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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
032025000852319-9
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. SHAN0387350
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
9103414263
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.
93.50
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
28.901.96
79 . Valor fletes USD
835.05 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
836.49
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: 555185-DECL: 1908349-DO: 893109952251- 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: 3087885881. ID DELIVERY: 6081548344. 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
032025000852319
133. Feha: 202504 23
134 . Levante No. 032025000679930 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 92032503151342
Fecha presentación 2025-04-23 21:34:31
Valor pagado $0.00
Fecha de Impresión: 2025-04-25 10:02:52
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000852319-9
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: 352042194282923/356542824282926. 352042194283053/356542824283056. 352042194283095/356542824283098. 35204219428
3145/356542824283148. 352042194283269/356542824283262. 352042194283301/356542824283304. 352042194283319/356542824283312. 35204219
4283368/356542824283361. 352042194283384/356542824283387. 352042194283392/356542824283395. 352042194283566/356542824283569. 35204
2194283889/356542824283882. 352042194283913/356542824283916.352042194283921/356542824283924. 352042194284150/356542824284153. 352
042194284242/356542824284245. 352042194284283/356542824284286. 352042194284291/356542824284294. 352042194284309/356542824284302.
352042194284325/356542824284328. 352042194284457/356542824284450. 352042194284499/356542824284492. 352042194284507/35654282428450
0. 352042194284549/356542824284542. 352042194284556/356542824284559. 352042194284572/3565428 24284575. 352042194284630/3565428242
84633. 352042194284655/356542824284658. 352042194284663/356542824284666. 352042194284671/356542824284674. 352042194284721/3565428
24284724. 352042194284770/356542824284773. 352042194284820/356542824284823. 352042194284861/356542824284864. 352042194284895/3565
42824284898. 352042194284903/356542824284906. 352042194285041/356542824285044. 352042194285116/356542824285119. 352042194285132/3
56542824285135. 352042194285140/356542824285143. 352042194285157/356542824285150. 352042194285173/356542824285176. 35204219428520
7/356542824285200. 352042194285215/356542824285218. 352042194293227/356542824293220. 352042194293250/356542824293253. 35204219429
4126/356542824294129. 352042194294514/356542824294517. 352042194294548/356542824294541. 352042194294571/356542824294574. 35204219
4294639/356542824294632. 352042194294662/356542824294665. 352042194294787/356542824294780. 352042194295115/356542824295118. 35204
2194295305/356542824295308. 352042194295693/356542824295696. 352042194295859/356542824295852. 352042194296113/356542824296116. 35
2042194296238/356542824296231. 352042194297178/356542824297171. 352042194297467/356542824297460. 352042194297483/356542824297486.
352042194297525/356542824297528. 352042194297558/356542824297551. 352042194297590/356542824297593. 352042194297608/3565428242976
01.352042194297616/356542824297619. 352042194297624/356542824297627. 352042194297632/356542824297635. 352042194297640/35654282429
7643. 352042194297657/356542824297650. 352042194297681/356542824297684. 352042194297756/356542824297759. 352042194298077/35654282
4298070. 352042194298085/356542824298088. 352042194298648/356542824298641. 352042194298671/356542824298674. 352042194298713/35654
2824298716. 352042194298978/356542824298971. 352042194299026/356542824299029. 352042194299075/356542824299078. 352042194299083/35
6542824299086. 352042194299125/356542824299128.352042194299240/356542824299243. 352042194299265/356542824299268. 352042194299281/
356542824299284. 352042194299364/356542824299367. 352042194299406/356542824299409. 352042194299505/356542824299508. 3520421942798
79/356542824279872. 352042194279887/356542824279880. 352042194279895/356542824279898. 352042194279903/356542824279906. 3520421942
79929/356542824279922. 352042194279952/356542824279955. 352042194279960/356542824279963. 352042194279994/356542824279997. 3520421
94280026/356542824280029. 352042194280208/356542824280201. 352042194280232/356542824280235. 352042194280299/356542824280292. 3520
42194280364/356542824280367. 352042194280539/356542824280532. 352042194280547/356542824280540. 352042194280588/356542824280581. 3
52042194280638/356542824280631. 352042194280695/356542824280698. 352042194280844/356542824280847. 352042194280893/356542824280896
. 352042194280901/356542824280904. 352042194280950/356542824280953. 352042194280984/356542824280987. 352042194280992/356542824280
995. 352042194281180/356542824281183. 352042194281248/356542824281241. 352042194281271/356542824281274. 352042194281602/356542824
281605. 352042194281693/356542824281696. 352042194281727/356542824281720. 352042194282063/356542824282066. 352042194282345/356542
824282348. 352042194282477/356542824282470. 352042194282485/356542824282488. 352042194282527/356542824282520. 352042194282535/356
542824282538. 352042194282568/356542824282561. 352042194282626/356542824282629. 352042194282642/356542824282645. 352042194282717/
356542824282710. 352042194282725/356542824282728. 352042194282790/356542824282793. 352042194282857/356542824282850. 3520421942828
73/356542824282876. 352042194282907/356542824282900. 352042194277592/356542824277595. 352042194277626/356542824277629.35204219427
7725/356542824277728. 352042194278046/356542824278049. 352042194278087/356542824278080. 352042194278095/356542824278098. 35204219
4278103/356542824278106. 352042194278111/356542824278114. 352042194278152/356542824278155. 352042194278293/356542824278296. 35204
2194278327/356542824278320. 352042194278350/356542824278353. 352042194278368/356542824278361. 352042194278384/356542824278387. 35
2042194278392/356542824278395. 352042194278400/356542824278403. 352042194278426/356542824278429. 352042194278459/356542824278452.
352042194278467/356542824278460.352042194278475/356542824278478. 352042194278525/356542824278528. 352042194278830/35654282427883
3. 352042194278855/356542824278858. 352042194278871/356542824278874. 352042194278921/356542824278924. 352042194278947/35654282427
8940. 352042194278954/356542824278957. 352042194278970/356542824278973. 352042194278988/356542824278981. 352042194279002/35654282
4279005. 352042194279051/356542824279054. 352042194279069/356542824279062. 352042194279101/356542824279104. 352042194279135/35654
2824279138. 352042194279200/356542824279203. 352042194279291/356542824279294. 352042194279325/356542824279328. 352042194279366/35
6542824279369. 352042194279424/356542824279427. 352042194279432/356542824279435. 352042194279523/356542824279526. 352042194279598
/356542824279591. 352042194279622/356542824279625. 352042194279838/356542824279831. 352042194285538/356542824285531. 352042194285
868/356542824285861. 352042194285876/356542824285879. 352042194285884/356542824285887. 352042194285892/356542824285895. 352042194
285900/356542824285903. 352042194285926/356542824285929. 352042194285967/356542824285960. 352042194285975/356542824285978. 352042
194285983/356542824285986. 352042194285991/356542824285994. 352042194286031/356542824286034. 352042194286056/356542824286059. 352
042194286098/356542824286091. 352042194286171/356542824286174. 352042194286189/356542824286182. 352042194286247/356542824286240.
352042194286262/356542824286265. 352042194286288/356542824286281. 352042194286551/356542824286554. 352042194286569/35654282428656
2. 352042194286577/356542824286570. 352042194286585/356542824286588. 352042194286643/356542824286646. 352042194286668/35654282428
6661. 352042194286767/356542824286760. 352042194286841/356542824286844. 352042194286858/356542824286851.352042194286866/356542824
286869. 352042194286874/356542824286877. 352042194286882/356542824286885. 352042194286908/356542824286901. 352042194286965/356542
824286968. 352042194287005/356542824287008. 352042194287013/356542824287016. 352042194287104/356542824287107. 352042194287138/356
542824287131. 352042194287211/356542824287214. 352042194287310/356542824287313. 352042194287344/356542824287347. 352042194287351/
356542824287354. 352042194287369/356542824287362. 352042194287377/356542824287370. 352042194287393/356542824287396. 3520421942874
01/356542824287404.352042194299984/356542824299987. 352042194300105/356542824300108. 352042194300162/356542824300165. 35204219430
0386/356542824300389. 352042194300444/356542824300447. 352042194300527/356542824300520. 352042194300675/356542824300678. 35204219
4300691/356542824300694. 352042194300782/356542824300785. 352042194301111/356542824301114. 352042194301160/356542824301163. 35204
2194301194/356542824301197. 352042194301236/356542824301239. 352042194301244/356542824301247. 352042194301277/356542824301270. 35
2042194301293/356542824301296. 352042194301343/356542824301346. 352042194301533/356542824301536. 352042194301921/356542824301924.
352042194302002/356542824302005. 352042194302036/356542824302039. 352042194302150/356542824302153. 352042194302242/3565428243022
45. 352042194302689/356542824302682. 352042194302754/356542824302757. 352042194302853/356542824302856. 352042194302861/3565428243
02864. 352042194302978/356542824302971. 352042194303059/356542824303052. 352042194303067/356542824303060. 352042194303141/3565428
24303144. 352042194303166/356542824303169. 352042194349946/356542824349949. 352042194287419/356542824287412. 352042194287435/3565
42824287438. 352042194287443/356542824287446. 352042194287468/356542824287461. 352042194287534/356542824287537. 352042194287542/3
56542824287545. 352042194287732/356542824287735. 352042194287823/356542824287826. 352042194288086/356542824288089. 35204219428825
0/356542824288253. 352042194288532/356542824288535. 352042194288623/356542824288626. 352042194288961/356542824288964. 35204219428
8995/356542824288998. 352042194289084/356542824289087. 352042194289142/356542824289145. 352042194289183/356542824289186. 35204219
4289456/356542824289459. 352042194289613/356542824289616. 352042194289712/356542824289715.352042194289753/356542824289756. 352042
194290652/356542824290655. 352042194290686/356542824290689. 352042194290736/356542824290739. 352042194291015/356542824291018. 352
042194291528/356542824291521. 352042194291536/356542824291539. 352042194291593/356542824291596. 352042194291601/356542824291604.
352042194291676/356542824291679. 352042194291742/356542824291745. 352042194291767/356542824291760. 352042194291817/35654282429181
032025000852319-9
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000852319-9
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
0. 352042194291908/356542824291901. 352042194291965/356542824291968. 352042194291973/356542824291976. 352042194292328/35654282429
2321.352042194292500/356542824292503. 352042194292708/356542824292701. 352042194293060/356542824293063. 352042194293086/356542824
293089. 352042194293128/356542824293121. 352042194293151/356542824293154. 352042194293219/356542824293212XXXXXXXXXXXXXXXXXXXXXXXX
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032025000852319-9
Espacio para uso exclusivo de la Entidad Recaudadora
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