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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
032025000815923-0
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. 116575015460666
43 . Año – Mes – Día
2025 – 04 – 11
44 . Documento de transporte
No. 45T0378960
45 . Año – Mes – Día
2025 – 04 – 05
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
9103383842
52 . Año – Mes – Día
2025 – 04 – 04
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
244
56 . Cod. Depto
destino
0
57 . Empresa transportadora
EMIRATES SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.351.55
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.
128.00
72 . Peso neto kgs. dcms.
115.20
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
400.00
78 .Valor FOB
USD
62.399.96
79 . Valor fletes USD
1.208.32 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
276.808.014
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
276.808.014
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
3.08
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.211.40
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
63.611.36
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: 554047-DECL: 1905159-DO: 893108473251- 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: 3086971991. ID DELIVERY: 6081337102. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A266MZKHLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A26 5G DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO,(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
032025000815923
133. Feha: 202504 14
134 . Levante No. 032025000544383 135 . Fecha
2025 – 04 – 14
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 92032502937123
Fecha presentación 2025-04-14 20:41:38
Valor pagado $0.00
Fecha de Impresión: 2025-04-14 20:42:41
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000815923-0
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
MODELO: SM-A266M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL./ /MOBILE,SM-A266M/DS,BLACK,LTC( QTY. 400,00 u )(400,00 PC
E); IMEIS: 351813971227054/352975131227057. 351813971227112/352975131227115. 351813971227146/352975131227149. 351813971227294/352
975131227297. 351813971227336/352975131227339. 351813971227427/352975131227420. 351813971227476/352975131227479. 351813971227583/
352975131227586. 351813971227633/352975131227636.351813971227716/352975131227719. 351813971227757/352975131227750. 35181397122779
9/352975131227792. 351813971227872/352975131227875. 351813971228094/352975131228097. 351813971228409/352975131228402. 35181397122
8433/352975131228436. 351813971228490/352975131228493. 351813971228516/352975131228519. 351813971228599/352975131228592. 35181397
1228680/352975131228683. 351813971228722/352975131228725. 351813971228730/352975131228733. 351813971228839/352975131228832. 35181
3971228847/352975131228840. 351813971228920/352975131228923. 351813971228995/352975131228998 . 351813971229019/352975131229012. 3
51813971229035/352975131229038. 351813971229126/352975131229129. 351813971229217/352975131229210. 351813971229258/352975131229251
. 351813971229316/352975131229319. 351813971229373/352975131229376. 351813971229381/352975131229384. 351813971229407/352975131229
400. 351813971229597/352975131229590. 351813971229654/352975131229657. 351813971229753/352975131229756. 351813971230041/352975131
230044. 351813971230157/352975131230150. 351813971230454/352975131230457. 351813971230538/352975131230531. 351813971230561/352975
131230564. 351813971230652/352975131230655. 351813971230728/352975131230721. 351813971230744/352975131230747. 351813971230827/352
975131230820. 351813971230884/352975131230887. 351813971231056/352975131231059. 351813971231130/352975131231133. 351813971231239/
352975131231232. 351813971231247/352975131231240. 351813971231262/352975131231265. 351813971231270/352975131231273. 3518139712313
46/352975131231349. 351813971231353/352975131231356. 351813971231445/352975131231448. 351813971231452/352975131231455. 3518139712
31486/352975131231489. 351813971231536/352975131231539. 351813971231544/352975131231547. 351813971231601/352975131231604.35181397
1231783/352975131231786. 351813971231882/352975131231885. 351813971233102/352975131233105. 351813971233177/352975131233170. 35181
3971234472/352975131234475. 351813971234837/352975131234830. 351813971234886/352975131234889. 351813971234936/352975131234939. 35
1813971235131/352975131235134. 351813971235313/352975131235316. 351813971235438/352975131235431. 351813971235453/352975131235456.
351813971235487/352975131235480. 351813971235560/352975131235563. 351813971235578/352975131235571. 351813971235610/3529751312356
13. 351813971235677/352975131235670.351813971235693/352975131235696. 351813971235925/352975131235928. 351813971235966/35297513123
5969. 351813971236311/352975131236314. 351813971236402/352975131236405. 351813971236832/352975131236835. 351813971236931/35297513
1236934. 351813971236964/352975131236967. 351813971237202/352975131237205. 351813971237723/352975131237726. 351813971237780/35297
5131237783. 351813971237806/352975131237809. 351813971237897/352975131237890. 351813971237939/352975131237932. 351813971238473/35
2975131238476. 351813971238499/352975131238492. 351813971238523/352975131238526. 351813971238531/352975131238534. 351813971238549
/352975131238542. 351813971238564/352975131238567. 351813971238598/352975131238591. 351813971238630/352975131238633. 351813971238
671/352975131238674. 351813971238705/352975131238708. 351813971238739/352975131238732. 351813971238762/352975131238765. 351813971
238812/352975131238815. 351813971238945/352975131238948. 351813971239166/352975131239169. 351813971239646/352975131239649. 351813
971239653/352975131239656. 351813971239661/352975131239664. 351813971239679/352975131239672. 351813971239687/352975131239680. 351
813971239695/352975131239698. 351813971239745/352975131239748. 351813971239752/352975131239755. 351813971239760/352975131239763.
351813971239778/352975131239771. 351813971239802/352975131239805. 351813971239810/352975131239813. 351813971239836/35297513123983
9. 351813971239851/352975131239854. 351813971239869/352975131239862. 351813971239893/352975131239896. 351813971239901/35297513123
9904. 351813971239943/352975131239946. 351813971239984/352975131239987. 351813971240222/352975131240225. 351813971240271/35297513
1240274. 351813971240289/352975131240282. 351813971240339/352975131240332. 351813971240347/352975131240340.351813971240354/352975
131240357. 351813971240388/352975131240381. 351813971240404/352975131240407. 351813971240438/352975131240431. 351813971240461/352
975131240464. 351813971240479/352975131240472. 351813971240495/352975131240498. 351813971240503/352975131240506. 351813971240511/
352975131240514. 351813971240552/352975131240555. 351813971240644/352975131240647. 351813971240735/352975131240738. 3518139712407
76/352975131240779. 351813971241055/352975131241058. 351813971241188/352975131241181. 351813971242152/352975131242155. 3518139712
42954/352975131242957.351813971243036/352975131243039. 351813971243960/352975131243963. 351813971243994/352975131243997. 35181397
1244018/352975131244011. 351813971244075/352975131244078. 351813971244109/352975131244102. 351813971244125/352975131244128. 35181
3971244133/352975131244136. 351813971244216/352975131244219. 351813971244224/352975131244227. 351813971244232/352975131244235. 35
1813971244299/352975131244292. 351813971244356/352975131244359. 351813971244364/352975131244367. 351813971244380/352975131244383.
351813971244448/352975131244441. 351813971244521/352975131244524. 351813971244539/352975131244532. 351813971244554/3529751312445
57. 351813971244562/352975131244565. 351813971244596/352975131244599. 351813971244661/352975131244664. 351813971244711/3529751312
44714. 351813971244737/352975131244730. 351813971244745/352975131244748. 351813971244778/352975131244771. 351813971244794/3529751
31244797. 351813971244836/352975131244839. 351813971244844/352975131244847. 351813971244851/352975131244854. 351813971244877/3529
75131244870. 351813971244885/352975131244888. 351813971244927/352975131244920. 351813971244935/352975131244938. 351813971244950/3
52975131244953. 351813971244968/352975131244961. 351813971244976/352975131244979. 351813971244984/352975131244987. 35181397124500
7/352975131245000. 351813971245015/352975131245018. 351813971245023/352975131245026. 351813971245031/352975131245034. 35181397124
5049/352975131245042. 351813971245056/352975131245059. 351813971245072/352975131245075. 351813971245106/352975131245109. 35181397
1245197/352975131245190. 351813971245494/352975131245497. 351813971245551/352975131245554. 351813971245577/352975131245570. 35181
3971245585/352975131245588. 351813971245619/352975131245612. 351813971245635/352975131245638.351813971245650/352975131245653. 351
813971245668/352975131245661. 351813971245700/352975131245703. 351813971245734/352975131245737. 351813971245742/352975131245745.
351813971245775/352975131245778. 351813971245791/352975131245794. 351813971245817/352975131245810. 351813971245825/35297513124582
8. 351813971245858/352975131245851. 351813971245866/352975131245869. 351813971245890/352975131245893. 351813971245916/35297513124
5919. 351813971245932/352975131245935. 351813971245940/352975131245943. 351813971245957/352975131245950. 351813971245981/35297513
1245984.351813971245999/352975131245992. 351813971246005/352975131246008. 351813971246013/352975131246016. 351813971246021/352975
131246024. 351813971246039/352975131246032. 351813971246054/352975131246057. 351813971246104/352975131246107. 351813971246120/352
975131246123. 351813971246138/352975131246131. 351813971246187/352975131246180. 351813971246203/352975131246206. 351813971246211/
352975131246214. 351813971246229/352975131246222. 351813971246237/352975131246230. 351813971246260/352975131246263. 3518139712462
78/352975131246271. 351813971246302/352975131246305. 351813971246310/352975131246313. 351813971246328/352975131246321. 3518139712
46344/352975131246347. 351813971246351/352975131246354. 351813971246377/352975131246370. 351813971246393/352975131246396. 3518139
71246419/352975131246412. 351813971246427/352975131246420. 351813971246468/352975131246461. 351813971246476/352975131246479. 3518
13971246492/352975131246495. 351813971246500/352975131246503. 351813971246567/352975131246560. 351813971246617/352975131246610. 3
51813971247128/352975131247121. 351813971247136/352975131247139. 351813971247177/352975131247170. 351813971247185/352975131247188
. 351813971247219/352975131247212. 351813971247227/352975131247220. 351813971247268/352975131247261. 351813971247276/352975131247
279. 351813971247300/352975131247303. 351813971247318/352975131247311. 351813971247417/352975131247410. 351813971247441/352975131
247444. 351813971247482/352975131247485. 351813971247524/352975131247527. 351813971247532/352975131247535. 351813971247540/352975
131247543. 351813971247581/352975131247584. 351813971247599/352975131247592. 351813971247607/352975131247600. 351813971247631/352
975131247634. 351813971247698/352975131247691. 351813971247706/352975131247709.351813971247714/352975131247717. 351813971247730/3
52975131247733. 351813971247748/352975131247741. 351813971247771/352975131247774. 351813971247805/352975131247808. 35181397124783
9/352975131247832. 351813971247854/352975131247857. 351813971247862/352975131247865. 351813971247896/352975131247899. 35181397124
7904/352975131247907. 351813971247912/352975131247915. 351813971247938/352975131247931. 351813971247953/352975131247956. 35181397
1247961/352975131247964. 351813971247987/352975131247980. 351813971248001/352975131248004. 351813971248100/352975131248103.351813
032025000815923-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000815923-0
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
971248852/352975131248855. 351813971248928/352975131248921. 351813971248951/352975131248954. 351813971248993/352975131248996. 351
813971249009/352975131249002. 351813971249280/352975131249283. 351813971249637/352975131249630. 351813971249835/352975131249838.
351813971251278/352975131251271. 351813971251344/352975131251347. 351813971252243/352975131252246. 351813971252383/35297513125238
6. 351813971252805/352975131252808. 351813971252888/352975131252881. 351813971253142/352975131253145. 351813971253977/35297513125
3970. 351813971254017/352975131254010. 351813971254116/352975131254119. 351813971254199/352975131254192. 351813971254348/35297513
1254341. 351813971254454/352975131254457. 351813971254488/352975131254481. 351813971254603/352975131254606. 351813971254678/35297
5131254671. 351813971254702/352975131254705. 351813971254868/352975131254861. 351813971255048/352975131255041. 351813971255204/35
2975131255207. 351813971255220/352975131255223. 351813971255261/352975131255264. 351813971255436/352975131255439. 351813971255543
/352975131255546. 351813971255576/352975131255579. 351813971255584/352975131255587. 351813971255600/352975131255603. 351813971255
634/352975131255637. 351813971255667/352975131255660. 351813971255675/352975131255678. 351813971255709/352975131255702. 351813971
255733/352975131255736. 351813971255774/352975131255777. 351813971255865/352975131255868. 351813971256046/352975131256049. 351813
971256202/352975131256205. 351813971314571/352975131314574. 351813971314589/352975131314582. 351813971314670/352975131314673. 351
813971314746/352975131314749. 351813971314803/352975131314806. 351813971314852/352975131314855. 351813971317632/352975131317635.
351813971318697/352975131318690. 351813971319307/352975131319300.351813971319455/352975131319458. 351813971319752/352975131319755
. 351813971319794/352975131319797. 351813971319893/352975131319896. 351813971319968/352975131319961. 351813971319976/352975131319
979. 351813971320107/352975131320100. 351813971320917/352975131320910. 351813971320941/352975131320944. 351813971321014/352975131
321017. 351813971367132/352975131367135. 351813971367199/352975131367192. 351813971367231/352975131367234. 351813971122198/352975
131122191. 351813971128476/352975131128479. 351813971147310/352975131147313. 351813971147500/352975131147503.351813971147682/3529
75131147685. 351813971147690/352975131147693. 351813971147732/352975131147735. 351813971147757/352975131147750. 351813971147765/3
52975131147768. 351813971147823/352975131147826. 351813971148045/352975131148048. 351813971148110/352975131148113. 35181397114841
7/352975131148410. 351813971148714/352975131148717. 351813971149357/352975131149350. 351813971149639/352975131149632. 35181397114
9704/352975131149707. 351813971149738/352975131149731. 351813971149753/352975131149756. 351813971149837/352975131149830. 35181397
1149928/352975131149921. 351813971150108/352975131150101. 351813971153516/352975131153519. 351813971153557/352975131153550. 35181
3971153615/352975131153618. 351813971153623/352975131153626. 351813971153649/352975131153642. 351813971153664/352975131153667. 35
1813971153797/352975131153790. 351813971153912/352975131153915. 351813971153938/352975131153931. 351813971154233/352975131154236.
351813971155032/352975131155035. 351813971155172/352975131155175. 351813971155958/352975131155951. 351813971161311/3529751311613
14. 351813971162459/352975131162452. 351813971164745/352975131164748. 351813971173373/352975131173376. 351813971221529/3529751312
21522. 351813971225769/352975131225762. 351813971226536/352975131226539. 351813971226809/352975131226802. 351813971226825/3529751
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032025000815923-0
Espacio para uso exclusivo de la Entidad Recaudadora
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