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Declaraci贸n de Importaci贸n Privada 500
1. A帽o 2025
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. N煤mero de formulario
032025000717311-3
5 . N煤mero de Identificaci贸n Tributaria (NIT)
800091549
6 . DV.
2
11 . Apellidos y nombres o Raz贸n Social
IMPRESISTEM S A S
13 . Direcci贸n
AUT MEDELLIN CL 80 KM 2
15 . Tel茅fono
8766500
12 . C贸d. Adm贸n.
03
16 . C贸d. Dpto
25
17 . C贸d. Ciudad Municipio
214
24 . N煤mero de Identificaci贸n Tributaria (NIT)
830122083
25 . DV.
6
26 . Raz贸n social del declarante autorizado
AGENCIA DE ADUANAS LATINOAMERICANA DE ADUANAS SAS NIVEL 2
27 . Tipo usuario
26
28 . C贸d. usuario
459
29 . N煤mero documento de identificaci贸n
1023862658
30 . Apellidos y nombres
GONZALEZ ACERO KELLY JOHANNA
31 . Clase
Importador
02
32 . Tipo declaraci贸n
Inicial
33 . Cod.
1
34 .No.Formulario Anterior
XXXXXXXXXXXXXX
35 . A帽o – Mes – D铆a
XXXX – XX – XX
36 . Cod. Adm贸n.
XX
37 . Declaraci贸n de Exportaci贸n
No. XXXXXXXXXXXXXXX
38 . A帽o – Mes – D铆a
XXXX – XX – XX
39 . Cod. Adm贸n.
XX
40 . Cod. lugar ingreso
de las mercanc铆as
BOG
41 . Cod. Dep贸sito
26924
42 . Manifiesto de carga
No. 116575015380623
43 . A帽o – Mes – D铆a
2025 – 03 – 20
44 . Documento de transporte
No. 41N0709551
45 . A帽o – Mes – D铆a
2025 – 03 – 15
46 . Nombre exportador o proveedor en el exterior
IMC INTERNATIONAL INC
47 . Ciudad
MIAMI
48 . Cod.Pa铆s Exportador
249
49 . Direcci贸n exportador o proveedor en el exterior
7707 NW 46 STREET MIAMI, FL 33166
50 . E-mail
3059947965
51 . No. de factura
22077
52 . A帽o – Mes – D铆a
2025 – 03 – 15
53 . Cod. pa铆s
procedencia
351
54 . Cod. Modo
Transporte
4
55 . C贸digo de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
EMIRATES SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.187.72
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. pa铆s
de origen
215
67 . Cod. Acuerdo
XXX
68 . Forma de pago
de la importaci贸n
03
69 . Tipo de
importaci贸n
01
70 . Cod. pa铆s
compra
249
71 . Peso bruto kgs. dcms.
436.50
72 . Peso neto kgs. dcms.
392.85
73 . C贸digo
embalaje
PK
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
800.00
78 .Valor FOB USD 79 . Valor fletes USD
Concepto % Base Total Liquidado ($)
Total a pagar con esta
declaraci贸n ($)
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 . C贸digo registro
o licencia
X
86 . N煤mero
XXXXXXXXXX
87 . Cod. oficina
99
88 . A帽o
XXXX
89 . Programa No
XXXXXXXXXX
90 . C贸d Interno del Producto
0
91 . Descripci贸n de las mercanc铆as(No inicie la descripci贸n de las mercanc铆as a importar con lo se帽alado en el arancel de aduanas en la subpartida arancelaria – Incluya marcas, seriales y otros) (Si el campo es insuficiente, contin煤e al respaldo
de este formulario)
DO 202532983 CODIGO / RESOLUCION OEA IMPORTADOR: OE0169; DECLARACION(1-1) 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: 24117RN76L, RADICACION: 2024533857, FECHA: 2024-10-30. // DOCUMENTO D
E VERIFICACION DE IMEI: DV-227607, FECHA: 2025-03-19. //. FACTURA: 22077 FECHA: 2025-03-15 NOS ACOGEMOS AL DECRETO 1881 DEL 2021,
NOS ACOGEMOS AL DECRETO 0925 DE MAYO 9DEL 2013, MINISTERIO DE COMERCIO EXTERIOR, IMPORTACI脫N EXENTA DE REGISTRO DE IMPORTACI脫N..
CANT (800) U TELEFONO CELULAR, 1065251 REDMI NOTE 14 MIDNIGHT BLACK 8 RAM 256 ROM. // ESPECIFICACIONES: PR(contin煤a al respaldo)
127 . Valor pagos anteriores: 0
128 . Recibo oficial de pago anterior No.: XXXXXXXXXXXXXXX
129. Fecha: XXXX XX XX
130 . Espacio reservado DIAN – Actuaci贸n aduanera
Estado de levante: Levante autom谩tico
No hay declaraci贸n posterior
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptaci贸n declaraci贸n
032025000717311
133. Feha: 2025 03 27
134 . Levante No. 032025000447422 135 . Fecha
2025 – 03 – 27
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 transacci贸n)
Coloque el timbre de la m谩quina
registradora al dorso de este formulario
980 . Pago Total $
0
996 . Espacio para autoadhesivo de la entidad recaudadora
(N煤mero del adhesivo)
SYGA
Autoadhesivo 92032502386042
Fecha presentaci贸n 2025-03-27 11:08:00
Valor pagado $0.00
Fecha de Impresi贸n: 2025-03-27 11:25:03
Kelly Johanna Gonzalez Acero
C.C 1.023.862.658
REP脷BLICA DE COLOMBIA
Declaraci贸n de
Importaci贸n
Aceptaci贸n : 032025000717311-3
Subpartida : 8517130000
P谩gina 1 de 5
105. Continuaci贸n descripci贸n mercanc铆as (Incluya marcas, seriales y otros)
OCESADOR: HELIO G99-ULTRA, PANTALLA: 6.67 PULGADAS, MEMORIA: 8 GB, DISCO DURO: 256 GB ROM, SISTEMA OPERATIVO: XIAOMI HYPEROS. //
EAN: 6932554405663. // REDMI NOTE 14 NEGRO OCASO 8GB RAM 256GB ROM. // ALIMENTACION: 5V-3A/3.6-11V-3A (33 MAX). // 108 MP AL CAME
RA, MASSIVE 5500 MAH TYP BATTERY. // CONTIENE: ADAPTADOR DE CORRIENTE, CABLE USB TIPO-C, LLAVE PARA SIM CARD, CARCASA PROTECTORA,
GUIA DE INICIO RAPIDO Y TARJETA DE GARANTIA. // PRODUCTO TERMOSELLADO. // COD.: 1065251. PRODUCTO: TELEFONO CELULAR, MARCA: REDM
I/MI, MODELO: 24117RN76L, REFERENCIA: 61125/MZB0IRRUS, USO O DESTINO: COMUNICACI脫N, PARA ALMACENAMIENTO Y PROCESAMIENTO DE DATOS.
, SERIAL // IMEI NO. (CODIGO DE QUINCE -15- DIGITOS): 61125/W5NR00002//862844071325227//862844071325235, 61125/W5NR00077//8628440
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61125/W5NR00872//862844071044562//862844071044570, 61125/W5NR01315//862844071047128//862844071047136, 61125/W5NR01420//8628440704
02001//862844070402019, 61125/W5NR01439//862844071050528//862844071050536, 61125/W5NR01477//862844071058224//862844071058232, 611
25/W5NR01578//862844071331969//862844071331977, 61125/W5NR01615//862844071327165//862844071327173, 61125/W5NR01667//8628440710395
21//862844071039539, 61125/W5NR01705//862844071039182//862844071039190, 61125/W5NR01888//862844071084428//862844071084436, 61125/
W5NR02052//862844071046062//862844071046070, 61125/W5NR03119//862844071325748//862844071325755, 61125/W5NR03360//862844071078925/
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71249542//862844071249559, 61125/W5NS00078//862844071260242//862844071260259, 61125/W5NS00079//862844071165102//862844071165110,
61125/W5NS00080//862844071259160//862844071259178, 61125/W5NS00081//862844071262024//862844071262032, 61125/W5NS00082//8628440712
60366//862844071260374, 61125/W5NS00083//862844071253502//862844071253510, 61125/W5NS00084//862844071153363//862844071153371, 611
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W5NS00095//862844071287583//862844071287591, 61125/W5NS00098//862844071281461//862844071281479, 61125/W5NS00101//862844071289464/
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2844071298994, 61125/W5NS00118//862844071298184//862844071298192, 61125/W5NS00121//862844071300840//862844071300857, 61125/W5NS00
127//862844071278749//862844071278756, 61125/W5NS00128//862844071278384//862844071278392, 61125/W5NS00131//862844071300824//86284
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032025000717311-3
Espacio para uso exclusivo de la Entidad Recaudadora
REP脷BLICA DE COLOMBIA
Declaraci贸n de
Importaci贸n
Aceptaci贸n : 032025000717311-3
Subpartida : 8517130000
P谩gina 2 de 5
105. Continuaci贸n descripci贸n mercanc铆as (Incluya marcas, seriales y otros)
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032025000717311-3
Espacio para uso exclusivo de la Entidad Recaudadora
REP脷BLICA DE COLOMBIA
Declaraci贸n de
Importaci贸n
Aceptaci贸n : 032025000717311-3
Subpartida : 8517130000
P谩gina 3 de 5
105. Continuaci贸n descripci贸n mercanc铆as (Incluya marcas, seriales y otros)
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032025000717311-3
Espacio para uso exclusivo de la Entidad Recaudadora
REP脷BLICA DE COLOMBIA
Declaraci贸n de
Importaci贸n
Aceptaci贸n : 032025000717311-3
Subpartida : 8517130000
P谩gina 4 de 5
105. Continuaci贸n descripci贸n mercanc铆as (Incluya marcas, seriales y otros)
44071060345//862844071060352, 61125/W5NS00892//862844070803422//862844070803430, 61125/W5NS00893//862844070878283//86284407087829
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032025000717311-3
Espacio para uso exclusivo de la Entidad Recaudadora
REP脷BLICA DE COLOMBIA
Declaraci贸n de
Importaci贸n
Aceptaci贸n : 032025000717311-3
Subpartida : 8517130000
P谩gina 5 de 5
105. Continuaci贸n descripci贸n mercanc铆as (Incluya marcas, seriales y otros)
W5NS01359//862844071295784//862844071295792, 61125/W5NS01363//862844071268922//862844071268930, 61125/W5NS01364//862844071267080/
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S01406//862844071324287//862844071324295, 61125/W5NS01419//862844071259665//862844071259673, 61125/W5NS01436//862844071337545//86
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//862844071297640//862844071297657, 61125/W5NS01492//862844071280646//862844071280653, 61125/W5NS01505//862844071282022//86284407
1282030, 61125/W5NS01515//862844071312886//862844071312894, 61125/W5NS01519//862844071301822//862844071301830, 61125/W5NS01522//8
62844071263220//862844071263238, 61125/W5NS01523//862844071306508//862844071306516, 61125/W5NS01525//862844071255960//86284407125
5978, 61125/W5NS01526//862844071251563//862844071251571, 61125/W5NS01527//862844071263469//862844071263477, 61125/W5NS01528//8628
44071316143//862844071316150, 61125/W5NS01529//862844071250201//862844071250219, 61125/W5NS01533//862844071252926//86284407125293
4, 61125/W5NS01534//862844071258501//862844071258519, 61125/W5NS01535//862844071256604//862844071256612, 61125/W5NS01543//8628440
71263949//862844071263956, 61125/W5NS01545//862844071277808//862844071277816, 61125/W5NS01546//862844071262586//862844071262594,
61125/W5NS01548//862844071250664//862844071250672, 61125/W5NS01554//862844071252843//862844071252850, 61125/W5NS01561//8628440713
07746//862844071307753, 61125/W5NS01562//862844071308785//862844071308793, 61125/W5NS01565//862844071312720//862844071312738, 611
25/W5NS01567//862844071312167//862844071312175, 61125/W5NS01568//862844071314148//862844071314155, 61125/W5NS01569//8628440713090
49//862844071309056, 61125/W5NS01570//862844071307902//862844071307910, 61125/W5NS01576//862844071308322//862844071308330, 61125/
W5NS01580//862844071331340//862844071331357, 61125/W5NS01587//862844071311466//862844071311474, 61125/W5NS01588//862844071311144/
/862844071311151, 61125/W5NS01592//862844071309221//862844071309239, 61125/W5NS01595//862844071316200//862844071316218, 61125/W5N
S01597//862844071311987//862844071311995, 61125/W5NS01668//862844071373029//862844071373037, 61125/W5NS01800//862844071118986//86
2844071118994, 61125/W5NS01845//862844071118663//862844071118671, 61125/W5NS01997//862844071387805//862844071387813, 61125/W5NS02
014//862844071357881//862844071357899, 61125/W5NS02126//862844071384661//862844071384679, PAIS ORIGEN: CHINA – 215. //XXXXXXXXXXX
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032025000717311-3
