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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
032024000073977-1
5 . Número de Identificación Tributaria (NIT)
830028931 13 . Dirección
CR 7 113 43 OF 607
6 . DV. 5
11 . Apellidos y nombres o Razón Social
SAMSUNG ELECTRONICS COLOMBIA S.A.
15 . Teléfono 12 . Cód. Admón. 16 . Cód. Dpto 17 . Cód. Ciudad Municipio
4870707 03 11 001
24 . Número de Identificación Tributaria (NIT)
860536003
29 . Número documento de identificación
1075625444
25 . DV. 3
26 . Razón social del declarante autorizado 27 . Tipo usuario 28 . Cód. usuario
AGENCIA DE ADUANAS ABC REPECEV S.A.S. NIVEL 1 26 99 30 . Apellidos y nombres
JULIAN APONTE HERNANDEZ
31 . Clase 32 . Tipo declaración 33 . Cod. 34 .No.Formulario Anterior 35 . Año – Mes – Día 36 . Cod. Admón. 37 . Declaración de Exportación 38 . Año – Mes – Día 39 . Cod. Admón. Importador Inicial 1 XXXXXXXXXXXXXX XXXX – XX – XX No. XXXXXXXXXXXXXXX XXXX – XX – XX
02 XX XX
40 . Cod. lugar ingreso 41 . Cod. Depósito 42 . Manifiesto de carga 43 . Año – Mes – Día 44 . Documento de transporte 45 . Año – Mes – Día de las mercancías 99900 No. 116575014075837 2024 – 01 – 16 No. KHAN24015634 2024 – 01 – 12
BOG
46 . Nombre exportador o proveedor en el exterior 47 . Ciudad 48 . Cod.País Exportador SAMSUNG ELECTRONICS CO., LTD GYEONGGI-DO 190
49 . Dirección exportador o proveedor en el exterior 50 . E-mail
129, SAMSUNG-RO, YEONGTONG-GU SUWON 16677 010-8705-6749
51 . No. de factura 52 . Año – Mes – Día 53 . Cod. país 9102262131 2024 – 01 – 10 procedencia 855
54 . Cod. Modo Transporte
4
55 . Código de Bandera
580
56 . Cod. Depto destino
0
57 . Empresa transportadora 58 . Tasa de cambio $ cvs. DHL AERO EXPRESO S A SUCURSAL COLOMBIA
3.929.79
S
59 . Subpartida arancelaria 60 . Cod. 61 . Cod. 62 . Cod. Modalidad 63 . No. cuotas 64 . Valor cuota USD 65 . Periodicidad del 66 . Cod. país 67 . Cod. Acuerdo 8517130000 Complementario Suplementario C134 o meses XXXX pago de la cuota de origen XXX
XXXX XX XX855
68 . Forma de pago 69 . Tipo de 70 . Cod. país de la importación importación compra
01 01 190
71 . Peso bruto kgs. dcms.
72 . Peso neto kgs.
dcms. 73 . Código 118.22 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
128.50
400.00
78 .Valor FOB USD
36.259.62 80 . Valor Seguros
79 . Valor fletes USD
81 . Valor Otros Gastos USD
976.60
0
USD
1.80
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
Arancel
92 93 94 95 96
0.00 146.337.599 0 0 0.00
I.V.A.
9798 99 100 101
0.00 146.337.599 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
978.40
0.00
Salvaguardia
102 103 104 105 106
0.00 0 0 0 0.00
Derechos 107 Compensatorios
108
109
110
111
0.00
0
0
0
0.00
84 . Valor aduana 85 . Código registro 86 . Número
USD
o licencia
37.238.02
X XXXXXXXXXX
Derechos 112 113 114 115 116
Antidumping 0.00 0 0 0 0.00
Sancion
117 118 119 120 0000
87 . Cod. oficina
99
88 . Año 89 . Programa No 90 . Cód Interno del XXXX XXXXXXXXXX Producto
0
Rescate
121 122 123 124 0000
Total
125 126
0 0.00
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: 504075-DECL: 1755741-DO: 893100721241- 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. (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN)// NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCAN
CIA QUE NO REQUIERE REGISTRO DEIMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3056322104. ID CONTENED
OR: 6073590421. MERCANCIA MARCA: SAMSUNGREFERENCIA: SM-A155MLBGLTC, PRODUCTO: TELEFONO CELULAR GALAXY A15 5G DUOS,(CON ACCESORIOS
PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL CLARO, MODELO: SM-A155M/DSN, USO O DESTINO: PARA LA VENTA A(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 131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración Estado de levante: Levante automático 032024000073977
No hay declaración posterior
133. Feha: 202401 17
134 . Levante No. 032024000072831 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 01 – 17
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 92032400421329
Fecha presentación 2024-01-17 16:43:30 Valor pagado $0.00
Fecha de Impresión: 2024-01-17 16:52:11
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000073977-1 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
L MAYOR Y AL DETAL/ /MOBILE,SM-A155M/DSN,LIGHT BLUE,LTC( QTY. 400,00 u )(400,00 PCE); IMEIS: 351864710951579/350563070951572. 351
864710951587/350563070951580. 351864710951801/350563070951804. 351864710951827/350563070951820.351864710951843/350563070951846. 3
51864710951868/350563070951861. 351864710951884/350563070951887. 351864710951926/350563070951929. 351864710952015/350563070952018
. 351864710952072/350563070952075. 351864710952098/350563070952091. 351864710952114/350563070952117. 351864710952122/350563070952
125. 351864710952148/350563070952141. 351864710952163/350563070952166. 351864710952171/350563070952174. 351864710952189/350563070
952182. 351864710952205/350563070952208. 351864710952254/350563070952257. 351864710952262/350563070952265. 351864710952577/350563
070952570. 351864710952585/350563070952588. 351864710952643/350563070952646. 351864710952759/350563070952752. 351864710952767/350
563070952760. 351864710952783/350563070952786. 351864710952791/350563070952794. 3518647109 52874/350563070952877. 351864710952932
/350563070952935. 351864710952973/350563070952976. 351864710952981/350563070952984. 351864710953021/350563070953024. 351864710953
112/350563070953115. 351864710953153/350563070953156. 351864710953211/350563070953214. 351864710953229/350563070953222. 351864710
953237/350563070953230. 351864710953252/350563070953255. 351864710953310/350563070953313. 351864710953344/350563070953347. 351864
710953419/350563070953412. 351864710953427/350563070953420. 351864710953435/350563070953438. 351864710953450/350563070953453. 351
864710953484/350563070953487. 351864710953500/350563070953503. 351864710953534/350563070953537. 351864710953583/350563070953586.
351864710953591/350563070953594. 351864710953609/350563070953602. 351864710953658/350563070953651. 351864710953682/35056307095368
5. 351864710953690/350563070953693. 351864710953724/350563070953727. 351864710953732/350563070953735. 351864710953740/35056307095
3743. 351864710953781/350563070953784.351864710953849/350563070953842. 351864710953880/350563070953883. 351864710953922/350563070
953925. 351864710953963/350563070953966. 351864710954003/350563070954006. 351864710954011/350563070954014. 351864710954136/350563
070954139. 351864710954185/350563070954188. 351864710954433/350563070954436. 351864710954458/350563070954451. 351864710954466/350
563070954469. 351864710954474/350563070954477. 351864710954615/350563070954618. 351864710954730/350563070954733. 351864710954789/
350563070954782. 351864710954813/350563070954816. 351864710954862/350563070954865.351864710954904/350563070954907. 35186471095495
3/350563070954956. 351864710954987/350563070954980. 351864710954995/350563070954998. 351864710955018/350563070955011. 35186471095
5059/350563070955052. 351864710955067/350563070955060. 351864710955109/350563070955102. 351864710955125/350563070955128. 35186471
0955133/350563070955136. 351864710955141/350563070955144. 351864710955158/350563070955151. 351864710955182/350563070955185. 35186
4710955240/350563070955243. 351864710949656/350563070949659. 351864710949664/350563070949667. 351864710949672/350563070949675. 35
1864710949706/350563070949709. 351864710949714/350563070949717. 351864710949730/350563070949733. 351864710949748/350563070949741.
351864710949755/350563070949758. 351864710949771/350563070949774. 351864710949797/350563070949790. 351864710949805/3505630709498
08. 351864710949821/350563070949824. 351864710949862/350563070949865. 351864710949888/350563070949881. 351864710949904/3505630709
49907. 351864710949987/350563070949980. 351864710950001/350563070950004. 351864710950019/350563070950012. 351864710950035/3505630
70950038. 351864710950068/350563070950061. 351864710950118/350563070950111. 351864710950167/350563070950160. 351864710950183/3505
63070950186. 351864710950225/350563070950228. 351864710950282/350563070950285. 351864710950308/350563070950301. 351864710950696/3
50563070950699. 351864710950795/350563070950798. 351864710950845/350563070950848. 351864710950886/350563070950889. 35186471095089
4/350563070950897. 351864710950902/350563070950905. 351864710950928/350563070950921. 351864710950951/350563070950954. 35186471095
0969/350563070950962. 351864710950985/350563070950988. 351864710951017/350563070951010. 351864710951025/350563070951028. 35186471
0951306/350563070951309.351864710951363/350563070951366. 351864710951389/350563070951382. 351864710951413/350563070951416. 351864
710951421/350563070951424. 351864710951488/350563070951481. 351864710955265/350563070955268. 351864710955281/350563070955284. 351
864710955315/350563070955318. 351864710955349/350563070955342. 351864710955364/350563070955367. 351864710955380/350563070955383.
351864710955406/350563070955409. 351864710955422/350563070955425. 351864710955430/350563070955433. 351864710955448/35056307095544
1. 351864710955463/350563070955466. 351864710955489/350563070955482.351864710955505/350563070955508. 351864710955513/350563070955
516. 351864710955539/350563070955532. 351864710955547/350563070955540. 351864710955554/350563070955557. 351864710955570/350563070
955573. 351864710955588/350563070955581. 351864710955596/350563070955599. 351864710955604/350563070955607. 351864710955646/350563
070955649. 351864710955653/350563070955656. 351864710955687/350563070955680. 351864710956511/350563070956514. 351864710957543/350
563070957546. 351864710957758/350563070957751. 351864710957873/350563070957876. 351864710958046/350563070958049. 351864710958202/
350563070958205. 351864710958343/350563070958346. 351864710958350/350563070958353. 351864710958624/350563070958627. 3518647109586
32/350563070958635. 351864710958640/350563070958643. 351864710958665/350563070958668. 351864710958681/350563070958684. 3518647109
58723/350563070958726. 351864710958731/350563070958734. 351864710958780/350563070958783. 351864710958798/350563070958791. 3518647
10959044/350563070959047. 351864710959192/350563070959195. 351864710959226/350563070959229. 351864710959267/350563070959260. 3518
64710959283/350563070959286. 351864710959291/350563070959294. 351864710959309/350563070959302. 351864710959366/350563070959369. 3
51864710959390/350563070959393. 351864710959416/350563070959419. 351864710959465/350563070959468. 351864710959507/350563070959500
. 351864710960174/350563070960177. 351864710960257/350563070960250. 351864710960372/350563070960375. 351864710960489/350563070960
482. 351864710960679/350563070960672. 351864710960695/350563070960698. 351864710960810/350563070960813. 351864710960844/350563070
960847. 351864710960869/350563070960862. 351864710960877/350563070960870. 351864710960885/350563070960888. 351864710960927/350563
070960920.351864710960935/350563070960938. 351864710961016/350563070961019. 351864710961024/350563070961027. 351864710961255/3505
63070961258. 351864710961271/350563070961274. 351864710961305/350563070961308. 351864710961313/350563070961316. 351864710961339/3
50563070961332. 351864710961420/350563070961423. 351864710961495/350563070961498. 351864710961503/350563070961506. 35186471096155
2/350563070961555. 351864710961560/350563070961563. 351864710961578/350563070961571. 351864710961628/350563070961621. 35186471096
2766/350563070962769. 351864710962782/350563070962785.351864710963566/350563070963569. 351864710963657/350563070963650. 351864710
963665/350563070963668. 351864710963731/350563070963734. 351864710963764/350563070963767. 351864710963780/350563070963783. 351864
710946520/350563070946523. 351864710946538/350563070946531. 351864710946546/350563070946549. 351864710946587/350563070946580. 351
864710946629/350563070946622. 351864710946694/350563070946697. 351864710946702/350563070946705. 351864710946892/350563070946895.
351864710946991/350563070946994. 351864710947007/350563070947000. 351864710947015/350563070947018. 351864710947072/35056307094707
5. 351864710947080/350563070947083. 351864710947155/350563070947158. 351864710947163/350563070947166. 351864710947189/35056307094
7182. 351864710947411/350563070947414. 351864710947494/350563070947497. 351864710947510/350563070947513. 351864710947544/35056307
0947547. 351864710947551/350563070947554. 351864710947577/350563070947570. 351864710947627/350563070947620. 351864710947650/35056
3070947653. 351864710947692/350563070947695. 351864710947718/350563070947711. 351864710947726/350563070947729. 351864710947775/35
0563070947778. 351864710947791/350563070947794. 351864710947809/350563070947802. 351864710947825/350563070947828. 351864710947833
/350563070947836. 351864710947866/350563070947869. 351864710947890/350563070947893. 351864710947965/350563070947968. 351864710947
981/350563070947984. 351864710948062/350563070948065. 351864710948070/350563070948073. 351864710948195/350563070948198. 351864710
948229/350563070948222. 351864710948302/350563070948305. 351864710948310/350563070948313. 351864710948351/350563070948354. 351864
710948377/350563070948370. 351864710948401/350563070948404. 351864710948435/350563070948438. 351864710948476/350563070948479.3518
64710948484/350563070948487. 351864710948492/350563070948495. 351864710948500/350563070948503. 351864710948518/350563070948511. 3
51864710948575/350563070948578. 351864710948591/350563070948594. 351864710948625/350563070948628. 351864710948633/350563070948636
. 351864710948641/350563070948644. 351864710948682/350563070948685. 351864710948716/350563070948719. 351864710948732/350563070948
735. 351864710948757/350563070948750. 351864710948807/350563070948800. 351864710948849/350563070948842. 351864710948955/350563070
948958. 351864710948997/350563070948990.351864710949003/350563070949006. 351864710949052/350563070949055. 351864710949151/3505630
70949154. 351864710949169/350563070949162. 351864710949276/350563070949279. 351864710949284/350563070949287. 351864710949334/3505
032024000073977-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000073977-1 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
63070949337. 351864710949359/350563070949352. 351864710949383/350563070949386. 351864710949391/350563070949394. 351864710949409/3
50563070949402. 351864710949417/350563070949410. 351864710949433/350563070949436. 351864710949458/350563070949451. 35186471094948
2/350563070949485. 351864710949540/350563070949543. 351864710949557/350563070949550. 351864710949565/350563070949568. 35186471094
9573/350563070949576. 351864710949599/350563070949592. 351864710949615/350563070949618. 351864710949623/350563070949626. 35186471
0949631/350563070949634. 351864710949649/350563070949642. 351864710964754/350563070964757. 351864710964838/350563070964831. 35186
4710964846/350563070964849. 351864710964861/350563070964864. 351864710964879/350563070964872. 351864710964895/350563070964898. 35
1864710964903/350563070964906. 351864710964952/350563070964955. 351864710964960/350563070964963. 351864710965363/350563070965366.
351864710965439/350563070965432. 351864710965454/350563070965457. 351864710965645/350563070965648. 351864710965652/3505630709656
55. 351864710965686/350563070965689. 351864710965710/350563070965713. 351864710965728/350563070965721. 351864710965769/3505630709
65762. 351864710965777/350563070965770. 351864710965793/350563070965796. 351864710965801/350563070965804. 351864710965827/3505630
70965820. 351864710965850/350563070965853. 351864710965868/350563070965861. 351864710965876/350563070965879. 351864710965900/3505
63070965903. 351864710965934/350563070965937. 351864710965983/350563070965986. 351864710965991/350563070965994.351864710966031/35
0563070966034. 351864710966049/350563070966042. 351864710966056/350563070966059. 351864710966072/350563070966075. 351864710966114
/350563070966117. 351864710966130/350563070966133. 351864710966148/350563070966141. 351864710966163/350563070966166. 351864710966
171/350563070966174. 351864710966320/350563070966323. 351864710966338/350563070966331. 351864710966403/350563070966406. 351864710
966478/350563070966471. 351864710966494/350563070966497. 351864710966502/350563070966505. 351864710966510/350563070966513. 351864
710966536/350563070966539.351864710966544/350563070966547. 351864710966577/350563070966570. 351864710966593/350563070966596. 3518
64710966601/350563070966604. 351864710966635/350563070966638. 351864710966643/350563070966646. 351864710966668/350563070966661. 3
51864710966684/350563070966687. 351864710966692/350563070966695. 351864710966700/350563070966703. 351864710966718/350563070966711
. 351864710966726/350563070966729. 351864710966734/350563070966737. 351864710966809/350563070966802. 351864710966825/350563070966
828. 351864710966833/350563070966836. 351864710966858/350563070966851. 351864710966932/350563070966935. 351864710966957/350563070
966950. 351864710966965/350563070966968. 351864710966981/350563070966984. 351864710966999/350563070966992. 351864710967013/350563
070967016. 351864710967021/350563070967024. 351864710967112/350563070967115. 351864710967146/350563070967149. 351864710967153/350
563070967156. 351864710967203/350563070967206. 351864710967237/350563070967230. 351864710967245/350563070967248. 351864710967252/
350563070967255. 351864710967260/350563070967263. 351864710967278/350563070967271. 351864710967286/350563070967289. 3518647109673
02/350563070967305. 351864710967336/350563070967339. 351864710967344/350563070967347. 351864710967351/350563070967354. 3518647109
67369/350563070967362. 351864710967377/350563070967370. 351864710967385/350563070967388. 351864710967393/350563070967396. 3518647
10967419/350563070967412. 351864710967435/350563070967438. 351864710967484/350563070967487. 351864710967500/350563070967503XXXXXX
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032024000073977-1
Espacio para uso exclusivo de la Entidad Recaudadora
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