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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
032025000606119-9
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. 116575015304581
43 . Año – Mes – Día
2025 – 02 – 27
44 . Documento de transporte
No. 8VT8721
45 . Año – Mes – Día
2025 – 02 – 21
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 . E-mail
3059947965
51 . No. de factura
21985
52 . Año – Mes – Día
2025 – 02 – 22
53 . Cod. país
procedencia
351
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.120.11
S59 . 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.
583.47
72 . Peso neto kgs. dcms.
525.13
73 . Código
embalaje
PK
74 . No. bultos
6
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
1.500.00
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
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 202532734 CODIGO / RESOLUCION OEA IMPORTADOR: OE0169; DECLARACION(3-3) 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: 24044RN32L, RADICACION: 2024516638, FECHA: 2024-06-07. // DOCUMENTO DE VE
RIFICACION DE IMEI: DV-226046, FECHA: 2025-02-26. //. FACTURA: 21985 FECHA: 2025-02-22 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.. CA
NT (1500) U TELEFONO CELULAR, 1065525 REDMI AX3 AURORA GREEN 3G RAM 64GB ROM. // ESPECIFICACIONES: PROCESAD(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
032025000606119
133. Feha: 2025 03 05
134 . Levante No. 032025000346144 135 . Fecha
2025 – 03 – 05
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 92032501795681
Fecha presentación 2025-03-05 17:46:04
Valor pagado $0.00
Fecha de Impresión: 2025-03-05 18:23:28
Kelly Johanna Gonzalez Acero
C.C 1.023.862.658
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606119-9
Subpartida : 8517130000
Página 1 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
OR: PROCESADOR UNISOC T603 (22nm), PANTALLA: 6.71PULGADAS, MEMORIA: 3GB, DISCO DURO: 64GB ROM, SISTEMA OPERATIVO: ANDROID 14 UP T
O 2 MAJOR ANDROID UPGRADES, MIUI. // EAN: 6941812799031. // REDMI AX3 VERDE AURORA 3G RAM 64GB ROM, ALIMENTACION: 5V-2A, LARGE 6.
71 (17.04 CM) DISPLAY 90HZ, LUID VISUAL EXPERIENCE, POWER FUL OCATA-CORE PROCESSOR, AI DUAL CAMERA MASSIVE 5000 MAH TYP POWER. CO
NTIENE: TELEFONO CELULAR, ADAPTADOR DE CORRIENTE, CABLE USB TIPO-C, LLAVE PARA SIM CARD, GUIA DE INICIO RAPIDO, TARJETA DE GARANT
IA// PRODUCTO CON EMPAQUE TERMOSELLADO // COD:. 1065525. PRODUCTO: TELEFONO CELULAR, MARCA: REDMI/MI, MODELO: 24044RN32L, REFEREN
CIA: 58675/MZB0HR7US, USO O DESTINO: COMUNICACIÓN, PARA ALMACENAMIENTO Y PROCESAMIENTO DE DATOS., SERIAL//IMEI NO. (CODIGO DE QUI
NCE -15- DIGITOS): 58675/65PD00001//865745078745886//865745078745894, 58675/65PD00002//865745078730862//865745078730870, 58675/65
PD00004//865745078753385//865745078753393, 58675/65PD00005//865745078746769//865745078746777, 58675/65PD00007//865745078731001//8
65745078731019, 58675/65PD00008//865745078709122//865745078709130, 58675/65PD00009//865745078757964//865745078757972, 58675/65PD0
0010//865745078747445//865745078747452, 58675/65PD00011//865745078746603//865745078746611, 58675/65PD00014//865745078715400//8657
45078715418, 58675/65PD00015//865745078721143//865745078721150, 58675/65PD00017//865745078722802//865745078722810, 58675/65PD0001
8//865745078713140//865745078713157, 58675/65PD00019//865745078659806//865745078659814, 58675/65PD00020//865745078746827//8657450
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745078755562//865745078755570, 58675/65PD00036//865745078740507//865745078740515, 58675/65PD00037//865745078831603//8657450788316
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58675/65PD00047//865745078781766//865745078781774, 58675/65PD00048//865745078797523//865745078797531, 58675/65PD00049//865745078
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675/65PD00052//865745078830522//865745078830530, 58675/65PD00053//865745078781568//865745078781576, 58675/65PD00055//865745078763
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56311, 58675/65PD00133//865745078872425//865745078872433, 58675/65PD00134//865745078597568//865745078597576, 58675/65PD00135//865
745078791468//865745078791476, 58675/65PD00136//865745078779521//865745078779539, 58675/65PD00137//865745078856949//8657450788569
56, 58675/65PD00138//865745078856709//865745078856717, 58675/65PD00139//865745078838640//865745078838657, 58675/65PD00140//865745
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58675/65PD00144//861687070299146//861687070299153, 58675/65PD00145//865745078856261//865745078856279, 58675/65PD00146//861687070
234648//861687070234655, 58675/65PD00147//865745078856345//865745078856352, 58675/65PD00148//865745078846981//865745078846999, 58
675/65PD00151//865745078722265//865745078722273, 58675/65PD00152//865745078756206//865745078756214, 58675/65PD00153//865745078640
525//865745078640533, 58675/65PD00154//865745078755505//865745078755513, 58675/65PD00155//865745078753765//865745078753773, 58675
/65PD00156//865745078740648//865745078740655, 58675/65PD00161//865745078924424//865745078924432, 58675/65PD00194//861687070205408
//861687070205416, 58675/65PD00197//865745078862426//865745078862434, 58675/65PD00199//865745078877465//865745078877473, 58675/65
PD00200//865745078878802//865745078878810, 58675/65PD00201//865745078818600//865745078818618, 58675/65PD00202//865745078848086//8
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0206//865745078768102//865745078768110, 58675/65PD00207//865745078848243//865745078848250, 58675/65PD00208//865745078833849//8657
45078833856, 58675/65PD00209//865745078801507//865745078801515, 58675/65PD00210//865745078818287//865745078818295, 58675/65PD0021
1//865745078850546//865745078850553, 58675/65PD00212//865745078878943//865745078878950, 58675/65PD00213//865745078849969//8657450
78849977, 58675/65PD00214//865745078762162//865745078762170, 58675/65PD00215//865745078850322//865745078850330, 58675/65PD00216//
865745078865940//865745078865957, 58675/65PD00217//865745078609504//865745078609512, 58675/65PD00218//865745078866120//8657450788
66138, 58675/65PD00219//865745078879941//865745078879958, 58675/65PD00220//865745078850306//865745078850314, 58675/65PD00221//865
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032025000606119-9
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606119-9
Subpartida : 8517130000
Página 2 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025000606119-9
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606119-9
Subpartida : 8517130000
Página 3 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025000606119-9
Espacio para uso exclusivo de la Entidad Recaudadora
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Aceptación : 032025000606119-9
Subpartida : 8517130000
Página 4 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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865745078764408//865745078764416, 58675/65PD01805//865745078846700//865745078846718, 58675/65PD01806//865745078764465//8657450787
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65745078792656, 58675/65PD01839//865745078793902//865745078793910, 58675/65PD01840//865745078793621//865745078793639, 58675/65PD0
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58675/65PD01873//865745078857566//865745078857574, 58675/65PD01874//865745078792722//865745078792730, 58675/65PD01875//865745078
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675/65PD01880//865745078761347//865745078761354, 58675/65PD01882//865745078875600//865745078875618, 58675/65PD01883//865745078779
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13734, 58675/65PD02105//865745078845322//865745078845330, 58675/65PD02110//865745078844820//865745078844838, 58675/65PD02117//865
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58675/65PD02220//865745078859729//865745078859737, 58675/65PD02223//865745078860404//865745078860412, 58675/65PD02230//865745078
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032025000606119-9
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
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Importación
Aceptación : 032025000606119-9
Subpartida : 8517130000
Página 5 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
4//865745078783903//865745078783911, 58675/65PD02445//865745078847302//865745078847310, 58675/65PD02446//865745078766528//8657450
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032025000606119-9
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606119-9
Subpartida : 8517130000
Página 6 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
58675/65PD03075//865745078539065//865745078539073, 58675/65PD03076//865745078947904//865745078947912, 58675/65PD03086//865745078
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58675/65PD03742//865745078967969//865745078967977, 58675/65PD03743//865745078968165//865745078968173, 58675/65PD03744//861687070
191822//861687070191830, 58675/65PD03746//865745078888165//865745078888173, 58675/65PD03747//861687070159985//861687070159993, 58
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032025000606119-9
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606119-9
Subpartida : 8517130000
Página 7 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025000606119-9
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606119-9
Subpartida : 8517130000
Página 8 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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65745078828856, 58675/65PD04830//865745078796848//865745078796855, 58675/65PD04832//865745078796608//865745078796616, 58675/65PD0
4833//865745078829524//865745078829532, 58675/65PD04834//865745078876004//865745078876012, 58675/65PD04835//865745078861360//8657
45078861378, 58675/65PD04836//865745078796822//865745078796830, 58675/65PD04895//861687070189909//861687070189917, 58675/65PD0490
0//861687070223880//861687070223898, 58675/65PD04902//865745078814666//865745078814674, 58675/65PD04903//865745078764226//8657450
78764234, 58675/65PD04904//865745078862046//865745078862053, 58675/65PD04927//865745078776709//865745078776717, 58675/65PD04935//
865745078793548//865745078793555, 58675/65PD04938//865745078776949//865745078776956, 58675/65PD04939//865745078793142//8657450787
93159, 58675/65PD04940//865745078857988//865745078857996, 58675/65PD04941//865745078873928//865745078873936, 58675/65PD04942//865
745078857368//865745078857376, 58675/65PD04943//865745078873589//865745078873597, 58675/65PD04944//865745078792987//8657450787929
95, 58675/65PD04945//865745078793761//865745078793779, 58675/65PD04947//865745078776683//865745078776691, 58675/65PD04948//865745
078809922//865745078809930, 58675/65PD04949//865745078873340//865745078873357, 58675/65PD04950//865745078809864//865745078809872,
58675/65PD04959//865745078840067//865745078840075, 58675/65PD04977//865745078853664//865745078853672, 58675/65PD04994//865745078
965849//865745078965856, 58675/65PD04995//865745078840729//865745078840737, 58675/65PD07177//865745078903642//865745078903659, 58
675/65PD07178//865745078887787//865745078887795, 58675/65PD07779//865745078989328//865745078989336, 58675/65PD07782//865745078903
188//865745078903196, PAIS ORIGEN: CHINA – 215. //XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025000606119-9
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
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Aceptación : 032025000606119-9
Subpartida : 8517130000
Página 9 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025000606119-9
Espacio para uso exclusivo de la Entidad Recaudadora
