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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
032024000180957-2
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 Anticipada 3 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. 116575014141335 2024 – 02 – 09 No. KHAN24025353 2024 – 02 – 03
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 9102326669 2024 – 02 – 02 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.
3.889.05
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 117.76 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
128.00
400.00
78 .Valor FOB USD
60.649.95 80 . Valor Seguros
79 . Valor fletes USD
81 . Valor Otros Gastos USD
970.24
0
USD
2.98
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
Arancel
92 93 94 95 96
0.00 239.655.589 0 0 0.00
I.V.A.
9798 99 100 101
0.00 239.655.589 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
973.22
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
61.623.17
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: 506520-DECL: 1762898-DO: 893102745241- 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: 3058181844. ID CONTENED
OR: 6073969520. 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 032024000180957
No hay declaración posterior
133. Feha: 202402 07
134 . Levante No. 032024000191035 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 02 – 12
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 92032400997577
Fecha presentación 2024-02-07 17:53:27 Valor pagado $0.00
Fecha de Impresión: 2024-02-12 13:30:06
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000180957-2 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: 353038370679212/358227700679217. 353
038370679220/358227700679225. 353038370679238/358227700679233. 353038370679246/358227700679241. 353038370679261/358227700679266.
353038370679287/358227700679282. 353038370679295/358227700679290. 353038370679303/358227700679308. 353038370679311/35822770067931
6. 353038370679329/358227700679324. 353038370679337/358227700679332. 353038370679345/358227700679340. 353038370679352/35822770067
9357. 353038370679378/358227700679373. 353038370679386/358227700679381. 353038370679394/358227700679399. 353038370679436/35822770
0679431. 353038370679535/358227700679530. 353038370679618/358227700679613. 353038370679642/358227700679647. 353038370679782/35822
7700679787. 353038370679907/358227700679902. 353038370679931/358227700679936. 353038370679980/358227700679985. 353038370679998/35
8227700679993. 353038370680012/358227700680017. 353038370680046/358227700680041. 353038370 680145/358227700680140. 35303837068015
2/358227700680157. 353038370680384/358227700680389. 353038370680392/358227700680397. 353038370680418/358227700680413. 35303837068
0491/358227700680496. 353038370680509/358227700680504. 353038370680525/358227700680520. 353038370680574/358227700680579. 35303837
0680632/358227700680637. 353038370680657/358227700680652. 353038370680673/358227700680678. 353038370680723/358227700680728.353038
370681358/358227700681353. 353038370681655/358227700681650. 353038370681739/358227700681734. 353038370681978/358227700681973. 353
038370682059/358227700682054. 353038370682117/358227700682112. 353038370682125/358227700682120. 353038370682133/358227700682138.
353038370682141/358227700682146. 353038370682158/358227700682153. 353038370682182/358227700682187. 353038370682232/35822770068223
7. 353038370682794/358227700682799. 353038370682802/358227700682807. 353038370682844/358227700682849. 353038370683644/35822770068
3649. 353038370683651/358227700683656.353038370683701/358227700683706. 353038370683719/358227700683714. 353038370683727/358227700
683722. 353038370683743/358227700683748. 353038370683750/358227700683755. 353038370683776/358227700683771. 353038370683784/358227
700683789. 353038370683800/358227700683805. 353038370683818/358227700683813. 353038370683826/358227700683821. 353038370683834/358
227700683839. 353038370683859/358227700683854. 353038370683867/358227700683862. 353038370683875/358227700683870. 353038370683883/
358227700683888. 353038370683891/358227700683896. 353038370683909/358227700683904. 353038370683925/358227700683920. 3530383706839
33/358227700683938. 353038370683941/358227700683946. 353038370683958/358227700683953. 353038370683974/358227700683979. 3530383706
83982/358227700683987. 353038370683990/358227700683995. 353038370684006/358227700684001. 353038370684014/358227700684019. 3530383
70684030/358227700684035. 353038370684055/358227700684050. 353038370684121/358227700684126. 353038370684196/358227700684191. 3530
38370684204/358227700684209. 353038370700844/358227700700849. 353038370700869/358227700700864. 353038370700877/358227700700872. 3
53038370700893/358227700700898. 353038370700901/358227700700906. 353038370700950/358227700700955. 353038370700976/358227700700971
. 353038370700992/358227700700997. 353038370701032/358227700701037. 353038370701040/358227700701045. 353038370701131/358227700701
136. 353038370701206/358227700701201. 353038370701222/358227700701227. 353038370701263/358227700701268. 353038370701297/358227700
701292. 353038370701354/358227700701359. 353038370701479/358227700701474. 353038370701735/358227700701730. 353038370702113/358227
700702118. 353038370702170/358227700702175. 353038370702246/358227700702241. 353038370702261/358227700702266.353038370702626/3582
27700702621. 353038370702642/358227700702647. 353038370702790/358227700702795. 353038370702915/358227700702910. 353038370702956/3
58227700702951. 353038370703038/358227700703033. 353038370703095/358227700703090. 353038370703210/358227700703215. 35303837070323
6/358227700703231. 353038370703459/358227700703454. 353038370703558/358227700703553. 353038370703616/358227700703611. 35303837070
3772/358227700703777. 353038370703780/358227700703785. 353038370703798/358227700703793. 353038370703814/358227700703819. 35303837
0703830/358227700703835.353038370703848/358227700703843. 353038370703889/358227700703884. 353038370703905/358227700703900. 353038
370703970/358227700703975. 353038370703988/358227700703983. 353038370704002/358227700704007. 353038370705405/358227700705400. 353
038370705447/358227700705442. 353038370705462/358227700705467. 353038370684212/358227700684217. 353038370684220/358227700684225.
353038370684238/358227700684233. 353038370684246/358227700684241. 353038370684253/358227700684258. 353038370684261/35822770068426
6. 353038370684279/358227700684274. 353038370684287/358227700684282. 353038370684303/358227700684308. 353038370684311/35822770068
4316. 353038370684329/358227700684324. 353038370684337/358227700684332. 353038370684345/358227700684340. 353038370684352/35822770
0684357. 353038370684360/358227700684365. 353038370684378/358227700684373. 353038370684386/358227700684381. 353038370684410/35822
7700684415. 353038370684436/358227700684431. 353038370684493/358227700684498. 353038370684501/358227700684506. 353038370684709/35
8227700684704. 353038370684733/358227700684738. 353038370684741/358227700684746. 353038370684758/358227700684753. 353038370684766
/358227700684761. 353038370684790/358227700684795. 353038370684808/358227700684803. 353038370684816/358227700684811. 353038370684
824/358227700684829. 353038370684832/358227700684837. 353038370684865/358227700684860. 353038370684873/358227700684878. 353038370
684881/358227700684886. 353038370684899/358227700684894. 353038370684907/358227700684902. 353038370684915/358227700684910. 353038
370684949/358227700684944. 353038370684980/358227700684985. 353038370684998/358227700684993. 353038370685011/358227700685016. 353
038370685029/358227700685024. 353038370685037/358227700685032. 353038370685045/358227700685040.353038370688791/358227700688796. 3
53038370688809/358227700688804. 353038370688817/358227700688812. 353038370688825/358227700688820. 353038370688833/358227700688838
. 353038370688841/358227700688846. 353038370688866/358227700688861. 353038370688874/358227700688879. 353038370688890/358227700688
895. 353038370688908/358227700688903. 353038370688916/358227700688911. 353038370688924/358227700688929. 353038370688932/358227700
688937. 353038370688940/358227700688945. 353038370688965/358227700688960. 353038370688981/358227700688986. 353038370688999/358227
700688994.353038370689005/358227700689000. 353038370689013/358227700689018. 353038370689047/358227700689042. 353038370689062/3582
27700689067. 353038370689088/358227700689083. 353038370689120/358227700689125. 353038370689138/358227700689133. 353038370689146/3
58227700689141. 353038370689153/358227700689158. 353038370689161/358227700689166. 353038370689179/358227700689174. 35303837068918
7/358227700689182. 353038370689195/358227700689190. 353038370689203/358227700689208. 353038370689211/358227700689216. 35303837068
9229/358227700689224. 353038370689245/358227700689240. 353038370689252/358227700689257. 353038370689260/358227700689265. 35303837
0689278/358227700689273. 353038370689286/358227700689281. 353038370689294/358227700689299. 353038370689310/358227700689315. 35303
8370689351/358227700689356. 353038370689385/358227700689380. 353038370689393/358227700689398. 353038370689419/358227700689414. 35
3038370685052/358227700685057. 353038370685060/358227700685065. 353038370685078/358227700685073. 353038370685086/358227700685081.
353038370685094/358227700685099. 353038370685102/358227700685107. 353038370685110/358227700685115. 353038370685128/3582277006851
23. 353038370685136/358227700685131. 353038370685144/358227700685149. 353038370685151/358227700685156. 353038370685169/3582277006
85164. 353038370685177/358227700685172. 353038370685185/358227700685180. 353038370685193/358227700685198. 353038370686175/3582277
00686170. 353038370686183/358227700686188. 353038370686225/358227700686220. 353038370686233/358227700686238. 353038370686316/3582
27700686311. 353038370686365/358227700686360. 353038370686407/358227700686402. 353038370686431/358227700686436. 353038370686514/3
58227700686519. 353038370687348/358227700687343. 353038370687785/358227700687780.353038370688551/358227700688556. 353038370688585
/358227700688580. 353038370688593/358227700688598. 353038370688627/358227700688622. 353038370688635/358227700688630. 353038370688
643/358227700688648. 353038370688650/358227700688655. 353038370688676/358227700688671. 353038370688684/358227700688689. 353038370
688692/358227700688697. 353038370688700/358227700688705. 353038370688718/358227700688713. 353038370688726/358227700688721. 353038
370688742/358227700688747. 353038370688759/358227700688754. 353038370688767/358227700688762. 353038370688775/358227700688770.3530
38370688783/358227700688788. 353038370689526/358227700689521. 353038370689534/358227700689539. 353038370689575/358227700689570. 3
53038370689666/358227700689661. 353038370690151/358227700690156. 353038370690201/358227700690206. 353038370690235/358227700690230
. 353038370690300/358227700690305. 353038370690623/358227700690628. 353038370690763/358227700690768. 353038370690771/358227700690
776. 353038370690862/358227700690867. 353038370690888/358227700690883. 353038370690904/358227700690909. 353038370690920/358227700
690925. 353038370691282/358227700691287. 353038370691340/358227700691345. 353038370691662/358227700691667. 353038370691753/358227
700691758. 353038370691779/358227700691774. 353038370691894/358227700691899. 353038370691944/358227700691949. 353038370691951/358
032024000180957-2
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000180957-2 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
227700691956. 353038370691969/358227700691964. 353038370691985/358227700691980. 353038370692009/358227700692004. 353038370692058/
358227700692053. 353038370692082/358227700692087. 353038370692124/358227700692129. 353038370693031/358227700693036. 3530383706932
62/358227700693267. 353038370693411/358227700693416. 353038370693742/358227700693747. 353038370693759/358227700693754. 3530383706
93767/358227700693762. 353038370693775/358227700693770. 353038370693791/358227700693796. 353038370693809/358227700693804. 3530383
70693817/358227700693812. 353038370693825/358227700693820. 353038370693833/358227700693838. 353038370693841/358227700693846. 3530
38370693858/358227700693853. 353038370693866/358227700693861. 353038370693882/358227700693887. 353038370693890/358227700693895. 3
53038370693908/358227700693903. 353038370693924/358227700693929. 353038370693932/358227700693937. 353038370693940/358227700693945
. 353038370693973/358227700693978. 353038370693981/358227700693986.353038370693999/358227700693994. 353038370694005/3582277006940
00. 353038370694013/358227700694018. 353038370694021/358227700694026. 353038370694039/358227700694034. 353038370694047/3582277006
94042. 353038370694054/358227700694059. 353038370694062/358227700694067. 353038370694070/358227700694075. 353038370694138/3582277
00694133. 353038370696349/358227700696344. 353038370696638/358227700696633. 353038370696679/358227700696674. 353038370696711/3582
27700696716. 353038370696901/358227700696906. 353038370697065/358227700697060. 353038370697313/358227700697318.353038370697610/35
8227700697615. 353038370697883/358227700697888. 353038370697891/358227700697896. 353038370698139/358227700698134. 353038370698378
/358227700698373. 353038370698477/358227700698472. 353038370698485/358227700698480. 353038370698493/358227700698498. 353038370698
543/358227700698548. 353038370698550/358227700698555. 353038370698584/358227700698589. 353038370699483/358227700699488. 353038370
700067/358227700700062. 353038370700448/358227700700443. 353038370700513/358227700700518. 353038370700596/358227700700591. 353038
370700786/358227700700781. 353038370700802/358227700700807. 353038370700836/358227700700831. 353038370631874/358227700631879. 353
038370632385/358227700632380. 353038370632617/358227700632612. 353038370673942/358227700673947. 353038370674015/358227700674010.
353038370675079/358227700675074. 353038370675087/358227700675082. 353038370675236/358227700675231. 353038370675582/35822770067558
7. 353038370676630/358227700676635. 353038370676648/358227700676643. 353038370676671/358227700676676. 353038370677141/35822770067
7146. 353038370677182/358227700677187. 353038370677208/358227700677203. 353038370677224/358227700677229. 353038370677232/35822770
0677237. 353038370677240/358227700677245. 353038370677299/358227700677294. 353038370677323/358227700677328. 353038370677331/35822
7700677336. 353038370677646/358227700677641. 353038370677711/358227700677716. 353038370677893/358227700677898. 353038370677950/35
8227700677955. 353038370678099/358227700678094. 353038370678115/358227700678110. 353038370678156/358227700678151. 353038370678271
/358227700678276. 353038370678628/358227700678623. 353038370678776/358227700678771. 353038370678784/358227700678789. 353038370678
891/358227700678896. 353038370678933/358227700678938.353038370678974/358227700678979. 353038370679022/358227700679027. 3530383706
79055/358227700679050. 353038370679105/358227700679100. 353038370679147/358227700679142. 353038370679154/358227700679159. 3530383
70679170/358227700679175. 353038370679188/358227700679183. 353038370679196/358227700679191. 353038370679204/358227700679209XXXXXX
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032024000180957-2
Espacio para uso exclusivo de la Entidad Recaudadora
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