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REPÚBLICA DE COLOMBIA
Declaración de Importación Privada 500
1. Año 2024
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
0320240018296208
5 . Número de Identificación Tributaria (NIT) 6 . DV. 11 . Apellidos y nombres o Razón Social
13 . Dirección 15 . Teléfono 12 . Cód. Admón. 16 . Cód. Dpto 17 . Cód. Ciudad Municipio
24 . Número de Identificación Tributaria (NIT) 25 . DV. 26 . Razón social del declarante autorizado 27 . Tipo usuario 28 . Cód. usuario
29 . Número documento de identificación 30 . Apellidos y nombres
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
13101
42 . Manifiesto de carga
No. 116575015122673
43 . Año Mes
Día
2024 12
27
44 . Documento de transporte
No. 8UV9369
45 . Año Mes
Día
2024 12
20
46 . Nombre exportador o proveedor en el exterior 47 . Ciudad 48 . Cod.País Exportador
49 . Dirección exportador o proveedor en el exterior 50 . Email
51 . No. de factura
RY3IM2024121900054
52 . Año Mes
Día
2024 12
19
53 . Cod. país
procedencia
351
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.375.86
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
244
71 . Peso bruto kgs. dcms.
573.50
72 . Peso neto kgs. dcms.
473.46
73 . Código
embalaje
YY
74 . No. bultos
2
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
1.200.00
78 .Valor FOB
USD
79 . Valor fletes USD
Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93 94
0
95
0
96
0.00
I.V.A.
97
0.00
98 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
81 . Valor Otros Gastos USD
0
82 . Sumatoria
de fletes,
seguros
y otros gastos
USD
83 . Ajuste valor USD
0.00
84 . Valor
aduana USD
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)
DO BB7G0002827001
DECLARACION(11)
DOCUMENTO DE VERIFICACIÓN DE IMEI NO: DV221268
DEL 20241224.
FACTURA: RY3IM2024121900054 F
ECHA: 20241219
PRODUCTO: TELEFONO INTELIGENTE (CELULAR), MARCA: HONOR, MODELO: GFYLX3,
REFERENCIA: 5109BQKM, USO O DESTINO: EQ
UIPO TERMINAL MOVIL PARA TELECOMUNICACION, DESCARGA DE APLICACIONES, NAVEGACION EN INTERNET Y TOMA DE FOTOGRAFIAS ENTRE OTROS, IM
EI NO. (CODIGO DE QUINCE 15DIGITOS):
862703071473835/862703071773838 862703071476820/862703071776823 862703071477091/862703071
777094 862703071471235/862703071771238 862703071473710/862703071773713 862703071476895/862703071776898 862703071488569/8627030717
88562 862703071476812/862703071776815 862703071474007/862703071774000 862703071477026/862703071777029 86270(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
032024001829620
133. Feha: 2024 12 30
134 . Levante No. 032024001737600 135 . Fecha
2024 12
30
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 92032409715380
Fecha presentación 20241230
14:55:04
Valor pagado $0.00
Fecha de Impresión: 20241230
14:58:11
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320240018296208
Subpartida :
8517130000
Página 4 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
071470666/862703071770669 862703071491977/862703071791970 862703071484279/862703071784272 862703071487454/862703071787457 8627030
71473140/862703071773143 862703071487322/862703071787325 862703071468017/862703071768010 862703071491837/862703071791830 86270307
1480327/862703071780320 862703071475913/862703071775916 862703071485334/862703071785337 862703071485193/862703071785196 862703071
481259/862703071781252 862703071488023/862703071788026 862703071485326/862703071785329 862703071481085/862703071781088 8627030714
80715/862703071780718 862703071489419/862703071789412 862703071485375/862703071785378 862703071485292/862703071785295 86270307149
1779/862703071791772 862703071483891/862703071783894 862703071489500/862703071789503 862703071489583/862703071789586 862703071481
176/862703071781179 862703071480913/862703071780916 862703071480954/862703071780957 862703071485250/862703071785253 8627030714853
00/862703071785303 862703071481226/862703071781229 862703071480822/862703071780825 862703071485102/862703071785105 86270307149268
6/862703071792689 862703071488817/862703071788810 862703071492652/862703071792655 862703071488825/862703071788828 862703071484824
/862703071784827 862703071485060/862703071785063 862703071484832/862703071784835 862703071488866/862703071788869 862703071484907/
862703071784900 862703071489013/862703071789016 862703071468447/862703071768440 862703071470120/862703071770123 862703071485151/8
62703071785154 862703071489096/862703071789099 862703071479519/862703071779512 862703071485029/862703071785022 862703071492207/86
2703071792200 862703071468736/862703071768739 862703071488858/862703071788851 862703071483339/862703071783332 862703071473793/862
703071773796 862703071473645/862703071773648 862703071479956/862703071779959 862703071473728/862703071773721 862703071476770/8627
03071776773 862703071473926/862703071773929 862703071476788/862703071776781 862703071479220/862703071779223 862703071474049/86270
3071774042 862703071471227/862703071771220 862703071473967/862703071773960 862703071473702/862703071773705 862703071471318/862703
071771311 862703071473579/862703071773572 862703071473660/862703071773663 862703071471334/862703071771337 862703071473587/8627030
71773580 862703071488486/862703071788489 862703071473595/862703071773598 862703071473801/862703071773804 862703071474015/86270307
1774018 862703071492017/862703071792010 862703071473314/862703071773317 862703071476440/862703071776443 862703071468082/862703071
768085 862703071480285/862703071780288 862703071468793/862703071768796 862703071491852/862703071791855 862703071491696/8627030717
91699 862703071470799/862703071770792 862703071468835/862703071768838 862703071470781/862703071770784 862703071487173/86270307178
7176 862703071468959/862703071768952 862703071468876/862703071768879 862703071468777/862703071768770 862703071467787/862703071767
780 862703071473108/862703071773101 862703071465575/862703071765578 862703071470658/862703071770651 862703071468579/8627030717685
72 862703071473157/862703071773150 862703071468611/862703071768614 862703071468975/862703071768978 862703071468686/86270307176868
9 862703071479782/862703071779785 862703071467050/862703071767053 862703071469064/862703071769067 862703071491738/862703071791731
862703071487827/862703071787820 862703071488049/862703071788042 862703071483784/862703071783787 862703071491654/862703071791657
862703071487959/862703071787952 862703071483800/862703071783803 862703071491795/862703071791798 862703071487942/862703071787945 8
62703071491688/862703071791681 862703071484030/862703071784033 862703071483909/862703071783902 862703071483917/862703071783910 86
2703071491498/862703071791491 862703071487215/862703071787218 862703071484089/862703071784082 862703071470138/862703071770131 862
703071487678/862703071787671 862703071488072/862703071788075 862703071484188/862703071784181 862703071488106/862703071788109 8627
03071487694/862703071787697 862703071489435/862703071789438 862703071485201/862703071785204 862703071468744/862703071768747 86270
3071480996/862703071780999 862703071492983/862703071792986 862703071474023/862703071774026 862703071480871/862703071780874 862703
071481291/862703071781294 862703071483420/862703071783423 862703071473652/862703071773655 862703071492637/862703071792630 8627030
71481143/862703071781146 862703071481184/862703071781187 862703071480988/862703071780981 862703071481010/862703071781013 86270307
1481267/862703071781260 862703071473439/862703071773432 862703071485243/862703071785246 862703071489476/862703071789479 862703071
489294/862703071789297 862703071489252/862703071789255 862703071477620/862703071777623 862703071492728/862703071792721 8627030714
67472/862703071767475 862703071488940/862703071788943 862703071492884/862703071792887 862703071465948/862703071765941 86270307147
4197/862703071774190 862703071492876/862703071792879 862703071492678/862703071792671 862703071489005/862703071789008 862703071492
785/862703071792788 862703071492058/862703071792051 862703071492579/862703071792572 862703071474478/862703071774471 8627030714741
48/862703071774141 862703071474486/862703071774489 862703071482968/862703071782961 862703071467811/862703071767814 86270307147456
9/862703071774562 862703071477398/862703071777391 862703071482901/862703071782904 862703071489021/862703071789024 862703071474403
/862703071774406 862703071473892/862703071773895 862703071471094/862703071771097 862703071471326/862703071771329 862703071473991/
862703071773994 862703071471276/862703071771279 862703071492025/862703071792028 862703071492322/862703071792325 862703071471110/8
62703071771113 862703071473116/862703071773119 862703071473900/862703071773903 862703071476846/862703071776849 862703071480301/86
2703071780304 862703071477034/862703071777037 862703071473611/862703071773614 862703071473546/862703071773549 862703071477109/862
703071777102 862703071476937/862703071776930 862703071473843/862703071773846 862703071491993/862703071791996 862703071471219/8627
03071771212 862703071468249/862703071768242 862703071473827/862703071773820 862703071473041/862703071773044 862703071473272/86270
3071773275 862703071473074/862703071773077 862703071476697/862703071776690 862703071473470/862703071773473 862703071473447/862703
071773440 862703071470831/862703071770834 862703071476564/862703071776567 862703071473397/862703071773390 862703071476747/8627030
71776740 862703071473223/862703071773226 862703071470575/862703071770578 862703071473249/862703071773242 862703071476614/86270307
1776617 862703071473413/862703071773416 862703071473363/862703071773366 862703071470617/862703071770610 862703071476580/862703071
776583 862703071476465/862703071776468 862703071480012/862703071780015 862703071473165/862703071773168 862703071468660/8627030717
68663 862703071487314/862703071787317 862703071487405/862703071787408 862703071487348/862703071787341 862703071468942/86270307176
8945 862703071487256/862703071787259 862703071482992/862703071782995 862703071468587/862703071768580 862703071470807/862703071770
800 862703071468934/862703071768937 862703071469601/862703071769604 862703071469510/862703071769513 862703071470609/8627030717706
02 862703071470625/862703071770628 862703071470690/862703071770693 862703071473199/862703071773192 862703071468157/86270307176815
0 862703071468900/862703071768903 862703071470542/862703071770545 862703071470856/862703071770859 862703071487744/862703071787747
862703071491761/862703071791764 862703071491456/862703071791459 862703071491514/862703071791517 862703071484246/862703071784249
862703071479865/862703071779868 862703071489377/862703071789370 862703071477455/862703071777458 862703071474437/862703071774430 8
62703071492793/862703071792796 862703071492868/862703071792861 862703071474320/862703071774323 862703071492520/862703071792523 86
2703071474312/862703071774315 862703071467092/862703071767095 862703071492777/862703071792770 862703071474262/862703071774265 862
703071477596/862703071777599 862703071483057/862703071783050 862703071488627/862703071788620 862703071466367/862703071766360 8627
03071477463/862703071777466 862703071482984/862703071782987 862703071474544/862703071774547 862703071479162/862703071779165 86270
3071474452/862703071774455 862703071474106/862703071774109 862703071477273/862703071777276 862703071477539/862703071777532 862703
071484808/862703071784801 862703071477307/862703071777300 862703071492801/862703071792804 862703071469320/862703071769323 8627030
71470377/862703071770370 862703071467449/862703071767442 862703071465617/862703071765610 862703071472837/862703071772830 86270307
1466516/862703071766519 862703071470328/862703071770321 862703071479022/862703071779025 862703071467035/862703071767038 862703071
470286/862703071770289 862703071472803/862703071772806 862703071469445/862703071769448 862703071465914/862703071765917 8627030714
67365/862703071767368 862703071472852/862703071772855 862703071470260/862703071770263 862703071476184/862703071776187 86270307147
5251/862703071775254 862703070151325/862703070251323 862703070129396/862703070229394 862703070151218/862703070251216 862703070129
404/862703070229402, SERIAL: NO APLICA., CARTA DE HOMOLOGACION DEL EQUIPO TRAMITADA CON EL RADICADO CRC 2024529514, CODIGO DE HOM
OLOGACION: TM240724,
FECHA DE HOMOLOGACION: 20/09/2024. PRODUCTO: 5109BQKM, LTE Cellular Phone,GoofyL43D,
TDDLTE/
FDDLTE/
WCDMA
/GSM,USB Cable,TPU Case,QSG,Warranty Card,TP selling point film,Internal Lithium Ion Battery*1/US Travel Charger*1,Bar,Ocean Blue
,Channel CANT (1200) PCS (ITEM 1).XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
0320240018296208
Espacio para uso exclusivo de la Entidad
Recaudadora
