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VER MAS
REPÚBLICA DE COLOMBIA
Declaración de Importación Privada 500
1. Año 2025
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
032025000842282-2
5 . Número de Identificación Tributaria (NIT)
830028931
6 . DV.
5
11 . Apellidos y nombres o Razón Social
SAMSUNG ELECTRONICS COLOMBIA S.A.
13 . Dirección
CR 7 113 43 OF 607
15 . Teléfono
4870707
12 . Cód. Admón.
03
16 . Cód. Dpto
11
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
860536003
25 . DV.
3
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS ABC REPECEV S.A.S. NIVEL 1
27 . Tipo usuario
26
28 . Cód. usuario
99
29 . Número documento de identificación
1022943854
30 . Apellidos y nombres
CARLOS ANDRES ROJAS MATAJUDIOS
31 . Clase
Importador
02
32 . Tipo declaración
Inicial
33 . Cod.
1
34 .No.Formulario Anterior
XXXXXXXXXXXXXX
35 . Año – Mes – Día
XXXX – XX – XX
36 . Cod. Admón.
XX
37 . Declaración de Exportación
No. XXXXXXXXXXXXXXX
38 . Año – Mes – Día
XXXX – XX – XX
39 . Cod. Admón.
XX
40 . Cod. lugar ingreso
de las mercancías
BOG
41 . Cod. Depósito
99900
42 . Manifiesto de carga
No. 116575015488979
43 . Año – Mes – Día
2025 – 04 – 21
44 . Documento de transporte
No. SHAN0387304
45 . Año – Mes – Día
2025 – 04 – 15
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
9103407843
52 . Año – Mes – Día
2025 – 04 – 15
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
580
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.329.90
S 59 . Subpartida arancelaria
8517130000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C134
63 . No. cuotas
o meses
XX
64 . Valor cuota USD
XXXX
65 . Periodicidad del
pago de la cuota
XX
66 . Cod. país
de origen
855
67 . Cod. Acuerdo
XXX
68 . Forma de pago
de la importación
01
69 . Tipo de
importación
01
70 . Cod. país
compra
190
71 . Peso bruto kgs. dcms.
101.50
72 . Peso neto kgs. dcms.
57.00
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
300.00
78 .Valor FOB
USD
28.499.27
79 . Valor fletes USD
1.237.74 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
128.764.515
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
128.764.515
99
0
100
0
101
0.00
Salvaguardia
102
0.00
103
0
104
0
105
0
106
0.00
Derechos
Compensatorios
107
0.00
108
0
109
0
110
0
111
0.00
Derechos
Antidumping
112
0.00
113
0
114
0
115
0
116
0.00
Sancion
117
0
118
0
119
0
120
0
Rescate
121
0
122
0
123
0
124
0
Total 125
0
126
0.00
80 . Valor Seguros
USD
1.44
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.239.18
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
29.738.45
85 . Código registro
o licencia
X
86 . Número
XXXXXXXXXX
87 .
Cod.
oficina
99
88 . Año
XXXX
89 . Programa No
XXXXXXXXXX
90 . Cód Interno del
Producto
0
91 . Descripción de las mercancías(No inicie la descripción de las mercancías a importar con lo señalado en el arancel de aduanas en la subpartida arancelaria – Incluya marcas, seriales y otros) (Si el campo es insuficiente, continúe al respaldo de este formulario)
NAC: 554930-DECL: 1907439-DO: 893109393251- 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: 3087510888. ID DELIVERY: 6081517568. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A165MZKGLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A16 DUOS (CON ACCESORIOSPARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODEL(continúa al respaldo)
127 . Valor pagos anteriores: 0 128 . Recibo oficial de pago anterior No.: XXXXXXXXXXXXXXX 129. Fecha: XXXX XX XX
130 . Espacio reservado DIAN – Actuación aduanera
Estado de levante: Levante automático
No hay declaración posterior
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032025000842282
133. Feha: 202504 22
134 . Levante No. 032025000656585 135 . Fecha
2025 – 04 – 22
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 92032503095673
Fecha presentación 2025-04-22 12:42:42
Valor pagado $0.00
Fecha de Impresión: 2025-04-22 12:43:58
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000842282-2
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
O: SM-A165M/DS,USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A165M/DS,BLACK,LTC( QTY. 300,00 u )(300,00 PCE); IMEI
S: 352042194234593/356542824234596. 352042194234619/356542824234612. 352042194234627/356542824234620. 352042194234676/35654282423
4679. 352042194234684/356542824234687. 352042194234700/356542824234703. 352042194234726/356542824234729. 352042194234809/35654282
4234802. 352042194234916/356542824234919. 352042194234924/356542824234927. 352042194234981/356542824234984. 352042194235103/35654
2824235106. 352042194235129/356542824235122. 352042194235145/356542824235148. 352042194235160/356542824235163. 352042194235210/35
6542824235213. 352042194235228/356542824235221. 352042194235236/356542824235239. 352042194235244/356542824235247. 352042194235251
/356542824235254. 352042194235269/356542824235262. 352042194235293/356542824235296. 352042194235301/356542824235304. 352042194235
830/356542824235833.352042194236291/356542824236294. 352042194236309/356542824236302. 3520 42194236333/356542824236336. 352042194
237083/356542824237086. 352042194237125/356542824237128. 352042194237133/356542824237136. 352042194237141/356542824237144. 352042
194237158/356542824237151. 352042194237174/356542824237177. 352042194237422/356542824237425. 352042194237505/356542824237508. 352
042194237513/356542824237516. 352042194237745/356542824237748. 352042194237786/356542824237789. 352042194237794/356542824237797.
352042194237810/356542824237813. 352042194237828/356542824237821.352042194237885/356542824237888. 352042194237893/356542824237896
. 352042194237901/356542824237904. 352042194247348/356542824247341. 352042194247496/356542824247499. 352042194247629/356542824247
622. 352042194247652/356542824247655. 352042194247678/356542824247671. 352042194247686/356542824247689. 352042194247702/356542824
247705. 352042194247728/356542824247721. 352042194247751/356542824247754. 352042194247769/356542824247762. 352042194247777/356542
824247770. 352042194247793/356542824247796. 352042194247801/356542824247804. 352042194247819/356542824247812. 352042194247835/356
542824247838. 352042194247843/356542824247846. 352042194247850/356542824247853. 352042194247868/356542824247861. 352042194247884/
356542824247887. 352042194247900/356542824247903. 352042194247918/356542824247911. 352042194247926/356542824247929. 3520421942479
59/356542824247952. 352042194247967/356542824247960. 352042194247983/356542824247986. 352042194247991/356542824247994. 3520421942
48007/356542824248000. 352042194248015/356542824248018. 352042194248031/356542824248034. 352042194248049/356542824248042. 3520421
94248056/356542824248059. 352042194248064/356542824248067. 352042194248072/356542824248075. 352042194248080/356542824248083. 3520
42194248098/356542824248091. 352042194248106/356542824248109. 352042194248114/356542824248117. 352042194248122/356542824248125. 3
52042194248130/356542824248133. 352042194248148/356542824248141. 352042194248155/356542824248158. 352042194248163/356542824248166
. 352042194248171/356542824248174. 352042194248189/356542824248182. 352042194248197/356542824248190. 352042194241614/356542824241
617. 352042194241705/356542824241708. 352042194241747/356542824241740. 352042194241838/356542824241831. 352042194241861/356542824
241864.352042194241887/356542824241880. 352042194241929/356542824241922. 352042194241937/356542824241930. 352042194241994/3565428
24241997. 352042194242034/356542824242037. 352042194242059/356542824242052. 352042194242067/356542824242060. 352042194242075/3565
42824242078. 352042194242109/356542824242102. 352042194242125/356542824242128. 352042194242133/356542824242136. 352042194242141/3
56542824242144. 352042194242166/356542824242169. 352042194242174/356542824242177. 352042194242190/356542824242193. 35204219424220
8/356542824242201. 352042194242216/356542824242219.352042194242224/356542824242227. 352042194242257/356542824242250. 352042194242
323/356542824242326. 352042194242406/356542824242409. 352042194242414/356542824242417. 352042194242554/356542824242557. 352042194
242596/356542824242599. 352042194242620/356542824242623. 352042194242943/356542824242946. 352042194242976/356542824242979. 352042
194243008/356542824243001. 352042194243024/356542824243027. 352042194243065/356542824243068. 352042194243081/356542824243084. 352
042194243107/356542824243100. 352042194243115/356542824243118. 352042194243867/356542824243860. 352042194243909/356542824243902.
352042194243941/356542824243944. 352042194243966/356542824243969. 352042194243982/356542824243985. 352042194244063/35654282424406
6. 352042194245359/356542824245352. 352042194245391/356542824245394. 352042194245409/356542824245402. 352042194245649/35654282424
5642. 352042194245656/356542824245659. 352042194245722/356542824245725. 352042194245797/356542824245790. 352042194245938/35654282
4245931. 352042194245953/356542824245956. 352042194245961/356542824245964. 352042194245979/356542824245972. 352042194246001/35654
2824246004. 352042194246019/356542824246012. 352042194246027/356542824246020. 352042194246035/356542824246038. 352042194246043/35
6542824246046. 352042194246076/356542824246079. 352042194246084/356542824246087. 352042194246092/356542824246095. 352042194246100
/356542824246103. 352042194246126/356542824246129. 352042194246134/356542824246137. 352042194246142/356542824246145. 352042194246
159/356542824246152. 352042194246167/356542824246160. 352042194246183/356542824246186. 352042194246191/356542824246194. 352042194
246209/356542824246202. 352042194246217/356542824246210. 352042194246233/356542824246236. 352042194246241/356542824246244.3520421
94246266/356542824246269. 352042194246274/356542824246277. 352042194246282/356542824246285. 352042194246290/356542824246293. 3520
42194246308/356542824246301. 352042194246316/356542824246319. 352042194246324/356542824246327. 352042194246332/356542824246335. 3
52042194246357/356542824246350. 352042194246381/356542824246384. 352042194246795/356542824246798. 352042194246837/356542824246830
. 352042194247116/356542824247119. 352042194244097/356542824244090. 352042194244147/356542824244140. 352042194244154/356542824244
157. 352042194244162/356542824244165.352042194244188/356542824244181. 352042194244204/356542824244207. 352042194244220/3565428242
44223. 352042194244733/356542824244736. 352042194244766/356542824244769. 352042194244774/356542824244777. 352042194244782/3565428
24244785. 352042194244790/356542824244793. 352042194244808/356542824244801. 352042194244816/356542824244819. 352042194244824/3565
42824244827. 352042194244832/356542824244835. 352042194244840/356542824244843. 352042194244865/356542824244868. 352042194244873/3
56542824244876. 352042194244881/356542824244884. 352042194244899/356542824244892. 352042194244907/356542824244900. 35204219424491
5/356542824244918. 352042194244923/356542824244926. 352042194244931/356542824244934. 352042194244949/356542824244942. 35204219424
4956/356542824244959. 352042194244964/356542824244967. 352042194244972/356542824244975. 352042194244980/356542824244983. 35204219
4244998/356542824244991. 352042194245003/356542824245006. 352042194245011/356542824245014. 352042194245037/356542824245030. 35204
2194245045/356542824245048. 352042194245052/356542824245055. 352042194245060/356542824245063. 352042194245078/356542824245071. 35
2042194245177/356542824245170. 352042194245185/356542824245188. 352042194245193/356542824245196. 352042194245235/356542824245238.
352042194245250/356542824245253. 352042194245284/356542824245287. 352042194245292/356542824245295. 352042194248205/3565428242482
08. 352042194248213/356542824248216. 352042194248221/356542824248224. 352042194248288/356542824248281. 352042194248296/3565428242
48299. 352042194248387/356542824248380. 352042194248445/356542824248448. 352042194248460/356542824248463. 352042194248486/3565428
24248489. 352042194248494/356542824248497. 352042194248577/356542824248570. 352042194248585/356542824248588.352042194248593/35654
2824248596. 352042194248601/356542824248604. 352042194248643/356542824248646. 352042194248668/356542824248661. 352042194248684/35
6542824248687. 352042194248692/356542824248695. 352042194248700/356542824248703. 352042194248718/356542824248711. 352042194248726
/356542824248729. 352042194249021/356542824249024. 352042194249732/356542824249735. 352042194249815/356542824249818. 352042194249
898/356542824249891. 352042194249914/356542824249917. 352042194250136/356542824250139. 352042194250151/356542824250154. 352042194
250185/356542824250188.352042194250193/356542824250196. 352042194250219/356542824250212. 352042194250227/356542824250220. 3520421
94250847/356542824250840. 352042194237935/356542824237938. 352042194237984/356542824237987. 352042194238016/356542824238019. 3520
42194238024/356542824238027. 352042194238081/356542824238084. 352042194238123/356542824238126. 352042194238172/356542824238175. 3
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. 352042194238362/356542824238365. 352042194238388/356542824238381. 352042194238396/356542824238399. 352042194238461/356542824238
464. 352042194238511/356542824238514. 352042194238586/356542824238589. 352042194238636/356542824238639. 352042194238693/356542824
238696. 352042194238719/356542824238712. 352042194238735/356542824238738. 352042194238768/356542824238761. 352042194238800/356542
824238803. 352042194239014/356542824239017. 352042194239022/356542824239025. 352042194239030/356542824239033. 352042194239055/356
542824239058. 352042194239071/356542824239074. 352042194239097/356542824239090. 352042194239105/356542824239108. 352042194239162/
356542824239165. 352042194239329/356542824239322. 352042194239360/356542824239363. 352042194239741/356542824239744. 3520421942402
032025000842282-2
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000842282-2
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
69/356542824240262. 352042194241093/356542824241096. 352042194241390/356542824241393. 352042194241432/356542824241435. 3520421942
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032025000842282-2
Espacio para uso exclusivo de la Entidad Recaudadora
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