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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
032025000285441-7
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
1022943854
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. 116575015288902
43 . Año – Mes – Día
2025 – 02 – 22
44 . Documento de transporte
No. DEL8169953
45 . Año – Mes – Día
2025 – 02 – 17
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
9103238587
52 . Año – Mes – Día
2025 – 02 – 17
53 . Cod. país
procedencia
361
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.
4.161.46
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
361
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.
100.00
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
67.845.03
79 . Valor fletes USD
839.95 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
285.843.613
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
285.843.613
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
3.32
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
843.27
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
68.688.30
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: 548261-DECL: 1888728-DO: 893104202251- 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. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOM
OLOGACIÓN) // NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION.SAMSUNG ELECTRONICS COLOMB
IA S.A. OEA COD. OE0001. . PEDIDOS: 3083563182. ID DELIVERY: 6080527370. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A356ELVGLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A35 5G DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VIOLET(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
032025000285441
133. Feha: 202502 20
134 . Levante No. 032025000296166 135 . Fecha
2025 – 02 – 24
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 92032501445025
Fecha presentación 2025-02-20 19:57:04
Valor pagado $0.00
Fecha de Impresión: 2025-02-24 12:38:01
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000285441-7
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
A CLARO, MODELO:SM-A356E/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL./ /MOBILE,SM-A356E/DS,LIGHT VIOLET,LTC( QTY. 300,00
u )(300,00 PCE); IMEIS: 350722246665702/350884526665701. 350722246670165/350884526670164. 350722246670199/350884526670198. 35072
2246670249/350884526670248. 350722246670272/350884526670271. 350722246670298/350884526670297. 350722246670314/350884526670313. 35
0722246670538/350884526670537. 350722246670645/350884526670644. 350722246670652/350884526670651. 350722246670728/350884526670727.
350722246670736/350884526670735. 350722246670819/350884526670818. 350722246670835/350884526670834. 350722246670843/3508845266708
42. 350722246670884/350884526670883. 350722246670900/350884526670909.350722246670918/350884526670917. 350722246670975/35088452667
0974. 350722246671007/350884526671006. 350722246671049/350884526671048. 350722246671072/350884526671071. 350722246671148/35088452
6671147. 350722246671155/350884526671154. 350722246671239/350884526671238. 350722246671247/ 350884526671246. 350722246671254/3508
84526671253. 350722246671262/350884526671261. 350722246671296/350884526671295. 350722246671312/350884526671311. 350722246671338/3
50884526671337. 350722246671346/350884526671345. 350722246671353/350884526671352. 350722246671361/350884526671360.350722246671379
/350884526671378. 350722246671411/350884526671410. 350722246671445/350884526671444. 350722246671460/350884526671469. 350722246671
486/350884526671485. 350722246671494/350884526671493. 350722246671536/350884526671535. 350722246671544/350884526671543. 350722246
671593/350884526671592. 350722246671734/350884526671733. 350722246671957/350884526671956. 350722246671973/350884526671972. 350722
246672039/350884526672038. 350722246672096/350884526672095. 350722246672328/350884526672327. 350722246672542/350884526672541. 350
722246672575/350884526672574. 350722246672583/350884526672582. 350722246672591/350884526672590. 350722246672690/350884526672699.
350722246672724/350884526672723. 350722246675883/350884526675882. 350722246675917/350884526675916. 350722246675941/35088452667594
0. 350722246675990/350884526675999. 350722246676139/350884526676138. 350722246676212/350884526676211. 350722246676238/35088452667
6237. 350722246676246/350884526676245. 350722246676287/350884526676286. 350722246676303/350884526676302. 350722246676329/35088452
6676328. 350722246676360/350884526676369. 350722246676394/350884526676393. 350722246676410/350884526676419. 350722246676428/35088
4526676427. 350722246676444/350884526676443. 350722246676485/350884526676484. 350722246676543/350884526676542. 350722246676550/35
0884526676559. 350722246677640/350884526677649. 350722246677665/350884526677664. 350722246677681/350884526677680. 350722246677707
/350884526677706. 350722246677715/350884526677714. 350722246677749/350884526677748. 350722246677780/350884526677789. 350722246677
814/350884526677813. 350722246677830/350884526677839. 350722246677848/350884526677847. 350722246677889/350884526677888. 350722246
677897/350884526677896. 350722246677913/350884526677912.350722246677939/350884526677938. 350722246677947/350884526677946. 3507222
46677962/350884526677961. 350722246677970/350884526677979. 350722246678002/350884526678001. 350722246678093/350884526678092. 3507
22246678390/350884526678399. 350722246678481/350884526678480. 350722246678507/350884526678506. 350722246678564/350884526678563. 3
50722246678572/350884526678571. 350722246678622/350884526678621. 350722246678655/350884526678654. 350722246679919/350884526679918
. 350722246679950/350884526679959. 350722246679984/350884526679983. 350722246679992/350884526679991.350722246680016/3508845266800
15. 350722246680057/350884526680056. 350722246680115/350884526680114. 350722246680123/350884526680122. 350722246680347/3508845266
80346. 350722246680388/350884526680387. 350722246680438/350884526680437. 350722246680461/350884526680460. 350722246715374/3508845
26715373. 350722246715390/350884526715399. 350722246715424/350884526715423. 350722246715432/350884526715431. 350722246715440/3508
84526715449. 350722246715473/350884526715472. 350722246715481/350884526715480. 350722246715499/350884526715498. 350722246715531/3
50884526715530. 350722246715556/350884526715555. 350722246715598/350884526715597. 350722246715606/350884526715605. 35072224671561
4/350884526715613. 350722246715630/350884526715639. 350722246715671/350884526715670. 350722246715689/350884526715688. 35072224671
5713/350884526715712. 350722246715754/350884526715753. 350722246715762/350884526715761. 350722246715804/350884526715803. 35072224
6715820/350884526715829. 350722246715846/350884526715845. 350722246715853/350884526715852. 350722246717560/350884526717569. 35072
2246717578/350884526717577. 350722246717586/350884526717585. 350722246717602/350884526717601. 350722246717610/350884526717619. 35
0722246717628/350884526717627. 350722246717636/350884526717635. 350722246717644/350884526717643. 350722246717669/350884526717668.
350722246717677/350884526717676. 350722246717685/350884526717684. 350722246717693/350884526717692. 350722246717727/3508845267177
26. 350722246717743/350884526717742. 350722246717750/350884526717759. 350722246717768/350884526717767. 350722246717776/3508845267
17775. 350722246717800/350884526717809. 350722246717826/350884526717825. 350722246717834/350884526717833. 350722246717842/3508845
26717841. 350722246717867/350884526717866.350722246717875/350884526717874. 350722246717883/350884526717882. 350722246717891/35088
4526717890. 350722246717909/350884526717908. 350722246719012/350884526719011. 350722246719046/350884526719045. 350722246719111/35
0884526719110. 350722246719129/350884526719128. 350722246719137/350884526719136. 350722246719145/350884526719144. 350722246719160
/350884526719169. 350722246719194/350884526719193. 350722246719202/350884526719201. 350722246719228/350884526719227. 350722246719
277/350884526719276. 350722246719285/350884526719284. 350722246719327/350884526719326.350722246719384/350884526719383. 3507222467
19541/350884526719540. 350722246719574/350884526719573. 350722246719590/350884526719599. 350722246719608/350884526719607. 3507222
46719640/350884526719649. 350722246719665/350884526719664. 350722246719673/350884526719672. 350722246719772/350884526719771. 3507
22246719889/350884526719888. 350722246719897/350884526719896. 350722246719921/350884526719920. 350722246719939/350884526719938. 3
50722246719962/350884526719961. 350722246720010/350884526720019. 350722246720077/350884526720076. 350722246720291/350884526720290
. 350722246720341/350884526720340. 350722246720432/350884526720431. 350722246720523/350884526720522. 350722246720531/350884526720
530. 350722246720598/350884526720597. 350722246720689/350884526720688. 350722246720697/350884526720696. 350722246721000/350884526
721009. 350722246721042/350884526721041. 350722246721075/350884526721074. 350722246721091/350884526721090. 350722246721109/350884
526721108. 350722246721133/350884526721132. 350722246721174/350884526721173. 350722246721190/350884526721199. 350722246721505/350
884526721504. 350722246721521/350884526721520. 350722246721547/350884526721546. 350722246721661/350884526721660. 350722246715861/
350884526715860. 350722246715937/350884526715936. 350722246715945/350884526715944. 350722246716158/350884526716157. 3507222467161
82/350884526716181. 350722246716224/350884526716223. 350722246716265/350884526716264. 350722246716273/350884526716272. 3507222467
16364/350884526716363. 350722246716414/350884526716413. 350722246716489/350884526716488. 350722246716505/350884526716504. 3507222
46716521/350884526716520. 350722246716539/350884526716538. 350722246716547/350884526716546. 350722246716570/350884526716579. 3507
22246716588/350884526716587.350722246716596/350884526716595. 350722246716604/350884526716603. 350722246716612/350884526716611. 35
0722246716638/350884526716637. 350722246716695/350884526716694. 350722246716737/350884526716736. 350722246716760/350884526716769.
350722246716786/350884526716785. 350722246716802/350884526716801. 350722246716810/350884526716819. 350722246716836/3508845267168
35. 350722246716919/350884526716918. 350722246716976/350884526716975. 350722246717099/350884526717098. 350722246717305/3508845267
17304. 350722246717313/350884526717312. 350722246717321/350884526717320.350722246717396/350884526717395. 350722246717412/35088452
6717411. 350722246717420/350884526717429. 350722246717438/350884526717437. 350722246717446/350884526717445. 350722246717453/35088
4526717452. 350722246717461/350884526717460. 350722246717495/350884526717494. 350722246717511/350884526717510. 350722246717529/35
0884526717528. 350722246717537/350884526717536. 350722246662774/350884526662773. 350722246662907/350884526662906. 350722246662931
/350884526662930. 350722246662949/350884526662948. 350722246662980/350884526662989. 350722246663129/350884526663128. 350722246663
186/350884526663185. 350722246663194/350884526663193. 350722246663228/350884526663227. 350722246663301/350884526663300. 350722246
663368/350884526663367. 350722246663384/350884526663383. 350722246663392/350884526663391. 350722246663426/350884526663425. 350722
246663558/350884526663557. 350722246663582/350884526663581. 350722246663699/350884526663698. 350722246664077/350884526664076. 350
722246664119/350884526664118. 350722246664176/350884526664175. 350722246664200/350884526664209. 350722246664242/350884526664241.
350722246664259/350884526664258. 350722246664267/350884526664266. 350722246664317/350884526664316. 350722246664325/35088452666432
4. 350722246664333/350884526664332. 350722246664382/350884526664381. 350722246664754/350884526664753. 350722246664762/35088452666
4761. 350722246664770/350884526664779. 350722246664788/350884526664787. 350722246664804/350884526664803. 350722246664895/35088452
032025000285441-7
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000285441-7
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
6664894. 350722246665009/350884526665008. 350722246665025/350884526665024. 350722246665082/350884526665081. 350722246665124/35088
4526665123. 350722246665389/350884526665388. 350722246665421/350884526665420. 350722246665447/350884526665446. 350722246665504/35
0884526665503.350722246665512/350884526665511. 350722246665603/350884526665602. 350722246665694/350884526665693XXXXXXXXXXXXXXXXXX
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032025000285441-7
Espacio para uso exclusivo de la Entidad Recaudadora
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