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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
032024000118634-6
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. 116575014097137 2024 – 01 – 24 No. KHAN24016098 2024 – 01 – 20
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 9102289834 2024 – 01 – 19 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
3.939.89
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
45.259.20 80 . Valor Seguros
79 . Valor fletes USD
81 . Valor Otros Gastos USD
976.60
0
USD
2.24
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
Arancel
92 93 94 95 96
0.00 182.172.791 0 0 0.00
I.V.A.
9798 99 100 101
0.00 182.172.791 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
978.84
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
46.238.04
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: 505083-DECL: 1757991-DO: 893101608241- 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: 3057199975. ID CONTENED
OR: 6073723018. MERCANCIA MARCA: SAMSUNGREFERENCIA: SM-A155MLBILTC, PRODUCTO: TELEFONO CELULAR GALAXY A15 5G DUOS, (CON ACCESORIO
S PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL CLARO, MODELO: SM-A155M/DSN, USO O DESTINO: PARA LA VENTA (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 032024000118634
No hay declaración posterior
133. Feha: 202401 25
134 . Levante No. 032024000115104 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 01 – 25
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 92032400662646
Fecha presentación 2024-01-25 17:52:43 Valor pagado $0.00
Fecha de Impresión: 2024-01-25 17:53:46
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000118634-6 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
AL MAYOR Y ALDETAL/ /MOBILE,SM-A155M/DSN,LIGHT BLUE,LTC( QTY. 400,00 u )(400,00 PCE); IMEIS: 353038370516786/358227700516781. 353
038370516794/358227700516799. 353038370516802/358227700516807. 353038370516844/358227700516849. 353038370517008/358227700517003.
353038370517123/358227700517128. 353038370517206/358227700517201. 353038370517768/358227700517763. 353038370517859/35822770051785
4. 353038370517883/358227700517888. 353038370517941/358227700517946. 353038370517958/358227700517953. 353038370517982/35822770051
7987. 353038370518014/358227700518019. 353038370518022/358227700518027. 353038370518030/358227700518035. 353038370518204/35822770
0518209. 353038370518253/358227700518258. 353038370518261/358227700518266. 353038370518360/358227700518365. 353038370518683/35822
7700518688. 353038370518865/358227700518860. 353038370518915/358227700518910. 353038370518964/358227700518969. 353038370518972/35
8227700518977. 353038370519988/358227700519983. 353038370520127/358227700520122. 353038370 520135/358227700520130. 35303837052016
8/358227700520163. 353038370520184/358227700520189. 353038370520192/358227700520197. 353038370520200/358227700520205. 35303837052
0242/358227700520247. 353038370520259/358227700520254. 353038370520275/358227700520270. 353038370520283/358227700520288. 35303837
0520291/358227700520296. 353038370520325/358227700520320. 353038370520333/358227700520338. 353038370520358/358227700520353.353038
370520374/358227700520379. 353038370520630/358227700520635. 353038370520820/358227700520825. 353038370521398/358227700521393. 353
038370508718/358227700508713. 353038370508726/358227700508721. 353038370508759/358227700508754. 353038370508783/358227700508788.
353038370508817/358227700508812. 353038370508833/358227700508838. 353038370508858/358227700508853. 353038370508866/35822770050886
1. 353038370508874/358227700508879. 353038370508908/358227700508903. 353038370508924/358227700508929. 353038370508932/35822770050
8937. 353038370508957/358227700508952.353038370508999/358227700508994. 353038370509013/358227700509018. 353038370509021/358227700
509026. 353038370509096/358227700509091. 353038370509112/358227700509117. 353038370509120/358227700509125. 353038370509138/358227
700509133. 353038370509146/358227700509141. 353038370509187/358227700509182. 353038370509195/358227700509190. 353038370509245/358
227700509240. 353038370509252/358227700509257. 353038370509278/358227700509273. 353038370509286/358227700509281. 353038370509294/
358227700509299. 353038370509302/358227700509307. 353038370509393/358227700509398. 353038370509401/358227700509406. 3530383705094
19/358227700509414. 353038370509427/358227700509422. 353038370509435/358227700509430. 353038370509443/358227700509448. 3530383705
09468/358227700509463. 353038370509476/358227700509471. 353038370509484/358227700509489. 353038370509492/358227700509497. 3530383
70509500/358227700509505. 353038370509526/358227700509521. 353038370509534/358227700509539. 353038370509542/358227700509547. 3530
38370510037/358227700510032. 353038370502125/358227700502120. 353038370502133/358227700502138. 353038370502299/358227700502294. 3
53038370502315/358227700502310. 353038370502323/358227700502328. 353038370502430/358227700502435. 353038370502505/358227700502500
. 353038370502513/358227700502518. 353038370502588/358227700502583. 353038370503040/358227700503045. 353038370504758/358227700504
753. 353038370504816/358227700504811. 353038370505599/358227700505594. 353038370505987/358227700505982. 353038370506175/358227700
506170. 353038370506191/358227700506196. 353038370506266/358227700506261. 353038370506316/358227700506311. 353038370506340/358227
700506345. 353038370506381/358227700506386. 353038370506407/358227700506402. 353038370506530/358227700506535.353038370508049/3582
27700508044. 353038370508122/358227700508127. 353038370508155/358227700508150. 353038370508205/358227700508200. 353038370508270/3
58227700508275. 353038370508288/358227700508283. 353038370508296/358227700508291. 353038370508312/358227700508317. 35303837050835
3/358227700508358. 353038370508361/358227700508366. 353038370508379/358227700508374. 353038370508429/358227700508424. 35303837050
8577/358227700508572. 353038370508585/358227700508580. 353038370508619/358227700508614. 353038370508627/358227700508622. 35303837
0508635/358227700508630.353038370508643/358227700508648. 353038370508650/358227700508655. 353038370508668/358227700508663. 353038
370508692/358227700508697. 353038370508700/358227700508705. 353038370524459/358227700524454. 353038370524475/358227700524470. 353
038370524566/358227700524561. 353038370524681/358227700524686. 353038370524699/358227700524694. 353038370524715/358227700524710.
353038370524723/358227700524728. 353038370524731/358227700524736. 353038370524764/358227700524769. 353038370524822/35822770052482
7. 353038370524905/358227700524900. 353038370524921/358227700524926. 353038370524988/358227700524983. 353038370524996/35822770052
4991. 353038370525019/358227700525014. 353038370525027/358227700525022. 353038370525035/358227700525030. 353038370525043/35822770
0525048. 353038370525050/358227700525055. 353038370525076/358227700525071. 353038370525092/358227700525097. 353038370525126/35822
7700525121. 353038370525233/358227700525238. 353038370525241/358227700525246. 353038370525258/358227700525253. 353038370525266/35
8227700525261. 353038370525274/358227700525279. 353038370525290/358227700525295. 353038370525316/358227700525311. 353038370525357
/358227700525352. 353038370525423/358227700525428. 353038370525431/358227700525436. 353038370525449/358227700525444. 353038370525
456/358227700525451. 353038370525480/358227700525485. 353038370525498/358227700525493. 353038370525506/358227700525501. 353038370
525522/358227700525527. 353038370525530/358227700525535. 353038370525548/358227700525543. 353038370525555/358227700525550. 353038
370525571/358227700525576. 353038370525605/358227700525600. 353038370525621/358227700525626. 353038370521562/358227700521567. 353
038370521646/358227700521641. 353038370522313/358227700522318. 353038370522412/358227700522417.353038370522453/358227700522458. 3
53038370522479/358227700522474. 353038370522503/358227700522508. 353038370522511/358227700522516. 353038370522529/358227700522524
. 353038370522537/358227700522532. 353038370522586/358227700522581. 353038370522628/358227700522623. 353038370522651/358227700522
656. 353038370522743/358227700522748. 353038370522768/358227700522763. 353038370522792/358227700522797. 353038370522826/358227700
522821. 353038370522867/358227700522862. 353038370522875/358227700522870. 353038370522909/358227700522904. 353038370522941/358227
700522946.353038370523071/358227700523076. 353038370523121/358227700523126. 353038370523246/358227700523241. 353038370523253/3582
27700523258. 353038370523295/358227700523290. 353038370523311/358227700523316. 353038370523360/358227700523365. 353038370523378/3
58227700523373. 353038370523386/358227700523381. 353038370523394/358227700523399. 353038370523402/358227700523407. 35303837052343
6/358227700523431. 353038370523444/358227700523449. 353038370523451/358227700523456. 353038370523477/358227700523472. 35303837052
3493/358227700523498. 353038370523543/358227700523548. 353038370523550/358227700523555. 353038370523626/358227700523621. 35303837
0523634/358227700523639. 353038370523659/358227700523654. 353038370523667/358227700523662. 353038370523683/358227700523688. 35303
8370510045/358227700510040. 353038370510110/358227700510115. 353038370510136/358227700510131. 353038370512348/358227700512343. 35
3038370512454/358227700512459. 353038370512884/358227700512889. 353038370513056/358227700513051. 353038370513205/358227700513200.
353038370513874/358227700513879. 353038370513932/358227700513937. 353038370513957/358227700513952. 353038370514310/3582277005143
15. 353038370514344/358227700514349. 353038370514526/358227700514521. 353038370514732/358227700514737. 353038370514823/3582277005
14828. 353038370514864/358227700514869. 353038370514922/358227700514927. 353038370514948/358227700514943. 353038370514955/3582277
00514950. 353038370514963/358227700514968. 353038370514989/358227700514984. 353038370515051/358227700515056. 353038370515069/3582
27700515064. 353038370515077/358227700515072. 353038370515085/358227700515080. 353038370515119/358227700515114. 353038370515150/3
58227700515155. 353038370515234/358227700515239. 353038370515283/358227700515288.353038370515309/358227700515304. 353038370515317
/358227700515312. 353038370515333/358227700515338. 353038370515341/358227700515346. 353038370515358/358227700515353. 353038370515
366/358227700515361. 353038370515424/358227700515429. 353038370515770/358227700515775. 353038370515895/358227700515890. 353038370
516281/358227700516286. 353038370516331/358227700516336. 353038370516661/358227700516666. 353038370516745/358227700516740. 353038
370516752/358227700516757. 353038370525647/358227700525642. 353038370525654/358227700525659. 353038370525662/358227700525667.3530
38370525670/358227700525675. 353038370525688/358227700525683. 353038370525696/358227700525691. 353038370525720/358227700525725. 3
53038370525738/358227700525733. 353038370525753/358227700525758. 353038370525761/358227700525766. 353038370525779/358227700525774
. 353038370525787/358227700525782. 353038370525795/358227700525790. 353038370525829/358227700525824. 353038370525837/358227700525
832. 353038370525845/358227700525840. 353038370525852/358227700525857. 353038370525860/358227700525865. 353038370525878/358227700
525873. 353038370525886/358227700525881. 353038370525894/358227700525899. 353038370525902/358227700525907. 353038370525928/358227
700525923. 353038370525936/358227700525931. 353038370525944/358227700525949. 353038370525951/358227700525956. 353038370525985/358
032024000118634-6
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000118634-6 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
227700525980. 353038370525993/358227700525998. 353038370526009/358227700526004. 353038370526025/358227700526020. 353038370526033/
358227700526038. 353038370526041/358227700526046. 353038370526058/358227700526053. 353038370526066/358227700526061. 3530383705260
74/358227700526079. 353038370526082/358227700526087. 353038370526090/358227700526095. 353038370526124/358227700526129. 3530383705
26132/358227700526137. 353038370526140/358227700526145. 353038370526157/358227700526152. 353038370526165/358227700526160. 3530383
70526173/358227700526178. 353038370526181/358227700526186. 353038370526199/358227700526194. 353038370526207/358227700526202. 3530
38370526231/358227700526236. 353038370526249/358227700526244. 353038370526256/358227700526251. 353038370526264/358227700526269. 3
53038370526272/358227700526277. 353038370526280/358227700526285. 353038370526306/358227700526301. 353038370526314/358227700526319
. 353038370526322/358227700526327. 353038370526330/358227700526335.353038370526348/358227700526343. 353038370526355/3582277005263
50. 353038370526363/358227700526368. 353038370526371/358227700526376. 353038370526389/358227700526384. 353038370526397/3582277005
26392. 353038370526421/358227700526426. 353038370526447/358227700526442. 353038370526454/358227700526459. 353038370526470/3582277
00526475. 353038370526488/358227700526483. 353038370526496/358227700526491. 353038370526504/358227700526509. 353038370526512/3582
27700526517. 353038370526520/358227700526525. 353038370526538/358227700526533. 353038370526546/358227700526541.353038370526553/35
8227700526558. 353038370526579/358227700526574. 353038370526587/358227700526582. 353038370526595/358227700526590. 353038370526603
/358227700526608. 353038370526652/358227700526657. 353038370526660/358227700526665. 353038370527379/358227700527374. 353038370528
377/358227700528372. 353038370528534/358227700528539. 353038370528567/358227700528562. 353038370528591/358227700528596. 353038370
528757/358227700528752. 353038370528807/358227700528802. 353038370528831/358227700528836. 353038370528872/358227700528877. 353038
370528880/358227700528885. 353038370528898/358227700528893. 353038370528906/358227700528901. 353038370528948/358227700528943. 353
038370528955/358227700528950. 353038370529169/358227700529164. 353038370529177/358227700529172. 353038370529185/358227700529180.
353038370529193/358227700529198. 353038370529201/358227700529206. 353038370586276/358227700586271. 353038370586326/35822770058632
1. 353038370586599/358227700586594. 353038370586615/358227700586610. 353038370586789/358227700586784. 353038370586961/35822770058
6966. 353038370587266/358227700587261. 353038370587274/358227700587279. 353038370587332/358227700587337. 353038370587373/35822770
0587378. 353038370587480/358227700587485. 353038370587555/358227700587550. 353038370587589/358227700587584. 353038370587860/35822
7700587865. 353038370587951/358227700587956. 353038370588124/358227700588129. 353038370588173/358227700588178. 353038370588207/35
8227700588202. 353038370588215/358227700588210. 353038370588264/358227700588269. 353038370588314/358227700588319. 353038370588348
/358227700588343. 353038370588389/358227700588384. 353038370588413/358227700588418. 353038370588439/358227700588434. 353038370588
447/358227700588442. 353038370588520/358227700588525.353038370588538/358227700588533. 353038370588561/358227700588566. 3530383705
88629/358227700588624. 353038370588728/358227700588723. 353038370588736/358227700588731. 353038370589114/358227700589119. 3530383
70589163/358227700589168. 353038370589338/358227700589333. 353038370589601/358227700589606. 353038370589676/358227700589671XXXXXX
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032024000118634-6
Espacio para uso exclusivo de la Entidad Recaudadora
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