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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
032024000208844-2
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. 116575014148128 2024 – 02 – 11 No. KHAN24025551 2024 – 02 – 08
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 9102338675 2024 – 02 – 06 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.
3.954.68
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 117.30 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
127.50
400.00
78 .Valor FOB USD
59.631.12 80 . Valor Seguros
79 . Valor fletes USD
81 . Valor Otros Gastos USD
966.45
0
USD
2.93
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
Arancel
92 93 94 95 96
0.00 239.655.585 0 0 0.00
I.V.A.
9798 99 100 101
0.00 239.655.585 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
969.38
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
60.600.50
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: 507121-DECL: 1764349-DO: 893103089241- 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
RESOLUCIÓN 5050 DEL 10 DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOM
OLOGACIÓN) // NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION.SAMSUNG ELECTRONICS COLOMB
IA S.A. OEA COD. OE0001. . PEDIDOS: 3058678231. ID CONTENEDOR: 6074044110. MERCANCIA MARCA: SAMSUNG REFERENCIA:SM-A155MZKILTC, PR
ODUCTO: TELEFONO CELULAR GALAXY A15 5G DUOS, (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGR(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 032024000208844
No hay declaración posterior
133. Feha: 202402 13
134 . Levante No. 032024000198294 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 02 – 13
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 92032401143966
Fecha presentación 2024-02-13 14:27:07 Valor pagado $0.00
Fecha de Impresión: 2024-02-13 14:27:44
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000208844-2 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
O, MODELO: SM-A155M/DSN, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A155M/DSN,BLACK,LTC( QTY. 400,00 u )(400,00
PCE); IMEIS: 353038370710629/358227700710624. 353038370710637/358227700710632. 353038370710645/358227700710640. 353038370710652/
358227700710657. 353038370710678/358227700710673. 353038370710686/358227700710681. 353038370710694/358227700710699. 3530383707107
02/358227700710707. 353038370710744/358227700710749. 353038370710751/358227700710756. 353038370710769/358227700710764.35303837071
0777/358227700710772. 353038370710785/358227700710780. 353038370710793/358227700710798. 353038370710819/358227700710814. 35303837
0710850/358227700710855. 353038370710868/358227700710863. 353038370711007/358227700711002. 353038370711049/358227700711044. 35303
8370711056/358227700711051. 353038370711072/358227700711077. 353038370711106/358227700711101. 353038370711114/358227700711119. 35
3038370711122/358227700711127. 353038370711130/358227700711135. 353038370711148/35822770071 1143. 353038370711221/358227700711226
. 353038370713359/358227700713354. 353038370713995/358227700713990. 353038370714175/358227700714170. 353038370714183/358227700714
188. 353038370714191/358227700714196. 353038370718085/358227700718080. 353038370718093/358227700718098. 353038370718101/358227700
718106. 353038370718119/358227700718114. 353038370718184/358227700718189. 353038370718200/358227700718205. 353038370718226/358227
700718221. 353038370718234/358227700718239. 353038370718242/358227700718247. 353038370718259/358227700718254. 353038370718267/358
227700718262. 353038370718275/358227700718270. 353038370718341/358227700718346. 353038370718358/358227700718353. 353038370718390/
358227700718395. 353038370718424/358227700718429. 353038370718481/358227700718486. 353038370718499/358227700718494. 3530383707185
31/358227700718536. 353038370718580/358227700718585. 353038370718598/358227700718593. 353038370718606/358227700718601. 3530383707
18648/358227700718643. 353038370718655/358227700718650. 353038370718663/358227700718668. 353038370718671/358227700718676. 3530383
70718689/358227700718684. 353038370718705/358227700718700. 353038370718721/358227700718726. 353038370718739/358227700718734. 3530
38370718762/358227700718767. 353038370718838/358227700718833.353038370720099/358227700720094. 353038370720222/358227700720227. 35
3038370721105/358227700721100. 353038370721113/358227700721118. 353038370721154/358227700721159. 353038370721170/358227700721175.
353038370721188/358227700721183. 353038370721212/358227700721217. 353038370721220/358227700721225. 353038370721238/3582277007212
33. 353038370721246/358227700721241. 353038370721253/358227700721258. 353038370721261/358227700721266. 353038370721287/3582277007
21282. 353038370721295/358227700721290. 353038370721303/358227700721308. 353038370721311/358227700721316.353038370721329/35822770
0721324. 353038370721352/358227700721357. 353038370721378/358227700721373. 353038370721394/358227700721399. 353038370721402/35822
7700721407. 353038370721410/358227700721415. 353038370721428/358227700721423. 353038370721444/358227700721449. 353038370721451/35
8227700721456. 353038370721469/358227700721464. 353038370721485/358227700721480. 353038370721568/358227700721563. 353038370721576
/358227700721571. 353038370721592/358227700721597. 353038370721618/358227700721613. 353038370721634/358227700721639. 353038370721
717/358227700721712. 353038370721725/358227700721720. 353038370721741/358227700721746. 353038370721774/358227700721779. 353038370
721790/358227700721795. 353038370721808/358227700721803. 353038370721824/358227700721829. 353038370721865/358227700721860. 353038
370721873/358227700721878. 353038370721881/358227700721886. 353038370721931/358227700721936. 353038370721980/358227700721985. 353
038370722004/358227700722009. 353038370722038/358227700722033. 353038370722061/358227700722066. 353038370722087/358227700722082.
353038370722137/358227700722132. 353038370722145/358227700722140. 353038370722152/358227700722157. 353038370722160/35822770072216
5. 353038370722194/358227700722199. 353038370722202/358227700722207. 353038370722210/358227700722215. 353038370722236/35822770072
2231. 353038370722244/358227700722249. 353038370722269/358227700722264. 353038370722277/358227700722272. 353038370722301/35822770
0722306. 353038370722343/358227700722348. 353038370722384/358227700722389. 353038370722392/358227700722397. 353038370722525/35822
7700722520. 353038370722533/358227700722538. 353038370722558/358227700722553. 353038370722608/358227700722603. 353038370722616/35
8227700722611. 353038370722624/358227700722629.353038370722657/358227700722652. 353038370722673/358227700722678. 353038370722707/
358227700722702. 353038370722715/358227700722710. 353038370722723/358227700722728. 353038370722749/358227700722744. 3530383707227
56/358227700722751. 353038370722764/358227700722769. 353038370722772/358227700722777. 353038370722814/358227700722819. 3530383707
22822/358227700722827. 353038370722855/358227700722850. 353038370722897/358227700722892. 353038370722970/358227700722975. 3530383
70723010/358227700723015. 353038370723036/358227700723031. 353038370723077/358227700723072.353038370723119/358227700723114. 35303
8370723127/358227700723122. 353038370723135/358227700723130. 353038370723143/358227700723148. 353038370723168/358227700723163. 35
3038370723176/358227700723171. 353038370723283/358227700723288. 353038370723440/358227700723445. 353038370723473/358227700723478.
353038370723507/358227700723502. 353038370723531/358227700723536. 353038370723549/358227700723544. 353038370723556/3582277007235
51. 353038370723564/358227700723569. 353038370723598/358227700723593. 353038370723606/358227700723601. 353038370723622/3582277007
23627. 353038370723648/358227700723643. 353038370723655/358227700723650. 353038370723663/358227700723668. 353038370723689/3582277
00723684. 353038370724125/358227700724120. 353038370724174/358227700724179. 353038370724190/358227700724195. 353038370724232/3582
27700724237. 353038370724315/358227700724310. 353038370724414/358227700724419. 353038370724455/358227700724450. 353038370724513/3
58227700724518. 353038370725197/358227700725192. 353038370726005/358227700726000. 353038370726021/358227700726026. 35303837072609
6/358227700726091. 353038370727128/358227700727123. 353038370727169/358227700727164. 353038370727508/358227700727503. 35303837072
7516/358227700727511. 353038370727540/358227700727545. 353038370727599/358227700727594. 353038370727631/358227700727636. 35303837
0727714/358227700727719. 353038370727722/358227700727727. 353038370727789/358227700727784. 353038370727797/358227700727792. 35303
8370727912/358227700727917. 353038370727946/358227700727941. 353038370727961/358227700727966. 353038370727987/358227700727982. 35
3038370728019/358227700728014. 353038370728027/358227700728022. 353038370728076/358227700728071. 353038370728605/358227700728600.
353038370729322/358227700729327.353038370729405/358227700729400. 353038370729470/358227700729475. 353038370729488/35822770072948
3. 353038370729793/358227700729798. 353038370729876/358227700729871. 353038370729926/358227700729921. 353038370730007/35822770073
0002. 353038370730023/358227700730028. 353038370730049/358227700730044. 353038370730064/358227700730069. 353038370730098/35822770
0730093. 353038370730106/358227700730101. 353038370730114/358227700730119. 353038370730122/358227700730127. 353038370730130/35822
7700730135. 353038370730148/358227700730143. 353038370738935/358227700738930.353038370738943/358227700738948. 353038370738950/358
227700738955. 353038370738968/358227700738963. 353038370738976/358227700738971. 353038370738992/358227700738997. 353038370739032/
358227700739037. 353038370739081/358227700739086. 353038370739156/358227700739151. 353038370739206/358227700739201. 3530383707392
22/358227700739227. 353038370739321/358227700739326. 353038370739354/358227700739359. 353038370739370/358227700739375. 3530383707
39388/358227700739383. 353038370739511/358227700739516. 353038370739628/358227700739623. 353038370739636/358227700739631. 3530383
70739685/358227700739680. 353038370739727/358227700739722. 353038370739859/358227700739854. 353038370739982/358227700739987. 3530
38370740030/358227700740035. 353038370740055/358227700740050. 353038370740162/358227700740167. 353038370740279/358227700740274. 3
53038370740378/358227700740373. 353038370740428/358227700740423. 353038370740501/358227700740506. 353038370740584/358227700740589
. 353038370740600/358227700740605. 353038370740618/358227700740613. 353038370740626/358227700740621. 353038370740634/358227700740
639. 353038370740642/358227700740647. 353038370740667/358227700740662. 353038370740691/358227700740696. 353038370740717/358227700
740712. 353038370740741/358227700740746. 353038370740766/358227700740761. 353038370740782/358227700740787. 353038370740790/358227
700740795. 353038370740808/358227700740803. 353038370740840/358227700740845. 353038370730171/358227700730176. 353038370730189/358
227700730184. 353038370730205/358227700730200. 353038370730213/358227700730218. 353038370730239/358227700730234. 353038370730254/
358227700730259. 353038370730270/358227700730275. 353038370730288/358227700730283. 353038370730296/358227700730291. 3530383707303
38/358227700730333.353038370730353/358227700730358. 353038370730361/358227700730366. 353038370730395/358227700730390. 35303837073
0411/358227700730416. 353038370730445/358227700730440. 353038370730478/358227700730473. 353038370730627/358227700730622. 35303837
0730643/358227700730648. 353038370731005/358227700731000. 353038370731203/358227700731208. 353038370731237/358227700731232. 35303
8370731260/358227700731265. 353038370731476/358227700731471. 353038370731799/358227700731794. 353038370731823/358227700731828. 35
032024000208844-2
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000208844-2 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
3038370731856/358227700731851. 353038370731880/358227700731885.353038370731922/358227700731927. 353038370732268/358227700732263.
353038370733076/358227700733071. 353038370733118/358227700733113. 353038370733126/358227700733121. 353038370733134/35822770073313
9. 353038370733167/358227700733162. 353038370733241/358227700733246. 353038370733332/358227700733337. 353038370733373/35822770073
3378. 353038370733415/358227700733410. 353038370733423/358227700733428. 353038370733621/358227700733626. 353038370733688/35822770
0733683. 353038370733720/358227700733725. 353038370734223/358227700734228. 353038370734363/358227700734368. 353038370740865/35822
7700740860. 353038370740915/358227700740910. 353038370740972/358227700740977. 353038370741046/358227700741041. 353038370734579/35
8227700734574. 353038370734603/358227700734608. 353038370734694/358227700734699. 353038370735055/358227700735050. 353038370735667
/358227700735662. 353038370735717/358227700735712. 353038370735881/358227700735886. 353038370736137/358227700736132. 353038370736
160/358227700736165. 353038370736194/358227700736199. 353038370736236/358227700736231. 353038370736244/358227700736249. 353038370
736251/358227700736256. 353038370736350/358227700736355. 353038370736368/358227700736363. 353038370737325/358227700737320. 353038
370737333/358227700737338. 353038370737457/358227700737452. 353038370737598/358227700737593. 353038370737648/358227700737643. 353
038370737804/358227700737809. 353038370738133/358227700738138. 353038370738240/358227700738245. 353038370738265/358227700738260.
353038370738380/358227700738385. 353038370738414/358227700738419. 353038370738463/358227700738468. 353038370738513/35822770073851
8. 353038370738521/358227700738526. 353038370738547/358227700738542. 353038370738554/358227700738559. 353038370738620/35822770073
8625.353038370738646/358227700738641. 353038370738737/358227700738732. 353038370738786/358227700738781. 353038370738802/358227700
738807. 353038370738844/358227700738849. 353038370738851/358227700738856. 353038370738869/358227700738864. 353038370738877/358227
700738872. 353038370738885/358227700738880. 353038370738901/358227700738906. 353038370738919/358227700738914. 353038370738927/358
227700738922. 353038370667027/358227700667022. 353038370706577/358227700706572. 353038370709001/358227700709006. 353038370709027/
358227700709022. 353038370709068/358227700709063.353038370709100/358227700709105. 353038370709118/358227700709113. 35303837070914
2/358227700709147. 353038370709159/358227700709154. 353038370709175/358227700709170. 353038370709183/358227700709188. 35303837070
9191/358227700709196. 353038370709241/358227700709246. 353038370709258/358227700709253. 353038370709357/358227700709352. 35303837
0709472/358227700709477. 353038370709506/358227700709501. 353038370709514/358227700709519. 353038370709522/358227700709527. 35303
8370709589/358227700709584. 353038370709662/358227700709667. 353038370709779/358227700709774. 353038370709795/358227700709790. 35
3038370709829/358227700709824. 353038370710256/358227700710251. 353038370710280/358227700710285. 353038370710314/358227700710319.
353038370710348/358227700710343. 353038370710363/358227700710368. 353038370710371/358227700710376. 353038370710389/3582277007103
84. 353038370710421/358227700710426. 353038370710439/358227700710434. 353038370710454/358227700710459. 353038370710462/3582277007
10467. 353038370710470/358227700710475. 353038370710496/358227700710491. 353038370710504/358227700710509. 353038370710520/3582277
00710525. 353038370710546/358227700710541. 353038370710553/358227700710558. 353038370710579/358227700710574. 353038370710603/3582
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032024000208844-2
Espacio para uso exclusivo de la Entidad Recaudadora
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