263252201/358318113252203. 356927263252235/358318113252237. 356927263252243/358318113252245. 356927263252268/358318113252260. 356
927263252433/358318113252435. 356927263252508/358318113252500. 356927263252672/358318113252674. 356927263253282/358318113253284.
356927263253498/358318113253490. 356927263253704/358318113253706.356927263253878/358318113253870. 356927263254355/358318113254357
. 356927263254397/358318113254399. 356927263254447/358318113254449. 356927263254553/358318113254555. 356927263254579/358318113254
571. 356927263254587/358318113254589. 356927263254595/358318113254597. 356927263254603/358318113254605. 356927263254629/358318113
254621. 356927263254678/358318113254670. 356927263254744/358318113254746. 356927263254868/358318113254860. 356927263255527/358318
113255529. 356927263255980/358318113255982. 356927263256285/358318113256287. 356927263256293/358318113256295. 356927263256301/358
318113256303. 356927263256343/358318113256345. 356927263256376/358318113256378. 356927263256384/358318113256386. 356927263256392/
358318113256394. 356927263256400/358318113256402. 356927263256426/358318113256428. 356927263256434/358318113256436. 3569272632564
59/358318113256451. 356927263256533/358318113256535. 356927263256541/358318113256543. 356927263256582/358318113256584. 3569272632
56640/358318113256642. 356927263257010/358318113257012. 356927263257036/358318113257038. 356927263257473/358318113257475. 3569272
63258158/358318113258150. 356927263258166/358318113258168. 356927263258174/358318113258176. 356927263258190/358318113258192. 3569
27263258208/358318113258200. 356927263258216/358318113258218. 356927263258240/358318113258242. 356927263258380/358318113258382. 3
56927263258430/358318113258432. 356927263258463/358318113258465. 356927263258471/358318113258473. 356927263258612/358318113258614
. 356927263258695/358318113258697. 356927263259016/358318113259018. 356927263259040/358318113259042. 356927263259057/358318113259
059. 356927263259099/358318113259091. 356927263259107/358318113259109. 356927263259131/358318113259133. 356927263259164/358318113
259166.356927263259453/358318113259455. 356927263259818/358318113259810. 356927263259834/358318113259836. 356927263260329/3583181
13260321. 356927263260527/358318113260529. 356927263260618/358318113260610. 356927263260642/358318113260644. 356927263260659/3583
18113260651. 356927263260667/358318113260669. 356927263260717/358318113260719. 356927263260782/358318113260784. 356927263260824/3
58318113260826. 356927263260832/358318113260834. 356927263260980/358318113260982. 356927263261053/358318113261055. 35692726326111
1/358318113261113. 356927263261137/358318113261139.356927263261210/358318113261212. 356927263261376/358318113261378. 356927263261
467/358318113261469. 356927263261517/358318113261519. 356927263261525/358318113261527. 356927263261582/358318113261584. 356927263
261723/358318113261725. 356927263261897/358318113261899. 356927263261939/358318113261931. 356927263261954/358318113261956. 356927
263261962/358318113261964. 356927263261996/358318113261998. 356927263262002/358318113262004. 356927263262036/358318113262038. 356
927263262051/358318113262053. 356927263262069/358318113262061. 356927263262093/358318113262095. 356927263262150/358318113262152.
356927263262168/358318113262160. 356927263262184/358318113262186. 356927263262218/358318113262210. 356927263262226/35831811326222
8. 356927263262234/358318113262236. 356927263262267/358318113262269. 356927263262291/358318113262293. 356927263262317/35831811326
2319. 356927263262390/358318113262392. 356927263262416/358318113262418. 356927263262424/358318113262426. 356927263262432/35831811
3262434. 356927263262457/358318113262459. 356927263262465/358318113262467. 356927263262481/358318113262483. 356927263262499/35831
8113262491. 356927263262515/358318113262517. 356927263262523/358318113262525. 356927263262531/358318113262533. 356927263262556/35
8318113262558. 356927263262564/358318113262566. 356927263262655/358318113262657. 356927263262663/358318113262665. 356927263262754
/358318113262756. 356927263262770/358318113262772. 356927263262853/358318113262855. 356927263263018/358318113263010. 356927263263
067/358318113263069. 356927263263232/358318113263234. 356927263263372/358318113263374. 356927263263448/358318113263440. 356927263
263463/358318113263465. 356927263263489/358318113263481. 356927263263497/358318113263499. 356927263263554/358318113263556.3569272
63263570/358318113263572. 356927263263604/358318113263606. 356927263263620/358318113263622. 356927263263687/358318113263689. 3569
27263263752/358318113263754. 356927263263760/358318113263762. 356927263263778/358318113263770. 356927263263786/358318113263788. 3
56927263263901/358318113263903. 356927263263927/358318113263929. 356927263263935/358318113263937. 356927263263950/358318113263952
. 356927263263976/358318113263978. 356927263264008/358318113264000. 356927263264164/358318113264166. 356927263264180/358318113264
182. 356927263264198/358318113264190.356927263264222/358318113264224. 356927263264230/358318113264232. 356927263264495/3583181132
64497. 356927263265120/358318113265122. 356927263265252/358318113265254. 356927263265260/358318113265262. 356927263265294/3583181
13265296. 356927263265369/358318113265361. 356927263265385/358318113265387. 356927263265393/358318113265395. 356927263265419/3583
18113265411. 356927263265427/358318113265429. 356927263265518/358318113265510. 356927263265542/358318113265544. 356927263265765/3
58318113265767. 356927263265823/358318113265825. 356927263265849/358318113265841. 356927263265856/358318113265858. 35692726326612
8/358318113266120. 356927263266136/358318113266138. 356927263266169/358318113266161. 356927263266193/358318113266195. 35692726326
6235/358318113266237. 356927263266284/358318113266286. 356927263266532/358318113266534. 356927263266565/358318113266567. 35692726
3266706/358318113266708. 356927263266714/358318113266716. 356927263266722/358318113266724. 356927263266771/358318113266773. 35692
7263266821/358318113266823. 356927263266839/358318113266831. 356927263266912/358318113266914. 356927263266953/358318113266955. 35
6927263266987/358318113266989. 356927263267050/358318113267052. 356927263267084/358318113267086. 356927263267092/358318113267094.
356927263267142/358318113267144. 356927263267159/358318113267151. 356927263267167/358318113267169. 356927263267233/3583181132672
35. 356927263267316/358318113267318. 356927263267431/358318113267433. 356927263267498/358318113267490. 356927263267555/3583181132
67557. 356927263267589/358318113267581. 356927263267639/358318113267631. 356927263267662/358318113267664. 356927263267795/3583181
13267797. 356927263267811/358318113267813. 356927263267837/358318113267839. 356927263267902/358318113267904.356927263267944/35831
8113267946. 356927263267951/358318113267953. 356927263267969/358318113267961. 356927263267977/358318113267979. 356927263268017/35
8318113268019. 356927263268025/358318113268027. 356927263268033/358318113268035. 356927263268041/358318113268043. 356927263268058
/358318113268050. 356927263268082/358318113268084. 356927263268306/358318113268308. 356927263268348/358318113268340. 356927263268
355/358318113268357. 356927263268413/358318113268415. 356927263268447/358318113268449. 356927263268595/358318113268597. 356927263
268611/358318113268613.356927263268629/358318113268621. 356927263268678/358318113268670. 356927263268702/358318113268704. 3569272
63269197/358318113269199. 356927263269437/358318113269439. 356927263269585/358318113269587. 356927263269668/358318113269660. 3569
27263269817/358318113269819. 356927263269965/358318113269967. 356927263270450/358318113270452. 356927263270468/358318113270460. 3
56927263270476/358318113270478. 356927263270484/358318113270486. 356927263270492/358318113270494. 356927263270500/358318113270502
. 356927263270518/358318113270510. 356927263270526/358318113270528. 356927263270534/358318113270536. 356927263270559/358318113270
551. 356927263270583/358318113270585. 356927263270591/358318113270593. 356927263270625/358318113270627. 356927263270641/358318113
270643. 356927263270732/358318113270734. 356927263270823/358318113270825. 356927263271102/358318113271104. 356927263271508/358318
113271500. 356927263271524/358318113271526. 356927263271532/358318113271534. 356927263271540/358318113271542. 356927263271755/358
318113271757. 356927263271789/358318113271781. 356927263271821/358318113271823. 356927263272571/358318113272573. 356927263272639/
358318113272631. 356927263272654/358318113272656. 356927263272951/358318113272953. 356927263273736/358318113273738. 3569272632737
032025000089000-2
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000089000-2
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
77/358318113273779. 356927263274015/358318113274017. 356927263274072/358318113274074. 356927263274189/358318113274181. 3569272632
74197/358318113274199. 356927263274205/358318113274207. 356927263274213/358318113274215. 356927263274239/358318113274231. 3569272
63274247/358318113274249. 356927263274262/358318113274264. 356927263274270/358318113274272. 356927263274288/358318113274280. 3569
27263274304/358318113274306. 356927263274445/358318113274447. 356927263274551/358318113274553.356927263274627/358318113274629. 35
6927263274692/358318113274694. 356927263274734/358318113274736. 356927263274742/358318113274744. 356927263274916/358318113274918.
356927263274957/358318113274959. 356927263326518/358318113326510. 356927263326641/358318113326643. 356927263244448/3583181132444
40. 356927263244455/358318113244457. 356927263244463/358318113244465. 356927263244489/358318113244481. 356927263244505/3583181132
44507. 356927263244620/358318113244622. 356927263244638/358318113244630. 356927263244646/358318113244648. 356927263244653/3583181
13244655.356927263244687/358318113244689. 356927263244703/358318113244705. 356927263244711/358318113244713. 356927263244729/35831
8113244721. 356927263244737/358318113244739. 356927263244778/358318113244770. 356927263244786/358318113244788. 356927263244794/35
8318113244796. 356927263244851/358318113244853. 356927263244869/358318113244861. 356927263244877/358318113244879. 356927263244885
/358318113244887. 356927263244901/358318113244903. 356927263244927/358318113244929. 356927263244968/358318113244960. 356927263244
976/358318113244978. 356927263244992/358318113244994. 356927263245072/358318113245074. 356927263245122/358318113245124. 356927263
245163/358318113245165. 356927263245189/358318113245181. 356927263245205/358318113245207. 356927263245262/358318113245264. 356927
263245296/358318113245298. 356927263245346/358318113245348. 356927263245379/358318113245371. 356927263245395/358318113245397. 356
927263245403/358318113245405. 356927263245411/358318113245413. 356927263245429/358318113245421. 356927263245452/358318113245454.
356927263245502/358318113245504. 356927263245510/358318113245512. 356927263245544/358318113245546. 356927263245585/35831811324558
7. 356927263245593/358318113245595. 356927263245619/358318113245611. 356927263245627/358318113245629. 356927263245643/35831811324
5645. 356927263245650/358318113245652. 356927263245684/358318113245686. 356927263245692/358318113245694. 356927263245700/35831811
3245702. 356927263245767/358318113245769. 356927263245791/358318113245793. 356927263245841/358318113245843. 356927263245866/35831
8113245868. 356927263245874/358318113245876. 356927263245916/358318113245918. 356927263245940/358318113245942. 356927263245981/35
8318113245983. 356927263246005/358318113246007. 356927263246062/358318113246064.356927263246088/358318113246080. 356927263246096/
358318113246098. 356927263246104/358318113246106. 356927263246161/358318113246163. 356927263246286/358318113246288. 3569272632462
94/358318113246296. 356927263247078/358318113247070. 356927263247615/358318113247617. 356927263247631/358318113247633. 3569272632
47656/358318113247658. 356927263247706/358318113247708. 356927263247813/358318113247815. 356927263247821/358318113247823. 3569272
63247896/358318113247898. 356927263247961/358318113247963. 356927263248027/358318113248029. 356927263248035/358318113248037.35692
7263248068/358318113248060. 356927263248092/358318113248094. 356927263248134/358318113248136. 356927263248605/358318113248607. 35
6927263248845/358318113248847. 356927263248886/358318113248888. 356927263248902/358318113248904. 356927263249405/358318113249407.
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032025000089000-2
Espacio para uso exclusivo de la Entidad Recaudadora
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