Ir al contenido
VER MAS
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
032025000746904-4
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. 116575015437321
43 . Año – Mes – Día
2025 – 04 – 05
44 . Documento de transporte
No. 45T0377702
45 . Año – Mes – Día
2025 – 03 – 29
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
9103366426
52 . Año – Mes – Día
2025 – 03 – 28
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
TAMPA CARGO S.A.S.
58 . Tasa de cambio $ cvs.
4.152.59
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.
122.50
72 . Peso neto kgs. dcms.
76.00
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
70.287.43
79 . Valor fletes USD
1.157.63 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
296.696.410
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
296.696.410
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
3.46
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.161.09
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
71.448.52
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: 552621-DECL: 1900845-DO: 893107741251- 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: 3086516825. ID DELIVERY: 6081220414. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A266MZWHLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A26 5G DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: BLANCO, (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
032025000746904
133. Feha: 202504 01
134 . Levante No. 032025000502046 135 . Fecha
2025 – 04 – 07
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 92032502554618
Fecha presentación 2025-04-01 18:54:39
Valor pagado $0.00
Fecha de Impresión: 2025-04-07 11:49:01
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000746904-4
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,WHITE,LTC( QTY. 400,00 u )(400,00 PCE
); IMEIS: 351813970694510/352975130694513. 351813970694528/352975130694521. 351813970694544/352975130694547. 351813970694551/3529
75130694554. 351813970694577/352975130694570. 351813970694601/352975130694604. 351813970694627/352975130694620. 351813970694643/3
52975130694646. 351813970694668/352975130694661.351813970694676/352975130694679. 351813970694684/352975130694687. 351813970694692
/352975130694695. 351813970694734/352975130694737. 351813970694759/352975130694752. 351813970694817/352975130694810. 351813970694
866/352975130694869. 351813970694981/352975130694984. 351813970695038/352975130695031. 351813970695046/352975130695049. 351813970
695061/352975130695064. 351813970695129/352975130695122. 351813970695145/352975130695148. 351813970695202/352975130695205. 351813
970695244/352975130695247. 351813970695251/352975130695254. 351813970695285/352975130695288. 351813970695327/352975130695320. 351
813970695350/352975130695353. 351813970695368/352975130695361. 351813970695434/352975130695437. 351813970695459/352975130695452.
351813970695467/352975130695460. 351813970695574/352975130695577. 351813970695582/352975130695585. 351813970695608/35297513069560
1. 351813970695640/352975130695643. 351813970695657/352975130695650. 351813970695665/352975130695668. 351813970695699/35297513069
5692. 351813970695707/352975130695700. 351813970695715/352975130695718. 351813970695723/352975130695726. 351813970695749/35297513
0695742. 351813970695780/352975130695783. 351813970695848/352975130695841. 351813970695863/352975130695866. 351813970695889/35297
5130695882. 351813970695905/352975130695908. 351813970695913/352975130695916. 351813970695954/352975130695957. 351813970695962/35
2975130695965. 351813970695970/352975130695973. 351813970696002/352975130696005. 351813970696010/352975130696013. 351813970696051
/352975130696054. 351813970696069/352975130696062. 351813970696085/352975130696088. 351813970696143/352975130696146. 351813970696
218/352975130696211. 351813970696226/352975130696229. 351813970696259/352975130696252. 351813970696291/352975130696294. 351813970
696309/352975130696302. 351813970696358/352975130696351. 351813970696374/352975130696377. 351813970696549/352975130696542. 351813
970696630/352975130696633. 351813970696911/352975130696914. 351813970696945/352975130696948. 351813970697042/352975130697045. 351
813970697075/352975130697078. 351813970697109/352975130697102. 351813970697141/352975130697144. 351813970697174/352975130697177.
351813970697331/352975130697334. 351813970697380/352975130697383. 351813970697513/352975130697516. 351813970697810/35297513069781
3. 351813970697901/352975130697904.351813970697919/352975130697912. 351813970697935/352975130697938. 351813970697943/352975130697
946. 351813970697950/352975130697953. 351813970698032/352975130698035. 351813970698214/352975130698217. 351813970698222/352975130
698225. 351813970698248/352975130698241. 351813970698263/352975130698266. 351813970698396/352975130698399. 351813970698412/352975
130698415. 351813970698461/352975130698464. 351813970698578/352975130698571. 351813970698651/352975130698654. 351813970698750/352
975130698753. 351813970698826/352975130698829. 351813970698875/352975130698878.351813970698891/352975130698894. 351813970698917/3
52975130698910. 351813970698982/352975130698985. 351813970698990/352975130698993. 351813970699022/352975130699025. 35181397069904
8/352975130699041. 351813970699113/352975130699116. 351813970699170/352975130699173. 351813970699196/352975130699199. 35181397069
9238/352975130699231. 351813970699246/352975130699249. 351813970699253/352975130699256. 351813970699287/352975130699280. 35181397
0699337/352975130699330. 351813970699360/352975130699363. 351813970699428/352975130699421. 351813970699527/352975130699520. 35181
3970699550/352975130699553. 351813970699634/352975130699637. 351813970699675/352975130699678. 351813970699683/352975130699686. 35
1813970699709/352975130699702. 351813970699717/352975130699710. 351813970699733/352975130699736. 351813970699741/352975130699744.
351813970700036/352975130700039. 351813970700218/352975130700211. 351813970700283/352975130700286. 351813970700309/3529751307003
02. 351813970700424/352975130700427. 351813970700465/352975130700468. 351813970700531/352975130700534. 351813970700606/3529751307
00609. 351813970700655/352975130700658. 351813970700663/352975130700666. 351813970700697/352975130700690. 351813970700705/3529751
30700708. 351813970700739/352975130700732. 351813970700853/352975130700856. 351813970700960/352975130700963. 351813970701505/3529
75130701508. 351813970701554/352975130701557. 351813970701570/352975130701573. 351813970701661/352975130701664. 351813970701737/3
52975130701730. 351813970735370/352975130735373. 351813970735453/352975130735456. 351813970735503/352975130735506. 35181397073552
9/352975130735522. 351813970735602/352975130735605. 351813970735701/352975130735704. 351813970749405/352975130749408. 35181397074
9413/352975130749416.351813970749421/352975130749424. 351813970749454/352975130749457. 351813970749546/352975130749549. 351813970
749553/352975130749556. 351813970749645/352975130749648. 351813970749686/352975130749689. 351813970749728/352975130749721. 351813
970749744/352975130749747. 351813970749777/352975130749770. 351813970749975/352975130749978. 351813970750015/352975130750018. 351
813970750023/352975130750026. 351813970750262/352975130750265. 351813970750270/352975130750273. 351813970750288/352975130750281.
351813970750304/352975130750307. 351813970750353/352975130750356.351813970750387/352975130750380. 351813970750403/352975130750406
. 351813970750452/352975130750455. 351813970750460/352975130750463. 351813970750478/352975130750471. 351813970750486/352975130750
489. 351813970750502/352975130750505. 351813970750510/352975130750513. 351813970750544/352975130750547. 351813970750569/352975130
750562. 351813970750577/352975130750570. 351813970750601/352975130750604. 351813970750643/352975130750646. 351813970750650/352975
130750653. 351813970750668/352975130750661. 351813970750718/352975130750711. 351813970750726/352975130750729. 351813970750734/352
975130750737. 351813970750759/352975130750752. 351813970750775/352975130750778. 351813970750957/352975130750950. 351813970750965/
352975130750968. 351813970750981/352975130750984. 351813970751021/352975130751024. 351813970751039/352975130751032. 3518139707510
88/352975130751081. 351813970751153/352975130751156. 351813970751179/352975130751172. 351813970751195/352975130751198. 3518139707
51237/352975130751230. 351813970751252/352975130751255. 351813970751294/352975130751297. 351813970751344/352975130751347. 3518139
70751385/352975130751388. 351813970751393/352975130751396. 351813970751401/352975130751404. 351813970751443/352975130751446. 3518
13970751484/352975130751487. 351813970751500/352975130751503. 351813970751526/352975130751529. 351813970751575/352975130751578. 3
51813970751583/352975130751586. 351813970751617/352975130751610. 351813970751641/352975130751644. 351813970751658/352975130751651
. 351813970751666/352975130751669. 351813970751674/352975130751677. 351813970751740/352975130751743. 351813970751765/352975130751
768. 351813970751799/352975130751792. 351813970751856/352975130751859. 351813970751864/352975130751867. 351813970751914/352975130
751917.351813970751971/352975130751974. 351813970684552/352975130684555. 351813970684578/352975130684571. 351813970684586/3529751
30684589. 351813970684594/352975130684597. 351813970684602/352975130684605. 351813970684677/352975130684670. 351813970684701/3529
75130684704. 351813970684719/352975130684712. 351813970684743/352975130684746. 351813970684784/352975130684787. 351813970684792/3
52975130684795. 351813970684966/352975130684969. 351813970685039/352975130685032. 351813970685070/352975130685073. 35181397068514
6/352975130685149. 351813970685187/352975130685180.351813970685385/352975130685388. 351813970685468/352975130685461. 351813970685
559/352975130685552. 351813970685567/352975130685560. 351813970685583/352975130685586. 351813970685658/352975130685651. 351813970
685674/352975130685677. 351813970685708/352975130685701. 351813970685831/352975130685834. 351813970685948/352975130685941. 351813
970685955/352975130685958. 351813970685971/352975130685974. 351813970686029/352975130686022. 351813970686045/352975130686048. 351
813970686052/352975130686055. 351813970686060/352975130686063. 351813970686128/352975130686121. 351813970686151/352975130686154.
351813970686169/352975130686162. 351813970686185/352975130686188. 351813970686193/352975130686196. 351813970686201/35297513068620
4. 351813970686235/352975130686238. 351813970686250/352975130686253. 351813970686276/352975130686279. 351813970686292/35297513068
6295. 351813970686318/352975130686311. 351813970686417/352975130686410. 351813970686516/352975130686519. 351813970686532/35297513
0686535. 351813970686557/352975130686550. 351813970686581/352975130686584. 351813970686631/352975130686634. 351813970686664/35297
5130686667. 351813970686698/352975130686691. 351813970686748/352975130686741. 351813970686854/352975130686857. 351813970686862/35
2975130686865. 351813970686870/352975130686873. 351813970686896/352975130686899. 351813970686912/352975130686915. 351813970687167
/352975130687160. 351813970687340/352975130687343. 351813970687381/352975130687384. 351813970687399/352975130687392. 351813970687
688/352975130687681. 351813970687779/352975130687772. 351813970687787/352975130687780. 351813970687795/352975130687798. 351813970
687886/352975130687889. 351813970687902/352975130687905. 351813970687910/352975130687913. 351813970687944/352975130687947.3518139
032025000746904-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000746904-4
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
70687993/352975130687996. 351813970688025/352975130688028. 351813970688090/352975130688093. 351813970688124/352975130688127. 3518
13970688157/352975130688150. 351813970688165/352975130688168. 351813970688264/352975130688267. 351813970688314/352975130688317. 3
51813970688520/352975130688523. 351813970688538/352975130688531. 351813970688629/352975130688622. 351813970688637/352975130688630
. 351813970688694/352975130688697. 351813970688868/352975130688861. 351813970688876/352975130688879. 351813970689098/352975130689
091. 351813970689387/352975130689380.351813970689445/352975130689448. 351813970689684/352975130689687. 351813970689809/3529751306
89802. 351813970690070/352975130690073. 351813970690153/352975130690156. 351813970690211/352975130690214. 351813970690294/3529751
30690297. 351813970690385/352975130690388. 351813970690393/352975130690396. 351813970690484/352975130690487. 351813970690492/3529
75130690495. 351813970690526/352975130690529. 351813970690542/352975130690545. 351813970690567/352975130690560. 351813970690617/3
52975130690610. 351813970690658/352975130690651. 351813970690690/352975130690693. 351813970690708/352975130690701. 35181397069071
6/352975130690719. 351813970690740/352975130690743. 351813970690757/352975130690750. 351813970690807/352975130690800. 35181397069
0880/352975130690883. 351813970690971/352975130690974. 351813970691029/352975130691022. 351813970691045/352975130691048. 35181397
0691060/352975130691063. 351813970691110/352975130691113. 351813970691144/352975130691147. 351813970691201/352975130691204. 35181
3970691235/352975130691238. 351813970691466/352975130691469. 351813970691482/352975130691485. 351813970691516/352975130691519. 35
1813970691524/352975130691527. 351813970691565/352975130691568. 351813970691573/352975130691576. 351813970691607/352975130691600.
351813970691631/352975130691634. 351813970691672/352975130691675. 351813970691680/352975130691683. 351813970691755/3529751306917
58. 351813970691763/352975130691766. 351813970691771/352975130691774. 351813970691813/352975130691816. 351813970691839/3529751306
91832. 351813970691987/352975130691980. 351813970692035/352975130692038. 351813970692142/352975130692145. 351813970692191/3529751
30692194. 351813970692282/352975130692285. 351813970692290/352975130692293. 351813970692316/352975130692319.351813970692324/35297
5130692327. 351813970692449/352975130692442. 351813970692514/352975130692517. 351813970692589/352975130692582. 351813970692670/35
2975130692673. 351813970692688/352975130692681. 351813970692753/352975130692756. 351813970692787/352975130692780. 351813970692894
/352975130692897. 351813970692951/352975130692954. 351813970693017/352975130693010. 351813970693074/352975130693077. 351813970693
108/352975130693101. 351813970693116/352975130693119. 351813970693132/352975130693135. 351813970693215/352975130693218. 351813970
693256/352975130693259.351813970693264/352975130693267. 351813970693272/352975130693275. 351813970693512/352975130693515. 3518139
70693520/352975130693523. 351813970693595/352975130693598. 351813970693686/352975130693689. 351813970693785/352975130693788. 3518
13970693819/352975130693812. 351813970693959/352975130693952. 351813970693983/352975130693986. 351813970694007/352975130694000. 3
51813970694155/352975130694158. 351813970694171/352975130694174. 351813970694189/352975130694182. 351813970694262/352975130694265
. 351813970694288/352975130694281. 351813970694346/352975130694349. 351813970694379/352975130694372. 351813970694387/352975130694
380. 351813970694395/352975130694398. 351813970694437/352975130694430. 351813970694445/352975130694448. 351813970694452/352975130
694455. 351813970694502/352975130694505XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025000746904-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3
