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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
032025001071036-1
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. 116575015668406
43 . Año – Mes – Día
2025 – 06 – 08
44 . Documento de transporte
No. HKG0417671
45 . Año – Mes – Día
2025 – 06 – 04
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
6900366795
52 . Año – Mes – Día
2025 – 05 – 30
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.
4.106.79
S 59 . Subpartida arancelaria
8471300000
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.
151.00
72 . Peso neto kgs. dcms.
113.75
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
250.00
78 .Valor FOB
USD
20.642.03
79 . Valor fletes USD
1.043.41 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
89.060.505
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
89.060.505
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
0.72
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.044.13
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
21.686.16
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: 560326-DECL: 1921620-DO: 893113701251- 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)//NO REQUIERECERTIFICADO DE HOMOLOGACIÓN YA QUE SON DE TIPO WI
-FI// NOS ACOGEMOS:AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A.
OEA COD. OE0001. . PEDIDOS: 3090651811. ID DELIVERY: 6082355303. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-X110NZAAL13, PRODUCTO: T
ABLET GALAXY TAB A9 / WI-FI (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS, MODELO: SM-X110, USO O DESTINO: PARA
LA VENTA AL MAYOR Y AL DETAL/ /TABLET,SM-X110,GRAY,L13( QTY. 250,00 u )(250,00 PCE); SERIALES:R83Y50J3MHE; (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
032025001071036
133. Feha: 202506 04
134 . Levante No. 032025000894767 135 . Fecha
2025 – 06 – 09
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 92032504299728
Fecha presentación 2025-06-04 17:56:29
Valor pagado $0.00
Fecha de Impresión: 2025-06-09 17:09:53
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001071036-1
Subpartida : 8471300000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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424A.XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001071036-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
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
032025001064234-4
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. 116575015661749
43 . Año – Mes – Día
2025 – 06 – 06
44 . Documento de transporte
No. HKL043992
45 . Año – Mes – Día
2025 – 05 – 31
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
6900365967
52 . Año – Mes – Día
2025 – 05 – 24
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.
4.106.79
S 59 . Subpartida arancelaria
8471300000
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.
67.00
72 . Peso neto kgs. dcms.
45.50
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
100.00
78 .Valor FOB
USD
8.142.86
79 . Valor fletes USD
531.31 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
35.624.186
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
35.624.186
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
0.29
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
531.60
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
8.674.46
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: 560294-DECL: 1921582-DO: 893113704251- 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). //NO REQUIERE CERTIFICADO DE HOMOLOGACIÓN YA QUE SON DE TIPO
WI-FI// NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S
.A. OEA COD. OE0001. . PEDIDOS:3090145869. ID DELIVERY: 6082330291. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-X110NZAAL13, PRODUCTO
: TABLET GALAXY TAB A9 / WI-FI (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS, MODELO: SM-X110,USO O DESTINO: PAR
A LA VENTA AL MAYOR Y AL DETAL/ /TABLET,SM-X110,GRAY,L13( QTY. 100,00 u )(100,00 PCE); SERIALES:R83Y50AKVVW(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
032025001064234
133. Feha: 202506 03
134 . Levante No. 032025000890378 135 . Fecha
2025 – 06 – 09
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 92032504264873
Fecha presentación 2025-06-03 18:32:43
Valor pagado $0.00
Fecha de Impresión: 2025-06-09 09:34:52
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001064234-4
Subpartida : 8471300000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
; R83Y50AKVWX.R83Y50AKVXT. R83Y50AKVYF. R83Y50AKVZZ. R83Y50AKW0V. R83Y50AKW1N. R83Y50AKW2B. R83Y50AKW3R. R83Y50AKW4Y. R83Y50AKW5M
. R83Y50AKW6D. R83Y50AKW7L. R83Y50AKW8E. R83Y50AKW9K. R83Y50AKWAH. R83Y50AKWBA. R83Y50AKWCW. R83Y50AKWDX. R83Y50AKWET. R83Y50AKWF
F. R83Y50AKWGZ. R83Y50AKWHJ. R83Y50AKWJP. R83Y50AKWKV. R83Y50AKWLN. R83Y50AKWMB. R83Y50AKWNR. R83Y50AKWPY.R83Y50AKWQM. R83Y50AKWR
D. R83Y50AKWSL. R83Y50AKWTE. R83Y50AKWVK. R83Y50AKWWH. R83Y50AKWXA. R83Y50AKWYW. R83Y50AKWZX. R83Y50AKX0Z. R83Y50AKX1J. R83Y50AKX
2P. R83Y50AKX3V. R83Y50AKX4N. R83Y50AKX5B. R83Y50AKX6R. R83Y50AKX7Y. R83Y50AKX8M. R83Y50AKX9D. R83Y50AKXAL. R83Y50AKXBE. R83Y50AK
XCK. R83Y50AKXDH. R83Y50AKXEA. R83Y50AKXFW. R83Y50AKXGX. R83Y50AKXHT. R83Y50AKXJF. R83Y50AKXKZ. R83Y50AKXLJ. R83Y50AKXMP. R83Y50A
KXNV. R83Y50AKXPN. R83Y50AKXQB. R83Y50AKXRR. R83Y50AKXSY. R83Y50AKXTM. R83Y50AKXVD. R83Y50AKXWL. R83Y50AKXXE. R83Y50AKXYK. R83Y50
AKXZH. R83Y50AKY0X.R83Y50AKY1T. R83Y50AKY2F. R83Y50AKY3Z. R83Y50AKY4J. R83Y50AKY5P. R83Y5 0AKY6V. R83Y50AKY7N. R83Y50AKY8B. R83Y5
0AKY9R. R83Y50AKYAY. R83Y50AKYBM. R83Y50AKYCD. R83Y50AKYDL. R83Y50AKYEE. R83Y50AKYFK. R83Y50AKYGH. R83Y50AKYHA. R83Y50AKYJW. R83Y
50AKYKX. R83Y50AKYLT. R83Y50AKYMF. R83Y50AKYNZ. R83Y50AKYPJ. R83Y50AKYQP. R83Y50AKYRV. R83Y50AKYSN. R83Y50AKYTB.R83Y50AKYVR.XXXXX
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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
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025001064234-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
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
032025000943323-1
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. 116575015574208
43 . Año – Mes – Día
2025 – 05 – 14
44 . Documento de transporte
No. PVG71506121
45 . Año – Mes – Día
2025 – 05 – 07
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
6900362184
52 . Año – Mes – Día
2025 – 05 – 06
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.
4.260.22
S 59 . Subpartida arancelaria
8471300000
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.
93.00
72 . Peso neto kgs. dcms.
68.25
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
150.00
78 .Valor FOB
USD
11.777.28
79 . Valor fletes USD
765.39 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
53.436.280
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
53.436.280
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
0.41
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
765.80
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
12.543.08
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: 557354-DECL: 1914455-DO: 893111533251- 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)//NO REQUIERECERTIFICADO DE HOMOLOGACIÓN YA QUE SON DE TIPO WI
-FI// NOS ACOGEMOS:AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A.
OEA COD. OE0001. . PEDIDOS: 3088880074. ID DELIVERY: 6081894528. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-X110NZAAL13, PRODUCTO: T
ABLET GALAXY TAB A9 / WI-FI (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS, MODELO: SM-X110, USO O DESTINO: PARA
LA VENTA AL MAYOR Y AL DETAL/ /TABLET,SM-X110,GRAY,L13( QTY. 150,00 u )(150,00 PCE); SERIALES:R8YY40WCZVD; (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
032025000943323
133. Feha: 202505 12
134 . Levante No. 032025000773319 135 . Fecha
2025 – 05 – 15
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 92032503660407
Fecha presentación 2025-05-12 17:35:29
Valor pagado $0.00
Fecha de Impresión: 2025-05-15 09:04:18
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000943323-1
Subpartida : 8471300000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
R8YY40WD04E. R8YY40WD05M. R8YY40WD0CR. R8YY40WD0DV. R8YY40WD0WK. R8YY40WD0ZV. R8YY40WD12Y. R8YY40WD13N. R8YY40WD14J. R8YY40WD17E.
R8YY40WD19B. R8YY40WD1JX.R8YY40WD1KH. R8YY40WD1XF. R8YY40WD23H. R8YY40WD27J. R8YY40WD2BM. R8YY40WD2CB. R8YY40WD2DP. R8YY40WD2EF.
R8YY40WD2HD. R8YY40WD2JR. R8YY40WD2LZ. R8YY40WD2NH. R8YY40WD2PL. R8YY40WD2QY. R8YY40WD2RN. R8YY40WD2VA. R8YY40WD2XM. R8YY40WD30K
. R8YY40WD31D. R8YY40WD32R. R8YY40WD33V. R8YY40WD34Z. R8YY40WD35X. R8YY40WD36H. R8YY40WD37L. R8YY40WD38Y. R8YY40WD39N. R8YY40WD3A
J. R8YY40WD3CA. R8YY40WD3EM. R8YY40WD3GP. R8YY40WD3HF. R8YY40WD3JW. R8YY40WD3KK. R8YY40WD3LD. R8YY40WD3MR. R8YY40WD3NV. R8YY40WD3
PZ. R8YY40WD3QX. R8YY40WD3RH. R8YY40WD3SL. R8YY40WD3TY. R8YY40WD3VN.R8YY40WD3WJ. R8YY40WD3XT. R8YY40WD3YA. R8YY40WD3ZE. R8YY40WD4
0P. R8YY40WD41F. R8YY40WD42W. R8YY40WD43K. R8YY40WD44D. R8YY40WD45R. R8YY40WD46V. R8YY40WD47Z. R8YY40WD48X. R8YY40WD49H. R8YY40WD
4AL. R8YY40WD4BY. R8YY40WD4ET. R8YY40WD4MW. R8YY40WD4NK. R8YY40WD4SZ. R8YY40WD4VH. R8YY40W D4WL. R8YY40WD4XY. R8YY40WD4ZJ. R8YY40
WD51M. R8YY40WD52B. R8YY40WD53P.R8YY40WD54F. R8YY40WD55W. R8YY40WD56K. R8YY40WD57D. R8YY40WD5AZ. R8YY40WD5BX. R8YY40WD5DL. R8YY40
WD5HT. R8YY40WD5LM. R8YY40WD5PF. R8YY40WD5QW. R8YY40WD5RK. R8YY40WD5TR. R8YY40WD5VV. R8YY40WD5WZ. R8YY40WD60J. R8YY40WD63E. R8YY4
0WD64M. R8YY40WD6AD. R8YY40WD6CV. R8YY40WD6HY. R8YY40WD6ZZ. R8YY40WD76E. R8YY40WD77M. R8YY40WD7XW. R8YY40WD80Z. R8YY40WD85N. R8YY
40WD89E. R8YY40WD8BB. R8YY40WD8CP. R8YY40WD8DF. R8YY40WD8EW. R8YY40WD8FK. R8YY40WD8GD. R8YY40WD8JV. R8YY40WD8KZ. R8YY40WD8LX. R8Y
Y40WD8MH. R8YY40WD8NL. R8YY40WD8PY. R8YY40WD8QN. R8YY40WD8RJ. R8YY40WD8ST.R8YY40WD8TA. R8YY40WD8VE. R8YY40WD8WM. R8YY40WD8XB. R8Y
Y40WD8YP. R8YY40WD8ZF. R8YY40WD90D. R8YY40WD91R. R8YY40WD92V. R8YY40WD93Z. R8YY40WD94X. R8YY40WD95H. R8YY40WD97Y. R8YY40WD98N. R8
YY40WD99J. R8YY40WD9BA. R8YY40WD9CE. R8YY40WD9FP. R8YY40WD9GF. R8YY40WD9JK. R8YY40WD9KD. R8YY40WD9LR. R8YY40WD9MV. R8YY40WD9RL.XX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025000943323-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
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
032025000910179-3
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
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. 116575015539651
43 . Año – Mes – Día
2025 – 05 – 05
44 . Documento de transporte
No. T61725H02517
45 . Año – Mes – Día
2025 – 05 – 02
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
6900359768
52 . Año – Mes – Día
2025 – 04 – 24
53 . Cod. país
procedencia
215
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.
4.222.25
S 59 . Subpartida arancelaria
8471300000
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.
93.00
72 . Peso neto kgs. dcms.
68.25
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
150.00
78 .Valor FOB
USD
11.955.17
79 . Valor fletes USD
700.29 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
53.436.289
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
53.436.289
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
0.42
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
700.71
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
12.655.88
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: 556729-DECL: 1912341-DO: 893110943251- 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)//NO REQUIERECERTIFICADO DE HOMOLOGACIÓN YA QUE SON DE TIPO WI
-FI// NOS ACOGEMOS:AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A.
OEA COD. OE0001. . PEDIDOS: 3087964973. ID DELIVERY: 6081807752. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-X110NZAAL13, PRODUCTO: T
ABLET GALAXY TAB A9 / WI-FI (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS, MODELO: SM-X110, USO O DESTINO: PARA
LA VENTA AL MAYOR Y AL DETAL/ /TABLET,SM-X110,GRAY,L13( QTY. 150,00 u )(150,00 PCE); SERIALES:R8YY40GP2NB; (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
032025000910179
133. Feha: 202505 06
134 . Levante No. 032025000725872 135 . Fecha
2025 – 05 – 06
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 92032503485268
Fecha presentación 2025-05-06 12:03:10
Valor pagado $0.00
Fecha de Impresión: 2025-05-06 12:03:16
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000910179-3
Subpartida : 8471300000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
R8YY40GP2RW. R8YY40GP35M. R8YY40GP3AK. R8YY40GP3EZ. R8YY40GP3FX. R8YY40GP3HL. R8YY40GP3MT. R8YY40GP3NA. R8YY40GP3PE. R8YY40GP3QM.
R8YY40GP3RB. R8YY40GP3TF.R8YY40GP3VW. R8YY40GP3WK. R8YY40GP3XD. R8YY40GP3YR. R8YY40GP3ZV. R8YY40GP40H. R8YY40GP41L. R8YY40GP42Y.
R8YY40GP43N. R8YY40GP44J. R8YY40GP45T. R8YY40GP46A. R8YY40GP47E. R8YY40GP49B. R8YY40GP4AP. R8YY40GP4BF. R8YY40GP4CW. R8YY40GP4DK
. R8YY40GP4ED. R8YY40GP4FR. R8YY40GP4GV. R8YY40GP4HZ. R8YY40GP4JX. R8YY40GP4KH. R8YY40GP4LL. R8YY40GP4PJ. R8YY40GP4QT. R8YY40GP4R
A. R8YY40GP4SE. R8YY40GP4TM. R8YY40GP4VB. R8YY40GP4WP. R8YY40GP4XF. R8YY40GP4YW. R8YY40GP4ZK. R8YY40GP50V. R8YY40GP51Z. R8YY40GP5
2X. R8YY40GP54L. R8YY40GP55Y. R8YY40GP56N. R8YY40GP57J. R8YY40GP58T.R8YY40GP59A. R8YY40GP5AE. R8YY40GP5BM. R8YY40GP5CB. R8YY40GP5
DP. R8YY40GP5EF. R8YY40GP5FW. R8YY40GP5GK. R8YY40GP5HD. R8YY40GP5JR. R8YY40GP5MX. R8YY40GP5NH. R8YY40GP5PL. R8YY40GP5RN. R8YY40GP
5YB. R8YY40GP5ZP. R8YY40GP61D. R8YY40GP81M. R8YY40GP8BX. R8YY40GP8EY. R8YY40GP8LM. R8YY40G P8NP. R8YY40GP8TR. R8YY40GP8WZ. R8YY40
GP8ZL. R8YY40GP94M. R8YY40GP96P.R8YY40GP98W. R8YY40GP99K. R8YY40GP9AD. R8YY40GP9BR. R8YY40GP9CV. R8YY40GP9DZ. R8YY40GP9GL. R8YY40
GP9HY. R8YY40GP9JN. R8YY40GP9LT. R8YY40GP9NE. R8YY40GP9QB. R8YY40GP9RP. R8YY40GP9SF. R8YY40GP9TW. R8YY40GP9VK. R8YY40GP9WD. R8YY4
0GP9XR. R8YY40GP9YV. R8YY40GP9ZZ. R8YY40GPA2N. R8YY40GPA3J. R8YY40GPA4T. R8YY40GPA5A. R8YY40GPA6E. R8YY40GPA7M. R8YY40GPA8B. R8YY
40GPA9P. R8YY40GPAAF. R8YY40GPABW. R8YY40GPACK. R8YY40GPADD. R8YY40GPAER. R8YY40GPAFV. R8YY40GPAGZ. R8YY40GPAHX. R8YY40GPAJH. R8Y
Y40GPAKL. R8YY40GPALY. R8YY40GPAMN. R8YY40GPANJ. R8YY40GPAPT. R8YY40GPAQA.R8YY40GPARE. R8YY40GPASM. R8YY40GPATB. R8YY40GPAVP. R8Y
Y40GPAWF. R8YY40GPAXW. R8YY40GPAYK. R8YY40GPAZD. R8YY40GPB0Z. R8YY40GPB1X. R8YY40GPB2H. R8YY40GPB3L. R8YY40GPB4Y. R8YY40GPB5N. R8
YY40GPB6J. R8YY40GPB7T. R8YY40GPB8A. R8YY40GPB9E. R8YY40GPBAM. R8YY40GPBBB. R8YY40GPBCP. R8YY40GPBDF. R8YY40GPBEW. R8YY40GPBFK.XX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025000910179-3
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2