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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
0320240016619975
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 NIVEL 2
27 . Tipo usuario
26
28 . Cód. usuario
459
29 . Número documento de identificación
1023862658
30 . Apellidos y nombres
GONZALEZ ACERO KELLY JOHANNA
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. 116575015007063
43 . Año Mes
Día
2024 11
23
44 . Documento de transporte
No. 41N0692706
45 . Año Mes
Día
2024 11
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
21659
52 . Año Mes
Día
2024 11
14
53 . Cod. país
procedencia
351
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.
4.387.09
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.
519.03
72 . Peso neto kgs. dcms.
467.12
73 . Código
embalaje
PK
74 . No. bultos
5
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 202431718 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. // HOMOLOGACION DE EQUIPO MARCA REDMI MODELO: 2409BRN2CL, RADICACION: 2024523502, FECHA: 20240729
// DOCUMENTO DE
VERIFICACION DE IMEI: DV219088,
FECHA: 20241120..
FACTURA: 21659 FECHA: 20241114
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.. CAN
T (1000) U TELEFONO CELULAR, 1064244 REDMI 14C STARRY BLUE 4GB RAM 128GB ROM // ESPECIFICACIONES: PROCESADO(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
032024001661997
133. Feha: 2024 11 27
134 . Levante No. 032024001585025 135 . Fecha
2024 11
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 92032408866489
Fecha presentación 20241127
12:42:16
Valor pagado $0.00
Fecha de Impresión: 20241127
12:54:04
Kelly Johanna Gonzalez Acero
C.C 1.023.862.658
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320240016619975
Subpartida :
8517130000
Página 1 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
R: MEDIATEK HELIO G81 ULTRA, PANTALLA: 6.88 PULGADAS (17.47 CM), MEMORIA: 4GB, ALMACENAMIENTO: 128GB, SISTEMA OPERATIVO: HYPEROS/
/ EAN: 6941812762820 // REDMI 14C AZUL ASTRAL /ALIMENTACION: 5V3A/
3.611V3A
(33 W MAX) / CONTIENE DESCRIPCION CAJA: TELEFONO CE
LULAR, ADAPTADOR DE CORRIENTE, CABLE USB TIPOC,
LLAVE PARA SIM CARD, CARCASA PROTECTORA, GUIA DE INICIO RAPIDO, TARJETA DE GARAN
TIA, PRODUCTO TERMOSELLADO. COD: 1064244. PRODUCTO: TELEFONO CELULAR, MARCA: REDMI/MI, MODELO: 2409BRN2CL, REFERENCIA: 59141/MZB0
HX6US, USO O DESTINO: COMUNICACIÓN, PARA ALMACENAMIENTO Y PROCESAMIENTO DE DATOS, SERIAL // IMEI NO. (CODIGO DE QUINCE 15DIGIT
OS): 59141/64XV07333//866572078740280//866572078740298, 59141/64XV07336//866572078740348//866572078740355, 59141/64XV07337//86657
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0320240016619975
Espacio para uso exclusivo de la Entidad
Recaudadora
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320240016619975
Subpartida :
8517130000
Página 2 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
, 59141/64XV07941//866572078757045//866572078757052, 59141/64XV07942//866572078757060//866572078757078, 59141/64XV07943//86657207
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0320240016619975
Espacio para uso exclusivo de la Entidad
Recaudadora
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320240016619975
Subpartida :
8517130000
Página 3 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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0320240016619975
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Página 4 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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0320240016619975
Espacio para uso exclusivo de la Entidad
Recaudadora
REPÚBLICA DE COLOMBIA
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de
Importación
Aceptación :
0320240016619975
Subpartida :
8517130000
Página 5 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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9141/64XV10163//866572078745222//866572078745230, 59141/64XV10164//866572078745248//866572078745255, 59141/64XV10165//86657207874
5263//866572078745271, 59141/64XV10166//866572078745289//866572078745297, 59141/64XV10167//866572078745305//866572078745313, 5914
1/64XV10168//866572078745321//866572078745339, 59141/64XV10169//866572078745347//866572078745354, 59141/64XV10170//86657207874536
2//866572078745370, 59141/64XV10171//866572078745388//866572078745396, 59141/64XV10172//866572078745404//866572078745412, 59141/6
4XV10173//866572078745420//866572078745438, 59141/64XV10174//866572078761922//866572078761930, 59141/64XV10175//866572078761948//
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572078762078, 59141/64XV10182//866572078762086//866572078762094, 59141/64XV10184//866572078762128//866572078762136, 59141/64XV101
85//866572078762144//866572078762151, 59141/64XV10186//866572078762169//866572078762177, 59141/64XV10188//866572078762201//866572
0320240016619975
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0320240016619975
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Página 6 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
078762219, 59141/64XV10189//866572078762227//866572078762235, 59141/64XV10192//866572078762284//866572078762292, 59141/64XV10362/
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2078681229//866572078681237, 59141/64XV10405//866572078682540//866572078682557, 59141/64XV10406//866572078682565//866572078682573
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8682664//866572078682672, 59141/64XV10412//866572078682680//866572078682698, 59141/64XV10413//866572078682706//866572078682714, 5
9141/64XV10414//866572078682722//866572078682730, 59141/64XV10415//866572078682748//866572078682755, 59141/64XV10418//86657207869
9262//866572078699270, 59141/64XV10433//866572078699569//866572078699577, 59141/64XV10434//866572078699585//866572078699593, 5914
1/64XV10435//866572078699601//866572078699619, 59141/64XV10437//866572078699643//866572078699650, 59141/64XV10442//86657207869974
2//866572078699759, 59141/64XV10443//866572078699767//866572078699775, 59141/64XV10446//866572078701001//866572078701019, 59141/6
4XV10447//866572078701027//866572078701035, 59141/64XV10448//866572078701043//866572078701050, 59141/64XV10449//866572078701068//
866572078701076, 59141/64XV10451//866572078701100//866572078701118, 59141/64XV10453//866572078701142//866572078701159, 59141/64XV
10454//866572078701167//866572078701175, 59141/64XV10455//866572078701183//866572078701191, 59141/64XV10456//866572078701209//866
572078701217, 59141/64XV10457//866572078701225//866572078701233, 59141/64XV10458//866572078701241//866572078701258, 59141/64XV104
59//866572078701266//866572078701274, 59141/64XV10461//866572078701308//866572078701316, 59141/64XV10462//866572078701324//866572
078701332, 59141/64XV10463//866572078701340//866572078701357, 59141/64XV10464//866572078701365//866572078701373, 59141/64XV10466/
/866572078701407//866572078701415, 59141/64XV10469//866572078717940//866572078717957, 59141/64XV10470//866572078717965//866572078
717973, 59141/64XV10471//866572078717981//866572078717999, 59141/64XV10473//866572078718021//866572078718039, 59141/64XV10474//86
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096, 59141/64XV10477//866572078718104//866572078718112, 59141/64XV10478//866572078718120//866572078718138, 59141/64XV10479//86657
2078718146//866572078718153, 59141/64XV10480//866572078718161//866572078718179, 59141/64XV10481//866572078718187//866572078718195
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8718245//866572078718252, 59141/64XV10485//866572078718260//866572078718278, 59141/64XV10486//866572078718286//866572078718294, 5
9141/64XV10498//866572078719722//866572078719730, PAIS ORIGEN: CHINA 215.
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0320240016619975
Espacio para uso exclusivo de la Entidad
Recaudadora
