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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
0320250000416462
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. 116575015148198
43 . Año Mes
Día
2025 01
08
44 . Documento de transporte
No. 41N0698314
45 . Año Mes
Día
2024 12
29
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
21787
52 . Año Mes
Día
2024 01
02
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.
4.410.50
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.
512.13
72 . Peso neto kgs. dcms.
460.92
73 . Código
embalaje
PK
74 . No. bultos
3
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 202532119 CODIGO / RESOLUCION OEA IMPORTADOR: OE0169; DECLARACION(13)
NOS ACOGEMOS AL ART 424 DEL ESTATUTO TRIBUTARIO MODIFIC
ADO POR LEY 1819 DE 29 DE DICIEMBRE 2016, NUEVA REFORMA TRIBUTARIA, ART 175 PARA COMPUTADORESPORTATILES, DE ESCRITORIOTABLETAS Y
CELULARES. // DOCUMENTO DE VERIFICACION DE IMEI: DV221997,
FECHA: 20250108.
FECHA DE DOCUMENTO DE TRANSPORTE: 23 DE DICIEMBRE
DE 2024.. FACTURA: 21787 FECHA: 20240102
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.. CANT (1000) UNIDADES HOMOLOGACION DE EQUIPO MA
RCA REDMI MODELO: 2409BRN2CL, RADICACION: 2024523502, FECHA: 20240729.
// TELEFONO CELULAR, 1064246 REDMI(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
032025000041646
133. Feha: 2025 01 10
134 . Levante No. 032025000038939 135 . Fecha
2025 01
10
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 92032500245464
Fecha presentación 20250110
18:39:12
Valor pagado $0.00
Fecha de Impresión: 20250110
18:41:02
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320250000416462
Subpartida :
8517130000
Página 1 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
14C STARRY BLUE 4GB RAM 256GB ROM // ESPECIFICACIONES: PROCESADOR: POWERFULL OCTACORE
PROCESSOR, PANTALLA: 6.88 PULGADAS (17.47
CM), MEMORIA: 4GB, ALMACENAMIENTO: 256GB, SISTEMA OPERATIVO: HYPEROS. // EAN: 6941812787298. // REDMI 14C AZUL ASTRAL 4GB RAM, 2
56GB ROM. CONTIENE: TELEFONO CELULAR, CABLE USB TIPOC,
LLAVE PARA SIM CARD, ADAPTADOR DE CORRIENTE, CARCASA PROTECTORA, GUIA DE
INICIO RAPIDO, TARJETA DE GARANTIA. ALIMENTACION: 5V3A/
3.611V3A
(33 W MAX). // PRODUCTO TERMOSELLADO. COD: 1064246. PRODUCTO:
TELEFONO CELULAR, MARCA: REDMI/MI, MODELO: 2409BRN2CL, REFERENCIA: 59160/MZB0HXPUS, USO O DESTINO: COMUNICACIÓN, PARA ALMACENAMIE
NTO Y PROCESAMIENTO DE DATOS, SERIAL // IMEI NO. (CODIGO DE QUINCE 15DIGITOS):
59160/64YM00001//869807075266245//8698070752662
52, 59160/64YM00002//869807075266260//869807075266278, 59160/64YM00003//869807075266286//869807075266294, 59160/64YM00004//869807
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59160/64YM00007//869807075266369//869807075266377, 59160/64YM00008//869807075266385//869807075266393, 59160/64YM00009//869807075
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526//869807075266534, 59160/64YM00016//869807075266542//869807075266559, 59160/64YM00018//869807075266583//869807075266591, 59160
/64YM00019//869807075266609//869807075266617, 59160/64YM00020//869807075266625//869807075266633, 59160/64YM00021//869807075266641
//869807075266658, 59160/64YM00022//869807075266666//869807075266674, 59160/64YM00024//869807075266708//869807075266716, 59160/64
YM00025//869807075266724//869807075266732, 59160/64YM00026//869807075266740//869807075266757, 59160/64YM00027//869807075267722//8
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YM00537//869807075280782//869807075280790, 59160/64YM00571//869807075218923//869807075218931, 59160/64YM00573//869807075264968//8
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0320250000416462
Espacio para uso exclusivo de la Entidad
Recaudadora
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320250000416462
Subpartida :
8517130000
Página 2 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
075285401//869807075285419, 59160/64YM00722//869807075285427//869807075285435, 59160/64YM00723//869807075285443//869807075285450,
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0320250000416462
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Página 3 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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Página 5 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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2//869807075248326//869807075248334, 59160/64YM03753//869807075248342//869807075248359, 59160/64YM03754//869807075248367//8698070
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869807075248466//869807075248474, 59160/64YM03761//869807075248508//869807075248516, 59160/64YM03762//869807075248524//8698070752
48532, 59160/64YM03764//869807075265064//869807075265072, 59160/64YM03765//869807075265080//869807075265098, 59160/64YM03766//869
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YM03803//869807075249084//869807075249092, 59160/64YM03804//869807075249100//869807075249118, 59160/64YM03805//869807075249126//8
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07075249233, 59160/64YM03811//869807075249241//869807075249258, 59160/64YM03812//869807075249266//869807075249274, 59160/64YM0381
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869807075249381//869807075249399, 59160/64YM03819//869807075249407//869807075249415, 59160/64YM03820//869807075249423//8698070752
49431, 59160/64YM03821//869807075249449//869807075249456, 59160/64YM03822//869807075249464//869807075249472, 59160/64YM03823//869
807075249480//869807075249498, 59160/64YM03824//869807075249506//869807075249514, 59160/64YM03825//869807075249522//8698070752495
30, 59160/64YM03827//869807075249563//869807075249571, 59160/64YM03828//869807075249589//869807075249597, 59160/64YM03829//869807
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59160/64YM03832//869807075266161//869807075266179, 59160/64YM03833//869807075266187//869807075266195, 59160/64YM03836//869807075
250504//869807075250512, 59160/64YM03837//869807075250520//869807075250538, 59160/64YM03838//869807075250546//869807075250553, 59
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869807075267623//869807075267631, 59160/64YM03874//869807075267649//869807075267656, 59160/64YM03876//869807075267680//8698070752
67698, 59160/64YM03877//869807075267706//869807075267714, 59160/64YM04152//869807075302248//869807075302255, 59160/64YM04160//869
807075302404//869807075302412, 59160/64YM04521//869807075329944//869807075329951, 59160/64YM04582//869807075331049//8698070753310
56, 59160/64YM04585//869807075331106//869807075331114, 59160/64YM04598//869807075347664//869807075347672, 59160/64YM04617//869807
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59160/64YM05070//869807075326668//869807075326676, 59160/64YM05256//869807075348225//869807075348233, 59160/64YM05306//869807075
349124//869807075349132, 59160/64YM05310//869807075349207//869807075349215, 59160/64YM05499//869807075320125//869807075320133, 59
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7859//869807075329506//869807075329514, 59160/64YM07877//869807075329860//869807075329878, 59160/64YM08214//869807075395663//8698
07075395671, 59160/64YM08222//869807075378123//869807075378131, 59160/64YM08227//869807075378222//869807075378230, 59160/64YM0822
0320250000416462
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REPÚBLICA DE COLOMBIA
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0320250000416462
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Página 6 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
8//869807075378248//869807075378255, 59160/64YM08258//869807075405868//869807075405876, 59160/64YM08259//869807075405884//8698070
75405892, 59160/64YM08260//869807075405900//869807075405918, 59160/64YM08261//869807075405926//869807075405934, 59160/64YM08263//
869807075405967//869807075405975, 59160/64YM08266//869807075406023//869807075406031, 59160/64YM08271//869807075406122//8698070754
06130, 59160/64YM08280//869807075406304//869807075406312, 59160/64YM08282//869807075406346//869807075406353, 59160/64YM08287//869
807075406445//869807075406452, 59160/64YM08296//869807075406627//869807075406635, 59160/64YM08868//869807075403764//8698070754037
72, 59160/64YM08913//869807075405546//869807075405553, 59160/64YM08917//869807075405629//869807075405637, 59160/64YM08926//869807
075422004//869807075422012, 59160/64YM08928//869807075422046//869807075422053, 59160/64YM08934//869807075406783//869807075406791,
59160/64YM08937//869807075406841//869807075406858, 59160/64YM08948//869807075423267//869807075423275, 59160/64YM08954//869807075
423382//869807075423390, 59160/64YM08969//869807075423689//869807075423697, 59160/64YM09530//869807075404408//869807075404416, 59
160/64YM09535//869807075404507//869807075404515, 59160/64YM09564//869807075422160//869807075422178, 59160/64YM09569//869807075422
269//869807075422277, 59160/64YM09572//869807075422327//869807075422335, 59160/64YM09584//869807075422566//869807075422574, 59160
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//869807075422830, 59160/64YM09598//869807075422848//869807075422855, 59160/64YM09599//869807075422863//869807075422871, 59160/64
YM09609//869807075423887//869807075423895, 59160/64YM10229//869807075438141//869807075438158, 59160/64YM10231//869807075422905//8
69807075422913, 59160/64YM10233//869807075422947//869807075422954, 59160/64YM10240//869807075439164//869807075439172, 59160/64YM1
0241//869807075439180//869807075439198, 59160/64YM10247//869807075439305//869807075439313, 59160/64YM10253//869807075439420//8698
07075439438, 59160/64YM10257//869807075439503//869807075439511, 59160/64YM10258//869807075439529//869807075439537, 59160/64YM1026
9//869807075439743//869807075439750, 59160/64YM10272//869807075439800//869807075439818, 59160/64YM10863//869807075438224//8698070
75438232, 59160/64YM10887//869807075438703//869807075438711, 59160/64YM10889//869807075438745//869807075438752, 59160/64YM10911//
869807075439982//869807075439990, 59160/64YM10929//869807075378545//869807075378552, 59160/64YM10933//869807075378628//8698070753
78636, 59160/64YM10937//869807075378701//869807075378719, 59160/64YM10939//869807075378743//869807075378750, 59160/64YM10940//869
807075378768//869807075378776, 59160/64YM10948//869807075379881//869807075379899, 59160/64YM11502//869807075377406//8698070753774
14, 59160/64YM11513//869807075377620//869807075377638, 59160/64YM11526//869807075377885//869807075377893, 59160/64YM11527//869807
075377901//869807075377919, 59160/64YM11528//869807075377927//869807075377935, 59160/64YM11544//869807075379121//869807075379139,
59160/64YM11553//869807075379303//869807075379311, 59160/64YM11554//869807075379329//869807075379337, 59160/64YM11566//869807075
405785//869807075405793, 59160/64YM11567//869807075405801//869807075405819, 59160/64YM12639//869807075466480//869807075466498, PA
IS ORIGEN: CHINA 215.
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0320250000416462
Espacio para uso exclusivo de la Entidad
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