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
032025000071363-1
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. 116575015167411
43 . Año – Mes – Día
2025 – 01 – 15
44 . Documento de transporte
No. T61725H02018
45 . Año – Mes – Día
2025 – 01 – 11
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
6900333427
52 . Año – Mes – Día
2025 – 01 – 08
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
580
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.321.19
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.
154.00
72 . Peso neto kgs. dcms.
118.30
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
260.00
78 .Valor FOB
USD
20.732.38
79 . Valor fletes USD
1.315.16 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
95.276.233
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
95.276.233
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
1.07
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.316.23
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
22.048.61
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: 544263-DECL: 1876647-DO: 893100899251- 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
RESOLUCIÓN 5050 DEL 10 DE NOVIEMBRE DE 2016. (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN) // NOSACOGEMOS: AL DECRETO 0925 DE 2013, MERC
ANCIA QUE NO REQUIERE REGISTRODE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3081135909. ID DELIVE
RY: 6079925019. MERCANCIA MARCA: SAMSUNGREFERENCIA: SM-X115NZSAL13, PRODUCTO: TABLET GALAXY TAB A9 / LTE (CONACCESORIOS PARA USO
Y NORMAL FUNCIONAMIENTO), COLOR: PLATA, MODELO: SM-X115, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ (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
032025000071363
133. Feha: 202501 16
134 . Levante No. 032025000067404 135 . Fecha
2025 – 01 – 16
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 92032500414364
Fecha presentación 2025-01-16 16:22:26
Valor pagado $0.00
Fecha de Impresión: 2025-01-16 16:22:32
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000071363-1
Subpartida : 8471300000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
/TABLET,SM-X115,SILVER,L13( QTY. 260,00 u )(260,00 PCE); SERIAL/IMEI:R8YXC0RW40N/352035560811291; R8YXC0RW41A/352035560811309. R8
YXC0RW42B/352035560811317. R8YXC0RW43W/352035560811325. R8YXC0RW44R/352035560811333. R8YXC0RW45X/352035560811341. R8YXC0RW46Y/352
035560811358. R8YXC0RW47T/352035560811366. R8YXC0RW48M/352035560811374. R8YXC0RW49F/352035560811382. R8YXC0RW4AD/352035560811390.
R8YXC0RW4BZ/352035560811408. R8YXC0RW4CL/352035560811416. R8YXC0RW4DJ/352035560811424. R8YXC0RW4EE/352035560811432.R8YXC0RW4FP/3
52035560811440. R8YXC0RW4GK/352035560811457. R8YXC0RW4HV/352035560811465. R8YXC0RW4JH/352035560811473. R8YXC0RW4KN/35203556081148
1. R8YXC0RW4LA/352035560811499. R8YXC0RW4MB/352035560811507. R8YXC0RW4NW/352035560811515. R8YXC0RW4PR/352035560811523. R8YXC0RW4Q
X/352035560811531. R8YXC0RW4RY/352035560811549. R8YXC0RW4ST/352035560811556. R8YXC0RW4TM/352035560811564. R8YXC0RW4VF/35203556081
1572. R8YXC0RW4WD/352035560811580. R8YXC0RW4XZ/352035560811598. R8YXC0RW4YL/3520355608116 06. R8YXC0RW4ZJ/352035560811614. R8YXC0
RW50K/352035560811622. R8YXC0RW51V/352035560811630. R8YXC0RW52H/352035560811648. R8YXC0RW53N/352035560811655. R8YXC0RW54A/3520355
60811663. R8YXC0RW55B/352035560811671. R8YXC0RW56W/352035560811689. R8YXC0RW57R/352035560811697. R8YXC0RW58X/352035560811705. R8Y
XC0RW59Y/352035560811713. R8YXC0RW5AT/352035560811721. R8YXC0RW5BM/352035560811739. R8YXC0RW5CF/352035560811747. R8YXC0RW5DD/3520
35560811754. R8YXC0RW5EZ/352035560811762. R8YXC0RW5FL/352035560811770. R8YXC0RW5GJ/352035560811788. R8YXC0RW5HE/352035560811796.
R8YXC0RW5JP/352035560811804. R8YXC0RW5KK/352035560811812. R8YXC0RW5LV/352035560811820. R8YXC0RW5MH/352035560811838. R8YXC0RW5NN/3
52035560811846.R8YXC0RW5PA/352035560811853. R8YXC0RW5QB/352035560811861. R8YXC0RW5RW/352035560811879. R8YXC0RW5SR/352035560811887
. R8YXC0RW5TX/352035560811895. R8YXC0RW5VY/352035560811903. R8YXC0RW5WT/352035560811911. R8YXC0RW5XM/352035560811929. R8YXC0RW5YF
/352035560811937. R8YXC0RW5ZD/352035560811945. R8YXC0RW60J/352035560811952. R8YXC0RW61E/352035560811960. R8YXC0RW62P/352035560811
978. R8YXC0RW63K/352035560811986. R8YXC0RW64V/352035560811994. R8YXC0RW65H/352035560812000. R8YXC0RW66N/352035560812018. R8YXC0RW
67A/352035560812026. R8YXC0RW68B/352035560812034. R8YXC0RW69W/352035560812042. R8YXC0RW6AR/352035560812059. R8YXC0RW6BX/352035560
812067. R8YXC0RW6CY/352035560812075. R8YXC0RW6DT/352035560812083. R8YXC0RW6EM/352035560812091. R8YXC0RW6FF/352035560812109. R8YXC
0RW6GD/352035560812117. R8YXC0RW6HZ/352035560812125. R8YXC0RW6JL/352035560812133.R8YXC0RW6KJ/352035560812141. R8YXC0RW6LE/3520355
60812158. R8YXC0RW6MP/352035560812166. R8YXC0RW6NK/352035560812174. R8YXC0RW6PV/352035560812182. R8YXC0RW6QH/352035560812190. R8Y
XC0RW6RN/352035560812208. R8YXC0RW6SA/352035560812216. R8YXC0RW6TB/352035560812224. R8YXC0RW6VW/352035560812232. R8YXC0RW6WR/3520
35560812240. R8YXC0RW6XX/352035560812257. R8YXC0RW6YY/352035560812265. R8YXC0RW6ZT/352035560812273. R8YXC0RW70D/352035560812281.
R8YXC0RW71Z/352035560812299. R8YXC0RW72L/352035560812307. R8YXC0RW73J/352035560812315. R8YXC0RW74E/352035560812323. R8YXC0RW75P/3
52035560812331. R8YXC0RW76K/352035560812349. R8YXC0RW77V/352035560812356. R8YXC0RW78H/352035560812364. R8YXC0RW79N/35203556081237
2. R8YXC0RW7AA/352035560812380. R8YXC0RW7BB/352035560812398. R8YXC0RW7CW/352035560812406. R8YXC0RW7DR/352035560812414. R8YXC0RW7E
X/352035560812422. R8YXC0RW7FY/352035560812430. R8YXC0RW7GT/352035560812448. R8YXC0RW7HM/352035560812455. R8YXC0RW7JF/35203556081
2463. R8YXC0RW7KD/352035560812471. R8YXC0RW7LZ/352035560812489. R8YXC0RW7ML/352035560812497. R8YXC0RW7NJ/352035560812505. R8YXC0R
W7PE/352035560812513. R8YXC0RW7QP/352035560812521. R8YXC0RW7RK/352035560812539. R8YXC0RW7SV/352035560812547.R8YXC0RW7TH/352035560
812554. R8YXC0RW7VN/352035560812562. R8YXC0RW7WA/352035560812570. R8YXC0RW7XB/352035560812588. R8YXC0RW7YW/352035560812596. R8YXC
0RW7ZR/352035560812604. R8YXC0RW80T/352035560812612. R8YXC0RW81M/352035560812620. R8YXC0RW82F/352035560812638. R8YXC0RW83D/352035
560812646. R8YXC0RW84Z/352035560812653. R8YXC0RW85L/352035560812661. R8YXC0RW86J/352035560812679. R8YXC0RW87E/352035560812687. R8
YXC0RW88P/352035560812695. R8YXC0RW89K/352035560812703. R8YXC0RW8AV/352035560812711. R8YXC0RW8BH/352035560812729. R8YXC0RW8CN/352
035560812737. R8YXC0RW8DA/352035560812745. R8YXC0RW8EB/352035560812752. R8YXC0RW8FW/352035560812760. R8YXC0RW8GR/352035560812778.
R8YXC0RW8HX/352035560812786. R8YXC0RW8JY/352035560812794. R8YXC0RW8KT/352035560812802. R8YXC0RW8LM/352035560812810. R8YXC0RW8MF/
352035560812828. R8YXC0RW8ND/352035560812836.R8YXC0RW8PZ/352035560812844. R8YXC0RW8QL/352035560812851. R8YXC0RW8RJ/35203556081286
9. R8YXC0RW8SE/352035560812877. R8YXC0RW8TP/352035560812885. R8YXC0RW8VK/352035560812893. R8YXC0RW8WV/352035560812901. R8YXC0RW8X
H/352035560812919. R8YXC0RW8YN/352035560812927. R8YXC0RW8ZA/352035560812935. R8YXC0RW90R/352035560812943. R8YXC0RW91X/35203556081
2950. R8YXC0RW92Y/352035560812968. R8YXC0RW93T/352035560812976. R8YXC0RW94M/352035560812984. R8YXC0RW95F/352035560812992. R8YXC0R
W96D/352035560813008. R8YXC0RW97Z/352035560813016. R8YXC0RW98L/352035560813024. R8YXC0RW99J/352035560813032. R8YXC0RW9AE/35203556
0813040. R8YXC0RW9BP/352035560813057. R8YXC0RW9CK/352035560813065. R8YXC0RW9DV/352035560813073. R8YXC0RW9EH/352035560813081. R8YX
C0RW9FN/352035560813099. R8YXC0RW9GA/352035560813107. R8YXC0RW9HB/352035560813115. R8YXC0RW9JW/352035560813123. R8YXC0RW9KR/35203
5560813131. R8YXC0RW9LX/352035560813149. R8YXC0RW9MY/352035560813156. R8YXC0RW9NT/352035560813164. R8YXC0RW9PM/352035560813172. R
8YXC0RW9QF/352035560813180. R8YXC0RW9RD/352035560813198. R8YXC0RW9SZ/352035560813206. R8YXC0RW9TL/352035560813214. R8YXC0RW9VJ/35
2035560813222. R8YXC0RW9WE/352035560813230. R8YXC0RW9XP/352035560813248.R8YXC0RW9YK/352035560813255. R8YXC0RW9ZV/352035560813263.
R8YXC0RWA0A/352035560813271. R8YXC0RWA1B/352035560813289. R8YXC0RWA2W/352035560813297. R8YXC0RWA3R/352035560813305. R8YXC0RWA4X/
352035560813313. R8YXC0RWA5Y/352035560813321. R8YXC0RWA6T/352035560813339. R8YXC0RWA7M/352035560813347. R8YXC0RWA8F/3520355608133
54. R8YXC0RWA9D/352035560813362. R8YXC0RWAAZ/352035560813370. R8YXC0RWABL/352035560813388. R8YXC0RWACJ/352035560813396. R8YXC0RWA
DE/352035560813404. R8YXC0RWAEP/352035560813412. R8YXC0RWAFK/352035560813420. R8YXC0RWAGV/352035560813438. R8YXC0RWAHH/3520355608
13446. R8YXC0RWAJN/352035560813453. R8YXC0RWAKA/352035560813461. R8YXC0RWALB/352035560813479. R8YXC0RWAMW/352035560813487. R8YXC0
RWANR/352035560813495. R8YXC0RWAPX/352035560813503. R8YXC0RWAQY/352035560813511. R8YXC0RWART/352035560813529. R8YXC0RWASM/3520355
60813537.R8YXC0RWATF/352035560813545. R8YXC0RWAVD/352035560813552. R8YXC0RWAWZ/352035560813560. R8YXC0RWAXL/352035560813578. R8YX
C0RWAYJ/352035560813586. R8YXC0RWAZE/352035560813594. R8YXC0RWB0V/352035560813602. R8YXC0RWB1H/352035560813610. R8YXC0RWB2N/35203
5560813628. R8YXC0RWB3A/352035560813636. R8YXC0RWB4B/352035560813644. R8YXC0RWB5W/352035560813651. R8YXC0RWB6R/352035560813669. R
8YXC0RWB7X/352035560813677. R8YXC0RWB8Y/352035560813685. R8YXC0RWB9T/352035560813693. R8YXC0RWBAM/352035560813701. R8YXC0RWBBF/35
2035560813719. R8YXC0RWBCD/352035560813727. R8YXC0RWBDZ/352035560813735. R8YXC0RWBEL/352035560813743. R8YXC0RWBFJ/352035560813750
. R8YXC0RWBGE/352035560813768. R8YXC0RWBHP/352035560813776. R8YXC0RWBJK/352035560813784. R8YXC0RWBKV/352035560813792. R8YXC0RWBLH
/352035560813800. R8YXC0RWBMN/352035560813818. R8YXC0RWBNA/352035560813826. R8YXC0RWBPB/352035560813834. R8YXC0RWBQW/352035560813
842. R8YXC0RWBRR/352035560813859. R8YXC0RWBSX/352035560813867. R8YXC0RWBTY/352035560813875. R8YXC0RWBVT/352035560813883.XXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025000071363-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
