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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
032024000306990-1
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 XX No. XXXXXXXXXXXXXXX XXXX – XX – XX XX
02
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. 116575014200102 2024 – 03 – 01 No. 41N0647912 2024 – 02 – 28
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 6900243368 2024 – 02 – 21 procedencia 351
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.
3.931.31
S
59 . Subpartida arancelaria 60 . Cod. 8471300000 Complementario
XX
61 . Cod. Suplementario
XX
62 . Cod. Modalidad C134
63 . No. cuotas o meses
XX
64 . Valor cuota USD XXXX
65 . Periodicidad del pago de la cuota
XX
66 . Cod. país 67 . Cod. Acuerdo de origen XXX
215
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 246.80 embalaje
YY
74 . No. bultos 2
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
301.00
400.00
78 .Valor FOB 79 . Valor fletes USD USD
57.068.39
1.890.28
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
80 . Valor Seguros 81 . Valor Otros Gastos USD USD
2.85
0
Arancel
0
0
0.00
92 93 94 0.00 231.796.013
95
96
I.V.A.
9798 99 100 101
0.00 231.796.013 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
1.893.13
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
58.961.52
X XXXXXXXXXX
Derechos 112 Antidumping
113
114
115
116
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: 509197-DECL: 1770590-DO: 893104162241- 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).//NO REQUIERE CERTIFICADO DE HOMOLOGACIÓN YA QUE SON DE TIPO
WI-FI// NOS ACOGEMOS:AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A
. OEA COD. OE0001. . PEDIDOS: 3058730951. ID CONTENEDOR: 6074370623. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-X210NZAACOO, PRODUCT
O: TABLET GALAXY TAB A9 PLUS – WI/FI (CONACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS, MODELO: SM-X210, USO O DESTIN
O: PARA LA VENTA AL MAYOR Y AL DETAL/ /TABLET,SM-X210,GRAY,COO( QTY. 400,00 u )(400,00 PCE); SERIALES:R9TX2(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 Estado de levante: Levante automático
No hay declaración posterior
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores
132 . No. Aceptación declaración 032024000306990
133. Feha: 202403 04
134 . Levante No. 032024000290110 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 03 – 04
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 92032401690667
Fecha presentación 2024-03-04 14:33:11 Valor pagado $0.00
Fecha de Impresión: 2024-03-04 14:34:24
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000306990-1 Subpartida : 8471300000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
02BETH; R9TX202BEVP. R9TX202BEWL. R9TX202BEXF. R9TX202BEYY. R9TX202BEZW. R9TX202BF0J.R9TX202BF1D. R9TX202BF2T. R9TX202BF3R. R9TX2
02BF4A. R9TX202BF5V. R9TX202BF6E. R9TX202BF7Z. R9TX202BF8M. R9TX202BF9X. R9TX202BFAB. R9TX202BFBH. R9TX202BFCP. R9TX202BFDL. R9TX
202BFEF. R9TX202BFFY. R9TX202BFGW. R9TX202BFHN. R9TX202BFJK. R9TX202BFKJ. R9TX202BFLD. R9TX202BFMT. R9TX202BFNR. R9TX202BFPA. R9T
X202BFQV. R9TX202BFRE. R9TX202BFSZ. R9TX202BFTM. R9TX202BFVX. R9TX202BFWB. R9TX202BFXH. R9TX202BFYP. R9TX202BFZL. R9TX202BG0W. R9
TX202BG1N. R9TX202BG2K. R9TX202BG3J. R9TX202BG4D. R9TX202BG5T. R9TX202BG6R. R9TX202BG7A. R9TX202BG8V. R9TX202BG9E. R9TX202BGAZ.R9
TX202BGBM. R9TX202BGCX. R9TX202BGDB. R9TX202BGEH. R9TX202BGFP. R9TX202BGGL. R9TX202BGHF. R9TX202BGJY. R9TX202BGKW. R9TX202BGLN. R
9TX202BGMK. R9TX202BGNJ. R9TX202BGPD. R9TX202BGQT. R9TX202BGRR. R9TX202BGSA. R9TX202BGTV. R9TX202BGVE. R9TX202BGWZ. R9TX202BGXM.
R9TX202BGYX. R9TX202BGZB. R9TX202BH0L. R9TX202BH1F. R9TX202BH2Y. R9TX202BH3W. R9TX202BH4N. R9TX202BH5K. R9TX202BH6J. R9TX202BH7D.
R9TX202BH8T. R9TX202BH9R. R9TX202BHAA. R9TX202BHBV. R9TX202BHCE. R9TX202BHDZ. R9TX202BHEM. R9TX202BHFX. R9TX202BHGB. R9TX202BHHH
. R9TX202BHJP. R9TX202BHKL. R9TX202BHLF. R9TX202BHMY. R9TX202BHNW. R9TX202BHPN. R9TX202BHQK. R9TX202BHRJ. R9TX202BHSD. R9TX202BHT
T. R9TX202BHVR. R9TX202BHWA. R9TX202BHXV. R9TX202BHYE. R9TX202BHZZ. R9TX202BJ0B. R9TX202BJ1H. R9TX202BJ2P. R9TX202BJ3L. R9TX202BJ
4F. R9TX202BJ5Y. R9TX202BJ6W. R9TX202BJ7N. R9TX202BJ8K. R9TX202BJ9J. R9TX202BJAD. R9TX202BJBT. R9TX202BJCR. R9TX202BJDA. R9TX202B
JEV.R9TX202BJFE. R9TX202BJGZ. R9TX202BJHM. R9TX202BJJX. R9TX202BJKB. R9TX202BJLH. R9TX202BJMP. R9TX202BJNL. R9TX202BJPF. R9TX202B
JQY. R9TX202BJRW. R9TX202BJSN. R9TX202BJTK. R9TX202BJVJ. R9TX202BJWD. R9TX202BJXT. R9TX202BJYR. R9TX202BJZA. R9TX202BK0Z. R9TX202
BK1M. R9TX202BK2X. R9TX202BK3B. R9TX202BK4H. R9TX202BK5P. R9TX202BK6L. R9TX202BK7F. R9TX202BK8Y.R9TX202BK9W. R9TX202BKAN. R9TX202
BKBK. R9TX202BKCJ. R9TX202BKDD. R9TX202BKET. R9TX202BKFR. R9TX202BKGA. R9TX202BKHV. R9TX202BKJE. R9TX202BKKZ. R9TX202BKLM. R9TX20
2BKMX. R9TX202BKNB. R9TX202BKPH. R9TX202BKQP. R9TX202BKRL. R9TX202BKSF. R9TX202BKTY. R9TX202BKVW. R9TX202BKWN. R9TX202BKXK. R9TX2
02BKYJ. R9TX202BKZD. R9TX202BL0A. R9TX202BL1V. R9TX202BL2E. R9TX202BL3Z. R9TX202BL4M. R9TX202BL5X. R9TX202BL6B. R9TX202BL7H. R9TX
202BL8P. R9TX202BL9L. R9TX202BLAF. R9TX202BLBY. R9TX202BLCW. R9TX202BLDN. R9TX202BLEK. R9TX202BLFJ. R9TX202BLGD. R9TX202BLHT. R9T
X202BLJR.R9TX202BLKA. R9TX202BLLV. R9TX202BLME. R9TX202BLNZ. R9TX202BLPM. R9TX202BLQX. R9TX202BLRB. R9TX202BLSH. R9TX202BLTP. R9T
X202BLVL. R9TX202BLWF. R9TX202BLXY. R9TX202BLYW. R9TX202BLZN. R9TX202BM0D. R9TX202BM1T. R9TX202BM2R. R9TX202BM3A. R9TX202BM4V. R9
TX202BM5E. R9TX202BM6Z. R9TX202BM7M. R9TX202BM8X. R9TX202BM9B. R9TX202BMAH. R9TX202BMBP. R9TX202BMCL.R9TX202BMDF. R9TX202BMEY. R9
TX202BMFW. R9TX202BMGN. R9TX202BMHK. R9TX202BMJJ. R9TX202BMKD. R9TX202BMLT. R9TX202BMMR. R9TX202BMNA. R9TX202BMPV. R9TX202BMQE. R
9TX202BMRZ. R9TX202BMSM. R9TX202BMTX. R9TX202BMVB. R9TX202BMWH. R9TX202BMXP. R9TX202BMYL. R9TX202BMZF. R9TX202BN0N. R9TX202BN1K.
R9TX202BN2J. R9TX202BN3D. R9TX202BN4T. R9TX202BN5R. R9TX202BN6A. R9TX202BN7V. R9TX202BN8E. R9TX202BN9Z. R9TX202BNAM. R9TX202BNBX.
R9TX202BNCB. R9TX202BNDH. R9TX202BNEP. R9TX202BNFL. R9TX202BNGF. R9TX202BNHY. R9TX202BNJW. R9TX202BNKN. R9TX202BNLK. R9TX202BNMJ
. R9TX202BNND.R9TX202BNPT. R9TX202BNQR. R9TX202BNRA. R9TX202BNSV. R9TX202BNTE. R9TX202BNVZ. R9TX202BNWM. R9TX202BNXX. R9TX202BNYB
. R9TX202BNZH. R9TX202BP0F. R9TX202BP1Y. R9TX202BP2W. R9TX202BP3N. R9TX202BP4K. R9TX202BP5J. R9TX202BP6D. R9TX202BP7T. R9TX202BP8
R. R9TX202BP9A. R9TX202BPAV. R9TX202BPBE. R9TX202BPCZ. R9TX202BPDM. R9TX202BPEX. R9TX202BPFB. R9TX202BPGH.R9TX202BPHP. R9TX202BPJ
L. R9TX202BPKF. R9TX202BPLY. R9TX202BPMW. R9TX202BPNN. R9TX202BPPK. R9TX202BPQJ. R9TX202BPRD. R9TX202BPST. R9TX202BPTR. R9TX202BP
VA. R9TX202BPWV. R9TX202BPXE. R9TX202BPYZ. R9TX202BPZM. R9TX202BQ0H. R9TX202BQ1P. R9TX202BQ2L. R9TX202BQ3F. R9TX202BQ4Y. R9TX202B
Q5W. R9TX202BQ6N. R9TX202BQ7K. R9TX202BQ8J. R9TX202BQ9D. R9TX202BQAT. R9TX202BQBR. R9TX202BQCA. R9TX202BQDV. R9TX202BQEE. R9TX202
BQFZ. R9TX202BQGM. R9TX202BQHX. R9TX202BQJB. R9TX202BQKH. R9TX202BQLP. R9TX202BQML. R9TX202BQNF. R9TX202BQPY. R9TX202BQQW. R9TX20
2BQRN. R9TX202BQSK.R9TX202BQTJ. R9TX202BQVD. R9TX202BQWT. R9TX202BQXR. R9TX202BQYA. R9TX202BQZV. R9TX202BR0M. R9TX202BR1X. R9TX20
2BR2B. R9TX202BR3H. R9TX202BR4P. R9TX202BR5L. R9TX202BR6F. R9TX202BR7Y. R9TX202BR8W. R9TX202BR9N. R9TX202BRAK. R9TX202BRBJ. R9TX2
02BRCD. R9TX202BRDT. R9TX202BRER. R9TX202BRFA. R9TX202BRGV. R9TX202BRHE. R9TX202BRJZ. R9TX202BRKM. R9TX202BRLX.R9TX202BRMB. R9TX2
02BRNH. R9TX202BRPP. R9TX202BRQL. R9TX202BRRF. R9TX202BRSY. R9TX202BRTW. R9TX202BRVN. R9TX202BRWK. R9TX202BRXJ. R9TX202BRYD. R9TX
202BRZT. R9TX202BS0V. R9TX202BS1E. R9TX202BS2Z. R9TX202BS3M. R9TX202BS4X. R9TX202BS5B. R9TX202BS6H. R9TX202BS7P. R9TX202BS8L. R9T
X202BS9F. R9TX202BSAY. R9TX202BSBW. R9TX202BSCN. R9TX202BSDK. R9TX202BSEJ. R9TX202BSFD. R9TX202BSGT. R9TX202BSHR. R9TX202BSJA. R9
TX202BSKV. R9TX202BSLE. R9TX202BSMZ. R9TX202BSNM. R9TX202BSPX. R9TX202BSQB. R9TX202BSRH. R9TX202BSSP. R9TX202BSTL. R9TX202BSVF. R
9TX202BSWY. R9TX202BSXW.XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024000306990-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2