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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
032025001167366-0
5 . Número de Identificación Tributaria (NIT)
830028931
6 . DV.
5
11 . Apellidos y nombres o Razón Social
SAMSUNG ELECTRONICS COLOMBIA S.A.
13 . Dirección
CR 7 113 43 OF 607
15 . Teléfono
4870707
12 . Cód. Admón.
03
16 . Cód. Dpto
11
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
860536003
25 . DV.
3
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS ABC REPECEV S.A.S. NIVEL 1
27 . Tipo usuario
26
28 . Cód. usuario
99
29 . Número documento de identificación
1022943854
30 . Apellidos y nombres
CARLOS ANDRES ROJAS MATAJUDIOS
31 . Clase
Importador
02
32 . Tipo declaración
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. 116575015716148
43 . Año – Mes – Día
2025 – 06 – 21
44 . Documento de transporte
No. SHAN0401282
45 . Año – Mes – Día
2025 – 06 – 13
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
9103552313
52 . Año – Mes – Día
2025 – 06 – 13
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
TAMPA CARGO S.A.S.
58 . Tasa de cambio $ cvs.
4.169.13
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.
100.50
72 . Peso neto kgs. dcms.
79.80
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
29.908.20
79 . Valor fletes USD
976.00 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
128.764.497
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
128.764.497
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
1.02
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
977.02
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
30.885.22
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: 562306-DECL: 1926654-DO: 893114909251- 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: 3091595511. ID DELIVERY: 6082570635. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A165MZAGLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A16 DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS, MOD(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
032025001167366
133. Feha: 202506 18
134 . Levante No. 032025000962205 135 . Fecha
2025 – 06 – 24
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 92032504685968
Fecha presentación 2025-06-18 15:24:56
Valor pagado $0.00
Fecha de Impresión: 2025-06-24 13:36:40
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001167366-0
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ELO: SM-A165M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A165M/DS,GRAY,LTC( QTY. 300,00 u )(300,00 PCE); IM
EIS: 352042195152307/356542825152300. 352042195152653/356542825152656. 352042195152679/356542825152672. 352042195152778/356542825
152771. 352042195152919/356542825152912. 352042195152950/356542825152953. 352042195153040/356542825153043. 352042195153057/356542
825153050. 352042195153115/356542825153118. 352042195153164/356542825153167. 352042195153198/356542825153191. 352042195153206/356
542825153209. 352042195153925/356542825153928. 352042195154790/356542825154793. 352042195154915/356542825154918. 352042195155367/
356542825155360. 352042195156001/356542825156004. 352042195156019/356542825156012. 352042195156043/356542825156046. 3520421951586
01/356542825158604. 352042195159021/356542825159024. 352042195159112/356542825159115. 352042195159120/356542825159123. 3520421951
59245/356542825159248.352042195159385/356542825159388. 352042195159393/356542825159396. 3520 42195159401/356542825159404. 3520421
95159419/356542825159412. 352042195160003/356542825160006. 352042195160011/356542825160014. 352042195160060/356542825160063. 3520
42195160086/356542825160089. 352042195160136/356542825160139. 352042195160201/356542825160204. 352042195160615/356542825160618. 3
52042195160680/356542825160683. 352042195160722/356542825160725. 352042195160771/356542825160774. 352042195160813/356542825160816
. 352042195160839/356542825160832. 352042195160854/356542825160857.352042195161571/356542825161574. 352042195161597/3565428251615
90. 352042195161878/356542825161871. 352042195161886/356542825161889. 352042195161936/356542825161939. 352042195162082/3565428251
62085. 352042195162116/356542825162119. 352042195162256/356542825162259. 352042195162512/356542825162515. 352042195162520/3565428
25162523. 352042195162553/356542825162556. 352042195162595/356542825162598. 352042195162793/356542825162796. 352042195162843/3565
42825162846. 352042195162876/356542825162879. 352042195162884/356542825162887. 352042195162942/356542825162945. 352042195162959/3
56542825162952. 352042195162983/356542825162986. 352042195162991/356542825162994. 352042195163056/356542825163059. 35204219516306
4/356542825163067. 352042195163080/356542825163083. 352042195163296/356542825163299. 352042195163544/356542825163547. 35204219516
3551/356542825163554. 352042195163569/356542825163562. 352042195163577/356542825163570. 352042195163585/356542825163588. 35204219
5163627/356542825163620. 352042195163759/356542825163752. 352042195163825/356542825163828. 352042195163890/356542825163893. 35204
2195163924/356542825163927. 352042195163965/356542825163968. 352042195163999/356542825163992. 352042195164054/356542825164057. 35
2042195164088/356542825164081. 352042195164153/356542825164156. 352042195164203/356542825164206. 352042195164229/356542825164222.
352042195164245/356542825164248. 352042195164286/356542825164289. 352042195164682/356542825164685. 352042195165101/3565428251651
04. 352042195165200/356542825165203. 352042195165226/356542825165229. 352042195165366/356542825165369. 352042195165390/3565428251
65393. 352042195165408/356542825165401. 352042195165424/356542825165427. 352042195165440/356542825165443. 352042195165556/3565428
25165559.352042195165622/356542825165625. 352042195165770/356542825165773. 352042195165812/356542825165815. 352042195165846/35654
2825165849. 352042195165903/356542825165906. 352042195166000/356542825166003. 352042195166026/356542825166029. 352042195166125/35
6542825166128. 352042195166141/356542825166144. 352042195166174/356542825166177. 352042195166190/356542825166193. 352042195166224
/356542825166227. 352042195166349/356542825166342. 352042195166372/356542825166375. 352042195166422/356542825166425. 352042195166
513/356542825166516. 352042195166521/356542825166524.352042195166539/356542825166532. 352042195166638/356542825166631. 3520421951
66737/356542825166730. 352042195166752/356542825166755. 352042195166778/356542825166771. 352042195166836/356542825166839. 3520421
95166851/356542825166854. 352042195166992/356542825166995. 352042195167057/356542825167050. 352042195167065/356542825167068. 3520
42195167081/356542825167084. 352042195167123/356542825167126. 352042195167180/356542825167183. 352042195167198/356542825167191. 3
52042195167214/356542825167217. 352042195167255/356542825167258. 352042195167297/356542825167290. 352042195167313/356542825167316
. 352042195167339/356542825167332. 352042195167347/356542825167340. 352042195167354/356542825167357. 352042195167370/356542825167
373. 352042195167404/356542825167407. 352042195167412/356542825167415. 352042195167438/356542825167431. 352042195167461/356542825
167464. 352042195167503/356542825167506. 352042195167537/356542825167530. 352042195167552/356542825167555. 352042195167560/356542
825167563. 352042195167586/356542825167589. 352042195167701/356542825167704. 352042195167750/356542825167753. 352042195167842/356
542825167845. 352042195167859/356542825167852. 352042195167966/356542825167969. 352042195167990/356542825167993. 352042195168188/
356542825168181. 352042195168279/356542825168272. 352042195168386/356542825168389. 352042195168436/356542825168439. 3520421951684
77/356542825168470. 352042195168550/356542825168553. 352042195168634/356542825168637. 352042195168642/356542825168645. 3520421951
68659/356542825168652. 352042195168774/356542825168777. 352042195169129/356542825169122. 352042195169145/356542825169148. 3520421
95169228/356542825169221. 352042195169434/356542825169437. 352042195169624/356542825169627. 352042195169657/356542825169650.35204
2195170036/356542825170039. 352042195170184/356542825170187. 352042195170226/356542825170229. 352042195170242/356542825170245. 35
2042195170465/356542825170468. 352042195170556/356542825170559. 352042195170580/356542825170583. 352042195170606/356542825170609.
352042195170648/356542825170641. 352042195170812/356542825170815. 352042195170846/356542825170849. 352042195171109/3565428251711
02. 352042195171133/356542825171136. 352042195171349/356542825171342. 352042195171828/356542825171821. 352042195171851/3565428251
71854. 352042195171885/356542825171888.352042195171893/356542825171896. 352042195171901/356542825171904. 352042195171919/35654282
5171912. 352042195171968/356542825171961. 352042195172412/356542825172415. 352042195172537/356542825172530. 352042195172560/35654
2825172563. 352042195172669/356542825172662. 352042195172727/356542825172720. 352042195172909/356542825172902. 352042195173683/35
6542825173686. 352042195173949/356542825173942. 352042195173964/356542825173967. 352042195173972/356542825173975. 352042195174012
/356542825174015. 352042195174095/356542825174098. 352042195174129/356542825174122. 352042195174137/356542825174130. 352042195174
152/356542825174155. 352042195174186/356542825174189. 352042195174194/356542825174197. 352042195174251/356542825174254. 352042195
174301/356542825174304. 352042195174368/356542825174361. 352042195174426/356542825174429. 352042195174582/356542825174585. 352042
195174640/356542825174643. 352042195174681/356542825174684. 352042195174863/356542825174866. 352042195174897/356542825174890. 352
042195174905/356542825174908. 352042195175084/356542825175087. 352042195175092/356542825175095. 352042195175142/356542825175145.
352042195175175/356542825175178. 352042195175209/356542825175202. 352042195175266/356542825175269. 352042195175431/35654282517543
4. 352042195175704/356542825175707. 352042195175712/356542825175715. 352042195175753/356542825175756. 352042195175761/35654282517
5764. 352042195175795/356542825175798. 352042195175852/356542825175855. 352042195175944/356542825175947. 352042195176025/35654282
5176028. 352042195176215/356542825176218. 352042195176850/356542825176853. 352042195177098/356542825177091. 352042195177155/35654
2825177158. 352042195177304/356542825177307. 352042195177312/356542825177315. 352042195177353/356542825177356.352042195177379/356
542825177372. 352042195177494/356542825177497. 352042195177528/356542825177521. 352042195177585/356542825177588. 352042195177775/
356542825177778. 352042195177874/356542825177877. 352042195177890/356542825177893. 352042195177940/356542825177943. 3520421951779
57/356542825177950. 352042195177973/356542825177976. 352042195178013/356542825178016. 352042195178047/356542825178040. 3520421951
78054/356542825178057. 352042195178062/356542825178065. 352042195178120/356542825178123. 352042195178138/356542825178131. 3520421
95178146/356542825178149.352042195178161/356542825178164. 352042195178237/356542825178230. 352042195178245/356542825178248. 35204
2195178278/356542825178271. 352042195178294/356542825178297. 352042195178351/356542825178354. 352042195178377/356542825178370. 35
2042195178393/356542825178396. 352042195178419/356542825178412. 352042195178518/356542825178511. 352042195178542/356542825178545.
352042195178591/356542825178594. 352042195178625/356542825178628. 352042195178898/356542825178891. 352042195178906/3565428251789
09. 352042195179136/356542825179139. 352042195179185/356542825179188. 352042195179508/356542825179501. 352042195179540/3565428251
79543. 352042195179607/356542825179600. 352042195179615/356542825179618. 352042195179680/356542825179683. 352042195179912/3565428
25179915. 352042195180068/356542825180061. 352042195180209/356542825180202. 352042195180514/356542825180517. 352042195180571/3565
42825180574. 352042195180779/356542825180772. 352042195180852/356542825180855. 352042195180910/356542825180913. 352042195180969/3
56542825180962. 352042195181470/356542825181473. 352042195207739/356542825207732. 352042195207747/356542825207740. 35204219520776
2/356542825207765. 352042195207770/356542825207773. 352042195207804/356542825207807. 352042195207812/356542825207815. 35204219520
032025001167366-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001167366-0
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
8992/356542825208995. 352042195226218/356542825226211. 352042195226259/356542825226252. 352042195226267/356542825226260. 35204219
5226275/356542825226278. 352042195226283/356542825226286. 352042195226341/356542825226344. 352042195226390/356542825226393. 35204
2195226408/356542825226401. 352042195226432/356542825226435. 352042195226440/356542825226443XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001167366-0
Espacio para uso exclusivo de la Entidad Recaudadora
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