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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
032024000209089-2
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. KHAN24025564 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 9102338687 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 143.98 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
156.50
500.00
78 .Valor FOB USD
74.560.69 80 . Valor Seguros
79 . Valor fletes USD
81 . Valor Otros Gastos USD
1.186.27
0
USD
3.67
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
Arancel
92 93 94 95 96
0.00 299.569.501 0 0 0.00
I.V.A.
9798 99 100 101
0.00 299.569.501 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
1.189.94
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
75.750.63
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: 507116-DECL: 1764335-DO: 893103191241- 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: 3058678037. ID CONTENED
OR: 6074043558. MERCANCIA MARCA: SAMSUNGREFERENCIA: SM-A155MZYILTC, PRODUCTO: TELEFONO CELULAR GALAXY A15 5G DUOS, (CON ACCESORIO
S PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AMARILLO, MODELO: SM-A155M/DSN, USO O DESTINO: PARA LA VENTA AL(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 032024000209089
No hay declaración posterior
133. Feha: 202402 13
134 . Levante No. 032024000198483 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 92032401144839
Fecha presentación 2024-02-13 14:52:55 Valor pagado $0.00
Fecha de Impresión: 2024-02-13 14:56:44
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000209089-2 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
MAYOR Y AL DETAL/ /MOBILE,SM-A155M/DSN,YELLOW,LTC( QTY. 500,00 u )(500,00 PCE); IMEIS: 353038370764691/358227700764696. 35303837
0764832/358227700764837.353038370764873/358227700764878. 353038370764881/358227700764886. 353038370764899/358227700764894. 353038
370764980/358227700764985. 353038370765011/358227700765016. 353038370765029/358227700765024. 353038370765045/358227700765040. 353
038370765078/358227700765073. 353038370765086/358227700765081. 353038370765102/358227700765107. 353038370765151/358227700765156.
353038370765193/358227700765198. 353038370765219/358227700765214. 353038370765243/358227700765248. 353038370765268/35822770076526
3. 353038370765581/358227700765586. 353038370765615/358227700765610.353038370765623/358227700765628. 353038370765698/358227700765
693. 353038370765714/358227700765719. 353038370765797/358227700765792. 353038370765821/358227700765826. 353038370765847/358227700
765842. 353038370765854/358227700765859. 353038370765870/358227700765875. 353038370765987 /358227700765982. 353038370766100/35822
7700766105. 353038370766266/358227700766261. 353038370766878/358227700766873. 353038370767199/358227700767194. 353038370767231/35
8227700767236. 353038370767249/358227700767244. 353038370767256/358227700767251. 353038370767280/358227700767285. 353038370767322
/358227700767327. 353038370767330/358227700767335. 353038370767363/358227700767368. 353038370767389/358227700767384. 353038370767
397/358227700767392. 353038370767405/358227700767400. 353038370767421/358227700767426. 353038370767447/358227700767442. 353038370
708193/358227700708198. 353038370708201/358227700708206. 353038370708219/358227700708214. 353038370708227/358227700708222. 353038
370708235/358227700708230. 353038370708243/358227700708248. 353038370708250/358227700708255. 353038370708268/358227700708263. 353
038370708276/358227700708271. 353038370708284/358227700708289. 353038370708292/358227700708297. 353038370708300/358227700708305.
353038370708318/358227700708313. 353038370708326/358227700708321. 353038370708334/358227700708339. 353038370708417/35822770070841
2. 353038370714464/358227700714469. 353038370714480/358227700714485. 353038370714506/358227700714501. 353038370714522/35822770071
4527. 353038370714779/358227700714774. 353038370714787/358227700714782. 353038370714811/358227700714816. 353038370714837/35822770
0714832. 353038370714878/358227700714873. 353038370714928/358227700714923. 353038370714944/358227700714949. 353038370715040/35822
7700715045.353038370715073/358227700715078. 353038370715107/358227700715102. 353038370715149/358227700715144. 353038370715172/358
227700715177. 353038370715248/358227700715243. 353038370715263/358227700715268. 353038370715305/358227700715300. 353038370715339/
358227700715334. 353038370715388/358227700715383. 353038370715412/358227700715417. 353038370715479/358227700715474. 3530383707154
95/358227700715490. 353038370715503/358227700715508. 353038370715529/358227700715524. 353038370715537/358227700715532. 3530383707
15552/358227700715557. 353038370707690/358227700707695.353038370707716/358227700707711. 353038370707724/358227700707729. 35303837
0707732/358227700707737. 353038370707740/358227700707745. 353038370707757/358227700707752. 353038370707765/358227700707760. 35303
8370707773/358227700707778. 353038370707781/358227700707786. 353038370707799/358227700707794. 353038370707807/358227700707802. 35
3038370707815/358227700707810. 353038370707831/358227700707836. 353038370707856/358227700707851. 353038370707872/358227700707877.
353038370707880/358227700707885. 353038370707898/358227700707893. 353038370707906/358227700707901. 353038370707914/3582277007079
19. 353038370707922/358227700707927. 353038370707930/358227700707935. 353038370707948/358227700707943. 353038370707955/3582277007
07950. 353038370707963/358227700707968. 353038370707971/358227700707976. 353038370707989/358227700707984. 353038370707997/3582277
00707992. 353038370708003/358227700708008. 353038370708011/358227700708016. 353038370708029/358227700708024. 353038370708037/3582
27700708032. 353038370708045/358227700708040. 353038370708052/358227700708057. 353038370708060/358227700708065. 353038370708086/3
58227700708081. 353038370708094/358227700708099. 353038370708102/358227700708107. 353038370708110/358227700708115. 35303837070812
8/358227700708123. 353038370708136/358227700708131. 353038370708144/358227700708149. 353038370708151/358227700708156. 35303837070
8169/358227700708164. 353038370708185/358227700708180. 353038370717467/358227700717462. 353038370717525/358227700717520. 35303837
0717533/358227700717538. 353038370717558/358227700717553. 353038370717608/358227700717603. 353038370717632/358227700717637. 35303
8370717640/358227700717645. 353038370717665/358227700717660. 353038370717673/358227700717678. 353038370717681/358227700717686.353
038370717715/358227700717710. 353038370717749/358227700717744. 353038370717772/358227700717777. 353038370717814/358227700717819.
353038370717822/358227700717827. 353038370717848/358227700717843. 353038370717855/358227700717850. 353038370717863/35822770071786
8. 353038370717913/358227700717918. 353038370717921/358227700717926. 353038370717939/358227700717934. 353038370717947/35822770071
7942. 353038370717954/358227700717959. 353038370717962/358227700717967. 353038370717970/358227700717975. 353038370717996/35822770
0717991. 353038370718002/358227700718007.353038370718028/358227700718023. 353038370718036/358227700718031. 353038370718044/358227
700718049. 353038370718051/358227700718056. 353038370718069/358227700718064. 353038370741681/358227700741686. 353038370741723/358
227700741728. 353038370741764/358227700741769. 353038370761432/358227700761437. 353038370761499/358227700761494. 353038370761747/
358227700761742. 353038370761879/358227700761874. 353038370761895/358227700761890. 353038370761986/358227700761981. 3530383707620
00/358227700762005. 353038370762026/358227700762021. 353038370762042/358227700762047. 353038370715560/358227700715565. 3530383707
15792/358227700715797. 353038370715800/358227700715805. 353038370716030/358227700716035. 353038370716113/358227700716118. 3530383
70716360/358227700716365. 353038370716410/358227700716415. 353038370716485/358227700716480. 353038370716501/358227700716506. 3530
38370716527/358227700716522. 353038370716543/358227700716548. 353038370716550/358227700716555. 353038370716576/358227700716571. 3
53038370716584/358227700716589. 353038370716592/358227700716597. 353038370716600/358227700716605. 353038370716618/358227700716613
. 353038370716626/358227700716621. 353038370716634/358227700716639. 353038370716642/358227700716647. 353038370716683/358227700716
688. 353038370716709/358227700716704. 353038370716725/358227700716720. 353038370716733/358227700716738. 353038370716741/358227700
716746. 353038370716758/358227700716753. 353038370716766/358227700716761. 353038370716774/358227700716779. 353038370716808/358227
700716803. 353038370716816/358227700716811. 353038370716832/358227700716837. 353038370716840/358227700716845. 353038370716915/358
227700716910. 353038370716923/358227700716928. 353038370716931/358227700716936. 353038370716980/358227700716985.353038370717087/3
58227700717082. 353038370717103/358227700717108. 353038370717111/358227700717116. 353038370717137/358227700717132. 35303837071715
2/358227700717157. 353038370717160/358227700717165. 353038370717202/358227700717207. 353038370717236/358227700717231. 35303837076
2059/358227700762054. 353038370762067/358227700762062. 353038370762075/358227700762070. 353038370762083/358227700762088. 35303837
0762091/358227700762096. 353038370762109/358227700762104. 353038370762158/358227700762153. 353038370762216/358227700762211. 35303
8370762281/358227700762286.353038370762455/358227700762450. 353038370762612/358227700762617. 353038370762760/358227700762765. 353
038370762828/358227700762823. 353038370762893/358227700762898. 353038370762968/358227700762963. 353038370763032/358227700763037.
353038370763065/358227700763060. 353038370763461/358227700763466. 353038370763503/358227700763508. 353038370763677/35822770076367
2. 353038370763735/358227700763730. 353038370763859/358227700763854. 353038370763883/358227700763888. 353038370763917/35822770076
3912. 353038370763941/358227700763946. 353038370763974/358227700763979. 353038370763990/358227700763995. 353038370764022/35822770
0764027. 353038370764055/358227700764050. 353038370764063/358227700764068. 353038370764147/358227700764142. 353038370764238/35822
7700764233. 353038370764329/358227700764324. 353038370764345/358227700764340. 353038370764378/358227700764373. 353038370764444/35
8227700764449. 353038370764469/358227700764464. 353038370764485/358227700764480. 353038370764527/358227700764522. 353038370764535
/358227700764530. 353038370764618/358227700764613. 353038370764634/358227700764639. 353038370764642/358227700764647. 353038370764
659/358227700764654. 353038370639901/358227700639906. 353038370645700/358227700645705. 353038370645775/358227700645770. 353038370
645841/358227700645846. 353038370646252/358227700646257. 353038370646419/358227700646414. 353038370646484/358227700646489. 353038
370647409/358227700647404. 353038370647458/358227700647453. 353038370647532/358227700647537. 353038370647565/358227700647560. 353
038370651070/358227700651075. 353038370707021/358227700707026. 353038370707062/358227700707067. 353038370707096/358227700707091.
353038370707104/358227700707109. 353038370707120/358227700707125. 353038370707179/358227700707174.353038370707211/358227700707216
. 353038370707245/358227700707240. 353038370707336/358227700707331. 353038370707344/358227700707349. 353038370707377/358227700707
372. 353038370707393/358227700707398. 353038370707401/358227700707406. 353038370707419/358227700707414. 353038370707427/358227700
032024000209089-2
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000209089-2 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
707422. 353038370707443/358227700707448. 353038370707468/358227700707463. 353038370707476/358227700707471. 353038370707484/358227
700707489. 353038370707500/358227700707505. 353038370707518/358227700707513. 353038370707526/358227700707521. 353038370707534/358
227700707539.353038370707575/358227700707570. 353038370707583/358227700707588. 353038370707591/358227700707596. 353038370707609/3
58227700707604. 353038370707617/358227700707612. 353038370707641/358227700707646. 353038370707666/358227700707661. 35303837070767
4/358227700707679. 353038370707682/358227700707687. 353038370767454/358227700767459. 353038370767470/358227700767475. 35303837076
7488/358227700767483. 353038370767504/358227700767509. 353038370767512/358227700767517. 353038370767553/358227700767558. 35303837
0767595/358227700767590. 353038370767678/358227700767673. 353038370767777/358227700767772. 353038370767868/358227700767863. 35303
8370767975/358227700767970. 353038370768015/358227700768010. 353038370768049/358227700768044. 353038370768080/358227700768085. 35
3038370768155/358227700768150. 353038370768163/358227700768168. 353038370768197/358227700768192. 353038370768205/358227700768200.
353038370768247/358227700768242. 353038370768403/358227700768408. 353038370768411/358227700768416. 353038370768478/3582277007684
73. 353038370768486/358227700768481. 353038370768494/358227700768499. 353038370768502/358227700768507. 353038370768510/3582277007
68515. 353038370768528/358227700768523. 353038370768536/358227700768531. 353038370768544/358227700768549. 353038370768551/3582277
00768556. 353038370768569/358227700768564. 353038370768577/358227700768572. 353038370768585/358227700768580. 353038370768593/3582
27700768598. 353038370768601/358227700768606. 353038370768619/358227700768614. 353038370768627/358227700768622. 353038370768635/3
58227700768630. 353038370768650/358227700768655. 353038370768668/358227700768663. 353038370768684/358227700768689. 35303837076869
2/358227700768697. 353038370768700/358227700768705. 353038370768718/358227700768713.353038370768734/358227700768739. 353038370768
833/358227700768838. 353038370768858/358227700768853. 353038370768874/358227700768879. 353038370768882/358227700768887. 353038370
768890/358227700768895. 353038370768916/358227700768911. 353038370768932/358227700768937. 353038370768940/358227700768945. 353038
370768965/358227700768960. 353038370768973/358227700768978. 353038370768981/358227700768986. 353038370769047/358227700769042. 353
038370769070/358227700769075. 353038370769096/358227700769091. 353038370769104/358227700769109. 353038370769112/358227700769117.3
53038370769195/358227700769190. 353038370769229/358227700769224. 353038370769260/358227700769265. 353038370769351/358227700769356
. 353038370769369/358227700769364. 353038370769377/358227700769372. 353038370769450/358227700769455. 353038370769500/358227700769
505. 353038370769534/358227700769539. 353038370769559/358227700769554. 353038370769575/358227700769570. 353038370769591/358227700
769596. 353038370769633/358227700769638. 353038370769666/358227700769661. 353038370769708/358227700769703. 353038370769724/358227
700769729. 353038370769740/358227700769745. 353038370769807/358227700769802. 353038370769815/358227700769810. 353038370769823/358
227700769828. 353038370769831/358227700769836. 353038370769856/358227700769851. 353038370769880/358227700769885. 353038370769906/
358227700769901. 353038370769930/358227700769935. 353038370769955/358227700769950. 353038370770045/358227700770040. 3530383707700
52/358227700770057. 353038370770086/358227700770081. 353038370770110/358227700770115. 353038370770128/358227700770123. 3530383707
70235/358227700770230. 353038370770276/358227700770271. 353038370770284/358227700770289. 353038370770318/358227700770313. 3530383
70770441/358227700770446. 353038370770458/358227700770453. 353038370770474/358227700770479. 353038370770490/358227700770495. 3530
38370770516/358227700770511. 353038370770532/358227700770537. 353038370770540/358227700770545. 353038370770557/358227700770552. 3
53038370770565/358227700770560. 353038370770573/358227700770578. 353038370770599/358227700770594. 353038370770607/358227700770602
. 353038370770615/358227700770610. 353038370770623/358227700770628. 353038370770631/358227700770636. 353038370770649/358227700770
644. 353038370770656/358227700770651. 353038370770672/358227700770677.353038370770680/358227700770685. 353038370770706/3582277007
70701. 353038370770714/358227700770719. 353038370770748/358227700770743. 353038370770813/358227700770818. 353038370770847/3582277
00770842. 353038370770870/358227700770875. 353038370770888/358227700770883. 353038370770904/358227700770909. 353038370770938/3582
27700770933. 353038370770946/358227700770941. 353038370770987/358227700770982. 353038370770995/358227700770990. 353038370771019/3
58227700771014. 353038370771035/358227700771030. 353038370771043/358227700771048. 353038370771076/358227700771071.353038370771084
/358227700771089. 353038370774740/358227700774745. 353038370774799/358227700774794. 353038370774823/358227700774828. 353038370775
093/358227700775098. 353038370775291/358227700775296. 353038370775366/358227700775361. 353038370775457/358227700775452. 353038370
775465/358227700775460. 353038370775507/358227700775502. 353038370775606/358227700775601. 353038370775663/358227700775668. 353038
370775911/358227700775916. 353038370775937/358227700775932. 353038370776042/358227700776047. 353038370776059/358227700776054. 353
038370776133/358227700776138. 353038370776190/358227700776195. 353038370776265/358227700776260. 353038370776273/358227700776278.
353038370776331/358227700776336. 353038370776356/358227700776351. 353038370776380/358227700776385. 353038370776406/35822770077640
1. 353038370776455/358227700776450. 353038370776471/358227700776476. 353038370776505/358227700776500. 353038370776539/35822770077
6534. 353038370776653/358227700776658. 353038370776661/358227700776666. 353038370776737/358227700776732. 353038370776836/35822770
0776831. 353038370776877/358227700776872. 353038370777065/358227700777060. 353038370777073/358227700777078. 353038370777081/35822
7700777086. 353038370777115/358227700777110. 353038370777156/358227700777151. 353038370777164/358227700777169. 353038370777412/35
8227700777417. 353038370777446/358227700777441. 353038370777545/358227700777540. 353038370777560/358227700777565. 353038370777636
/358227700777631. 353038370777651/358227700777656. 353038370777669/358227700777664. 353038370777750/358227700777755. 353038370777
800/358227700777805. 353038370777859/358227700777854. 353038370777909/358227700777904. 353038370777941/358227700777946. 353038370
777966/358227700777961. 353038370778006/358227700778001.353038370778022/358227700778027. 353038370778055/358227700778050. 3530383
70778063/358227700778068. 353038370778121/358227700778126. 353038370778154/358227700778159. 353038370778238/358227700778233. 3530
38370778378/358227700778373. 353038370778659/358227700778654XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024000209089-2
Espacio para uso exclusivo de la Entidad Recaudadora
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