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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
032025000852202-6
5 . Número de Identificación Tributaria (NIT)
830028931
6 . DV.
5
11 . Apellidos y nombres o Razón Social
SAMSUNG ELECTRONICS COLOMBIA S.A.
13 . Dirección
CR 7 113 43 OF 607
15 . Teléfono
4870707
12 . Cód. Admón.
03
16 . Cód. Dpto
11
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
860536003
25 . DV.
3
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS ABC REPECEV S.A.S. NIVEL 1
27 . Tipo usuario
26
28 . Cód. usuario
99
29 . Número documento de identificación
1022943854
30 . Apellidos y nombres
CARLOS ANDRES ROJAS MATAJUDIOS
31 . Clase
Importador
02
32 . Tipo declaración
Anticipada
33 . Cod.
3
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
99900
42 . Manifiesto de carga
No. 116575015500812
43 . Año – Mes – Día
2025 – 04 – 24
44 . Documento de transporte
No. SHAN0387349
45 . Año – Mes – Día
2025 – 04 – 17
46 . Nombre exportador o proveedor en el exterior
SAMSUNG ELECTRONICS CO., LTD
47 . Ciudad
GYEONGGI-DO
48 . Cod.País Exportador
190
49 . Dirección exportador o proveedor en el exterior
129, SAMSUNG-RO, YEONGTONG-GU SUWON 16677
50 . E-mail
010-8705-6749
51 . No. de factura
9103414262
52 . Año – Mes – Día
2025 – 04 – 17
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
249
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.329.90
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
855
67 . Cod. Acuerdo
XXX
68 . Forma de pago
de la importación
01
69 . Tipo de
importación
01
70 . Cod. país
compra
190
71 . Peso bruto kgs. dcms.
99.50
72 . Peso neto kgs. dcms.
57.00
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
300.00
78 .Valor FOB
USD
28.715.87
79 . Valor fletes USD
1.021.14 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
128.764.515
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
128.764.515
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
1.44
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.022.58
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
29.738.45
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)
NAC: 555183-DECL: 1908344-DO: 893109951251- DECL 1 DE 1.- //NOS ACOGEMOS AL ARTICULO 424 DEL ESTATUTO TRIBUTARIO MODIFICADO POR L
A LEY 1819DEL 29/12/2016 ARTÍCULO 175 NUMERAL 6 (EXCLUSIÓN DEL IVA). // NOS ACOGEMOS AL ARTÍCULO 2.8.3.1 ORDINAL 2.8.3.1.4 DE LA
RESOLUCIÓN 5050 DEL 10 DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOM
OLOGACIÓN) // NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION.SAMSUNG ELECTRONICS COLOMB
IA S.A. OEA COD. OE0001. . PEDIDOS: 3087885877. ID DELIVERY: 6081547065. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A165MLGGLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A16 DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE CLA(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
032025000852202
133. Feha: 202504 23
134 . Levante No. 032025000679888 135 . Fecha
2025 – 04 – 25
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 92032503150731
Fecha presentación 2025-04-23 20:45:46
Valor pagado $0.00
Fecha de Impresión: 2025-04-25 09:55:31
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000852202-6
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
RO, MODELO: SM-A165M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A165M/DS,LIGHT GREEN,LTC( QTY. 300,00 u )(3
00,00 PCE); IMEIS: 352042194302069/356542824302062. 352042194302077/356542824302070. 352042194302085/356542824302088. 35204219430
2119/356542824302112. 352042194302143/356542824302146. 352042194302168/356542824302161. 352042194302176/356542824302179. 35204219
4302192/356542824302195. 352042194302200/356542824302203. 352042194302218/356542824302211. 352042194302226/356542824302229. 35204
2194302234/356542824302237. 352042194302283/356542824302286.352042194302309/356542824302302. 352042194302317/356542824302310. 352
042194302325/356542824302328. 352042194302341/356542824302344. 352042194303182/356542824303185. 352042194349896/356542824349899.
352042194349920/356542824349923. 352042194349979/356542824349972. 352042194349987/356542824349980. 352042194350001/35654282435000
4. 352042194350019/356542824350012. 352042194350035/356542824350038. 352042194350043/3565428 24350046. 352042194350068/3565428243
50061. 352042194350076/356542824350079. 352042194350084/356542824350087. 352042194350092/356542824350095. 352042194350100/3565428
24350103. 352042194350118/356542824350111. 352042194350126/356542824350129. 352042194277766/356542824277769. 352042194277774/3565
42824277777. 352042194277907/356542824277900. 352042194277915/356542824277918. 352042194278269/356542824278262. 352042194278418/3
56542824278411. 352042194279150/356542824279153. 352042194279234/356542824279237. 352042194279242/356542824279245. 35204219427925
9/356542824279252. 352042194279267/356542824279260. 352042194279283/356542824279286. 352042194279416/356542824279419. 35204219427
9473/356542824279476. 352042194279515/356542824279518. 352042194282204/356542824282207. 352042194282832/356542824282835. 35204219
4282915/356542824282918. 352042194282956/356542824282959. 352042194283509/356542824283502. 352042194284085/356542824284088. 35204
2194284200/356542824284203. 352042194284218/356542824284211. 352042194284739/356542824284732. 352042194284754/356542824284757. 35
2042194284788/356542824284781. 352042194284804/356542824284807. 352042194285629/356542824285622. 352042194285637/356542824285630.
352042194285645/356542824285648. 352042194285652/356542824285655. 352042194285660/356542824285663. 352042194285678/3565428242856
71.352042194285702/356542824285705. 352042194285710/356542824285713. 352042194285728/356542824285721. 352042194287625/35654282428
7628. 352042194287708/356542824287701. 352042194287724/356542824287727. 352042194287740/356542824287743. 352042194287765/35654282
4287768. 352042194287773/356542824287776. 352042194287799/356542824287792. 352042194287807/356542824287800. 352042194289852/35654
2824289855. 352042194289878/356542824289871. 352042194289894/356542824289897. 352042194289902/356542824289905. 352042194289910/35
6542824289913. 352042194289928/356542824289921.352042194290132/356542824290135. 352042194290140/356542824290143. 352042194290165/
356542824290168. 352042194290181/356542824290184. 352042194290199/356542824290192. 352042194290207/356542824290200. 3520421942902
23/356542824290226. 352042194290249/356542824290242. 352042194290256/356542824290259. 352042194290272/356542824290275. 3520421942
90280/356542824290283. 352042194290298/356542824290291. 352042194290306/356542824290309. 352042194290314/356542824290317. 3520421
94290330/356542824290333. 352042194290355/356542824290358. 352042194290363/356542824290366. 352042194290371/356542824290374. 3520
42194290389/356542824290382. 352042194290405/356542824290408. 352042194290413/356542824290416. 352042194290470/356542824290473. 3
52042194290488/356542824290481. 352042194290504/356542824290507. 352042194290546/356542824290549. 352042194290553/356542824290556
. 352042194290561/356542824290564. 352042194290595/356542824290598. 352042194290629/356542824290622. 352042194290637/356542824290
630. 352042194290660/356542824290663. 352042194290678/356542824290671. 352042194290702/356542824290705. 352042194290710/356542824
290713. 352042194290728/356542824290721. 352042194291130/356542824291133. 352042194291148/356542824291141. 352042194291163/356542
824291166. 352042194287815/356542824287818. 352042194288144/356542824288147. 352042194288169/356542824288162. 352042194288185/356
542824288188. 352042194288243/356542824288246. 352042194288326/356542824288329. 352042194288557/356542824288550. 352042194288565/
356542824288568. 352042194288615/356542824288618. 352042194288631/356542824288634. 352042194288649/356542824288642. 3520421942886
56/356542824288659. 352042194288664/356542824288667. 352042194288706/356542824288709. 352042194288755/356542824288758.35204219428
8763/356542824288766. 352042194288771/356542824288774. 352042194288797/356542824288790. 352042194288805/356542824288808. 35204219
4288813/356542824288816. 352042194288854/356542824288857. 352042194288862/356542824288865. 352042194288870/356542824288873. 35204
2194288920/356542824288923. 352042194288953/356542824288956. 352042194289043/356542824289046. 352042194289068/356542824289061. 35
2042194289092/356542824289095. 352042194289100/356542824289103. 352042194289118/356542824289111. 352042194289209/356542824289202.
352042194289217/356542824289210.352042194289225/356542824289228. 352042194289241/356542824289244. 352042194289266/35654282428926
9. 352042194289290/356542824289293. 352042194289316/356542824289319. 352042194289324/356542824289327. 352042194289340/35654282428
9343. 352042194289373/356542824289376. 352042194289423/356542824289426. 352042194289498/356542824289491. 352042194289506/35654282
4289509. 352042194289837/356542824289830. 352042194289845/356542824289848. 352042194291189/356542824291182. 352042194291197/35654
2824291190. 352042194292955/356542824292958. 352042194293094/356542824293097. 352042194294175/356542824294178. 352042194294225/35
6542824294228. 352042194294266/356542824294269. 352042194294274/356542824294277. 352042194294290/356542824294293. 352042194294308
/356542824294301. 352042194294316/356542824294319. 352042194294340/356542824294343. 352042194294399/356542824294392. 352042194294
407/356542824294400. 352042194294415/356542824294418. 352042194294423/356542824294426. 352042194294472/356542824294475. 352042194
294530/356542824294533. 352042194294589/356542824294582. 352042194294613/356542824294616. 352042194294647/356542824294640. 352042
194294654/356542824294657. 352042194294670/356542824294673. 352042194294704/356542824294707. 352042194294712/356542824294715. 352
042194294761/356542824294764. 352042194294795/356542824294798. 352042194295180/356542824295183. 352042194295214/356542824295217.
352042194295248/356542824295241. 352042194295297/356542824295290. 352042194295313/356542824295316. 352042194295321/35654282429532
4. 352042194295339/356542824295332. 352042194295362/356542824295365. 352042194295370/356542824295373. 352042194295388/35654282429
5381. 352042194295404/356542824295407. 352042194295412/356542824295415. 352042194295487/356542824295480.352042194295511/356542824
295514. 352042194295545/356542824295548. 352042194295578/356542824295571. 352042194295594/356542824295597. 352042194295602/356542
824295605. 352042194295636/356542824295639. 352042194295644/356542824295647. 352042194295651/356542824295654. 352042194295669/356
542824295662. 352042194295685/356542824295688. 352042194295701/356542824295704. 352042194295727/356542824295720. 352042194295743/
356542824295746. 352042194295768/356542824295761. 352042194295784/356542824295787. 352042194295792/356542824295795. 3520421942958
00/356542824295803.352042194295818/356542824295811. 352042194295826/356542824295829. 352042194295842/356542824295845. 35204219429
5875/356542824295878. 352042194295891/356542824295894. 352042194295917/356542824295910. 352042194295925/356542824295928. 35204219
4295966/356542824295969. 352042194295982/356542824295985. 352042194295990/356542824295993. 352042194296014/356542824296017. 35204
2194296071/356542824296074. 352042194296089/356542824296082. 352042194296121/356542824296124. 352042194296147/356542824296140. 35
2042194296212/356542824296215. 352042194296261/356542824296264. 352042194296287/356542824296280. 352042194297343/356542824297346.
352042194297517/356542824297510. 352042194297749/356542824297742. 352042194297822/356542824297825. 352042194297848/3565428242978
41. 352042194297939/356542824297932. 352042194297954/356542824297957. 352042194297970/356542824297973. 352042194297996/3565428242
97999. 352042194298069/356542824298062. 352042194298101/356542824298104. 352042194298143/356542824298146. 352042194298150/3565428
24298153. 352042194298176/356542824298179. 352042194298218/356542824298211. 352042194298226/356542824298229. 352042194298234/3565
42824298237. 352042194298242/356542824298245. 352042194298267/356542824298260. 352042194298275/356542824298278. 352042194298317/3
56542824298310. 352042194298374/356542824298377. 352042194298382/356542824298385. 352042194298390/356542824298393. 35204219429843
2/356542824298435. 352042194298556/356542824298559. 352042194298564/356542824298567. 352042194298622/356542824298625. 35204219429
8705/356542824298708. 352042194298796/356542824298799. 352042194299042/356542824299045. 352042194299067/356542824299060. 35204219
4299117/356542824299110. 352042194299224/356542824299227. 352042194299448/356542824299441.352042194299455/356542824299458. 352042
194299463/356542824299466. 352042194299489/356542824299482. 352042194299497/356542824299490. 352042194299539/356542824299532. 352
042194299604/356542824299607. 352042194299612/356542824299615. 352042194299752/356542824299755. 352042194299943/356542824299946.
352042194300246/356542824300249. 352042194300295/356542824300298. 352042194300394/356542824300397. 352042194300543/35654282430054
032025000852202-6
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000852202-6
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
6. 352042194300931/356542824300934. 352042194301376/356542824301379. 352042194301384/356542824301387. 352042194301442/35654282430
1445.352042194301582/356542824301585. 352042194301624/356542824301627. 352042194301657/356542824301650. 352042194301954/356542824
301957. 352042194301970/356542824301973. 352042194302010/356542824302013. 352042194302044/356542824302047XXXXXXXXXXXXXXXXXXXXXXXX
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032025000852202-6
Espacio para uso exclusivo de la Entidad Recaudadora
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