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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
032024000138836-2
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. 116575014109744 2024 – 01 – 29 No. KHAN24016313 2024 – 01 – 27
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 9102308571 2024 – 01 – 26 procedencia 855
54 . Cod. Modo Transporte
4
55 . Código de Bandera
169
56 . Cod. Depto destino
0
57 . Empresa transportadora 58 . Tasa de cambio $ cvs. TAMPA CARGO S.A.S.
3.932.96
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 143.06 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
155.50
500.00
78 .Valor FOB USD
60.001.22 80 . Valor Seguros
79 . Valor fletes USD
81 . Valor Otros Gastos USD
1.181.80
0
USD
2.96
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
Arancel
92 93 94 95 96
0.00 240.642.012 0 0 0.00
I.V.A.
9798 99 100 101
0.00 240.642.012 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
1.184.76
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
61.185.98
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: 505499-DECL: 1759168-DO: 893102334241- 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. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOMOL
OGACIÓN). NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA
S.A. OEA COD. OE0001. . PEDIDOS: 3057758260. ID CONTENEDOR: 6073840306. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A155MLBGLTC, PROD
UCTO: TELEFONO CELULAR GALAXY A15 5G DUOS,(CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL CL(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 032024000138836
No hay declaración posterior
133. Feha: 202401 30
134 . Levante No. 032024000132924 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 01 – 30
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 92032400765951
Fecha presentación 2024-01-30 15:11:16 Valor pagado $0.00
Fecha de Impresión: 2024-01-30 15:11:53
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000138836-2 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ARO, MODELO: SM-A155M/DSN, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A155M/DSN,LIGHT BLUE,LTC( QTY. 500,00 u )
(500,00 PCE); IMEIS: 351864711692396/350563071692399. 351864711692404/350563071692407. 351864711692412/350563071692415. 351864711
692420/350563071692423. 351864711692438/350563071692431. 351864711692446/350563071692449. 351864711692453/350563071692456. 351864
711692461/350563071692464. 351864711692479/350563071692472. 351864711692487/350563071692480. 351864711692495/350563071692498. 351
864711692511/350563071692514. 351864711692529/350563071692522. 351864711692537/350563071692530. 351864711692545/350563071692548.
351864711692552/350563071692555. 351864711692560/350563071692563. 351864711692578/350563071692571. 351864711692586/35056307169258
9. 351864711692594/350563071692597. 351864711692602/350563071692605. 351864711692610/350563071692613. 351864711692628/35056307169
2621. 351864711692636/350563071692639. 351864711692644/350563071692647. 351864711692651/35056 3071692654. 351864711692669/3505630
71692662. 351864711692677/350563071692670. 351864711692685/350563071692688. 351864711692693/350563071692696. 351864711692719/3505
63071692712. 351864711692727/350563071692720.351864711692735/350563071692738. 351864711692743/350563071692746. 351864711692750/35
0563071692753. 351864711692768/350563071692761. 351864711692776/350563071692779. 351864711692784/350563071692787. 351864711692792
/350563071692795. 351864711692800/350563071692803. 351864711694111/350563071694114. 351864711694129/350563071694122. 351864711694
137/350563071694130. 351864711694145/350563071694148. 351864711694160/350563071694163. 351864711694178/350563071694171. 351864711
694186/350563071694189. 351864711694194/350563071694197. 351864711694210/350563071694213.351864711694228/350563071694221. 3518647
11694236/350563071694239. 351864711694244/350563071694247. 351864711694285/350563071694288. 351864711694301/350563071694304. 3518
64711694327/350563071694320. 351864711694335/350563071694338. 351864711694343/350563071694346. 351864711694350/350563071694353. 3
51864711694368/350563071694361. 351864711694376/350563071694379. 351864711694384/350563071694387. 351864711694392/350563071694395
. 351864711694400/350563071694403. 351864711694418/350563071694411. 351864711694426/350563071694429. 351864711694434/350563071694
437. 351864711694442/350563071694445. 351864711694459/350563071694452. 351864711694541/350563071694544. 351864711694764/350563071
694767. 351864711694772/350563071694775. 351864711694780/350563071694783. 351864711694798/350563071694791. 351864711694806/350563
071694809. 351864711694814/350563071694817. 351864711694822/350563071694825. 351864711694830/350563071694833. 351864711694848/350
563071694841. 351864711694855/350563071694858. 351864711694863/350563071694866. 351864711694871/350563071694874. 351864711694889/
350563071694882. 351864711694897/350563071694890. 351864711694905/350563071694908. 351864711694913/350563071694916. 3518647116949
21/350563071694924. 351864711694939/350563071694932. 351864711694947/350563071694940. 351864711694954/350563071694957. 3518647116
94962/350563071694965. 351864711694970/350563071694973. 351864711694988/350563071694981. 351864711694996/350563071694999. 3518647
11695001/350563071695004. 351864711695019/350563071695012. 351864711695027/350563071695020. 351864711695035/350563071695038. 3518
64711695050/350563071695053. 351864711695068/350563071695061. 351864711695076/350563071695079. 351864711695084/350563071695087. 3
51864711695092/350563071695095.351864711695100/350563071695103. 351864711695118/350563071695111. 351864711695126/350563071695129.
351864711695134/350563071695137. 351864711695142/350563071695145. 351864711695159/350563071695152. 351864711695167/3505630716951
60. 351864711695175/350563071695178. 351864711695183/350563071695186. 351864711695191/350563071695194. 351864711695209/3505630716
95202. 351864711695225/350563071695228. 351864711695233/350563071695236. 351864711695241/350563071695244. 351864711695258/3505630
71695251. 351864711695266/350563071695269. 351864711695274/350563071695277.351864711695282/350563071695285. 351864711695290/35056
3071695293. 351864711695308/350563071695301. 351864711695316/350563071695319. 351864711695324/350563071695327. 351864711695332/35
0563071695335. 351864711695340/350563071695343. 351864711695357/350563071695350. 351864711695365/350563071695368. 351864711695373
/350563071695376. 351864711695381/350563071695384. 351864711695399/350563071695392. 351864711695407/350563071695400. 351864711695
415/350563071695418. 351864711695423/350563071695426. 351864711695506/350563071695509. 351864711695514/350563071695517. 351864711
695522/350563071695525. 351864711695530/350563071695533. 351864711695548/350563071695541. 351864711695555/350563071695558. 351864
711695563/350563071695566. 351864711695571/350563071695574. 351864711695589/350563071695582. 351864711695597/350563071695590. 351
864711695605/350563071695608. 351864711695613/350563071695616. 351864711695621/350563071695624. 351864711695647/350563071695640.
351864711695654/350563071695657. 351864711695662/350563071695665. 351864711695670/350563071695673. 351864711695688/35056307169568
1. 351864711695696/350563071695699. 351864711695704/350563071695707. 351864711695712/350563071695715. 351864711695720/35056307169
5723. 351864711695738/350563071695731. 351864711695886/350563071695889. 351864711695902/350563071695905. 351864711695928/35056307
1695921. 351864711695944/350563071695947. 351864711695977/350563071695970. 351864711697866/350563071697869. 351864711697874/35056
3071697877. 351864711697882/350563071697885. 351864711697890/350563071697893. 351864711697908/350563071697901. 351864711697916/35
0563071697919. 351864711697924/350563071697927. 351864711697932/350563071697935. 351864711697940/350563071697943. 351864711697957
/350563071697950.351864711697965/350563071697968. 351864711697973/350563071697976. 351864711697999/350563071697992. 3518647116980
05/350563071698008. 351864711698013/350563071698016. 351864711698039/350563071698032. 351864711698047/350563071698040. 3518647116
98054/350563071698057. 351864711698062/350563071698065. 351864711698070/350563071698073. 351864711698088/350563071698081. 3518647
11698096/350563071698099. 351864711698104/350563071698107. 351864711698112/350563071698115. 351864711698120/350563071698123. 3518
64711698146/350563071698149. 351864711698153/350563071698156.351864711734875/350563071734878. 351864711734883/350563071734886. 35
1864711734909/350563071734902. 351864711734917/350563071734910. 351864711734925/350563071734928. 351864711734933/350563071734936.
351864711734941/350563071734944. 351864711734958/350563071734951. 351864711734966/350563071734969. 351864711734974/3505630717349
77. 351864711734982/350563071734985. 351864711734990/350563071734993. 351864711735005/350563071735008. 351864711735013/3505630717
35016. 351864711735021/350563071735024. 351864711735039/350563071735032. 351864711735047/350563071735040. 351864711735054/3505630
71735057. 351864711735062/350563071735065. 351864711735070/350563071735073. 351864711735088/350563071735081. 351864711735096/3505
63071735099. 351864711735104/350563071735107. 351864711735112/350563071735115. 351864711735120/350563071735123. 351864711735138/3
50563071735131. 351864711735146/350563071735149. 351864711735153/350563071735156. 351864711735161/350563071735164. 35186471173517
9/350563071735172. 351864711735195/350563071735198. 351864711735203/350563071735206. 351864711735211/350563071735214. 35186471173
5229/350563071735222. 351864711735237/350563071735230. 351864711735252/350563071735255. 351864711735260/350563071735263. 35186471
1735278/350563071735271. 351864711735286/350563071735289. 351864711735294/350563071735297. 351864711735302/350563071735305. 35186
4711735310/350563071735313. 351864711735336/350563071735339. 351864711735344/350563071735347. 351864711735351/350563071735354. 35
1864711735369/350563071735362. 351864711735377/350563071735370. 351864711735385/350563071735388. 351864711735393/350563071735396.
351864711735401/350563071735404. 351864711735419/350563071735412. 351864711735427/350563071735420. 351864711735435/3505630717354
38.351864711735443/350563071735446. 351864711735450/350563071735453. 351864711735468/350563071735461. 351864711735476/35056307173
5479. 351864711735492/350563071735495. 351864711735500/350563071735503. 351864711735518/350563071735511. 351864711735526/35056307
1735529. 351864711735534/350563071735537. 351864711735542/350563071735545. 351864711735559/350563071735552. 351864711735567/35056
3071735560. 351864711735575/350563071735578. 351864711735583/350563071735586. 351864711735591/350563071735594. 351864711735609/35
0563071735602. 351864711735617/350563071735610.351864711735625/350563071735628. 351864711735633/350563071735636. 351864711735641/
350563071735644. 351864711735658/350563071735651. 351864711735666/350563071735669. 351864711735674/350563071735677. 3518647117357
08/350563071735701. 351864711735716/350563071735719. 351864711735724/350563071735727. 351864711735732/350563071735735. 3518647117
35740/350563071735743. 351864711735757/350563071735750. 351864711735765/350563071735768. 351864711735773/350563071735776. 3518647
11735781/350563071735784. 351864711735799/350563071735792. 351864711735807/350563071735800. 351864711735831/350563071735834. 3518
64711735849/350563071735842. 351864711735856/350563071735859. 351864711735864/350563071735867. 351864711642227/350563071642220. 3
51864711642235/350563071642238. 351864711642243/350563071642246. 351864711678361/350563071678364. 351864711678445/350563071678448
. 351864711678494/350563071678497. 351864711685408/350563071685401. 351864711685416/350563071685419. 351864711685432/350563071685
032024000138836-2
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000138836-2 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
435. 351864711685457/350563071685450. 351864711685473/350563071685476. 351864711690713/350563071690716. 351864711690721/350563071
690724. 351864711690739/350563071690732. 351864711690747/350563071690740. 351864711690754/350563071690757. 351864711690762/350563
071690765. 351864711690770/350563071690773. 351864711690788/350563071690781. 351864711690796/350563071690799. 351864711690804/350
563071690807. 351864711690812/350563071690815. 351864711690820/350563071690823. 351864711690838/350563071690831. 351864711690846/
350563071690849. 351864711690853/350563071690856. 351864711690861/350563071690864. 351864711690879/350563071690872. 3518647116908
87/350563071690880. 351864711690895/350563071690898. 351864711690903/350563071690906. 351864711690911/350563071690914.35186471169
0929/350563071690922. 351864711690937/350563071690930. 351864711690945/350563071690948. 351864711690952/350563071690955. 35186471
1690960/350563071690963. 351864711690978/350563071690971. 351864711690986/350563071690989. 351864711690994/350563071690997. 35186
4711691000/350563071691003. 351864711691018/350563071691011. 351864711691026/350563071691029. 351864711691042/350563071691045. 35
1864711691059/350563071691052. 351864711691067/350563071691060. 351864711691075/350563071691078. 351864711691083/350563071691086.
351864711691091/350563071691094.351864711691109/350563071691102. 351864711691117/350563071691110. 351864711691125/35056307169112
8. 351864711691133/350563071691136. 351864711691141/350563071691144. 351864711691158/350563071691151. 351864711691166/35056307169
1169. 351864711691174/350563071691177. 351864711691182/350563071691185. 351864711691190/350563071691193. 351864711691208/35056307
1691201. 351864711691216/350563071691219. 351864711691224/350563071691227. 351864711691232/350563071691235. 351864711691240/35056
3071691243. 351864711691257/350563071691250. 351864711691265/350563071691268. 351864711691273/350563071691276. 351864711691281/35
0563071691284. 351864711691299/350563071691292. 351864711691307/350563071691300. 351864711691315/350563071691318. 351864711691323
/350563071691326. 351864711691331/350563071691334. 351864711691349/350563071691342. 351864711691356/350563071691359. 351864711691
364/350563071691367. 351864711691372/350563071691375. 351864711691380/350563071691383. 351864711691398/350563071691391. 351864711
691406/350563071691409. 351864711691414/350563071691417. 351864711691422/350563071691425. 351864711691430/350563071691433. 351864
711691448/350563071691441. 351864711691455/350563071691458. 351864711691463/350563071691466. 351864711691471/350563071691474. 351
864711691489/350563071691482. 351864711373518/350563071373511. 351864711373526/350563071373529. 351864711373534/350563071373537.
351864711373542/350563071373545. 351864711373559/350563071373552. 351864711373567/350563071373560. 351864711373583/35056307137358
6. 351864711373609/350563071373602. 351864711373617/350563071373610. 351864711373625/350563071373628. 351864711373633/35056307137
3636. 351864711373641/350563071373644. 351864711373658/350563071373651. 351864711373666/350563071373669.351864711373674/350563071
373677. 351864711373682/350563071373685. 351864711373690/350563071373693. 351864711373708/350563071373701. 351864711373716/350563
071373719. 351864711373724/350563071373727. 351864711373732/350563071373735. 351864711373740/350563071373743. 351864711373765/350
563071373768. 351864711373773/350563071373776. 351864711552046/350563071552049. 351864711552079/350563071552072. 351864711552095/
350563071552098. 351864711552111/350563071552114. 351864711552764/350563071552767. 351864711575260/350563071575263. 3518647116420
60/350563071642063.351864711642078/350563071642071. 351864711642086/350563071642089. 351864711642094/350563071642097. 35186471164
2102/350563071642105. 351864711642110/350563071642113. 351864711642128/350563071642121. 351864711642144/350563071642147. 35186471
1642151/350563071642154. 351864711642177/350563071642170. 351864711642185/350563071642188. 351864711642193/350563071642196. 35186
4711642201/350563071642204. 351864711642219/350563071642212. 351864711691497/350563071691490. 351864711691505/350563071691508. 35
1864711691513/350563071691516. 351864711691521/350563071691524. 351864711691539/350563071691532. 351864711691547/350563071691540.
351864711691554/350563071691557. 351864711691562/350563071691565. 351864711691570/350563071691573. 351864711691588/3505630716915
81. 351864711691596/350563071691599. 351864711691604/350563071691607. 351864711691612/350563071691615. 351864711691620/3505630716
91623. 351864711691638/350563071691631. 351864711691646/350563071691649. 351864711691653/350563071691656. 351864711691661/3505630
71691664. 351864711691679/350563071691672. 351864711691687/350563071691680. 351864711691695/350563071691698. 351864711691703/3505
63071691706. 351864711691711/350563071691714. 351864711691729/350563071691722. 351864711691737/350563071691730. 351864711691745/3
50563071691748. 351864711691752/350563071691755. 351864711691760/350563071691763. 351864711691778/350563071691771. 35186471169178
6/350563071691789. 351864711691794/350563071691797. 351864711691802/350563071691805. 351864711691810/350563071691813. 35186471169
1836/350563071691839. 351864711691851/350563071691854. 351864711691869/350563071691862. 351864711691877/350563071691870. 35186471
1691885/350563071691888. 351864711691893/350563071691896. 351864711691901/350563071691904.351864711691919/350563071691912. 351864
711691927/350563071691920. 351864711691935/350563071691938. 351864711691943/350563071691946. 351864711691950/350563071691953. 351
864711691968/350563071691961. 351864711691976/350563071691979. 351864711691984/350563071691987. 351864711691992/350563071691995.
351864711692008/350563071692001. 351864711692016/350563071692019. 351864711692024/350563071692027. 351864711692032/35056307169203
5. 351864711692040/350563071692043. 351864711692057/350563071692050. 351864711692065/350563071692068. 351864711692073/35056307169
2076.351864711692081/350563071692084. 351864711692099/350563071692092. 351864711692107/350563071692100. 351864711692115/350563071
692118. 351864711692123/350563071692126. 351864711692131/350563071692134. 351864711692149/350563071692142. 351864711692156/350563
071692159. 351864711692164/350563071692167. 351864711692172/350563071692175. 351864711692180/350563071692183. 351864711692198/350
563071692191. 351864711692206/350563071692209. 351864711692214/350563071692217. 351864711692222/350563071692225. 351864711692230/
350563071692233. 351864711692248/350563071692241. 351864711692255/350563071692258. 351864711692263/350563071692266. 3518647116922
71/350563071692274. 351864711692289/350563071692282. 351864711692297/350563071692290. 351864711692305/350563071692308. 3518647116
92313/350563071692316. 351864711692321/350563071692324. 351864711692339/350563071692332. 351864711692347/350563071692340. 3518647
11692354/350563071692357. 351864711692362/350563071692365. 351864711692370/350563071692373. 351864711692388/350563071692381XXXXXX
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032024000138836-2
Espacio para uso exclusivo de la Entidad Recaudadora
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