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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
032025001016714-3
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. 116575015626386
43 . Año – Mes – Día
2025 – 05 – 27
44 . Documento de transporte
No. PVG71568195
45 . Año – Mes – Día
2025 – 05 – 19
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
6900365803
52 . Año – Mes – Día
2025 – 05 – 16
53 . Cod. país
procedencia
215
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.
4.196.66
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
215
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.
167.00
72 . Peso neto kgs. dcms.
137.50
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
500.00
78 .Valor FOB
USD
31.800.44
79 . Valor fletes USD
1.247.49 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
138.695.500
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
138.695.500
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
1.09
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.248.58
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
33.049.02
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: 559109-DECL: 1918721-DO: 893112608251- 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: 3089258947. ID DELIVERY: 6082149945. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A065MZKGLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A06 DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MO(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
032025001016714
133. Feha: 202505 23
134 . Levante No. 032025000843139 135 . Fecha
2025 – 05 – 28
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 92032504007194
Fecha presentación 2025-05-23 15:37:53
Valor pagado $0.00
Fecha de Impresión: 2025-05-28 14:38:59
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001016714-3
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
DELO: SM-A065M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A065M/DS,BLACK,LTC( QTY. 500,00 u )(500,00 PCE);
IMEIS: 350437733852180/350933493852188. 350437733852396/350933493852394. 350437733852727/350933493852725. 350437733854152/3509334
93854150. 350437733854418/350933493854416. 350437733854905/350933493854903. 350437733856306/350933493856304.350437733856371/35093
3493856379. 350437733856934/350933493856932. 350437733857064/350933493857062. 350437733858500/350933493858508. 350437733859045/35
0933493859043. 350437733859268/350933493859266. 350437733860415/350933493860413. 350437733861470/350933493861478. 350437733861983
/350933493861981. 350437733862064/350933493862062. 350437733862114/350933493862112. 350437733862122/350933493862120. 350437733862
130/350933493862138. 350437733862239/350933493862237. 350437733862247/350933493862245. 350437733862403/350933493862401. 350437733
863385/350933493863383. 350437733865240/350933493865248. 350437733865497/350933493865495. 35 0437733867444/350933493867442. 35043
7733867626/350933493867624. 350437733868590/350933493868598. 350437733868616/350933493868614. 350437733868749/350933493868747. 35
0437733868756/350933493868754. 350437733868764/350933493868762. 350437733868772/350933493868770. 350437733868780/350933493868788.
350437733868798/350933493868796. 350437733868848/350933493868846. 350437733868855/350933493868853. 350437733868863/3509334938688
61. 350437733868921/350933493868929. 350437733868939/350933493868937. 350437733868954/350933493868952. 350437733868962/3509334938
68960. 350437733868970/350933493868978. 350437733868988/350933493868986. 350437733868996/350933493868994. 350437733869002/3509334
93869000. 350437733869010/350933493869018. 350437733869028/350933493869026. 350437733869036/350933493869034. 350437733869044/3509
33493869042. 350437733869051/350933493869059. 350437733869069/350933493869067. 350437733869077/350933493869075. 350437733869093/3
50933493869091. 350437733869101/350933493869109. 350437733869119/350933493869117. 350437733869127/350933493869125. 35043773386913
5/350933493869133. 350437733869143/350933493869141.350437733869150/350933493869158. 350437733869168/350933493869166. 350437733869
176/350933493869174. 350437733869192/350933493869190. 350437733869200/350933493869208. 350437733869226/350933493869224. 350437733
869242/350933493869240. 350437733869259/350933493869257. 350437733869267/350933493869265. 350437733869275/350933493869273. 350437
733869283/350933493869281. 350437733869291/350933493869299. 350437733869309/350933493869307. 350437733869317/350933493869315. 350
437733869325/350933493869323. 350437733869333/350933493869331. 350437733869358/350933493869356.350437733869366/350933493869364. 3
50437733869374/350933493869372. 350437733869390/350933493869398. 350437733869408/350933493869406. 350437733869440/350933493869448
. 350437733869481/350933493869489. 350437733869499/350933493869497. 350437733869507/350933493869505. 350437733869515/350933493869
513. 350437733869523/350933493869521. 350437733869549/350933493869547. 350437733869556/350933493869554. 350437733869580/350933493
869588. 350437733869895/350933493869893. 350437733870232/350933493870230. 350437733870240/350933493870248. 350437733870257/350933
493870255. 350437733870265/350933493870263. 350437733870356/350933493870354. 350437733870380/350933493870388. 350437733870398/350
933493870396. 350437733870513/350933493870511. 350437733870554/350933493870552. 350437733870596/350933493870594. 350437733870612/
350933493870610. 350437733871123/350933493871121. 350437733871222/350933493871220. 350437733871388/350933493871386. 3504377338714
20/350933493871428. 350437733871446/350933493871444. 350437733871503/350933493871501. 350437733871537/350933493871535. 3504377338
71594/350933493871592. 350437733871719/350933493871717. 350437733871792/350933493871790. 350437733871958/350933493871956. 3504377
33872170/350933493872178. 350437733872287/350933493872285. 350437733872402/350933493872400. 350437733872790/350933493872798. 3504
37733873061/350933493873069. 350437733873087/350933493873085. 350437733873103/350933493873101. 350437733873152/350933493873150. 3
50437733873178/350933493873176. 350437733873194/350933493873192. 350437733873202/350933493873200. 350437733873228/350933493873226
. 350437733873244/350933493873242. 350437733873269/350933493873267. 350437733873277/350933493873275. 350437733873301/350933493873
309. 350437733873319/350933493873317.350437733873335/350933493873333. 350437733873467/350933493873465. 350437733873475/3509334938
73473. 350437733873525/350933493873523. 350437733874044/350933493874042. 350437733874259/350933493874257. 350437733874481/3509334
93874489. 350437733874549/350933493874547. 350437733874564/350933493874562. 350437733874580/350933493874588. 350437733874614/3509
33493874612. 350437733874630/350933493874638. 350437733874713/350933493874711. 350437733874754/350933493874752. 350437733874788/3
50933493874786. 350437733874812/350933493874810. 350437733874846/350933493874844.350437733874853/350933493874851. 350437733874861
/350933493874869. 350437733874879/350933493874877. 350437733874929/350933493874927. 350437733874945/350933493874943. 350437733874
960/350933493874968. 350437733874986/350933493874984. 350437733875009/350933493875007. 350437733875066/350933493875064. 350437733
875074/350933493875072. 350437733875082/350933493875080. 350437733875108/350933493875106. 350437733875116/350933493875114. 350437
733875124/350933493875122. 350437733875132/350933493875130. 350437733875140/350933493875148. 350437733875157/350933493875155. 350
437733875165/350933493875163. 350437733875173/350933493875171. 350437733875181/350933493875189. 350437733875199/350933493875197.
350437733875207/350933493875205. 350437733875215/350933493875213. 350437733875223/350933493875221. 350437733875249/35093349387524
7. 350437733875256/350933493875254. 350437733875298/350933493875296. 350437733875314/350933493875312. 350437733875322/35093349387
5320. 350437733875348/350933493875346. 350437733875363/350933493875361. 350437733875371/350933493875379. 350437733875397/35093349
3875395. 350437733875413/350933493875411. 350437733875421/350933493875429. 350437733875454/350933493875452. 350437733875462/35093
3493875460. 350437733875488/350933493875486. 350437733875504/350933493875502. 350437733875512/350933493875510. 350437733875538/35
0933493875536. 350437733875546/350933493875544. 350437733875561/350933493875569. 350437733875587/350933493875585. 350437733875603
/350933493875601. 350437733875611/350933493875619. 350437733875637/350933493875635. 350437733875645/350933493875643. 350437733875
652/350933493875650. 350437733875660/350933493875668. 350437733875686/350933493875684. 350437733875702/350933493875700. 350437733
875728/350933493875726.350437733875744/350933493875742. 350437733875751/350933493875759. 350437733875793/350933493875791. 3504377
33875819/350933493875817. 350437733875835/350933493875833. 350437733875850/350933493875858. 350437733875876/350933493875874. 3504
37733875884/350933493875882. 350437733875892/350933493875890. 350437733875918/350933493875916. 350437733875926/350933493875924. 3
50437733875934/350933493875932. 350437733875942/350933493875940. 350437733875967/350933493875965. 350437733875975/350933493875973
. 350437733875983/350933493875981. 350437733875991/350933493875999.350437733876007/350933493876005. 350437733876015/3509334938760
13. 350437733876023/350933493876021. 350437733876031/350933493876039. 350437733876049/350933493876047. 350437733876056/3509334938
76054. 350437733876072/350933493876070. 350437733876098/350933493876096. 350437733876106/350933493876104. 350437733876114/3509334
93876112. 350437733876122/350933493876120. 350437733876130/350933493876138. 350437733876148/350933493876146. 350437733876155/3509
33493876153. 350437733876163/350933493876161. 350437733876171/350933493876179. 350437733876189/350933493876187. 350437733876197/3
50933493876195. 350437733876205/350933493876203. 350437733876221/350933493876229. 350437733876247/350933493876245. 35043773387626
2/350933493876260. 350437733876270/350933493876278. 350437733876288/350933493876286. 350437733876296/350933493876294. 35043773387
6304/350933493876302. 350437733876312/350933493876310. 350437733876320/350933493876328. 350437733876338/350933493876336. 35043773
3876346/350933493876344. 350437733876353/350933493876351. 350437733876361/350933493876369. 350437733876379/350933493876377. 35043
7733876387/350933493876385. 350437733876429/350933493876427. 350437733876437/350933493876435. 350437733876445/350933493876443. 35
0437733876452/350933493876450. 350437733876460/350933493876468. 350437733876478/350933493876476. 350437733876486/350933493876484.
350437733876494/350933493876492. 350437733876502/350933493876500. 350437733876510/350933493876518. 350437733876528/3509334938765
26. 350437733876536/350933493876534. 350437733876544/350933493876542. 350437733876551/350933493876559. 350437733876569/3509334938
76567. 350437733876577/350933493876575. 350437733876593/350933493876591. 350437733876601/350933493876609. 350437733876619/3509334
93876617.350437733876627/350933493876625. 350437733876643/350933493876641. 350437733876650/350933493876658. 350437733876668/35093
3493876666. 350437733876676/350933493876674. 350437733876684/350933493876682. 350437733876692/350933493876690. 350437733876718/35
0933493876716. 350437733876726/350933493876724. 350437733876734/350933493876732. 350437733876742/350933493876740. 350437733876759
/350933493876757. 350437733876775/350933493876773. 350437733876783/350933493876781. 350437733876791/350933493876799. 350437733876
817/350933493876815. 350437733876825/350933493876823.350437733876841/350933493876849. 350437733876858/350933493876856. 3504377338
032025001016714-3
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001016714-3
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
76882/350933493876880. 350437733876890/350933493876898. 350437733876908/350933493876906. 350437733876916/350933493876914. 3504377
33876924/350933493876922. 350437733876932/350933493876930. 350437733876940/350933493876948. 350437733876957/350933493876955. 3504
37733876965/350933493876963. 350437733876973/350933493876971. 350437733876981/350933493876989. 350437733876999/350933493876997. 3
50437733877005/350933493877003. 350437733877013/350933493877011. 350437733877021/350933493877029. 350437733877039/350933493877037
. 350437733877047/350933493877045. 350437733877062/350933493877060. 350437733877088/350933493877086. 350437733877096/350933493877
094. 350437733877104/350933493877102. 350437733877112/350933493877110. 350437733877120/350933493877128. 350437733877138/350933493
877136. 350437733877146/350933493877144. 350437733877153/350933493877151. 350437733877161/350933493877169. 350437733877179/350933
493877177. 350437733877187/350933493877185. 350437733877195/350933493877193. 350437733877203/350933493877201. 350437733877211/350
933493877219. 350437733877229/350933493877227. 350437733877237/350933493877235. 350437733877245/350933493877243. 350437733877252/
350933493877250. 350437733877260/350933493877268. 350437733877286/350933493877284. 350437733877294/350933493877292. 3504377338773
10/350933493877318. 350437733877344/350933493877342. 350437733877435/350933493877433. 350437733877450/350933493877458. 3504377338
77484/350933493877482. 350437733877492/350933493877490. 350437733877500/350933493877508. 350437733877518/350933493877516. 3504377
33877534/350933493877532. 350437733877559/350933493877557. 350437733877567/350933493877565. 350437733877583/350933493877581.35043
7733877625/350933493877623. 350437733877641/350933493877649. 350437733877666/350933493877664. 350437733877732/350933493877730. 35
0437733877773/350933493877771. 350437733877799/350933493877797. 350437733877815/350933493877813. 350437733877831/350933493877839.
350437733877856/350933493877854. 350437733877872/350933493877870. 350437733877898/350933493877896. 350437733877914/3509334938779
12. 350437733877955/350933493877953. 350437733878003/350933493878001. 350437733878011/350933493878019. 350437733878045/3509334938
78043. 350437733878060/350933493878068.350437733878078/350933493878076. 350437733878086/350933493878084. 350437733878102/35093349
3878100. 350437733878128/350933493878126. 350437733878144/350933493878142. 350437733878177/350933493878175. 350437733878219/35093
3493878217. 350437733878250/350933493878258. 350437733878276/350933493878274. 350437733878292/350933493878290. 350437733878318/35
0933493878316. 350437733878334/350933493878332. 350437733878359/350933493878357. 350437733878391/350933493878399. 350437733878417
/350933493878415. 350437733878433/350933493878431. 350437733878458/350933493878456. 350437733878474/350933493878472. 350437733878
508/350933493878506. 350437733878524/350933493878522. 350437733878540/350933493878548. 350437733878607/350933493878605. 350437733
878623/350933493878621. 350437733878649/350933493878647. 350437733878680/350933493878688. 350437733878706/350933493878704. 350437
733878722/350933493878720. 350437733878748/350933493878746. 350437733878789/350933493878787. 350437733878805/350933493878803. 350
437733878839/350933493878837. 350437733878862/350933493878860. 350437733878870/350933493878878. 350437733878888/350933493878886.
350437733878896/350933493878894. 350437733878904/350933493878902. 350437733878912/350933493878910. 350437733878920/35093349387892
8. 350437733878946/350933493878944. 350437733878953/350933493878951. 350437733878987/350933493878985. 350437733879001/35093349387
9009. 350437733879027/350933493879025. 350437733879043/350933493879041. 350437733879050/350933493879058. 350437733879068/35093349
3879066. 350437733879100/350933493879108. 350437733879126/350933493879124. 350437733879167/350933493879165. 350437733879183/35093
3493879181. 350437733879209/350933493879207. 350437733879217/350933493879215. 350437733879225/350933493879223.350437733879233/350
933493879231. 350437733879241/350933493879249. 350437733879258/350933493879256. 350437733879266/350933493879264. 350437733879274/
350933493879272. 350437733879290/350933493879298. 350437733879316/350933493879314. 350437733879324/350933493879322. 3504377338793
32/350933493879330. 350437733879340/350933493879348. 350437733879365/350933493879363. 350437733879373/350933493879371. 3504377338
79381/350933493879389. 350437733879399/350933493879397. 350437733879407/350933493879405. 350437733879423/350933493879421. 3504377
33879431/350933493879439.350437733879464/350933493879462. 350437733879472/350933493879470. 350437733879480/350933493879488. 35043
7733879506/350933493879504. 350437733879514/350933493879512. 350437733879522/350933493879520. 350437733879530/350933493879538. 35
0437733879548/350933493879546. 350437733879555/350933493879553. 350437733879563/350933493879561. 350437733879571/350933493879579.
350437733879589/350933493879587. 350437733879597/350933493879595. 350437733879605/350933493879603. 350437733879639/3509334938796
37. 350437733879647/350933493879645. 350437733879654/350933493879652. 350437733879662/350933493879660. 350437733879670/3509334938
79678. 350437733879696/350933493879694. 350437733879712/350933493879710. 350437733879720/350933493879728. 350437733879738/3509334
93879736. 350437733879746/350933493879744. 350437733879753/350933493879751. 350437733879761/350933493879769. 350437733879779/3509
33493879777. 350437733879787/350933493879785. 350437733879795/350933493879793. 350437733879803/350933493879801. 350437733879811/3
50933493879819. 350437733879829/350933493879827. 350437733879837/350933493879835. 350437733879845/350933493879843. 35043773387986
0/350933493879868. 350437733879878/350933493879876. 350437733879894/350933493879892. 350437733879902/350933493879900. 35043773387
9910/350933493879918. 350437733879928/350933493879926. 350437733879944/350933493879942. 350437733879951/350933493879959. 35043773
3879969/350933493879967. 350437733879977/350933493879975. 350437733879985/350933493879983. 350437733879993/350933493879991. 35043
7733880009/350933493880007. 350437733880017/350933493880015. 350437733880025/350933493880023. 350437733880033/350933493880031. 35
0437733880041/350933493880049. 350437733880066/350933493880064. 350437733880082/350933493880080.350437733880090/350933493880098.
350437733880108/350933493880106. 350437733880116/350933493880114. 350437733880124/350933493880122. 350437733880132/35093349388013
0. 350437733880140/350933493880148. 350437733880157/350933493880155. 350437733880165/350933493880163. 350437733880199/35093349388
0197. 350437733880231/350933493880239. 350437733880249/350933493880247. 350437733880256/350933493880254. 350437733880306/35093349
3880304. 350437733880314/350933493880312. 350437733880322/350933493880320. 350437733880330/350933493880338. 350437733880405/35093
3493880403.350437733880413/350933493880411. 350437733880439/350933493880437. 350437733880454/350933493880452XXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001016714-3
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3
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
032025001016719-1
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. 116575015626386
43 . Año – Mes – Día
2025 – 05 – 27
44 . Documento de transporte
No. PVG71568198
45 . Año – Mes – Día
2025 – 05 – 19
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
6900364857
52 . Año – Mes – Día
2025 – 05 – 16
53 . Cod. país
procedencia
215
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.
4.196.66
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
215
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.
168.00
72 . Peso neto kgs. dcms.
137.50
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
500.00
78 .Valor FOB
USD
31.792.97
79 . Valor fletes USD
1.254.96 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
138.695.500
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
138.695.500
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
1.09
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.256.05
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
33.049.02
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: 559123-DECL: 1918769-DO: 893112611251- 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: 3089259654. ID DELIVERY: 6082149171. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A065MZKGLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A06 DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MO(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
032025001016719
133. Feha: 202505 23
134 . Levante No. 032025000842890 135 . Fecha
2025 – 05 – 28
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 92032504007259
Fecha presentación 2025-05-23 15:39:58
Valor pagado $0.00
Fecha de Impresión: 2025-05-28 14:17:25
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001016719-1
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
DELO: SM-A065M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A065M/DS,BLACK,LTC( QTY. 500,00 u )(500,00 PCE);
IMEIS: 350437733852776/350933493852774. 350437733853162/350933493853160. 350437733853188/350933493853186. 350437733853212/3509334
93853210. 350437733853220/350933493853228. 350437733853238/350933493853236. 350437733853246/350933493853244.350437733853253/35093
3493853251. 350437733853261/350933493853269. 350437733853279/350933493853277. 350437733853287/350933493853285. 350437733853295/35
0933493853293. 350437733853303/350933493853301. 350437733853329/350933493853327. 350437733853345/350933493853343. 350437733853352
/350933493853350. 350437733853360/350933493853368. 350437733853378/350933493853376. 350437733853394/350933493853392. 350437733853
402/350933493853400. 350437733853410/350933493853418. 350437733853428/350933493853426. 350437733853436/350933493853434. 350437733
853444/350933493853442. 350437733853451/350933493853459. 350437733853469/350933493853467. 35 0437733853477/350933493853475. 35043
7733853485/350933493853483. 350437733853493/350933493853491. 350437733853519/350933493853517. 350437733853527/350933493853525. 35
0437733853535/350933493853533. 350437733853543/350933493853541. 350437733853550/350933493853558. 350437733853568/350933493853566.
350437733853576/350933493853574. 350437733853584/350933493853582. 350437733853592/350933493853590. 350437733853600/3509334938536
08. 350437733853618/350933493853616. 350437733853642/350933493853640. 350437733853659/350933493853657. 350437733853667/3509334938
53665. 350437733853675/350933493853673. 350437733853683/350933493853681. 350437733853691/350933493853699. 350437733853717/3509334
93853715. 350437733853725/350933493853723. 350437733853733/350933493853731. 350437733853741/350933493853749. 350437733853758/3509
33493853756. 350437733853766/350933493853764. 350437733853774/350933493853772. 350437733853782/350933493853780. 350437733853790/3
50933493853798. 350437733853808/350933493853806. 350437733853816/350933493853814. 350437733853824/350933493853822. 35043773385383
2/350933493853830. 350437733853857/350933493853855.350437733853865/350933493853863. 350437733853873/350933493853871. 350437733853
899/350933493853897. 350437733853907/350933493853905. 350437733853915/350933493853913. 350437733853931/350933493853939. 350437733
853949/350933493853947. 350437733853956/350933493853954. 350437733853964/350933493853962. 350437733853972/350933493853970. 350437
733853980/350933493853988. 350437733853998/350933493853996. 350437733854004/350933493854002. 350437733854046/350933493854044. 350
437733854053/350933493854051. 350437733854061/350933493854069. 350437733854079/350933493854077.350437733854087/350933493854085. 3
50437733854095/350933493854093. 350437733854111/350933493854119. 350437733854137/350933493854135. 350437733854160/350933493854168
. 350437733854178/350933493854176. 350437733854202/350933493854200. 350437733854228/350933493854226. 350437733854236/350933493854
234. 350437733854269/350933493854267. 350437733854293/350933493854291. 350437733854301/350933493854309. 350437733854319/350933493
854317. 350437733854327/350933493854325. 350437733854343/350933493854341. 350437733854350/350933493854358. 350437733854368/350933
493854366. 350437733854384/350933493854382. 350437733854400/350933493854408. 350437733854434/350933493854432. 350437733854442/350
933493854440. 350437733854459/350933493854457. 350437733854467/350933493854465. 350437733854475/350933493854473. 350437733854483/
350933493854481. 350437733854491/350933493854499. 350437733854517/350933493854515. 350437733854525/350933493854523. 3504377338545
74/350933493854572. 350437733854582/350933493854580. 350437733854590/350933493854598. 350437733854608/350933493854606. 3504377338
54616/350933493854614. 350437733854640/350933493854648. 350437733854657/350933493854655. 350437733854665/350933493854663. 3504377
33854673/350933493854671. 350437733854681/350933493854689. 350437733854699/350933493854697. 350437733854707/350933493854705. 3504
37733854715/350933493854713. 350437733854723/350933493854721. 350437733854731/350933493854739. 350437733854756/350933493854754. 3
50437733854764/350933493854762. 350437733854772/350933493854770. 350437733854780/350933493854788. 350437733854814/350933493854812
. 350437733854822/350933493854820. 350437733854848/350933493854846. 350437733854855/350933493854853. 350437733854863/350933493854
861. 350437733854897/350933493854895.350437733854913/350933493854911. 350437733854970/350933493854978. 350437733855100/3509334938
55108. 350437733855118/350933493855116. 350437733855134/350933493855132. 350437733855191/350933493855199. 350437733855217/3509334
93855215. 350437733855225/350933493855223. 350437733855274/350933493855272. 350437733855282/350933493855280. 350437733855373/3509
33493855371. 350437733855399/350933493855397. 350437733855407/350933493855405. 350437733855415/350933493855413. 350437733855431/3
50933493855439. 350437733855456/350933493855454. 350437733855472/350933493855470.350437733855480/350933493855488. 350437733855506
/350933493855504. 350437733855514/350933493855512. 350437733855522/350933493855520. 350437733855555/350933493855553. 350437733855
563/350933493855561. 350437733855589/350933493855587. 350437733855597/350933493855595. 350437733855605/350933493855603. 350437733
855613/350933493855611. 350437733855639/350933493855637. 350437733855647/350933493855645. 350437733855654/350933493855652. 350437
733855670/350933493855678. 350437733855688/350933493855686. 350437733855696/350933493855694. 350437733855704/350933493855702. 350
437733855712/350933493855710. 350437733855720/350933493855728. 350437733855738/350933493855736. 350437733855746/350933493855744.
350437733855753/350933493855751. 350437733855761/350933493855769. 350437733855779/350933493855777. 350437733855787/35093349385578
5. 350437733855795/350933493855793. 350437733855811/350933493855819. 350437733855829/350933493855827. 350437733855837/35093349385
5835. 350437733855845/350933493855843. 350437733855852/350933493855850. 350437733855860/350933493855868. 350437733855886/35093349
3855884. 350437733855894/350933493855892. 350437733855902/350933493855900. 350437733855910/350933493855918. 350437733855928/35093
3493855926. 350437733855936/350933493855934. 350437733855944/350933493855942. 350437733855951/350933493855959. 350437733855969/35
0933493855967. 350437733855977/350933493855975. 350437733855985/350933493855983. 350437733855993/350933493855991. 350437733856009
/350933493856007. 350437733856017/350933493856015. 350437733856025/350933493856023. 350437733856033/350933493856031. 350437733856
041/350933493856049. 350437733856058/350933493856056. 350437733856066/350933493856064. 350437733856074/350933493856072. 350437733
856108/350933493856106.350437733856116/350933493856114. 350437733856124/350933493856122. 350437733856132/350933493856130. 3504377
33856140/350933493856148. 350437733856157/350933493856155. 350437733856165/350933493856163. 350437733856173/350933493856171. 3504
37733856181/350933493856189. 350437733856199/350933493856197. 350437733856207/350933493856205. 350437733856215/350933493856213. 3
50437733856231/350933493856239. 350437733856249/350933493856247. 350437733856256/350933493856254. 350437733856264/350933493856262
. 350437733856272/350933493856270. 350437733856280/350933493856288.350437733856298/350933493856296. 350437733856322/3509334938563
20. 350437733856330/350933493856338. 350437733856355/350933493856353. 350437733856363/350933493856361. 350437733856389/3509334938
56387. 350437733856397/350933493856395. 350437733856405/350933493856403. 350437733856413/350933493856411. 350437733856421/3509334
93856429. 350437733856439/350933493856437. 350437733856447/350933493856445. 350437733856454/350933493856452. 350437733856462/3509
33493856460. 350437733856470/350933493856478. 350437733856488/350933493856486. 350437733856504/350933493856502. 350437733856520/3
50933493856528. 350437733856538/350933493856536. 350437733856546/350933493856544. 350437733856553/350933493856551. 35043773385656
1/350933493856569. 350437733856579/350933493856577. 350437733856587/350933493856585. 350437733856603/350933493856601. 35043773385
6611/350933493856619. 350437733856629/350933493856627. 350437733856637/350933493856635. 350437733856652/350933493856650. 35043773
3856660/350933493856668. 350437733856678/350933493856676. 350437733856686/350933493856684. 350437733856694/350933493856692. 35043
7733856702/350933493856700. 350437733856710/350933493856718. 350437733856728/350933493856726. 350437733856736/350933493856734. 35
0437733856744/350933493856742. 350437733856751/350933493856759. 350437733856769/350933493856767. 350437733856777/350933493856775.
350437733856785/350933493856783. 350437733856793/350933493856791. 350437733856819/350933493856817. 350437733856827/3509334938568
25. 350437733856835/350933493856833. 350437733856843/350933493856841. 350437733856868/350933493856866. 350437733856892/3509334938
56890. 350437733856900/350933493856908. 350437733856918/350933493856916. 350437733856942/350933493856940. 350437733856959/3509334
93856957.350437733856967/350933493856965. 350437733856975/350933493856973. 350437733856983/350933493856981. 350437733856991/35093
3493856999. 350437733857007/350933493857005. 350437733857023/350933493857021. 350437733857049/350933493857047. 350437733857056/35
0933493857054. 350437733857072/350933493857070. 350437733857106/350933493857104. 350437733857114/350933493857112. 350437733857122
/350933493857120. 350437733857130/350933493857138. 350437733857148/350933493857146. 350437733857163/350933493857161. 350437733857
171/350933493857179. 350437733857189/350933493857187.350437733857197/350933493857195. 350437733857213/350933493857211. 3504377338
032025001016719-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001016719-1
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
57221/350933493857229. 350437733857239/350933493857237. 350437733857247/350933493857245. 350437733857254/350933493857252. 3504377
33857262/350933493857260. 350437733857270/350933493857278. 350437733857288/350933493857286. 350437733857296/350933493857294. 3504
37733857304/350933493857302. 350437733857312/350933493857310. 350437733857320/350933493857328. 350437733857346/350933493857344. 3
50437733857353/350933493857351. 350437733857361/350933493857369. 350437733857379/350933493857377. 350437733857387/350933493857385
. 350437733857395/350933493857393. 350437733857411/350933493857419. 350437733857429/350933493857427. 350437733857437/350933493857
435. 350437733857445/350933493857443. 350437733857452/350933493857450. 350437733857460/350933493857468. 350437733857486/350933493
857484. 350437733857494/350933493857492. 350437733857502/350933493857500. 350437733857510/350933493857518. 350437733857528/350933
493857526. 350437733857536/350933493857534. 350437733857551/350933493857559. 350437733857569/350933493857567. 350437733857577/350
933493857575. 350437733857593/350933493857591. 350437733857601/350933493857609. 350437733857619/350933493857617. 350437733857627/
350933493857625. 350437733857635/350933493857633. 350437733857643/350933493857641. 350437733857650/350933493857658. 3504377338576
68/350933493857666. 350437733857676/350933493857674. 350437733857684/350933493857682. 350437733857692/350933493857690. 3504377338
57700/350933493857708. 350437733857718/350933493857716. 350437733857726/350933493857724. 350437733857734/350933493857732. 3504377
33857742/350933493857740. 350437733857759/350933493857757. 350437733857767/350933493857765. 350437733857775/350933493857773.35043
7733857783/350933493857781. 350437733857791/350933493857799. 350437733857809/350933493857807. 350437733857817/350933493857815. 35
0437733857825/350933493857823. 350437733857833/350933493857831. 350437733857858/350933493857856. 350437733857866/350933493857864.
350437733857874/350933493857872. 350437733857882/350933493857880. 350437733857890/350933493857898. 350437733857908/3509334938579
06. 350437733857916/350933493857914. 350437733857924/350933493857922. 350437733857932/350933493857930. 350437733857940/3509334938
57948. 350437733857957/350933493857955.350437733857965/350933493857963. 350437733857973/350933493857971. 350437733857981/35093349
3857989. 350437733857999/350933493857997. 350437733858005/350933493858003. 350437733858013/350933493858011. 350437733858047/35093
3493858045. 350437733858062/350933493858060. 350437733858070/350933493858078. 350437733858104/350933493858102. 350437733858120/35
0933493858128. 350437733858138/350933493858136. 350437733858146/350933493858144. 350437733858153/350933493858151. 350437733858294
/350933493858292. 350437733858302/350933493858300. 350437733858401/350933493858409. 350437733858419/350933493858417. 350437733858
427/350933493858425. 350437733858443/350933493858441. 350437733858450/350933493858458. 350437733858468/350933493858466. 350437733
858492/350933493858490. 350437733858526/350933493858524. 350437733858534/350933493858532. 350437733858542/350933493858540. 350437
733858559/350933493858557. 350437733858567/350933493858565. 350437733858575/350933493858573. 350437733858583/350933493858581. 350
437733858591/350933493858599. 350437733858609/350933493858607. 350437733858625/350933493858623. 350437733858633/350933493858631.
350437733858641/350933493858649. 350437733858658/350933493858656. 350437733858674/350933493858672. 350437733858690/35093349385869
8. 350437733858716/350933493858714. 350437733858724/350933493858722. 350437733858732/350933493858730. 350437733858740/35093349385
8748. 350437733858757/350933493858755. 350437733858765/350933493858763. 350437733858773/350933493858771. 350437733858781/35093349
3858789. 350437733858799/350933493858797. 350437733858807/350933493858805. 350437733858815/350933493858813. 350437733858823/35093
3493858821. 350437733858831/350933493858839. 350437733858849/350933493858847. 350437733858856/350933493858854.350437733858864/350
933493858862. 350437733858880/350933493858888. 350437733858898/350933493858896. 350437733858906/350933493858904. 350437733858922/
350933493858920. 350437733858930/350933493858938. 350437733858955/350933493858953. 350437733858971/350933493858979. 3504377338589
89/350933493858987. 350437733858997/350933493858995. 350437733859003/350933493859001. 350437733859011/350933493859019. 3504377338
59029/350933493859027. 350437733859037/350933493859035. 350437733859052/350933493859050. 350437733859060/350933493859068. 3504377
33859078/350933493859076.350437733859094/350933493859092. 350437733859128/350933493859126. 350437733859144/350933493859142. 35043
7733859151/350933493859159. 350437733859169/350933493859167. 350437733859177/350933493859175. 350437733859193/350933493859191. 35
0437733859201/350933493859209. 350437733859227/350933493859225. 350437733859235/350933493859233. 350437733859243/350933493859241.
350437733859250/350933493859258. 350437733859276/350933493859274. 350437733859292/350933493859290. 350437733859300/3509334938593
08. 350437733859318/350933493859316. 350437733859326/350933493859324. 350437733859359/350933493859357. 350437733859367/3509334938
59365. 350437733859375/350933493859373. 350437733859383/350933493859381. 350437733859391/350933493859399. 350437733859409/3509334
93859407. 350437733859417/350933493859415. 350437733859425/350933493859423. 350437733859433/350933493859431. 350437733859441/3509
33493859449. 350437733859458/350933493859456. 350437733859466/350933493859464. 350437733859474/350933493859472. 350437733859482/3
50933493859480. 350437733859490/350933493859498. 350437733859508/350933493859506. 350437733859516/350933493859514. 35043773385952
4/350933493859522. 350437733859532/350933493859530. 350437733859540/350933493859548. 350437733859557/350933493859555. 35043773385
9565/350933493859563. 350437733859599/350933493859597. 350437733859615/350933493859613. 350437733859623/350933493859621. 35043773
3859656/350933493859654. 350437733859664/350933493859662. 350437733859672/350933493859670. 350437733859680/350933493859688. 35043
7733859698/350933493859696. 350437733859714/350933493859712. 350437733859722/350933493859720. 350437733859730/350933493859738. 35
0437733859755/350933493859753. 350437733859789/350933493859787. 350437733859797/350933493859795.350437733859813/350933493859811.
350437733859821/350933493859829. 350437733859839/350933493859837. 350437733859847/350933493859845. 350437733859862/35093349385986
0. 350437733859870/350933493859878. 350437733859888/350933493859886. 350437733859896/350933493859894. 350437733859904/35093349385
9902. 350437733859912/350933493859910. 350437733859920/350933493859928. 350437733859938/350933493859936. 350437733859946/35093349
3859944. 350437733859953/350933493859951. 350437733861157/350933493861155. 350437733861173/350933493861171. 350437733861215/35093
3493861213.350437733861231/350933493861239. 350437733861777/350933493861775. 350437733861843/350933493861841XXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001016719-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3
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
032025001018094-4
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. 116575015626386
43 . Año – Mes – Día
2025 – 05 – 27
44 . Documento de transporte
No. HKL043947
45 . Año – Mes – Día
2025 – 05 – 21
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
6900364864
52 . Año – Mes – Día
2025 – 05 – 19
53 . Cod. país
procedencia
351
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.
4.196.66
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
215
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.
103.00
72 . Peso neto kgs. dcms.
82.50
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
19.084.07
79 . Valor fletes USD
744.69 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
83.217.292
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
83.217.292
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
0.65
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
745.34
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
19.829.41
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: 559145-DECL: 1918805-DO: 893112724251- 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: 3089259540. ID DELIVERY: 6082136948. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A065MLGGLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A06 DUOS (CON ACCESORIOSPARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE CLARO,(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
032025001018094
133. Feha: 202505 23
134 . Levante No. 032025000842809 135 . Fecha
2025 – 05 – 28
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 92032504014646
Fecha presentación 2025-05-23 17:28:18
Valor pagado $0.00
Fecha de Impresión: 2025-05-28 14:06:05
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001018094-4
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
MODELO: SM-A065M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A065M/DS,LIGHT GREEN,LTC( QTY. 300,00 u )(300,
00 PCE); IMEIS: 350437734100837/350933494100835. 350437734100845/350933494100843. 350437734100894/350933494100892. 35043773410092
8/350933494100926. 350437734100969/350933494100967. 350437734100985/350933494100983. 350437734100993/350933494100991. 35043773410
1009/350933494101007. 350437734101124/350933494101122. 350437734101165/350933494101163. 350437734101520/350933494101528. 35043773
4101645/350933494101643. 350437734101819/350933494101817. 350437734102007/350933494102005. 350437734102023/350933494102021. 35043
7734102031/350933494102039. 350437734102049/350933494102047. 350437734102056/350933494102054. 350437734102064/350933494102062. 35
0437734102072/350933494102070. 350437734102080/350933494102088. 350437734102098/350933494102096. 350437734102106/350933494102104.
350437734102114/350933494102112. 350437734102122/350933494102120. 350437734102130/350933494 102138. 350437734102148/350933494102
146. 350437734102155/350933494102153. 350437734102163/350933494102161. 350437734102171/350933494102179.350437734102189/3509334941
02187. 350437734102197/350933494102195. 350437734102205/350933494102203. 350437734102221/350933494102229. 350437734102239/3509334
94102237. 350437734102247/350933494102245. 350437734102254/350933494102252. 350437734102262/350933494102260. 350437734102270/3509
33494102278. 350437734102288/350933494102286. 350437734102296/350933494102294. 350437734102304/350933494102302. 350437734102320/3
50933494102328. 350437734102338/350933494102336. 350437734102346/350933494102344. 350437734102353/350933494102351. 35043773410236
1/350933494102369.350437734102379/350933494102377. 350437734102387/350933494102385. 350437734102395/350933494102393. 350437734102
403/350933494102401. 350437734102411/350933494102419. 350437734102429/350933494102427. 350437734102437/350933494102435. 350437734
102445/350933494102443. 350437734102452/350933494102450. 350437734102460/350933494102468. 350437734102478/350933494102476. 350437
734102494/350933494102492. 350437734102502/350933494102500. 350437734102510/350933494102518. 350437734102528/350933494102526. 350
437734102536/350933494102534. 350437734102544/350933494102542. 350437734102551/350933494102559. 350437734102569/350933494102567.
350437734102577/350933494102575. 350437734102585/350933494102583. 350437734102593/350933494102591. 350437734102601/35093349410260
9. 350437734102635/350933494102633. 350437734102643/350933494102641. 350437734102650/350933494102658. 350437734102668/35093349410
2666. 350437734102676/350933494102674. 350437734102684/350933494102682. 350437734102692/350933494102690. 350437734102700/35093349
4102708. 350437734102718/350933494102716. 350437734102742/350933494102740. 350437734102759/350933494102757. 350437734102767/35093
3494102765. 350437734102783/350933494102781. 350437734103096/350933494103094. 350437734103252/350933494103250. 350437734103435/35
0933494103433. 350437734103609/350933494103607. 350437734103849/350933494103847. 350437734103872/350933494103870. 350437734104268
/350933494104266. 350437734104508/350933494104506. 350437734104565/350933494104563. 350437734104581/350933494104589. 350437734104
607/350933494104605. 350437734104623/350933494104621. 350437734104631/350933494104639. 350437734104649/350933494104647. 350437734
104672/350933494104670. 350437734104847/350933494104845. 350437734104854/350933494104852.350437734104870/350933494104878. 3504377
34104888/350933494104886. 350437734104912/350933494104910. 350437734104938/350933494104936. 350437734105471/350933494105479. 3504
37734105505/350933494105503. 350437734105638/350933494105636. 350437734105943/350933494105941. 350437734106156/350933494106154. 3
50437734106255/350933494106253. 350437734106404/350933494106402. 350437734106495/350933494106493. 350437734106511/350933494106519
. 350437734106941/350933494106949. 350437734107154/350933494107152. 350437734107592/350933494107590. 350437734107816/350933494107
814.350437734107964/350933494107962. 350437734108251/350933494108259. 350437734108277/350933494108275. 350437734108285/3509334941
08283. 350437734108293/350933494108291. 350437734108301/350933494108309. 350437734108319/350933494108317. 350437734108327/3509334
94108325. 350437734108335/350933494108333. 350437734108343/350933494108341. 350437734108368/350933494108366. 350437734108376/3509
33494108374. 350437734108392/350933494108390. 350437734108418/350933494108416. 350437734108426/350933494108424. 350437734108434/3
50933494108432. 350437734108442/350933494108440. 350437734108467/350933494108465. 350437734108475/350933494108473. 35043773410849
1/350933494108499. 350437734108517/350933494108515. 350437734108533/350933494108531. 350437734108541/350933494108549. 35043773410
8558/350933494108556. 350437734108566/350933494108564. 350437734108582/350933494108580. 350437734108608/350933494108606. 35043773
4108632/350933494108630. 350437734108657/350933494108655. 350437734108723/350933494108721. 350437734108731/350933494108739. 35043
7734108756/350933494108754. 350437734108905/350933494108903. 350437734109085/350933494109083. 350437734109127/350933494109125. 35
0437734109168/350933494109166. 350437734109200/350933494109208. 350437734109226/350933494109224. 350437734109275/350933494109273.
350437734109440/350933494109448. 350437734109457/350933494109455. 350437734109499/350933494109497. 350437734109507/3509334941095
05. 350437734109523/350933494109521. 350437734109598/350933494109596. 350437734109606/350933494109604. 350437734109614/3509334941
09612. 350437734109648/350933494109646. 350437734109663/350933494109661. 350437734109689/350933494109687. 350437734109721/3509334
94109729. 350437734109762/350933494109760. 350437734109770/350933494109778.350437734109804/350933494109802. 350437734109820/35093
3494109828. 350437734109911/350933494109919. 350437734109937/350933494109935. 350437734109952/350933494109950. 350437734109960/35
0933494109968. 350437734109978/350933494109976. 350437734109994/350933494109992. 350437734110000/350933494110008. 350437734110018
/350933494110016. 350437734110026/350933494110024. 350437734110034/350933494110032. 350437734110042/350933494110040. 350437734110
059/350933494110057. 350437734110067/350933494110065. 350437734110075/350933494110073. 350437734110083/350933494110081.3504377341
10091/350933494110099. 350437734110109/350933494110107. 350437734110117/350933494110115. 350437734110125/350933494110123. 3504377
34110133/350933494110131. 350437734110141/350933494110149. 350437734110158/350933494110156. 350437734110174/350933494110172. 3504
37734110182/350933494110180. 350437734110190/350933494110198. 350437734110216/350933494110214. 350437734110224/350933494110222. 3
50437734110232/350933494110230. 350437734110257/350933494110255. 350437734110265/350933494110263. 350437734110273/350933494110271
. 350437734110281/350933494110289. 350437734110299/350933494110297. 350437734110307/350933494110305. 350437734110315/350933494110
313. 350437734110323/350933494110321. 350437734110331/350933494110339. 350437734110349/350933494110347. 350437734110356/350933494
110354. 350437734110364/350933494110362. 350437734110372/350933494110370. 350437734110380/350933494110388. 350437734110398/350933
494110396. 350437734110406/350933494110404. 350437734110414/350933494110412. 350437734110422/350933494110420. 350437734110430/350
933494110438. 350437734110448/350933494110446. 350437734110778/350933494110776. 350437734111438/350933494111436. 350437734111636/
350933494111634. 350437734111990/350933494111998. 350437734112147/350933494112145. 350437734112261/350933494112269. 3504377341123
29/350933494112327. 350437734112378/350933494112376. 350437734112386/350933494112384. 350437734112410/350933494112418. 3504377341
12428/350933494112426. 350437734112436/350933494112434. 350437734112444/350933494112442. 350437734112451/350933494112459. 3504377
34112477/350933494112475. 350437734112485/350933494112483. 350437734112493/350933494112491. 350437734112519/350933494112517. 3504
37734112550/350933494112558. 350437734112568/350933494112566.350437734112667/350933494112665. 350437734112683/350933494112681. 35
0437734112766/350933494112764. 350437734112980/350933494112988. 350437734113210/350933494113218. 350437734113285/350933494113283.
350437734113566/350933494113564. 350437734113798/350933494113796. 350437734113871/350933494113879. 350437734115082/3509334941150
80. 350437734115140/350933494115148. 350437734115157/350933494115155. 350437734115173/350933494115171. 350437734115181/3509334941
15189. 350437734115199/350933494115197. 350437734115207/350933494115205. 350437734115215/350933494115213.350437734115223/35093349
4115221. 350437734115231/350933494115239. 350437734115249/350933494115247. 350437734115256/350933494115254. 350437734115264/35093
3494115262. 350437734115272/350933494115270. 350437734115280/350933494115288. 350437734115298/350933494115296. 350437734115322/35
0933494115320. 350437734115330/350933494115338. 350437734115348/350933494115346. 350437734115355/350933494115353. 350437734115363
/350933494115361. 350437734115371/350933494115379. 350437734115397/350933494115395. 350437734115413/350933494115411. 350437734115
421/350933494115429. 350437734115439/350933494115437. 350437734115447/350933494115445. 350437734115454/350933494115452. 350437734
115462/350933494115460. 350437734115470/350933494115478. 350437734115496/350933494115494. 350437734115504/350933494115502. 350437
734115520/350933494115528. 350437734115538/350933494115536. 350437734115553/350933494115551. 350437734115561/350933494115569. 350
437734115579/350933494115577. 350437734115587/350933494115585. 350437734115595/350933494115593. 350437734115603/350933494115601.
032025001018094-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001018094-4
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
350437734115611/350933494115619. 350437734115629/350933494115627. 350437734115686/350933494115684. 350437734115694/35093349411569
2. 350437734115702/350933494115700. 350437734115710/350933494115718. 350437734115728/350933494115726. 350437734115744/35093349411
5742. 350437734115769/350933494115767. 350437734115777/350933494115775. 350437734115785/350933494115783XXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025001018094-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3
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
032025001018498-6
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. 116575015626386
43 . Año – Mes – Día
2025 – 05 – 27
44 . Documento de transporte
No. HKL043948
45 . Año – Mes – Día
2025 – 05 – 21
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
6900364656
52 . Año – Mes – Día
2025 – 05 – 19
53 . Cod. país
procedencia
351
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.
4.196.66
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
215
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.
102.00
72 . Peso neto kgs. dcms.
82.50
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
19.091.30
79 . Valor fletes USD
737.46 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
83.217.292
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
83.217.292
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
0.65
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
738.11
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
19.829.41
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: 559157-DECL: 1918821-DO: 893112725251- 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: 3089259541. ID DELIVERY: 6082137713. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A065MLGGLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A06 DUOS (CON ACCESORIOSPARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE CLARO,(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
032025001018498
133. Feha: 202505 23
134 . Levante No. 032025000842805 135 . Fecha
2025 – 05 – 28
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 92032504016667
Fecha presentación 2025-05-23 19:05:31
Valor pagado $0.00
Fecha de Impresión: 2025-05-28 14:04:46
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001018498-6
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
MODELO: SM-A065M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A065M/DS,LIGHT GREEN,LTC( QTY. 300,00 u )(300,
00 PCE); IMEIS: 350437734274525/350933494274523. 350437734274533/350933494274531. 350437734274541/350933494274549. 35043773427455
8/350933494274556. 350437734274566/350933494274564. 350437734274574/350933494274572. 350437734274582/350933494274580. 35043773427
4608/350933494274606. 350437734274616/350933494274614. 350437734274624/350933494274622. 350437734274640/350933494274648. 35043773
4274657/350933494274655. 350437734274665/350933494274663. 350437734274673/350933494274671. 350437734274723/350933494274721. 35043
7734274731/350933494274739. 350437734274749/350933494274747. 350437734274756/350933494274754. 350437734274764/350933494274762. 35
0437734274772/350933494274770. 350437734274798/350933494274796. 350437734274830/350933494274838. 350437734274848/350933494274846.
350437734274871/350933494274879. 350437734274889/350933494274887. 350437734274897/350933494 274895. 350437734274905/350933494274
903. 350437734274913/350933494274911. 350437734274939/350933494274937. 350437734274947/350933494274945.350437734274970/3509334942
74978. 350437734274988/350933494274986. 350437734274996/350933494274994. 350437734275001/350933494275009. 350437734275043/3509334
94275041. 350437734275068/350933494275066. 350437734275134/350933494275132. 350437734275142/350933494275140. 350437734275159/3509
33494275157. 350437734275167/350933494275165. 350437734275175/350933494275173. 350437734275183/350933494275181. 350437734275217/3
50933494275215. 350437734275225/350933494275223. 350437734275233/350933494275231. 350437734275258/350933494275256. 35043773427526
6/350933494275264.350437734275274/350933494275272. 350437734275340/350933494275348. 350437734275365/350933494275363. 350437734275
381/350933494275389. 350437734275399/350933494275397. 350437734275407/350933494275405. 350437734275480/350933494275488. 350437734
275514/350933494275512. 350437734275522/350933494275520. 350437734275530/350933494275538. 350437734275548/350933494275546. 350437
734275555/350933494275553. 350437734275563/350933494275561. 350437734275571/350933494275579. 350437734275589/350933494275587. 350
437734275597/350933494275595. 350437734275605/350933494275603. 350437734275613/350933494275611. 350437734275621/350933494275629.
350437734275639/350933494275637. 350437734275647/350933494275645. 350437734275696/350933494275694. 350437734275720/35093349427572
8. 350437734275803/350933494275801. 350437734275902/350933494275900. 350437734276124/350933494276122. 350437734276249/35093349427
6247. 350437734276330/350933494276338. 350437734276371/350933494276379. 350437734276397/350933494276395. 350437734276413/35093349
4276411. 350437734276595/350933494276593. 350437734276876/350933494276874. 350437734276900/350933494276908. 350437734277288/35093
3494277286. 350437734277874/350933494277872. 350437734278013/350933494278011. 350437734278849/350933494278847. 350437734278856/35
0933494278854. 350437734279136/350933494279134. 350437734279144/350933494279142. 350437734279318/350933494279316. 350437734280399
/350933494280397. 350437734280407/350933494280405. 350437734280506/350933494280504. 350437734280514/350933494280512. 350437734280
522/350933494280520. 350437734280530/350933494280538. 350437734280548/350933494280546. 350437734280555/350933494280553. 350437734
280563/350933494280561. 350437734280589/350933494280587. 350437734280597/350933494280595.350437734280605/350933494280603. 3504377
34280613/350933494280611. 350437734280621/350933494280629. 350437734280639/350933494280637. 350437734280647/350933494280645. 3504
37734280886/350933494280884. 350437734280894/350933494280892. 350437734281223/350933494281221. 350437734281595/350933494281593. 3
50437734282668/350933494282666. 350437734282833/350933494282831. 350437734282916/350933494282914. 350437734282924/350933494282922
. 350437734283021/350933494283029. 350437734283112/350933494283110. 350437734283690/350933494283698. 350437734283799/350933494283
797.350437734283856/350933494283854. 350437734283898/350933494283896. 350437734284052/350933494284050. 350437734284235/3509334942
84233. 350437734284284/350933494284282. 350437734284318/350933494284316. 350437734284359/350933494284357. 350437734284367/3509334
94284365. 350437734284441/350933494284449. 350437734284763/350933494284761. 350437734284805/350933494284803. 350437734284854/3509
33494284852. 350437734285760/350933494285768. 350437734285810/350933494285818. 350437734285828/350933494285826. 350437734285844/3
50933494285842. 350437734285869/350933494285867. 350437734285877/350933494285875. 350437734285885/350933494285883. 35043773428590
1/350933494285909. 350437734285943/350933494285941. 350437734285950/350933494285958. 350437734285968/350933494285966. 35043773428
5976/350933494285974. 350437734285992/350933494285990. 350437734286016/350933494286014. 350437734286024/350933494286022. 35043773
4286032/350933494286030. 350437734286040/350933494286048. 350437734286057/350933494286055. 350437734286065/350933494286063. 35043
7734286073/350933494286071. 350437734286081/350933494286089. 350437734286099/350933494286097. 350437734286115/350933494286113. 35
0437734286123/350933494286121. 350437734286156/350933494286154. 350437734286180/350933494286188. 350437734286198/350933494286196.
350437734286214/350933494286212. 350437734286230/350933494286238. 350437734286248/350933494286246. 350437734286255/3509334942862
53. 350437734286263/350933494286261. 350437734286271/350933494286279. 350437734286289/350933494286287. 350437734286297/3509334942
86295. 350437734286321/350933494286329. 350437734286347/350933494286345. 350437734286354/350933494286352. 350437734286362/3509334
94286360. 350437734286420/350933494286428. 350437734286446/350933494286444.350437734286479/350933494286477. 350437734286503/35093
3494286501. 350437734286529/350933494286527. 350437734286537/350933494286535. 350437734286628/350933494286626. 350437734286644/35
0933494286642. 350437734286693/350933494286691. 350437734286701/350933494286709. 350437734286727/350933494286725. 350437734286735
/350933494286733. 350437734286743/350933494286741. 350437734286768/350933494286766. 350437734286776/350933494286774. 350437734286
784/350933494286782. 350437734286826/350933494286824. 350437734286859/350933494286857. 350437734286925/350933494286923.3504377342
86974/350933494286972. 350437734286982/350933494286980. 350437734286990/350933494286998. 350437734287006/350933494287004. 3504377
34287030/350933494287038. 350437734287097/350933494287095. 350437734287105/350933494287103. 350437734287113/350933494287111. 3504
37734287154/350933494287152. 350437734287170/350933494287178. 350437734287196/350933494287194. 350437734287204/350933494287202. 3
50437734287212/350933494287210. 350437734287220/350933494287228. 350437734287238/350933494287236. 350437734287261/350933494287269
. 350437734287287/350933494287285. 350437734287345/350933494287343. 350437734287352/350933494287350. 350437734287360/350933494287
368. 350437734287378/350933494287376. 350437734287394/350933494287392. 350437734287402/350933494287400. 350437734287410/350933494
287418. 350437734287428/350933494287426. 350437734287436/350933494287434. 350437734287444/350933494287442. 350437734287451/350933
494287459. 350437734287477/350933494287475. 350437734287485/350933494287483. 350437734287493/350933494287491. 350437734287535/350
933494287533. 350437734287543/350933494287541. 350437734287550/350933494287558. 350437734287568/350933494287566. 350437734287576/
350933494287574. 350437734287584/350933494287582. 350437734287592/350933494287590. 350437734287600/350933494287608. 3504377342876
42/350933494287640. 350437734287675/350933494287673. 350437734287733/350933494287731. 350437734287782/350933494287780. 3504377342
87808/350933494287806. 350437734287824/350933494287822. 350437734287840/350933494287848. 350437734287857/350933494287855. 3504377
34287873/350933494287871. 350437734287881/350933494287889. 350437734287956/350933494287954. 350437734288178/350933494288176. 3504
37734288194/350933494288192. 350437734288236/350933494288234.350437734289226/350933494289224. 350437734289234/350933494289232. 35
0437734289242/350933494289240. 350437734289259/350933494289257. 350437734289275/350933494289273. 350437734289291/350933494289299.
350437734289325/350933494289323. 350437734289382/350933494289380. 350437734290406/350933494290404. 350437734290794/3509334942907
92. 350437734291248/350933494291246. 350437734291271/350933494291279. 350437734293186/350933494293184. 350437734293426/3509334942
93424. 350437734294259/350933494294257. 350437734296254/350933494296252. 350437734304728/350933494304726.350437734304751/35093349
4304759. 350437734304777/350933494304775. 350437734304793/350933494304791. 350437734304801/350933494304809. 350437734304827/35093
3494304825. 350437734304850/350933494304858. 350437734304918/350933494304916. 350437734304959/350933494304957. 350437734304975/35
0933494304973. 350437734304991/350933494304999. 350437734305014/350933494305012. 350437734305097/350933494305095. 350437734305261
/350933494305269. 350437734305360/350933494305368. 350437734305402/350933494305400. 350437734305501/350933494305509. 350437734305
519/350933494305517. 350437734305527/350933494305525. 350437734305535/350933494305533. 350437734305568/350933494305566. 350437734
306376/350933494306374. 350437734306723/350933494306721. 350437734306731/350933494306739. 350437734306814/350933494306812. 350437
734306830/350933494306838. 350437734306848/350933494306846. 350437734306921/350933494306929. 350437734306988/350933494306986. 350
437734307374/350933494307372. 350437734307689/350933494307687. 350437734307697/350933494307695. 350437734307705/350933494307703.
032025001018498-6
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001018498-6
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
350437734307739/350933494307737. 350437734307754/350933494307752. 350437734307770/350933494307778. 350437734307895/35093349430789
3. 350437734307929/350933494307927. 350437734307952/350933494307950. 350437734308075/350933494308073. 350437734309537/35093349430
9535. 350437734310329/350933494310327. 350437734311731/350933494311739. 350437734314271/350933494314279XXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001018498-6
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3
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
032025001016666-8
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. 116575015626386
43 . Año – Mes – Día
2025 – 05 – 27
44 . Documento de transporte
No. HKL043945
45 . Año – Mes – Día
2025 – 05 – 21
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
6900363993
52 . Año – Mes – Día
2025 – 05 – 19
53 . Cod. país
procedencia
351
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.
4.196.66
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
215
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.
102.00
72 . Peso neto kgs. dcms.
82.50
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
19.091.30
79 . Valor fletes USD
737.46 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
83.217.292
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
83.217.292
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
0.65
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
738.11
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
19.829.41
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: 559129-DECL: 1918779-DO: 893112722251- 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: 3089258816. ID DELIVERY: 6082137248. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A065MLGGLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A06 DUOS (CON ACCESORIOSPARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE CLARO,(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
032025001016666
133. Feha: 202505 23
134 . Levante No. 032025000842164 135 . Fecha
2025 – 05 – 28
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 92032504007044
Fecha presentación 2025-05-23 15:34:14
Valor pagado $0.00
Fecha de Impresión: 2025-05-28 12:49:03
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001016666-8
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
MODELO: SM-A065M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A065M/DS,LIGHT GREEN,LTC( QTY. 300,00 u )(300,
00 PCE); IMEIS: 350437734100829/350933494100827. 350437734100852/350933494100850. 350437734100860/350933494100868. 35043773410088
6/350933494100884. 350437734100902/350933494100900. 350437734100910/350933494100918. 350437734100936/350933494100934. 35043773410
0951/350933494100959. 350437734100977/350933494100975. 350437734101017/350933494101015. 350437734101025/350933494101023. 35043773
4101033/350933494101031. 350437734101041/350933494101049. 350437734101058/350933494101056. 350437734101066/350933494101064. 35043
7734101074/350933494101072. 350437734101082/350933494101080. 350437734101090/350933494101098. 350437734101108/350933494101106. 35
0437734101116/350933494101114. 350437734101132/350933494101130. 350437734101157/350933494101155. 350437734101173/350933494101171.
350437734101199/350933494101197. 350437734101207/350933494101205. 350437734101215/350933494 101213. 350437734101223/350933494101
221. 350437734101231/350933494101239. 350437734101249/350933494101247. 350437734101256/350933494101254.350437734101264/3509334941
01262. 350437734101272/350933494101270. 350437734101280/350933494101288. 350437734101298/350933494101296. 350437734101306/3509334
94101304. 350437734101314/350933494101312. 350437734101322/350933494101320. 350437734101355/350933494101353. 350437734101363/3509
33494101361. 350437734101371/350933494101379. 350437734101389/350933494101387. 350437734101397/350933494101395. 350437734101405/3
50933494101403. 350437734101413/350933494101411. 350437734101421/350933494101429. 350437734101439/350933494101437. 35043773410144
7/350933494101445.350437734101454/350933494101452. 350437734101470/350933494101478. 350437734101488/350933494101486. 350437734101
496/350933494101494. 350437734101504/350933494101502. 350437734101512/350933494101510. 350437734101538/350933494101536. 350437734
101546/350933494101544. 350437734101553/350933494101551. 350437734101561/350933494101569. 350437734101587/350933494101585. 350437
734101595/350933494101593. 350437734101611/350933494101619. 350437734101629/350933494101627. 350437734101637/350933494101635. 350
437734101652/350933494101650. 350437734101660/350933494101668. 350437734101678/350933494101676. 350437734101686/350933494101684.
350437734101694/350933494101692. 350437734101702/350933494101700. 350437734101710/350933494101718. 350437734101728/35093349410172
6. 350437734101736/350933494101734. 350437734101744/350933494101742. 350437734101751/350933494101759. 350437734101769/35093349410
1767. 350437734101777/350933494101775. 350437734101785/350933494101783. 350437734101793/350933494101791. 350437734101801/35093349
4101809. 350437734101827/350933494101825. 350437734101835/350933494101833. 350437734101843/350933494101841. 350437734101850/35093
3494101858. 350437734101868/350933494101866. 350437734101884/350933494101882. 350437734101892/350933494101890. 350437734101918/35
0933494101916. 350437734101926/350933494101924. 350437734101934/350933494101932. 350437734101942/350933494101940. 350437734101959
/350933494101957. 350437734101967/350933494101965. 350437734101975/350933494101973. 350437734101991/350933494101999. 350437734102
015/350933494102013. 350437734102213/350933494102211. 350437734102312/350933494102310. 350437734102734/350933494102732. 350437734
102775/350933494102773. 350437734103013/350933494103011. 350437734103070/350933494103078.350437734103153/350933494103151. 3504377
34103195/350933494103193. 350437734103203/350933494103201. 350437734103294/350933494103292. 350437734103351/350933494103359. 3504
37734103443/350933494103441. 350437734103450/350933494103458. 350437734103682/350933494103680. 350437734103716/350933494103714. 3
50437734103799/350933494103797. 350437734103856/350933494103854. 350437734103914/350933494103912. 350437734103955/350933494103953
. 350437734103989/350933494103987. 350437734104359/350933494104357. 350437734104425/350933494104423. 350437734104466/350933494104
464.350437734104474/350933494104472. 350437734104532/350933494104530. 350437734104805/350933494104803. 350437734104862/3509334941
04860. 350437734104979/350933494104977. 350437734105240/350933494105248. 350437734105513/350933494105511. 350437734105646/3509334
94105644. 350437734105893/350933494105891. 350437734106032/350933494106030. 350437734106065/350933494106063. 350437734106172/3509
33494106170. 350437734106222/350933494106220. 350437734106677/350933494106675. 350437734107659/350933494107657. 350437734107667/3
50933494107665. 350437734107683/350933494107681. 350437734107709/350933494107707. 350437734107717/350933494107715. 35043773410772
5/350933494107723. 350437734107733/350933494107731. 350437734107741/350933494107749. 350437734107758/350933494107756. 35043773410
7766/350933494107764. 350437734107774/350933494107772. 350437734107782/350933494107780. 350437734107790/350933494107798. 35043773
4107808/350933494107806. 350437734107832/350933494107830. 350437734107840/350933494107848. 350437734107857/350933494107855. 35043
7734107865/350933494107863. 350437734107873/350933494107871. 350437734107881/350933494107889. 350437734107899/350933494107897. 35
0437734107907/350933494107905. 350437734107915/350933494107913. 350437734107923/350933494107921. 350437734107931/350933494107939.
350437734107949/350933494107947. 350437734107956/350933494107954. 350437734107980/350933494107988. 350437734107998/3509334941079
96. 350437734108004/350933494108002. 350437734108020/350933494108028. 350437734108046/350933494108044. 350437734108053/3509334941
08051. 350437734108061/350933494108069. 350437734108087/350933494108085. 350437734108095/350933494108093. 350437734108103/3509334
94108101. 350437734108111/350933494108119. 350437734108129/350933494108127.350437734108137/350933494108135. 350437734108152/35093
3494108150. 350437734108160/350933494108168. 350437734108186/350933494108184. 350437734108202/350933494108200. 350437734108210/35
0933494108218. 350437734108236/350933494108234. 350437734108244/350933494108242. 350437734108269/350933494108267. 350437734109119
/350933494109117. 350437734109143/350933494109141. 350437734109218/350933494109216. 350437734109309/350933494109307. 350437734109
341/350933494109349. 350437734109572/350933494109570. 350437734109580/350933494109588. 350437734109705/350933494109703.3504377341
09796/350933494109794. 350437734109812/350933494109810. 350437734110240/350933494110248. 350437734110505/350933494110503. 3504377
34110521/350933494110529. 350437734110539/350933494110537. 350437734110570/350933494110578. 350437734110588/350933494110586. 3504
37734110653/350933494110651. 350437734110695/350933494110693. 350437734110703/350933494110701. 350437734110711/350933494110719. 3
50437734110786/350933494110784. 350437734110828/350933494110826. 350437734110836/350933494110834. 350437734110844/350933494110842
. 350437734110851/350933494110859. 350437734110869/350933494110867. 350437734110885/350933494110883. 350437734110919/350933494110
917. 350437734110927/350933494110925. 350437734110968/350933494110966. 350437734110976/350933494110974. 350437734110984/350933494
110982. 350437734111016/350933494111014. 350437734111024/350933494111022. 350437734111032/350933494111030. 350437734111040/350933
494111048. 350437734111057/350933494111055. 350437734111065/350933494111063. 350437734111081/350933494111089. 350437734111560/350
933494111568. 350437734111982/350933494111980. 350437734112311/350933494112319. 350437734112741/350933494112749. 350437734114044/
350933494114042. 350437734114101/350933494114109. 350437734114200/350933494114208. 350437734114374/350933494114372. 3504377341143
82/350933494114380. 350437734114408/350933494114406. 350437734114416/350933494114414. 350437734114424/350933494114422. 3504377341
14432/350933494114430. 350437734114440/350933494114448. 350437734114457/350933494114455. 350437734114465/350933494114463. 3504377
34114481/350933494114489. 350437734114499/350933494114497. 350437734114515/350933494114513. 350437734114523/350933494114521. 3504
37734114531/350933494114539. 350437734114549/350933494114547.350437734114556/350933494114554. 350437734114564/350933494114562. 35
0437734114572/350933494114570. 350437734114580/350933494114588. 350437734114606/350933494114604. 350437734114614/350933494114612.
350437734114622/350933494114620. 350437734114630/350933494114638. 350437734114648/350933494114646. 350437734114655/3509334941146
53. 350437734114671/350933494114679. 350437734114689/350933494114687. 350437734114705/350933494114703. 350437734114713/3509334941
14711. 350437734114721/350933494114729. 350437734114739/350933494114737. 350437734114747/350933494114745.350437734114754/35093349
4114752. 350437734114762/350933494114760. 350437734114770/350933494114778. 350437734114796/350933494114794. 350437734114804/35093
3494114802. 350437734114812/350933494114810. 350437734114838/350933494114836. 350437734114846/350933494114844. 350437734114861/35
0933494114869. 350437734114879/350933494114877. 350437734114887/350933494114885. 350437734114895/350933494114893. 350437734114903
/350933494114901. 350437734114911/350933494114919. 350437734114929/350933494114927. 350437734114937/350933494114935. 350437734114
945/350933494114943. 350437734114960/350933494114968. 350437734114978/350933494114976. 350437734114986/350933494114984. 350437734
114994/350933494114992. 350437734115009/350933494115007. 350437734115025/350933494115023. 350437734115033/350933494115031. 350437
734115041/350933494115049. 350437734115058/350933494115056. 350437734115066/350933494115064. 350437734115074/350933494115072. 350
437734115090/350933494115098. 350437734115108/350933494115106. 350437734115124/350933494115122. 350437734115132/350933494115130.
032025001016666-8
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001016666-8
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
350437734115165/350933494115163. 350437734115314/350933494115312. 350437734115488/350933494115486. 350437734115645/35093349411564
3. 350437734115652/350933494115650. 350437734115678/350933494115676. 350437734115736/350933494115734. 350437734115751/35093349411
5759. 350437734115793/350933494115791. 350437734115801/350933494115809. 350437734115819/350933494115817XXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001016666-8
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3
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
032025001017886-6
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. 116575015626386
43 . Año – Mes – Día
2025 – 05 – 27
44 . Documento de transporte
No. HKL043951
45 . Año – Mes – Día
2025 – 05 – 21
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
6900363895
52 . Año – Mes – Día
2025 – 05 – 19
53 . Cod. país
procedencia
351
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.
4.196.66
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
215
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.
102.00
72 . Peso neto kgs. dcms.
82.50
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
19.091.30
79 . Valor fletes USD
737.46 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
83.217.292
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
83.217.292
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
0.65
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
738.11
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
19.829.41
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: 559160-DECL: 1918824-DO: 893112726251- 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: 3089260052. ID DELIVERY: 6082137615. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A065MLGGLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A06 DUOS (CON ACCESORIOSPARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE CLARO,(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
032025001017886
133. Feha: 202505 23
134 . Levante No. 032025000843261 135 . Fecha
2025 – 05 – 28
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 92032504013361
Fecha presentación 2025-05-23 17:12:11
Valor pagado $0.00
Fecha de Impresión: 2025-05-28 14:50:00
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001017886-6
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
MODELO: SM-A065M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A065M/DS,LIGHT GREEN,LTC( QTY. 300,00 u )(300,
00 PCE); IMEIS: 350437734104045/350933494104043. 350437734104052/350933494104050. 350437734104060/350933494104068. 35043773410408
6/350933494104084. 350437734104094/350933494104092. 350437734104102/350933494104100. 350437734104110/350933494104118. 35043773410
4128/350933494104126. 350437734104136/350933494104134. 350437734104144/350933494104142. 350437734104151/350933494104159. 35043773
4104169/350933494104167. 350437734104177/350933494104175. 350437734104185/350933494104183. 350437734104193/350933494104191. 35043
7734104201/350933494104209. 350437734104219/350933494104217. 350437734104227/350933494104225. 350437734104235/350933494104233. 35
0437734104243/350933494104241. 350437734104276/350933494104274. 350437734104284/350933494104282. 350437734104292/350933494104290.
350437734104300/350933494104308. 350437734104318/350933494104316. 350437734104326/350933494 104324. 350437734104334/350933494104
332. 350437734104342/350933494104340. 350437734104367/350933494104365. 350437734104375/350933494104373.350437734104383/3509334941
04381. 350437734104391/350933494104399. 350437734104409/350933494104407. 350437734104417/350933494104415. 350437734104433/3509334
94104431. 350437734104441/350933494104449. 350437734104458/350933494104456. 350437734104482/350933494104480. 350437734104490/3509
33494104498. 350437734104516/350933494104514. 350437734104524/350933494104522. 350437734104540/350933494104548. 350437734104557/3
50933494104555. 350437734104573/350933494104571. 350437734104599/350933494104597. 350437734104615/350933494104613. 35043773410468
0/350933494104688.350437734104698/350933494104696. 350437734104714/350933494104712. 350437734104730/350933494104738. 350437734104
748/350933494104746. 350437734104755/350933494104753. 350437734104763/350933494104761. 350437734104771/350933494104779. 350437734
104797/350933494104795. 350437734104813/350933494104811. 350437734104953/350933494104951. 350437734104995/350933494104993. 350437
734105158/350933494105156. 350437734105182/350933494105180. 350437734105208/350933494105206. 350437734105232/350933494105230. 350
437734105257/350933494105255. 350437734105265/350933494105263. 350437734105273/350933494105271. 350437734105281/350933494105289.
350437734105307/350933494105305. 350437734105331/350933494105339. 350437734105455/350933494105453. 350437734105679/35093349410567
7. 350437734105711/350933494105719. 350437734105737/350933494105735. 350437734105745/350933494105743. 350437734105778/35093349410
5776. 350437734105786/350933494105784. 350437734105802/350933494105800. 350437734105810/350933494105818. 350437734105828/35093349
4105826. 350437734105844/350933494105842. 350437734105851/350933494105859. 350437734105885/350933494105883. 350437734105901/35093
3494105909. 350437734105919/350933494105917. 350437734105935/350933494105933. 350437734105950/350933494105958. 350437734105968/35
0933494105966. 350437734105976/350933494105974. 350437734105984/350933494105982. 350437734105992/350933494105990. 350437734106008
/350933494106006. 350437734106040/350933494106048. 350437734106057/350933494106055. 350437734106081/350933494106089. 350437734106
099/350933494106097. 350437734106107/350933494106105. 350437734106123/350933494106121. 350437734106131/350933494106139. 350437734
106164/350933494106162. 350437734106198/350933494106196. 350437734106206/350933494106204.350437734106214/350933494106212. 3504377
34106230/350933494106238. 350437734106248/350933494106246. 350437734106263/350933494106261. 350437734106271/350933494106279. 3504
37734106297/350933494106295. 350437734106313/350933494106311. 350437734106347/350933494106345. 350437734106354/350933494106352. 3
50437734106362/350933494106360. 350437734106370/350933494106378. 350437734106396/350933494106394. 350437734106412/350933494106410
. 350437734106420/350933494106428. 350437734106438/350933494106436. 350437734106446/350933494106444. 350437734106453/350933494106
451.350437734106461/350933494106469. 350437734106479/350933494106477. 350437734106487/350933494106485. 350437734106503/3509334941
06501. 350437734106529/350933494106527. 350437734106537/350933494106535. 350437734106545/350933494106543. 350437734106552/3509334
94106550. 350437734106560/350933494106568. 350437734106578/350933494106576. 350437734106586/350933494106584. 350437734106594/3509
33494106592. 350437734106602/350933494106600. 350437734106610/350933494106618. 350437734106628/350933494106626. 350437734106636/3
50933494106634. 350437734106651/350933494106659. 350437734106669/350933494106667. 350437734106685/350933494106683. 35043773410669
3/350933494106691. 350437734106701/350933494106709. 350437734106735/350933494106733. 350437734106743/350933494106741. 35043773410
6768/350933494106766. 350437734106784/350933494106782. 350437734106792/350933494106790. 350437734106800/350933494106808. 35043773
4106818/350933494106816. 350437734106834/350933494106832. 350437734106842/350933494106840. 350437734106867/350933494106865. 35043
7734106875/350933494106873. 350437734106883/350933494106881. 350437734106917/350933494106915. 350437734106933/350933494106931. 35
0437734106974/350933494106972. 350437734106990/350933494106998. 350437734107022/350933494107020. 350437734107055/350933494107053.
350437734107063/350933494107061. 350437734107071/350933494107079. 350437734107089/350933494107087. 350437734107097/3509334941070
95. 350437734107105/350933494107103. 350437734107113/350933494107111. 350437734107121/350933494107129. 350437734107139/3509334941
07137. 350437734107204/350933494107202. 350437734107212/350933494107210. 350437734107253/350933494107251. 350437734107279/3509334
94107277. 350437734107295/350933494107293. 350437734107345/350933494107343.350437734107410/350933494107418. 350437734107451/35093
3494107459. 350437734107469/350933494107467. 350437734107477/350933494107475. 350437734107824/350933494107822. 350437734108012/35
0933494108010. 350437734109044/350933494109042. 350437734109473/350933494109471. 350437734109739/350933494109737. 350437734109853
/350933494109851. 350437734109929/350933494109927. 350437734110208/350933494110206. 350437734110596/350933494110594. 350437734111
073/350933494111071. 350437734111099/350933494111097. 350437734111107/350933494111105. 350437734111123/350933494111121.3504377341
11131/350933494111139. 350437734111149/350933494111147. 350437734111156/350933494111154. 350437734111164/350933494111162. 3504377
34111172/350933494111170. 350437734111180/350933494111188. 350437734111198/350933494111196. 350437734111222/350933494111220. 3504
37734111230/350933494111238. 350437734111248/350933494111246. 350437734111255/350933494111253. 350437734111263/350933494111261. 3
50437734111271/350933494111279. 350437734111289/350933494111287. 350437734111297/350933494111295. 350437734111321/350933494111329
. 350437734111339/350933494111337. 350437734111347/350933494111345. 350437734111362/350933494111360. 350437734111370/350933494111
378. 350437734111388/350933494111386. 350437734111396/350933494111394. 350437734111404/350933494111402. 350437734111412/350933494
111410. 350437734111446/350933494111444. 350437734111453/350933494111451. 350437734111461/350933494111469. 350437734111479/350933
494111477. 350437734111487/350933494111485. 350437734111511/350933494111519. 350437734111537/350933494111535. 350437734111552/350
933494111550. 350437734111578/350933494111576. 350437734111586/350933494111584. 350437734111602/350933494111600. 350437734111610/
350933494111618. 350437734111685/350933494111683. 350437734111792/350933494111790. 350437734111800/350933494111808. 3504377341118
18/350933494111816. 350437734111826/350933494111824. 350437734111834/350933494111832. 350437734111842/350933494111840. 3504377341
11867/350933494111865. 350437734111875/350933494111873. 350437734111883/350933494111881. 350437734111891/350933494111899. 3504377
34111909/350933494111907. 350437734111917/350933494111915. 350437734111925/350933494111923. 350437734111933/350933494111931. 3504
37734111958/350933494111956. 350437734111966/350933494111964.350437734112014/350933494112012. 350437734112022/350933494112020. 35
0437734112030/350933494112038. 350437734112048/350933494112046. 350437734112063/350933494112061. 350437734112071/350933494112079.
350437734112089/350933494112087. 350437734112097/350933494112095. 350437734112105/350933494112103. 350437734112113/3509334941121
11. 350437734112121/350933494112129. 350437734112139/350933494112137. 350437734112154/350933494112152. 350437734112162/3509334941
12160. 350437734112170/350933494112178. 350437734112188/350933494112186. 350437734112196/350933494112194.350437734112204/35093349
4112202. 350437734112212/350933494112210. 350437734112220/350933494112228. 350437734112238/350933494112236. 350437734112246/35093
3494112244. 350437734112253/350933494112251. 350437734112279/350933494112277. 350437734112295/350933494112293. 350437734112303/35
0933494112301. 350437734112337/350933494112335. 350437734112345/350933494112343. 350437734112352/350933494112350. 350437734112402
/350933494112400. 350437734112543/350933494112541. 350437734112576/350933494112574. 350437734112584/350933494112582. 350437734112
600/350933494112608. 350437734112618/350933494112616. 350437734112626/350933494112624. 350437734112634/350933494112632. 350437734
112642/350933494112640. 350437734112659/350933494112657. 350437734112675/350933494112673. 350437734112691/350933494112699. 350437
734112709/350933494112707. 350437734112725/350933494112723. 350437734112790/350933494112798. 350437734112840/350933494112848. 350
437734112857/350933494112855. 350437734112881/350933494112889. 350437734112899/350933494112897. 350437734112956/350933494112954.
032025001017886-6
Espacio para uso exclusivo de la Entidad Recaudadora
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REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001017886-6
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
350437734113004/350933494113002. 350437734113012/350933494113010. 350437734113079/350933494113077. 350437734113483/35093349411348
1. 350437734113541/350933494113549. 350437734113848/350933494113846. 350437734114085/350933494114083. 350437734114507/35093349411
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032025001017886-6
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3