Ir al contenido
VER MAS
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
032025000136078-8
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. 116575015226400
43 . Año – Mes – Día
2025 – 02 – 03
44 . Documento de transporte
No. T61725H02040
45 . Año – Mes – Día
2025 – 01 – 25
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
6900335797
52 . Año – Mes – Día
2025 – 01 – 18
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
249
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.245.65
S 59 . Subpartida arancelaria
8471300000
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.
118.00
72 . Peso neto kgs. dcms.
91.00
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
200.00
78 .Valor FOB
USD
16.253.67
79 . Valor fletes USD
1.007.72 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
73.289.387
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
73.289.387
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
0.84
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.008.56
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
17.262.23
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: 545733-DECL: 1881373-DO: 893102103251- 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 RES
OLUCIÓN 5050 DEL 10 DE 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: 3081958148. ID DELIVERY: 6080165276. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-X115NZSAL13, PRODUC
TO: TABLET GALAXY TAB A9 / LTE (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: PLATA, MODELO: SM-(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
032025000136078
133. Feha: 202501 29
134 . Levante No. 032025000155250 135 . Fecha
2025 – 02 – 04
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 92032500775898
Fecha presentación 2025-01-29 16:01:10
Valor pagado $0.00
Fecha de Impresión: 2025-02-04 12:48:34
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000136078-8
Subpartida : 8471300000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
X115, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /TABLET,SM-X115,SILVER,L13( QTY. 200,00 u )(200,00 PCE); SERIAL/IMEI: R8Y
Y109327M/352035561475708; R8YY109328K/352035561475716. R8YY109329X/352035561475724. R8YY10932AJ/352035561475732. R8YY10932BB/3520
35561475740. R8YY10932CD/352035561475757. R8YY10932DH/352035561475765. R8YY10932ET/352035561475773. R8YY10932FP/352035561475781.
R8YY10932GR/352035561475799. R8YY10932HL/352035561475807. R8YY10932JA/352035561475815. R8YY10932KF/352035561475823. R8YY10932LV/3
52035561475831. R8YY10932MY/352035561475849. R8YY10932NE/352035561475856. R8YY10932PW/352035561475864. R8YY10932QZ/35203556147587
2.R8YY10932RN/352035561475880. R8YY10932SM/352035561475898. R8YY10932TK/352035561475906. R8YY10932VX/352035561475914. R8YY10932WJ
/352035561475922. R8YY10932XB/352035561475930. R8YY10932YD/352035561475948. R8YY10932ZH/352035561475955. R8YY109330R/352035561475
963. R8YY109331L/352035561475971. R8YY109332A/352035561475989. R8YY109333F/352035561475997. R 8YY109334V/352035561476003. R8YY109
335Y/352035561476011. R8YY109336E/352035561476029. R8YY109337W/352035561476037. R8YY109338Z/352035561476045. R8YY109339N/35203556
1476052. R8YY10933AM/352035561476060. R8YY10933BK/352035561476078. R8YY10933CX/352035561476086. R8YY10933DJ/352035561476094. R8YY
10933EB/352035561476102. R8YY10933FD/352035561476110. R8YY10933GH/352035561476128. R8YY10933HT/352035561476136. R8YY10933JP/35203
5561476144. R8YY10933KR/352035561476151. R8YY10933LL/352035561476169. R8YY10933MA/352035561476177. R8YY10933NF/352035561476185. R
8YY10933PV/352035561476193. R8YY10933QY/352035561476201. R8YY10933RE/352035561476219. R8YY10933SW/352035561476227. R8YY10933TZ/35
2035561476235. R8YY10933VN/352035561476243. R8YY10933WM/352035561476250. R8YY10933XK/352035561476268. R8YY10933YX/352035561476276
. R8YY10933ZJ/352035561476284.R8YY109340H/352035561476292. R8YY109341T/352035561476300. R8YY109342P/352035561476318. R8YY109343R/
352035561476326. R8YY109344L/352035561476334. R8YY109345A/352035561476342. R8YY109346F/352035561476359. R8YY109347V/3520355614763
67. R8YY109348Y/352035561476375. R8YY109349E/352035561476383. R8YY10934AW/352035561476391. R8YY10934BZ/352035561476409. R8YY10934
CN/352035561476417. R8YY10934DM/352035561476425. R8YY10934EK/352035561476433. R8YY10934FX/352035561476441. R8YY10934GJ/3520355614
76458. R8YY10934HB/352035561476466. R8YY10934JD/352035561476474. R8YY10934KH/352035561476482. R8YY10934LT/352035561476490. R8YY10
934MP/352035561476508. R8YY10934NR/352035561476516. R8YY10934PL/352035561476524. R8YY10934QA/352035561476532. R8YY10934RF/3520355
61476540. R8YY10934SV/352035561476557. R8YY10934TY/352035561476565. R8YY10934VE/352035561476573.R8YY10934WW/352035561476581. R8YY
10934XZ/352035561476599. R8YY10934YN/352035561476607. R8YY10934ZM/352035561476615. R8YY109350J/352035561476623. R8YY109351B/35203
5561476631. R8YY109352D/352035561476649. R8YY109353H/352035561476656. R8YY109354T/352035561476664. R8YY109355P/352035561476672. R
8YY109356R/352035561476680. R8YY109357L/352035561476698. R8YY109358A/352035561476706. R8YY109359F/352035561476714. R8YY10935AV/35
2035561476722. R8YY10935BY/352035561476730. R8YY10935CE/352035561476748. R8YY10935DW/352035561476755. R8YY10935EZ/352035561476763
. R8YY10935FN/352035561476771. R8YY10935GM/352035561476789. R8YY10935HK/352035561476797. R8YY10935JX/352035561476805. R8YY10935KJ
/352035561476813. R8YY10935LB/352035561476821. R8YY10935MD/352035561476839. R8YY10935NH/352035561476847. R8YY10935PT/352035561476
854. R8YY10935QP/352035561476862. R8YY10935RR/352035561476870. R8YY10935SL/352035561476888. R8YY10935TA/352035561476896. R8YY1093
5VF/352035561476904. R8YY10935WV/352035561476912. R8YY10935XY/352035561476920. R8YY10935YE/352035561476938. R8YY10935ZW/352035561
476946. R8YY109360M/352035561476953. R8YY109361K/352035561476961. R8YY109362X/352035561476979. R8YY109363J/352035561476987.R8YY10
9364B/352035561476995. R8YY109365D/352035561477001. R8YY109366H/352035561477019. R8YY109367T/352035561477027. R8YY109368P/3520355
61477035. R8YY109369R/352035561477043. R8YY10936AL/352035561477050. R8YY10936BA/352035561477068. R8YY10936CF/352035561477076. R8Y
Y10936DV/352035561477084. R8YY10936EY/352035561477092. R8YY10936FE/352035561477100. R8YY10936GW/352035561477118. R8YY10936HZ/3520
35561477126. R8YY10936JN/352035561477134. R8YY10936KM/352035561477142. R8YY10936LK/352035561477159. R8YY10936MX/352035561477167.
R8YY10936NJ/352035561477175. R8YY10936PB/352035561477183. R8YY10936QD/352035561477191. R8YY10936RH/352035561477209. R8YY10936ST/3
52035561477217. R8YY10936TP/352035561477225. R8YY10936VR/352035561477233. R8YY10936WL/352035561477241. R8YY10936XA/35203556147725
8. R8YY10936YF/352035561477266. R8YY10936ZV/352035561477274.R8YY109370W/352035561477282. R8YY109371Z/352035561477290. R8YY109372N
/352035561477308. R8YY109373M/352035561477316. R8YY109374K/352035561477324. R8YY109375X/352035561477332. R8YY109376J/352035561477
340. R8YY109377B/352035561477357. R8YY109378D/352035561477365. R8YY109379H/352035561477373. R8YY10937AT/352035561477381. R8YY1093
7BP/352035561477399. R8YY10937CR/352035561477407. R8YY10937DL/352035561477415. R8YY10937EA/352035561477423. R8YY10937FF/352035561
477431. R8YY10937GV/352035561477449. R8YY10937HY/352035561477456. R8YY10937JE/352035561477464. R8YY10937KW/352035561477472. R8YY1
0937LZ/352035561477480. R8YY10937MN/352035561477498. R8YY10937NM/352035561477506. R8YY10937PK/352035561477514. R8YY10937QX/352035
561477522. R8YY10937RJ/352035561477530. R8YY10937SB/352035561477548. R8YY10937TD/352035561477555. R8YY10937VH/352035561477563. R8
YY10937WT/352035561477571. R8YY10937XP/352035561477589. R8YY10937YR/352035561477597. R8YY10937ZL/352035561477605. R8YY109380V/352
035561477613. R8YY109381Y/352035561477621. R8YY109382E/352035561477639. R8YY109383W/352035561477647. R8YY109384Z/352035561477654.
R8YY109385N/352035561477662. R8YY109386M/352035561477670. R8YY109387K/352035561477688.R8YY109388X/352035561477696.XXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025000136078-8
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
