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VER MAS
REPÚBLICA DE COLOMBIA
Declaración de Importación Privada 500
1. Año 2023
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
0320230018053674
5 . Número de Identificación Tributaria (NIT)
800091549
6 . DV.
2
11 . Apellidos y nombres o Razón Social
IMPRESISTEM S A S
13 . Dirección
AUT MEDELLIN CL 80 KM 2
15 . Teléfono
8766500
12 . Cód. Admón.
03
16 . Cód. Dpto
25
17 . Cód. Ciudad Municipio
214
24 . Número de Identificación Tributaria (NIT)
830122083
25 . DV.
6
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS LATINOAMERICANA DE ADUANAS SAS NIVEL 2
27 . Tipo usuario
26
28 . Cód. usuario
459
29 . Número documento de identificación
1023862658
30 . Apellidos y nombres
GONZALEZ ACERO KELLY JOHANNA
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
26924
42 . Manifiesto de carga
No. 116575013951174
43 . Año Mes Día
2023 11 29
44 . Documento de transporte
No. 41N0641009
45 . Año Mes Día
2023 11 24
46 . Nombre exportador o proveedor en el exterior
IMC INTERNATIONAL INC
47 . Ciudad
MIAMI
48 . Cod.País Exportador
249
49 . Dirección exportador o proveedor en el exterior
7707 NW 46 STREET MIAMI, FL 33166
50 . Email
3059947965
51 . No. de factura
20429
52 . Año Mes Día
2023 11 18
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.
4.045.22
S
59 . Subpartida arancelaria
8517130000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C100
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
03
69 . Tipo de
importación
01
70 . Cod. país
compra
249
71 . Peso bruto kgs. dcms.
142.90
72 . Peso neto kgs. dcms.
128.61
73 . Código
embalaje
PK
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
340.00
78 .Valor FOB
USD
95.171.70
79 . Valor fletes USD
1.022.76 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
389.329.165
94
0
95
0
96
0.00
I.V.A.
97
19.00
98
389.329.165
99
73.973.000
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
73.973.000
126
0.00
80 . Valor
Seguros USD
49.79
81 . Valor Otros Gastos USD
0
82 . Sumatoria
de fletes,
seguros
y otros gastos
USD
1.072.55
83 . Ajuste valor USD
0.00
84 . Valor
aduana USD
96.244.25
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 202327978 CODIGO / RESOLUCION OEA IMPORTADOR: OE0169; DECLARACION(12) HOMOLOGACIÓN DEL EQUIPO MARCA REDMI MODELO 2303ERA42L,
RADICACION: 2023506122, FECHA: 20230323. DOCUMENTO DE VERIFICACION DE IMEI: DV191768 FECHA: 20231129.. FACTURA: 20429 FECHA:
20231118 NOS ACOGEMOS AL DECRETO 1881 DEL 2021, NOS ACOGEMOS AL DECRETO 0925 DE MAYO 9 DEL 2013, MINISTERIO DE COMERCIO EXTERI
OR, IMPORTACIÓN EXENTA DE REGISTRO DE IMPORTACIÓN.. CANT (340) U TELEFONO CELULAR, MZB0E9KUS REDMI NOTE 12S 8GB RAM 256GB ROM ONY
X BLACK // ESPECIFICACIONES: PROCESADOR: MEDIATEK HELIO G96, PANTALLA: 6,43 PULGADAS, MEMORIA: 8 GB, ALMACENAMIENTO: 256 GB ROM,
SISTEMA OPERATIVO: ANDROID 13 MIUI 14 // EAN: 6941812728895 / REDMI NOTE 12S ONYX BLACK / ALIMENTACION: 5V(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
032023001805367
133. Feha: 2023 12 05
134 . Levante No. 032023001568065 135 . Fecha
2023 12 05
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 92032308989156
Fecha presentación 20231205 07:51:15
Valor pagado $0.00
Fecha de Impresión: 20231205 07:55:33
Kelly Johanna Gonzalez Acero
C.C 1.023.862.658
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
032023001805367
4
Subpartida :
8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
3A / 3.6 11V3A / 33W MAX / CONTIENE DESCRIPCION CAJA: TELEFONO CELULAR, ADAPTADOR DE CORRIENTE, CABLE USB TIPO C, LLAVE PARA
SIM CARD, GUIA DE INICIO RAPIDO, CARCASA PROTECTORA, TARJETA DE GARANTIA // PRODUCTO CON EMPAQUE TERMOSELLADO. COD: K1059883. PR
ODUCTO: TELEFONO CELULAR, MARCA: REDMI, MODELO: 2303ERA42L, REFERENCIA: 47660 / MZB0E9KUS, USO ODESTINO: COMUNICACIÓN, PARA ALMAC
ENAMIENTO Y PROCESAMIENTO DE DATOS, SERIAL / IMEI NO. (CODIGO DE QUINCE 15 DIGITOS): 47660/63XH00267//868379064880106//86837906
4880114, 47660/63XH00282//868379064863102//868379064863110, 47660/63XH00617//868379064810566//868379064810574, 47660/63XH00866//8
68379064789869//868379064789877, 47660/63XH00934//868379064830523//868379064830531, 47660/63XH01450//868379064762767//86837906476
2775, 47660/63XH01601//868379064799504//868379064799512, 47660/63XH01603//868379064846909//868379064846917, 47660/63XH01604//8683
79064817264//868379064817272, 47660/63XH01605//868379064859241//868379064859258, 47660/63XH01611//868379064844029//86837906484403
7, 47660/63XH01791//868379064775140//868379064775157, 47660/63XH02383//868379064856528//868379064856536, 47660/63XH02387//8683790
64839649//868379064839656, 47660/63XH02976//868379064830804//868379064830812, 47660/63XH02984//868379064844508//868379064844516,
47660/63XH03162//868379064826505//868379064826513, 47660/63XH03163//868379064844045//868379064844052, 47660/63XH03256//8683790648
08461//868379064808479, 47660/63XH03470//868379064841942//868379064841959, 47660/63XH04709//868379064839029//868379064839037, 476
60/63XH04713//868379064772626//868379064772634, 47660/63XH05212//868379062443469//868379062443477, 47660/63XH05214//8683790625049
22//868379062504930, 47660/63XH05215//868379062459507//868379062459515, 47660/63XH05218//868379062559124//868379062559132, 47660/
63XH05220//868379062572481//868379062572499, 47660/63XH05221//868379062545123//868379062545131, 47660/63XH05223//868379062485429/
/868379062485437, 47660/63XH05225//868379062283527//868379062283535, 47660/63XH05226//868379062504401//868379062504419, 47660/63X
H05230//868379062564769//868379062564777, 47660/63XH05232//868379062357966//868379062357974, 47660/63XH05523//868379062631246//86
8379062631253, 47660/63XH05526//868379062626949//868379062626956, 47660/63XH05687//868379064812166//868379064812174, 47660/63XH06
023//868379062624241//868379062624258, 47660/63XH06036//868379064626228//868379064626236, 47660/63XH06044//868379064735805//86837
9064735813, 47660/63XH06045//868379064766727//868379064766735, 47660/63XH06047//868379064769382//868379064769390, 47660/63XH06051
//868379062658249//868379062658256, 47660/63XH06053//868379064733982//868379064733990, 47660/63XH06055//868379064807067//86837906
4807075, 47660/63XH06056//868379064734626//868379064734634, 47660/63XH06063//868379064751307//868379064751315, 47660/63XH06065//8
68379064751422//868379064751430, 47660/63XH06260//868379062631600//868379062631618, 47660/63XJ00040//868379064898124//86837906489
8132, 47660/63XJ00042//868379064941429//868379064941437, 47660/63XJ00043//868379064792442//868379064792459, 47660/63XJ00068//8683
79064803041//868379064803058, 47660/63XJ00074//868379064819146//868379064819153, 47660/63XJ00127//868379064924581//86837906492459
9, 47660/63XJ00138//868379064923500//868379064923518, 47660/63XJ00297//868379062670921//868379062670939, 47660/63XJ00318//8683790
64958100//868379064958118, 47660/63XJ00404//868379064896722//868379064896730, 47660/63XJ00435//868379064844326//868379064844334,
47660/63XJ00457//868379064929168//868379064929176, 47660/63XJ00488//868379064850182//868379064850190, 47660/63XJ00491//8683790649
20704//868379064920712, 47660/63XJ00492//868379064959140//868379064959157, 47660/63XJ00512//868379064868366//868379064868374, 476
60/63XJ00681//868379064901845//868379064901852, 47660/63XJ00689//868379064960007//868379064960015, 47660/63XJ00699//8683790649440
43//868379064944050, 47660/63XJ00775//868379064920266//868379064920274, 47660/63XJ00790//868379064946709//868379064946717, 47660/
63XJ00887//868379064963167//868379064963175, 47660/63XJ00890//868379064949067//868379064949075, 47660/63XJ00892//868379064891988/
/868379064891996, 47660/63XJ00893//868379064928806//868379064928814, 47660/63XJ00895//868379064964389//868379064964397, 47660/63X
J00896//868379064914442//868379064914459, 47660/63XJ00897//868379064889263//868379064889271, 47660/63XJ00905//868379064915605//86
8379064915613, 47660/63XJ00908//868379064961369//868379064961377, 47660/63XJ00910//868379064931867//868379064931875, 47660/63XJ00
912//868379064948945//868379064948952, 47660/63XJ00996//868379064940207//868379064940215, 47660/63XJ01047//868379064844565//86837
9064844573, 47660/63XJ01054//868379064961328//868379064961336, 47660/63XJ01098//868379064961583//868379064961591, 47660/63XJ01100
//868379064946667//868379064946675, 47660/63XJ01103//868379064946782//868379064946790, 47660/63XJ01110//868379064928160//86837906
4928178, 47660/63XJ01112//868379064899585//868379064899593, 47660/63XJ01203//868379064886525//868379064886533, 47660/63XJ01281//8
68379064955700//868379064955718, 47660/63XJ01298//868379064960429//868379064960437, 47660/63XJ01466//868379064964603//86837906496
4611, 47660/63XJ01498//868379064900227//868379064900235, 47660/63XJ01567//868379064821787//868379064821795, 47660/63XJ01596//8683
79064914582//868379064914590, 47660/63XJ01659//868379064953101//868379064953119, 47660/63XJ01666//868379064976888//86837906497689
6, 47660/63XJ01686//868379064891046//868379064891053, 47660/63XJ01687//868379064901662//868379064901670, 47660/63XJ01695//8683790
64906968//868379064906976, 47660/63XJ01701//868379064913048//868379064913055, 47660/63XJ01703//868379064912883//868379064912891,
47660/63XJ01707//868379064946980//868379064946998, 47660/63XJ01711//868379064930224//868379064930232, 47660/63XJ01713//8683790649
48846//868379064948853, 47660/63XJ01763//868379064992083//868379064992091, 47660/63XJ02083//868379064787129//868379064787137, 476
60/63XJ02136//868379064798787//868379064798795, 47660/63XJ02159//868379064803744//868379064803751, 47660/63XJ02168//8683790648216
05//868379064821613, 47660/63XJ02170//868379064801524//868379064801532, 47660/63XJ02272//868379064939308//868379064939316, 47660/
63XJ02280//868379064921405//868379064921413, 47660/63XJ02284//868379064953424//868379064953432, 47660/63XJ02307//868379064830200/
/868379064830218, 47660/63XJ02420//868379064901720//868379064901738, 47660/63XJ02428//868379064888141//868379064888158, 47660/63X
J02430//868379064889602//868379064889610, 47660/63XJ02559//868379064942708//868379064942716, 47660/63XJ02575//868379064804304//86
8379064804312, 47660/63XJ02583//868379064864027//868379064864035, 47660/63XJ02613//868379064959520//868379064959538, 47660/63XJ02
616//868379064902942//868379064902959, 47660/63XJ02620//868379064961161//868379064961179, 47660/63XJ02626//868379064901100//86837
9064901118, 47660/63XJ02630//868379064899205//868379064899213, 47660/63XJ02733//868379064965543//868379064965550, 47660/63XJ02734
//868379064911885//868379064911893, 47660/63XJ02746//868379064931362//868379064931370, 47660/63XJ02754//868379064959801//86837906
4959819, 47660/63XJ02763//868379064961427//868379064961435, 47660/63XJ02769//868379064902843//868379064902850, 47660/63XJ02784//8
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0373, 47660/63XJ02919//868379064931503//868379064931511, 47660/63XJ02939//868379064886087//868379064886095, 47660/63XJ02941//8683
79064964462//868379064964470, 47660/63XJ02942//868379064954760//868379064954778, 47660/63XJ03393//868379064911646//86837906491165
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64858862//868379064858870, 47660/63XJ03449//868379064911604//868379064911612, 47660/63XJ03457//868379064897209//868379064897217,
47660/63XJ03460//868379064805525//868379064805533, 47660/63XJ03466//868379064922361//868379064922379, 47660/63XJ03470//8683790649
56781//868379064956799, 47660/63XJ03472//868379064938367//868379064938375, 47660/63XJ03482//868379064834426//868379064834434, 476
60/63XJ03512//868379064942682//868379064942690, 47660/63XJ03518//868379064947129//868379064947137, 47660/63XJ03519//8683790648891
80//868379064889198, 47660/63XJ03726//868379064940140//868379064940157, 47660/63XJ03743//868379064964926//868379064964934, 47660/
63XJ03763//868379064944100//868379064944118, 47660/63XJ03798//868379064944621//868379064944639, 47660/63XJ03822//868379064850380/
/868379064850398, 47660/63XJ03857//868379064882649//868379064882656, 47660/63XJ03860//868379064818866//868379064818874, 47660/63X
J03948//868379064907867//868379064907875, 47660/63XJ04140//868379064939944//868379064939951, 47660/63XJ04194//868379064931206//86
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339//868379064927220//868379064927238, 47660/63XJ04403//868379064932220//868379064932238, 47660/63XJ04447//868379064866568//86837
9064866576, 47660/63XJ04593//868379064893067//868379064893075, 47660/63XJ04611//868379064915522//868379064915530, 47660/63XJ04698
//868379064918823//868379064918831, 47660/63XJ04770//868379064917841//868379064917858, 47660/63XJ05177//868379064801847//86837906
4801854, 47660/63XJ05343//868379064804163//868379064804171, 47660/63XJ05346//868379064815102//868379064815110, 47660/63XJ05348//8
68379064866808//868379064866816, 47660/63XJ05350//868379064911349//868379064911356, 47660/63XJ05356//868379064894644//86837906489
4651, 47660/63XJ05389//868379064954463//868379064954471, 47660/63XJ05411//868379064866261//868379064866279, 47660/63XJ05677//8683
0320230018053674
Espacio para uso exclusivo de la Entidad
Recaudadora
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
032023001805367
4
Subpartida :
8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
79064962847//868379064962854, 47660/63XJ05787//868379064887184//868379064887192, 47660/63XJ05793//868379064913501//86837906491351
9, 47660/63XJ05800//868379064930984//868379064930992, 47660/63XJ05829//868379064890782//868379064890790, 47660/63XJ05833//8683790
64906927//868379064906935, 47660/63XJ05851//868379064905903//868379064905911, 47660/63XJ06060//868379064983421//868379064983439,
47660/63XJ06093//868379064965006//868379064965014, 47660/63XJ06120//868379064991945//868379064991952, 47660/63XJ06121//8683790649
89907//868379064989915, 47660/63XJ06124//868379064980385//868379064980393, 47660/63XJ06125//868379064971426//868379064971434, 476
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47660/63XJ08065//868379064925828//868379064925836, 47660/63XJ08072//868379064971608//868379064971616, 47660/63XJ08075//8683790649
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9062747117, PAIS ORIGEN: CHINA 215. //XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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0320230018053674
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