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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
032025000855707-7
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
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
99900
42 . Manifiesto de carga
No. 116575015497373
43 . Año – Mes – Día
2025 – 04 – 23
44 . Documento de transporte
No. SHAN0387408
45 . Año – Mes – Día
2025 – 04 – 18
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
9103418724
52 . Año – Mes – Día
2025 – 04 – 18
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
580
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.
100.50
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: 555297-DECL: 1908552-DO: 893109731251- 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 R
ESOLUCIÓN 5050 DEL 10DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOMOL
OGACIÓN)// NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA
S.A. OEA COD. OE0001. . PEDIDOS: 3087521602. ID DELIVERY: 6081583345. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A165MZKGLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A16 DUOS (CON ACCESORIOSPARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODEL(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
032025000855707
133. Feha: 202504 24
134 . Levante No. 032025000674322 135 . Fecha
2025 – 04 – 24
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 92032503170565
Fecha presentación 2025-04-24 13:16:19
Valor pagado $0.00
Fecha de Impresión: 2025-04-24 13:16:26
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000855707-7
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
O: SM-A165M/DS,USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A165M/DS,BLACK,LTC( QTY. 300,00 u )(300,00 PCE); IMEI
S: 352042194303620/356542824303623. 352042194303711/356542824303714. 352042194303745/356542824303748. 352042194303828/35654282430
3821. 352042194303844/356542824303847. 352042194303877/356542824303870. 352042194303968/356542824303961. 352042194303992/35654282
4303995. 352042194304024/356542824304027. 352042194304099/356542824304092. 352042194304453/356542824304456. 352042194304495/35654
2824304498. 352042194304594/356542824304597. 352042194304677/356542824304670. 352042194304735/356542824304738. 352042194304834/35
6542824304837. 352042194305104/356542824305107. 352042194305153/356542824305156. 352042194305278/356542824305271. 352042194305294
/356542824305297. 352042194305369/356542824305362. 352042194305393/356542824305396. 352042194305427/356542824305420. 352042194305
484/356542824305487.352042194305492/356542824305495. 352042194305534/356542824305537. 3520 42194305666/356542824305669. 352042194
306490/356542824306493. 352042194306821/356542824306824. 352042194307217/356542824307210. 352042194307373/356542824307376. 352042
194307431/356542824307434. 352042194307522/356542824307525. 352042194307936/356542824307939. 352042194308140/356542824308143. 352
042194308405/356542824308408. 352042194308702/356542824308705. 352042194308785/356542824308788. 352042194308934/356542824308937.
352042194308942/356542824308945. 352042194308967/356542824308960.352042194309189/356542824309182. 352042194309239/356542824309232
. 352042194309551/356542824309554. 352042194309585/356542824309588. 352042194309791/356542824309794. 352042194309890/356542824309
893. 352042194309908/356542824309901. 352042194309940/356542824309943. 352042194309957/356542824309950. 352042194309981/356542824
309984. 352042194310146/356542824310149. 352042194310187/356542824310180. 352042194310427/356542824310420. 352042194310658/356542
824310651. 352042194310716/356542824310719. 352042194310864/356542824310867. 352042194310872/356542824310875. 352042194310880/356
542824310883. 352042194310930/356542824310933. 352042194311011/356542824311014. 352042194311110/356542824311113. 352042194311169/
356542824311162. 352042194311193/356542824311196. 352042194311201/356542824311204. 352042194311227/356542824311220. 3520421943112
50/356542824311253. 352042194311532/356542824311535. 352042194311789/356542824311782. 352042194311862/356542824311865. 3520421943
11979/356542824311972. 352042194312159/356542824312152. 352042194312175/356542824312178. 352042194312274/356542824312277. 3520421
94312456/356542824312459. 352042194312738/356542824312731. 352042194312951/356542824312954. 352042194312993/356542824312996. 3520
42194313058/356542824313051. 352042194313066/356542824313069. 352042194313090/356542824313093. 352042194313116/356542824313119. 3
52042194313207/356542824313200. 352042194313462/356542824313465. 352042194313579/356542824313572. 352042194313587/356542824313580
. 352042194313645/356542824313648. 352042194314015/356542824314018. 352042194314163/356542824314166. 352042194314312/356542824314
315. 352042194314437/356542824314430. 352042194314593/356542824314596. 352042194314650/356542824314653. 352042194314791/356542824
314794.352042194314841/356542824314844. 352042194315087/356542824315080. 352042194315178/356542824315171. 352042194315277/3565428
24315270. 352042194315327/356542824315320. 352042194315350/356542824315353. 352042194315582/356542824315585. 352042194315731/3565
42824315734. 352042194315855/356542824315858. 352042194315988/356542824315981. 352042194316044/356542824316047. 352042194316267/3
56542824316260. 352042194316325/356542824316328. 352042194316366/356542824316369. 352042194316929/356542824316922. 35204219431716
6/356542824317169. 352042194317190/356542824317193.352042194317224/356542824317227. 352042194317273/356542824317276. 352042194317
307/356542824317300. 352042194317364/356542824317367. 352042194317414/356542824317417. 352042194317679/356542824317672. 352042194
317711/356542824317714. 352042194317927/356542824317920. 352042194317943/356542824317946. 352042194318024/356542824318027. 352042
194318180/356542824318183. 352042194318198/356542824318191. 352042194318230/356542824318233. 352042194318255/356542824318258. 352
042194318263/356542824318266. 352042194318271/356542824318274. 352042194318297/356542824318290. 352042194318339/356542824318332.
352042194318354/356542824318357. 352042194318461/356542824318464. 352042194318487/356542824318480. 352042194318495/35654282431849
8. 352042194318537/356542824318530. 352042194318727/356542824318720. 352042194318750/356542824318753. 352042194318792/35654282431
8795. 352042194318826/356542824318829. 352042194319071/356542824319074. 352042194319154/356542824319157. 352042194319279/35654282
4319272. 352042194319543/356542824319546. 352042194319808/356542824319801. 352042194319816/356542824319819. 352042194319824/35654
2824319827. 352042194319931/356542824319934. 352042194319972/356542824319975. 352042194320137/356542824320130. 352042194320269/35
6542824320262. 352042194320285/356542824320288. 352042194320293/356542824320296. 352042194320376/356542824320379. 352042194320483
/356542824320486. 352042194320491/356542824320494. 352042194320764/356542824320767. 352042194320889/356542824320882. 352042194321
119/356542824321112. 352042194321150/356542824321153. 352042194321291/356542824321294. 352042194321333/356542824321336. 352042194
321374/356542824321377. 352042194321432/356542824321435. 352042194321499/356542824321492. 352042194321531/356542824321534.3520421
94321556/356542824321559. 352042194321572/356542824321575. 352042194321580/356542824321583. 352042194321622/356542824321625. 3520
42194321663/356542824321666. 352042194321689/356542824321682. 352042194321713/356542824321716. 352042194321846/356542824321849. 3
52042194321879/356542824321872. 352042194321887/356542824321880. 352042194321937/356542824321930. 352042194321960/356542824321963
. 352042194321978/356542824321971. 352042194321986/356542824321989. 352042194322026/356542824322029. 352042194322075/356542824322
078. 352042194322141/356542824322144.352042194323016/356542824323019. 352042194323107/356542824323100. 352042194323552/3565428243
23555. 352042194323669/356542824323662. 352042194323701/356542824323704. 352042194323727/356542824323720. 352042194323735/3565428
24323738. 352042194323784/356542824323787. 352042194323792/356542824323795. 352042194323826/356542824323829. 352042194323842/3565
42824323845. 352042194323909/356542824323902. 352042194324816/356542824324819. 352042194341687/356542824341680. 352042194341695/3
56542824341698. 352042194341745/356542824341748. 352042194341760/356542824341763. 352042194341778/356542824341771. 35204219434229
7/356542824342290. 352042194342313/356542824342316. 352042194342354/356542824342357. 352042194342370/356542824342373. 35204219434
2602/356542824342605. 352042194342636/356542824342639. 352042194342651/356542824342654. 352042194342735/356542824342738. 35204219
4342750/356542824342753. 352042194342784/356542824342787. 352042194342800/356542824342803. 352042194342818/356542824342811. 35204
2194342875/356542824342878. 352042194342883/356542824342886. 352042194342909/356542824342902. 352042194343162/356542824343165. 35
2042194343204/356542824343207. 352042194343261/356542824343264. 352042194343980/356542824343983. 352042194343998/356542824343991.
352042194344020/356542824344023. 352042194344038/356542824344031. 352042194344046/356542824344049. 352042194344053/3565428243440
56. 352042194344061/356542824344064. 352042194344103/356542824344106. 352042194344160/356542824344163. 352042194344178/3565428243
44171. 352042194344301/356542824344304. 352042194344384/356542824344387. 352042194344392/356542824344395. 352042194344442/3565428
24344445. 352042194344459/356542824344452. 352042194344681/356542824344684. 352042194344699/356542824344692.352042194344715/35654
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6542824344783. 352042194344798/356542824344791. 352042194344814/356542824344817. 352042194344830/356542824344833. 352042194344855
/356542824344858. 352042194344897/356542824344890. 352042194344913/356542824344916. 352042194344947/356542824344940. 352042194344
954/356542824344957. 352042194344962/356542824344965. 352042194344970/356542824344973. 352042194345480/356542824345483. 352042194
345613/356542824345616.352042194345662/356542824345665. 352042194345670/356542824345673. 352042194345688/356542824345681. 3520421
94345704/356542824345707. 352042194345712/356542824345715. 352042194345746/356542824345749. 352042194345761/356542824345764. 3520
42194345803/356542824345806. 352042194345829/356542824345822. 352042194345894/356542824345897. 352042194346041/356542824346044. 3
52042194346082/356542824346085. 352042194346108/356542824346101. 352042194346132/356542824346135. 352042194346140/356542824346143
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347356. 352042194347361/356542824347364. 352042194347379/356542824347372. 352042194347387/356542824347380. 352042194347411/356542
824347414. 352042194347486/356542824347489. 352042194347494/356542824347497. 352042194347502/356542824347505. 352042194347536/356
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032025000855707-7
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000855707-7
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
42/356542824347745. 352042194347767/356542824347760. 352042194348393/356542824348396. 352042194348427/356542824348420. 3520421943
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032025000855707-7
Espacio para uso exclusivo de la Entidad Recaudadora
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