VER MAS
REPÚBLICA DE COLOMBIA
Declaración de Importación Privada 500
1. Año 2022
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
032022001806168-9
5. Número de Identificación Tributaria (NIT)
800035776
6. DV.
1
11. Apellidos y nombres o Razón Social
NEXSYS DE COLOMBIA S.A.S.
13. Dirección
AUT MEDELLIN CL 80 KM 2 PAR EMPRESARIAL TECNOLOGIC
15. Teléfono
8766700
12. Cód. Admón.
03
16. Cód. Dpto
11
17. Cód. Ciudad Municipio
001
24. Número de Identificación Tributaria (NIT)
800245090
25. DV.
7
26. Razón social del declarante autorizado
AGENCIA DE ADUANAS ROLI ADUANAS S.A. NIVEL 2
27. Tipo usuario
26
28. Cód. usuario
0205
29. Número documento de identificación
21015353
30. Apellidos y nombres
SUAREZ RUBIO MARCELA
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
13907
42. Manifiesto de carga
No. 9194000387
43. Año – Mes – Día
2022 – 12 – 14
44. Documento de transporte
No. COSU6345894883
45. Año – Mes – Día
2022 – 10 – 20
46. Nombre exportador o proveedor en el exterior
XIAOMI H.K. LIMITED
47. Ciudad
TSUEN WAN
48. Cod.País Exportador
351
49. Dirección exportador o proveedor en el exterior
UN 1310A 13 F CABLE TV HOI SHING RO ADTSUEN WANNT
50. E-mail
GUOCHAO3@XIAOMI.COM
51. No. de factura
I1100000611089
52. Año – Mes – Día
2022 – 10 – 01
53. Cod. país
procedencia
215
54. Cod. Modo
Transporte
1
55. Código de
Bandera
169
56. Cod. Depto
destino
25
57. Empresa transportadora
INTERWORLD LAND TRANSPORT SAS
58. Tasa de cambio $ cvs.
4,797.02
S 59. Subpartida arancelaria
8528720040
60. Cod. Complementario
XX
61. Cod. Suplementario
XX
62. Cod. Modalidad
C200
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
08
69. Tipo de
importación
01
70. Cod. país
compra
351
71. Peso bruto kgs. dcms.
6,300.00
72. Peso neto kgs. dcms.
5,670.00
73. Código
embalaje
CS
74. No. bultos
30
75. Subpartidas
1
76. Cod. unidad
comercial
U
77. Cantidad dcms.
1,200.00
78.Valor FOB
USD
125,909.77
79. Valor fletes USD
6,544.00 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($)
Total Liquidado (USD)
Arancel
92
15.00
93
635,509,210
94
95,326,000
95
0
96
0
I.V.A.
97
19.00
98
730,835,210
99
138,859,000
100
0
101
0
Salvaguardia
102
0.00
103
0
104
0
105
0
106
0
Derechos
Compensatorios
107
0.00
108
0
109
0
110
0
111
0
Derechos
Antidumping
112
0.00
113
0
114
0
115
0
116
0
Sancion
117
0
118
0
119
0
120
0
Rescate
121
0
122
0
123
0
124
0
Total 125
234,185,000
126
0
80. Valor Seguros
USD
26.23
81. Valor Otros Gastos USD
0.00
82. Sumatoria de
fletes, seguros
y otros gastos
USD
6,570.23
83. Ajuste valor USD
0.00
84. Valor aduana
USD
132,480.00
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 BG22I3581 ,Pedido ,Formato 1 de 1; Factura(s)…I1100000611089 01/10/2022;Codigo OEA_ 006072;SIN REGISTRO, NOS ACOGEMOS AL DE
CRETO 0925 DEL 2013, RESOLUCION 006072, AUTORIZADO COMO OPERADOR ECONOMICO AUTORIZADO PARA TIPO USUARIO IMPORTADOR EN LA CATEGORI
A DE SEGURIDAD Y FACILITACION,NOS ACOGEMOS AL ART 17 DECRETO 360 DEL 2021, LEGALIZACION POREXCESO DE PESO, MERCANCIA NUEVA; 1200.
00 Unidad PRODUCTO= TELEVISORES, ELA4670CO, 33965, MI TV P1 32 CO, MODEL= L32M6-6ARG, USO O DESTINO= DOMESTICO, CLASE DE PANTALLA
= LED, TAMAÑO DE LA PANTALLA= 32 PLG, RESOLUCIÓN= 3840X2160 PIXELES, TIPO DE CONTROL= REMOTO, CANTIDAD 1200 UNDSREF NA MARCA MI
MODELO L32M6-6ARG MADE IN CHINA TELEVISORES DE 32PULGL32M6-6ARG MI TV P1 LED TV ANDROID TV P SERIES HD RE(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
032022001806168
133. Feha: 2022 12 19
134. Levante No. 032022001644283 135. Fecha
2022 – 12 – 19
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 92032209751115
Fecha presentación 2022-12-19 09:09:00
Valor pagado $0
Fecha de Impresión: 2022-12-19 09:11:15
20222671772459
Descripción General Declaración de Importación
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032022001806168-9
Subpartida : 8528720040
Página 1 de 3
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
SOLUCION 3840X2160 4K NETFLIX DOLBY AUDIO YOUTUBE PRIME VIDEO GOOGLE 100 240V 50 60HZ 50W CON SUS ACCESORIOS DE NORMA Y FUNCIONA
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031,33965/231100020032,33965/231100020033,33965/231100020034,33965/231100020035,33965/231100020036,33965/231100020037,33965/23110
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032022001806168-9
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032022001806168-9
Subpartida : 8528720040
Página 2 de 3
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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20357,33965/231100020358,33965/231100020359,33965/231100020360,33965/231100020361,33965/231100020362,33965/231100020363,33965/231
100020364,33965/231100020365,33965/231100020366,33965/231100020367,33965/231100020368,33965/231100020369,33965/231100020370,33965
/231100020371,33965/231100020372,33965/231100020373,33965/231100020374,33965/231100020375,33965/231100020376,33965/231100020377,3
3965/231100020378,33965/231100020379,33965/231100020380,33965/231100020381,33965/231100020382,33965/231100020383,33965/2311000203
84,33965/231100020385,33965/231100020386,33965/231100020387,33965/231100020388,33965/231100020389,33965/231100020390,33965/231100
020391,33965/231100020392,33965/231100020393,33965/231100020394,33965/231100020395,33965/231100020396,33965/231100020397,33965/23
1100020398,33965/231100020399,33965/231100020400,33965/231100020401,33965/231100020402,33965/231100020403,33965/231100020404,3396
5/231100020405,33965/231100020406,33965/231100020407,33965/231100020408,33965/231100020409,33965/231100020410,33965/231100020411,
33965/231100020412,33965/231100020413,33965/231100020414,33965/231100020415,33965/231100020416,33965/231100020417,33965/231100020
418,33965/231100020419,33965/231100020420,33965/231100020421,33965/231100020422,33965/231100020423,33965/231100020424,33965/23110
0020425,33965/231100020426,33965/231100020427,33965/231100020428,33965/231100020429,33965/231100020430,33965/231100020431,33965/2
31100020432,33965/231100020433,33965/231100020434,33965/231100020435,33965/231100020436,33965/231100020437,33965/231100020438,339
65/231100020439,33965/231100020440,33965/231100020441,33965/231100020442,33965/231100020443,33965/231100020444,33965/231100020445
,33965/231100020446,33965/231100020447,33965/231100020448,33965/231100020449,33965/231100020450,33965/231100020451,33965/23110002
0452,33965/231100020453,33965/231100020454,33965/231100020455,33965/231100020456,33965/231100020457,33965/231100020458,33965/2311
00020459,33965/231100020460,33965/231100020461,33965/231100020462,33965/231100020463,33965/231100020464,33965/231100020465,33965/
231100020466,33965/231100020467,33965/231100020468,33965/231100020469,33965/231100020470,33965/231100020471,33965/231100020472,33
965/231100020473,33965/231100020474,33965/231100020475,33965/231100020476,33965/231100020477,33965/231100020478,33965/23110002047
9,33965/231100020480,33965/231100020481,33965/231100020482,33965/231100020483,33965/231100020484,33965/231100020485,33965/2311000
20486,33965/231100020487,33965/231100020488,33965/231100020489,33965/231100020490,33965/231100020491,33965/231100020492,33965/231
100020493,33965/231100020494,33965/231100020495,33965/231100020496,33965/231100020497,33965/231100020498,33965/231100020499,33965
/231100020500,33965/231100020501,33965/231100020502,33965/231100020503,33965/231100020504,33965/231100020505,33965/231100020506,3
3965/231100020507,33965/231100020508,33965/231100020509,33965/231100020510,33965/231100020511,33965/231100020512,33965/2311000205
13,33965/231100020514,33965/231100020515,33965/231100020516,33965/231100020517,33965/231100020518,33965/231100020519,33965/231100
020520,33965/231100020521,33965/231100020522,33965/231100020523,33965/231100020524,33965/231100020525,33965/231100020526,33965/23
1100020527,33965/231100020528,33965/231100020529,33965/231100020530,33965/231100020531,33965/231100020532,33965/231100020533,3396
5/231100020534,33965/231100020535,33965/231100020536,33965/231100020537,33965/231100020538,33965/231100020539,33965/231100020540,
33965/231100020541,33965/231100020542,33965/231100020543,33965/231100020544,33965/231100020545,33965/231100020546,33965/231100020
547,33965/231100020548,33965/231100020549,33965/231100020550,33965/231100020551,33965/231100020552,33965/231100020553,33965/23110
0020554,33965/231100020555,33965/231100020556,33965/231100020557,33965/231100020558,33965/231100020559,33965/231100020560,33965/2
31100020561,33965/231100020562,33965/231100020563,33965/231100020564,33965/231100020565,33965/231100020566,33965/231100020567,339
65/231100020568,33965/231100020569,33965/231100020570,33965/231100020571,33965/231100020572,33965/231100020573,33965/231100020574
,33965/231100020575,33965/231100020576,33965/231100020577,33965/231100020578,33965/231100020579,33965/231100020580,33965/23110002
0581,33965/231100020582,33965/231100020583,33965/231100020584,33965/231100020585,33965/231100020586,33965/231100020587,33965/2311
00020588,33965/231100020589,33965/231100020590,33965/231100020591,33965/231100020592,33965/231100020593,33965/231100020594,33965/
231100020595,33965/231100020596,33965/231100020597,33965/231100020598,33965/231100020599,33965/231100020600,33965/231100020601,33
965/231100020602,33965/231100020603,33965/231100020604,33965/231100020605,33965/231100020606,33965/231100020607,33965/23110002060
8,33965/231100020609,33965/231100020610,33965/231100020611,33965/231100020612,33965/231100020613,33965/231100020614,33965/2311000
20615,33965/231100020616,33965/231100020617,33965/231100020618,33965/231100020619,33965/231100020620,33965/231100020621,33965/231
100020622,33965/231100020623,33965/231100020624,33965/231100020625,33965/231100020626,33965/231100020627,33965/231100020628,33965
/231100020629,33965/231100020630,33965/231100020631,33965/231100020632,33965/231100020633,33965/231100020634,33965/231100020635,3
3965/231100020636,33965/231100020637,33965/231100020638,33965/231100020639,33965/231100020640,33965/231100020641,33965/2311000206
42,33965/231100020643,33965/231100020644,33965/231100020645,33965/231100020646,33965/231100020647,33965/231100020648,33965/231100
020649,33965/231100020650,33965/231100020651,33965/231100020652,33965/231100020653,33965/231100020654,33965/231100020655,33965/23
1100020656,33965/231100020657,33965/231100020658,33965/231100020659,33965/231100020660,33965/231100020661,33965/231100020662,3396
5/231100020663,33965/231100020664,33965/231100020665,33965/231100020666,33965/231100020667,33965/231100020668,33965/231100020669,
33965/231100020670,33965/231100020671,33965/231100020672,33965/231100020673,33965/231100020674,33965/231100020675,33965/231100020
676,33965/231100020677,33965/231100020678,33965/231100020679,33965/231100020680,33965/231100020681,33965/231100020682,33965/23110
0020683,33965/231100020684,33965/231100020685,33965/231100020686,33965/231100020687,33965/231100020688,33965/231100020689,33965/2
31100020690,33965/231100020691,33965/231100020692,33965/231100020693,33965/231100020694,33965/231100020695,33965/231100020696,339
65/231100020697,33965/231100020698,33965/231100020699,33965/231100020700,33965/231100020701,33965/231100020702,33965/231100020703
,33965/231100020704,33965/231100020705,33965/231100020706,33965/231100020707,33965/231100020708,33965/231100020709,33965/23110002
0710,33965/231100020711,33965/231100020712,33965/231100020713,33965/231100020714,33965/231100020715,33965/231100020716,33965/2311
00020717,33965/231100020718,33965/231100020719,33965/231100020720,33965/231100020721,33965/231100020722,33965/231100020723,33965/
231100020724,33965/231100020725,33965/231100020726,33965/231100020727,33965/231100020728,33965/231100020729,33965/231100020730,33
965/231100020731,33965/231100020732,33965/231100020733,33965/231100020734,33965/231100020735,33965/231100020736,33965/23110002073
7,33965/231100020738,33965/231100020739,33965/231100020740,33965/231100020741,33965/231100020742,33965/231100020743,33965/2311000
20744,33965/231100020745,33965/231100020746,33965/231100020747,33965/231100020748,33965/231100020749,33965/231100020750,33965/231
100020751,33965/231100020752,33965/231100020753,33965/231100020754,33965/231100020755,33965/231100020756,33965/231100020757,33965
/231100020758,33965/231100020759,33965/231100020760,33965/231100020761,33965/231100020762,33965/231100020763,33965/231100020764,3
3965/231100020765,33965/231100020766,33965/231100020767,33965/231100020768,33965/231100020769,33965/231100020770,33965/2311000207
71,33965/231100020772,33965/231100020773,33965/231100020774,33965/231100020775,33965/231100020776,33965/231100020777,33965/231100
020778,33965/231100020779,33965/231100020780,33965/231100020781,33965/231100020782,33965/231100020783,33965/231100020784,33965/23
1100020785,33965/231100020786,33965/231100020787,33965/231100020788,33965/231100020789,33965/231100020790,33965/231100020791,3396
5/231100020792,33965/231100020793,33965/231100020794,33965/231100020795,33965/231100020796,33965/231100020797,33965/231100020798,
33965/231100020799,33965/231100020800,33965/231100020801,33965/231100020802,33965/231100020803,33965/231100020804,33965/231100020
032022001806168-9
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032022001806168-9
Subpartida : 8528720040
Página 3 de 3
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
805,33965/231100020806,33965/231100020807,33965/231100020808,33965/231100020809,33965/231100020810,33965/231100020811,33965/23110
0020812,33965/231100020813,33965/231100020814,33965/231100020815,33965/231100020816,33965/231100020817,33965/231100020818,33965/2
31100020819,33965/231100020820,33965/231100020821,33965/231100020822,33965/231100020823,33965/231100020824,33965/231100020825,339
65/231100020826,33965/231100020827,33965/231100020828,33965/231100020829,33965/231100020830,33965/231100020831,33965/231100020832
,33965/231100020833,33965/231100020834,33965/231100020835,33965/231100020836,33965/231100020837,33965/231100020838,33965/23110002
0839,33965/231100020840,33965/231100020841,33965/231100020842,33965/231100020843,33965/231100020844,33965/231100020845,33965/2311
00020846,33965/231100020847,33965/231100020848,33965/231100020849,33965/231100020850,33965/231100020851,33965/231100020852,33965/
231100020853,33965/231100020854,33965/231100020855,33965/231100020856,33965/231100020857,33965/231100020858,33965/231100020859,33
965/231100020860,33965/231100020861,33965/231100020862,33965/231100020863,33965/231100020864,33965/231100020865,33965/23110002086
6,33965/231100020867,33965/231100020868,33965/231100020869,33965/231100020870,33965/231100020871,33965/231100020872,33965/2311000
20873,33965/231100020874,33965/231100020875,33965/231100020876,33965/231100020877,33965/231100020878,33965/231100020879,33965/231
100020880,33965/231100020881,33965/231100020882,33965/231100020883,33965/231100020884,33965/231100020885,33965/231100020886,33965
/231100020887,33965/231100020888,33965/231100020889,33965/231100020890,33965/231100020891,33965/231100020892,33965/231100020893,3
3965/231100020894,33965/231100020895,33965/231100020896,33965/231100020897,33965/231100020898,33965/231100020899,33965/2311000209
00,33965/231100020901,33965/231100020902,33965/231100020903,33965/231100020904,33965/231100020905,33965/231100020906,33965/231100
020907,33965/231100020908,33965/231100020909,33965/231100020910,33965/231100020911,33965/231100020912,33965/231100020913,33965/23
1100020914,33965/231100020915,33965/231100020916,33965/231100020917,33965/231100020918,33965/231100020919,33965/231100020920,3396
5/231100020921,33965/231100020922,33965/231100020923,33965/231100020924,33965/231100020925,33965/231100020926,33965/231100020927,
33965/231100020928,33965/231100020929,33965/231100020930,33965/231100020931,33965/231100020932,33965/231100020933,33965/231100020
934,33965/231100020935,33965/231100020936,33965/231100020937,33965/231100020938,33965/231100020939,33965/231100020940,33965/23110
0020941,33965/231100020942,33965/231100020943,33965/231100020944,33965/231100020945,33965/231100020946,33965/231100020947,33965/2
31100020948,33965/231100020949,33965/231100020950,33965/231100020951,33965/231100020952,33965/231100020953,33965/231100020954,339
65/231100020955,33965/231100020956,33965/231100020957,33965/231100020958,33965/231100020959,33965/231100020960,33965/231100020961
,33965/231100020962,33965/231100020963,33965/231100020964,33965/231100020965,33965/231100020966,33965/231100020967,33965/23110002
0968,33965/231100020969,33965/231100020970,33965/231100020971,33965/231100020972,33965/231100020973,33965/231100020974,33965/2311
00020975,33965/231100020976,33965/231100020977,33965/231100020978,33965/231100020979,33965/231100020980,33965/231100020981,33965/
231100020982,33965/231100020983,33965/231100020984,33965/231100020985,33965/231100020986,33965/231100020987,33965/231100020988,33
965/231100020989,33965/231100020990,33965/231100020991,33965/231100020992,33965/231100020993,33965/231100020994,TOTAL 1200 UND,,,
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032022001806168-9
Espacio para uso exclusivo de la Entidad Recaudadora
