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REPÚBLICA DE COLOMBIA
Declaración de Importación Privada 500
1. Año 2024
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
0320240018295557
5 . Número de Identificación Tributaria (NIT) 6 . DV. 11 . Apellidos y nombres o Razón Social
13 . Dirección 15 . Teléfono 12 . Cód. Admón. 16 . Cód. Dpto 17 . Cód. Ciudad Municipio
24 . Número de Identificación Tributaria (NIT) 25 . DV. 26 . Razón social del declarante autorizado 27 . Tipo usuario 28 . Cód. usuario
29 . Número documento de identificación 30 . Apellidos y nombres
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
13101
42 . Manifiesto de carga
No. 116575015122286
43 . Año Mes
Día
2024 12
27
44 . Documento de transporte
No. 41N0688298
45 . Año Mes
Día
2024 12
19
46 . Nombre exportador o proveedor en el exterior 47 . Ciudad 48 . Cod.País Exportador
49 . Dirección exportador o proveedor en el exterior 50 . Email
51 . No. de factura
RY3IM2024121800069
52 . Año Mes
Día
2024 12
18
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.
4.375.86
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
01
69 . Tipo de
importación
01
70 . Cod. país
compra
244
71 . Peso bruto kgs. dcms.
867.00
72 . Peso neto kgs. dcms.
710.28
73 . Código
embalaje
YY
74 . No. bultos
3
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
1.800.00
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 4
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 BB7G0002823001
DECLARACION(11)
DOCUMENTO DE VERIFICACION DV221271
DE 20241224.
FACTURA: RY3IM2024121800069 FECHA: 202412
18
PRODUCTO: TELEFONO INTELIGENTE (CELULAR), MARCA: HONOR, MODELO: GFYLX3,
REFERENCIA: 5109BQKK, USO O DESTINO: EQUIPO TERMINAL
MOVIL PARA TELECOMUNICACION, DESCARGA DE APLICACIONES, NAVEGACION EN INTERNET Y TOMA DE FOTOGRAFIAS ENTRE OTROS, IMEI NO. (CODIG
O DE QUINCE 15DIGITOS):
862703072615152/862703073115152 862703072641786/862703073141786 862703072611458/862703073111458 862703
072633288/862703073133288 862703072651157/862703073151157 862703072633262/862703073133262 862703072651223/862703073151223 8627030
72623883/862703073123883 862703072625409/862703073125409 862703072651827/862703073151827 862703072651165/86(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
032024001829555
133. Feha: 2024 12 30
134 . Levante No. 032024001737578 135 . Fecha
2024 12
30
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 92032409715112
Fecha presentación 20241230
14:48:28
Valor pagado $0.00
Fecha de Impresión: 20241230
14:54:33
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320240018295557
Subpartida :
8517130000
Página 2 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
39 862703072634799/862703073134799 862703072651140/862703073151140 862703072634716/862703073134716 862703072634476/86270307313447
6 862703072617117/862703073117117 862703072634492/862703073134492 862703072634542/862703073134542 862703072624584/862703073124584
862703072624360/862703073124360 862703072624824/862703073124824 862703072633528/862703073133528 862703072624568/862703073124568
862703072633494/862703073133494 862703072615004/862703073115004 862703072633767/862703073133767 862703072625771/862703073125771 8
62703072651496/862703073151496 862703072651561/862703073151561 862703072607548/862703073107548 862703072651512/862703073151512 86
2703072607621/862703073107621 862703072651603/862703073151603 862703072607563/862703073107563 862703072651330/862703073151330 862
703072633874/862703073133874 862703072624857/862703073124857 862703072633858/862703073133858 862703072616077/862703073116077 8627
03072651744/862703073151744 862703072616051/862703073116051 862703072642891/862703073142891 862703072652163/862703073152163 86270
3072617158/862703073117158 862703072607704/862703073107704 862703072616614/862703073116614 862703072616655/862703073116655 862703
072617018/862703073117018 862703072616663/862703073116663 862703072630318/862703073130318 862703072624014/862703073124014 8627030
72625615/862703073125615 862703072642511/862703073142511 862703072625581/862703073125581 862703072643188/862703073143188 86270307
2634211/862703073134211 862703072607688/862703073107688 862703072617141/862703073117141 862703072616945/862703073116945 862703072
625607/862703073125607 862703072607944/862703073107944 862703072651793/862703073151793 862703072608207/862703073108207 8627030726
52510/862703073152510 862703072635028/862703073135028 862703072617190/862703073117190 862703072626225/862703073126225 86270307261
0872/862703073110872 862703072617232/862703073117232 862703072643295/862703073143295 862703072643196/862703073143196 862703072634
278/862703073134278 862703072617273/862703073117273 862703072617224/862703073117224 862703072626399/862703073126399 8627030726506
70/862703073150670 862703072607324/862703073107324 862703072625540/862703073125540 862703072625656/862703073125656 86270307263457
5/862703073134575 862703072633106/862703073133106 862703072635010/862703073135010 862703072625896/862703073125896 862703072615087
/862703073115087 862703072615434/862703073115434 862703072633726/862703073133726 862703072624725/862703073124725 862703072633692/
862703073133692 862703072624758/862703073124758 862703072633593/862703073133593 862703072624816/862703073124816 862703072633833/8
62703073133833 862703072651975/862703073151975 862703072634864/862703073134864 862703072625938/862703073125938 862703072650381/86
2703073150381 862703072626035/862703073126035 862703072634674/862703073134674 862703072625987/862703073125987 862703072643634/862
703073143634 862703072607118/862703073107118 862703072615392/862703073115392 862703072607167/862703073107167 862703072642461/8627
03073142461 862703072624949/862703073124949 862703072607175/862703073107175 862703072615798/862703073115798 862703072652353/86270
3073152353 862703072608710/862703073108710 862703072651108/862703073151108 862703072608520/862703073108520 862703072608777/862703
073108777 862703072633080/862703073133080 862703072617182/862703073117182 862703072608785/862703073108785 862703072616481/8627030
73116481 862703072643790/862703073143790 862703072608413/862703073108413 862703072634930/862703073134930 862703072643410/86270307
3143410 862703072634831/862703073134831 862703072616226/862703073116226 862703072643691/862703073143691 862703072607720/862703073
107720 862703072616622/862703073116622 862703072633007/862703073133007 862703072652296/862703073152296 862703072608199/8627030731
08199 862703072652213/862703073152213 862703072616788/862703073116788 862703072607746/862703073107746 862703072616671/86270307311
6671 862703072607886/862703073107886 862703072616705/862703073116705 862703072607803/862703073107803 862703072608132/862703073108
132 862703072625375/862703073125375 862703072608181/862703073108181 862703072607753/862703073107753 862703072608033/8627030731080
33 862703072642289/862703073142289 862703072607795/862703073107795 862703072616630/862703073116630 862703072626191/86270307312619
1 862703072643055/862703073143055 862703072652627/862703073152627 862703072626662/862703073126662 862703072626167/862703073126167
862703072626142/862703073126142 862703072643014/862703073143014 862703072612217/862703073112217 862703072651066/862703073151066
862703072615376/862703073115376 862703072624865/862703073124865 862703072642438/862703073142438 862703072624667/862703073124667 8
62703072632827/862703073132827 862703072615715/862703073115715 862703072633577/862703073133577 862703072624527/862703073124527 86
2703072632934/862703073132934 862703072626043/862703073126043 862703072634880/862703073134880 862703072626068/862703073126068 862
703072643485/862703073143485 862703072625979/862703073125979 862703072634815/862703073134815 862703072625854/862703073125854 8627
03072615137/862703073115137 862703072615046/862703073115046 862703072615582/862703073115582 862703072624980/862703073124980 86270
3072633775/862703073133775 862703072615947/862703073115947 862703072616473/862703073116473 862703072607233/862703073107233 862703
072616192/862703073116192 862703072651785/862703073151785 862703072651645/862703073151645 862703072616143/862703073116143 8627030
72642834/862703073142834 862703072616200/862703073116200 862703072643139/862703073143139 862703072642230/862703073142230 86270307
2643006/862703073143006 862703072623156/862703073123156 862703072633940/862703073133940 862703072633197/862703073133197 862703072
643345/862703073143345 862703072642099/862703073142099 862703072651082/862703073151082 862703072607894/862703073107894 8627030726
16846/862703073116846 862703072643170/862703073143170 862703072616747/862703073116747 862703072642933/862703073142933 86270307261
6879/862703073116879 862703072607779/862703073107779 862703072616960/862703073116960 862703072642909/862703073142909 862703072616
978/862703073116978 862703072607977/862703073107977 862703072607951/862703073107951 862703072632843/862703073132843 8627030726428
83/862703073142883 862703072616937/862703073116937 862703072624139/862703073124139 862703072616820/862703073116820 86270307260771
2/862703073107712 862703072616689/862703073116689 862703072652270/862703073152270 862703072617000/862703073117000 862703072626555
/862703073126555 862703072643220/862703073143220 862703072617596/862703073117596 862703072617331/862703073117331 862703072635036/
862703073135036 862703072608462/862703073108462 862703072617638/862703073117638 862703072633759/862703073133759 862703072650985/8
62703073150985 862703072652700/862703073152700 862703072650605/862703073150605 862703072650852/862703073150852 862703072642677/86
2703073142677 862703072633361/862703073133361 862703072642420/862703073142420 862703072626001/862703073126001 862703072643451/862
703073143451 862703072625961/862703073125961 862703072642651/862703073142651 862703072617125/862703073117125 862703072643469/8627
03073143469 862703072634617/862703073134617 862703072633585/862703073133585 862703072624899/862703073124899 862703072633536/86270
3073133536 862703072633395/862703073133395 862703072642404/862703073142404 862703072633387/862703073133387 862703072642388/862703
073142388 862703072624733/862703073124733 862703072643626/862703073143626 862703072607191/862703073107191 862703072643642/8627030
73143642 862703072625870/862703073125870 862703072651314/862703073151314 862703072607332/862703073107332 862703072651348/86270307
3151348 862703072642396/862703073142396 862703072624394/862703073124394 862703072642305/862703073142305 862703072607142/862703073
107142 862703072642495/862703073142495 862703072651322/862703073151322 862703072632900/862703073132900 862703072615020/8627030731
15020 862703072641836/862703073141836 862703072634435/862703073134435 862703072624154/862703073124154 862703072634294/86270307313
4294 862703072642081/862703073142081 862703072643303/862703073143303 862703072639293/862703073139293 862703072623982/862703073123
982 862703072642115/862703073142115 862703072643378/862703073143378 862703072633981/862703073133981 862703072643352/8627030731433
52 862703072634062/862703073134062 862703072615426/862703073115426 862703072634237/862703073134237 862703072630979/86270307313097
9 862703072651819/862703073151819 862703072630391/862703073130391 862703072633544/862703073133544 862703072651835/862703073151835
862703072608025/862703073108025 862703072617067/862703073117067 862703072651959/862703073151959 862703072616648/862703073116648
862703072608017/862703073108017 862703072616853/862703073116853 862703072633312/862703073133312 862703072607845/862703073107845 8
62703072616838/862703073116838 862703072634179/862703073134179 862703072616952/862703073116952 862703072624188/862703073124188 86
2703072607670/862703073107670 862703072607936/862703073107936 862703072616887/862703073116887 862703072607860/862703073107860 862
703072616861/862703073116861 862703072608009/862703073108009 862703072643774/862703073143774 862703072652866/862703073152866 8627
03072616515/862703073116515 862703072617372/862703073117372 862703072617323/862703073117323 862703072626597/862703073126597 86270
3072652528/862703073152528 862703072608504/862703073108504 862703072617216/862703073117216 862703072608553/862703073108553 862703
072652643/862703073152643 862703072643121/862703073143121 862703072617364/862703073117364 862703072617422/862703073117422 8627030
72626571/862703073126571 862703072633478/862703073133478 862703072607266/862703073107266 862703072642693/862703073142693 86270307
0320240018295557
Espacio para uso exclusivo de la Entidad
Recaudadora
