Ir al contenido
VER MAS
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
032024000633462-4
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 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. 116575014402530 2024 – 05 – 15 No. T617242565 2024 – 05 – 06
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 6900262558 2024 – 04 – 29 procedencia 215
54 . Cod. Modo Transporte
4
55 . Código de Bandera
169
56 . Cod. Depto destino
0
57 . Empresa transportadora 58 . Tasa de cambio $ cvs. DHL AERO EXPRESO S A SUCURSAL COLOMBIA
3.898.62
S
59 . Subpartida arancelaria 60 . Cod. 8517130000 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 111.11 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
160.00
410.00
78 .Valor FOB 79 . Valor fletes USD USD
29.846.23
1.352.00
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
80 . Valor Seguros 81 . Valor Otros Gastos USD USD
1.51
0
Arancel
0
0
0.00
92 93 94 0.00 121.635.930
95
96
I.V.A.
9798 99 100 101
0.00 121.635.930 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
1.353.51
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
31.199.74
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: 516165-DECL: 1794634-DO: 893110198241- 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: 3063591041. ID CONTENED
OR: 6075488986. MERCANCIA MARCA: SAMSUNGREFERENCIA: SM-A055MLGGLTC, PRODUCTO: TELEFONO CELULAR GALAXY A05 DUOS(CON ACCESORIOS PAR
A USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE CLARO, MODELO: SM-A055M/DS, USO O DESTINO: PARA LA VENTA AL MA(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 032024000633462
133. Feha: 202405 09
134 . Levante No. 032024000623841 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 05 – 16
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 92032403458800
Fecha presentación 2024-05-09 18:03:24 Valor pagado $0.00
Fecha de Impresión: 2024-05-16 09:31:54
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000633462-4 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
YOR Y AL DETAL/ /MOBILE,SM-A055M/DS,LIGHT GREEN,LTC( QTY. 410,00 u )(410,00 PCE); IMEIS: 358251529410299/359715699410296. 3582515
29410372/359715699410379. 358251529410398/359715699410395. 358251529410455/359715699410452. 358251529410489/359715699410486. 3582
51529410505/359715699410502. 358251529410513/359715699410510. 358251529410562/359715699410569. 358251529410570/359715699410577. 3
58251529410588/359715699410585. 358251529410703/359715699410700. 358251529410729/359715699410726. 358251529410745/359715699410742
. 358251529410778/359715699410775. 358251529410786/359715699410783. 358251529410869/359715699410866. 358251529410927/359715699410
924. 358251529410935/359715699410932. 358251529410968/359715699410965. 358251529411024/359715699411021. 358251529411065/359715699
411062. 358251529411149/359715699411146. 358251529411206/359715699411203. 358251529411214/359715699411211. 358251529411222/359715
699411229. 358251529411263/359715699411260. 358251529411305/359715699411302. 3582515294113 13/359715699411310. 358251529411339/35
9715699411336. 358251529411347/359715699411344. 358251529411362/359715699411369. 358251529411370/359715699411377. 358251529411388
/359715699411385. 358251529411396/359715699411393. 358251529411461/359715699411468. 358251529411511/359715699411518. 358251529411
529/359715699411526. 358251529411537/359715699411534.358251529411545/359715699411542. 358251529411578/359715699411575. 3582515294
11586/359715699411583. 358251529411610/359715699411617. 358251529411636/359715699411633. 358251529411651/359715699411658. 3582515
29411669/359715699411666. 358251529411677/359715699411674. 358251529411685/359715699411682. 358251529411701/359715699411708. 3582
51529411719/359715699411716. 358251529411727/359715699411724. 358251529411735/359715699411732. 358251529411743/359715699411740. 3
58251529411750/359715699411757. 358251529411768/359715699411765. 358251529411776/359715699411773.358251529411784/359715699411781.
358251529411792/359715699411799. 358251529411800/359715699411807. 358251529411818/359715699411815. 358251529411826/3597156994118
23. 358251529411842/359715699411849. 358251529411859/359715699411856. 358251529411883/359715699411880. 358251529411891/3597156994
11898. 358251529411909/359715699411906. 358251529411917/359715699411914. 358251529411925/359715699411922. 358251529411933/3597156
99411930. 358251529411941/359715699411948. 358251529411966/359715699411963. 358251529411974/359715699411971. 358251529411982/3597
15699411989. 358251529412014/359715699412011. 358251529412022/359715699412029. 358251529412113/359715699412110. 358251529412139/3
59715699412136. 358251529412188/359715699412185. 358251529412196/359715699412193. 358251529412204/359715699412201. 35825152941225
3/359715699412250. 358251529412279/359715699412276. 358251529412287/359715699412284. 358251529412303/359715699412300. 35825152941
2337/359715699412334. 358251529412352/359715699412359. 358251529412451/359715699412458. 358251529412493/359715699412490. 35825152
9412550/359715699412557. 358251529412568/359715699412565. 358251529412675/359715699412672. 358251529412683/359715699412680. 35825
1529412691/359715699412698. 358251529412725/359715699412722. 358251529412733/359715699412730. 358251529412758/359715699412755. 35
8251529412774/359715699412771. 358251529412782/359715699412789. 358251529412790/359715699412797. 358251529412824/359715699412821.
358251529412840/359715699412847. 358251529412865/359715699412862. 358251529412899/359715699412896. 358251529412980/3597156994129
87. 358251529413004/359715699413001. 358251529413012/359715699413019. 358251529413020/359715699413027. 358251529413038/3597156994
13035. 358251529413046/359715699413043.358251529413053/359715699413050. 358251529413079/359715699413076. 358251529413103/35971569
9413100. 358251529413160/359715699413167. 358251529413194/359715699413191. 358251529413202/359715699413209. 358251529413210/35971
5699413217. 358251529413228/359715699413225. 358251529413244/359715699413241. 358251529413285/359715699413282. 358251529413301/35
9715699413308. 358251529413319/359715699413316. 358251529413335/359715699413332. 358251529413343/359715699413340. 358251529413350
/359715699413357. 358251529413434/359715699413431. 358251529413509/359715699413506.358251529413582/359715699413589. 3582515294136
24/359715699413621. 358251529413665/359715699413662. 358251529413699/359715699413696. 358251529413715/359715699413712. 3582515294
13756/359715699413753. 358251529413764/359715699413761. 358251529413830/359715699413837. 358251529413863/359715699413860. 3582515
29413871/359715699413878. 358251529413939/359715699413936. 358251529413970/359715699413977. 358251529413988/359715699413985. 3582
51529413996/359715699413993. 358251529414002/359715699414009. 358251529414010/359715699414017. 358251529414028/359715699414025. 3
58251529414036/359715699414033. 358251529414051/359715699414058. 358251529414069/359715699414066. 358251529414077/359715699414074
. 358251529414085/359715699414082. 358251529414093/359715699414090. 358251529414101/359715699414108. 358251529414127/359715699414
124. 358251529414150/359715699414157. 358251529414176/359715699414173. 358251529414184/359715699414181. 358251529414192/359715699
414199. 358251529414200/359715699414207. 358251529414218/359715699414215. 358251529414242/359715699414249. 358251529414259/359715
699414256. 358251529414267/359715699414264. 358251529414283/359715699414280. 358251529414291/359715699414298. 358251529414309/359
715699414306. 358251529414317/359715699414314. 358251529414341/359715699414348. 358251529414366/359715699414363. 358251529414374/
359715699414371. 358251529414382/359715699414389. 358251529414390/359715699414397. 358251529414408/359715699414405. 3582515294144
16/359715699414413. 358251529414424/359715699414421. 358251529414432/359715699414439. 358251529414440/359715699414447. 3582515294
14457/359715699414454. 358251529414481/359715699414488. 358251529414499/359715699414496. 358251529414564/359715699414561. 3582515
29414598/359715699414595.358251529414622/359715699414629. 358251529414630/359715699414637. 358251529414648/359715699414645. 35825
1529414663/359715699414660. 358251529414671/359715699414678. 358251529414697/359715699414694. 358251529414705/359715699414702. 35
8251529414713/359715699414710. 358251529414721/359715699414728. 358251529414739/359715699414736. 358251529414747/359715699414744.
358251529414754/359715699414751. 358251529414812/359715699414819. 358251529414853/359715699414850. 358251529414861/3597156994148
68. 358251529414879/359715699414876. 358251529414895/359715699414892.358251529414903/359715699414900. 358251529414911/35971569941
4918. 358251529414929/359715699414926. 358251529414937/359715699414934. 358251529414945/359715699414942. 358251529414952/35971569
9414959. 358251529414960/359715699414967. 358251529414978/359715699414975. 358251529414986/359715699414983. 358251529415017/35971
5699415014. 358251529415058/359715699415055. 358251529415066/359715699415063. 358251529415173/359715699415170. 358251529415207/35
9715699415204. 358251529415215/359715699415212. 358251529415256/359715699415253. 358251529415314/359715699415311. 358251529415371
/359715699415378. 358251529415389/359715699415386. 358251529415397/359715699415394. 358251529415405/359715699415402. 358251529415
447/359715699415444. 358251529415462/359715699415469. 358251529415488/359715699415485. 358251529415512/359715699415519. 358251529
415520/359715699415527. 358251529415561/359715699415568. 358251529415579/359715699415576. 358251529415587/359715699415584. 358251
529415595/359715699415592. 358251529416494/359715699416491. 358251529416502/359715699416509. 358251529416510/359715699416517. 358
251529416528/359715699416525. 358251529416536/359715699416533. 358251529416544/359715699416541. 358251529416551/359715699416558.
358251529416569/359715699416566. 358251529416577/359715699416574. 358251529416585/359715699416582. 358251529416593/35971569941659
0. 358251529416601/359715699416608. 358251529416619/359715699416616. 358251529416627/359715699416624. 358251529416635/35971569941
6632. 358251529416643/359715699416640. 358251529416650/359715699416657. 358251529416668/359715699416665. 358251529416676/35971569
9416673. 358251529416684/359715699416681. 358251529416692/359715699416699. 358251529416700/359715699416707. 358251529416718/35971
5699416715.358251529416734/359715699416731. 358251529416742/359715699416749. 358251529416759/359715699416756. 358251529416767/359
715699416764. 358251529416775/359715699416772. 358251529416783/359715699416780. 358251529416791/359715699416798. 358251529416809/
359715699416806. 358251529416817/359715699416814. 358251529416833/359715699416830. 358251529416841/359715699416848. 3582515294168
66/359715699416863. 358251529416882/359715699416889. 358251529416890/359715699416897. 358251529416908/359715699416905. 3582515294
16916/359715699416913. 358251529416924/359715699416921.358251529416932/359715699416939. 358251529416940/359715699416947. 35825152
9416957/359715699416954. 358251529416965/359715699416962. 358251529416981/359715699416988. 358251529418185/359715699418182. 35825
1529418193/359715699418190. 358251529418276/359715699418273. 358251529418292/359715699418299. 358251529418326/359715699418323. 35
8251529415603/359715699415600. 358251529415611/359715699415618. 358251529415629/359715699415626. 358251529415637/359715699415634.
358251529415645/359715699415642. 358251529415660/359715699415667. 358251529415678/359715699415675. 358251529415686/3597156994156
83. 358251529415694/359715699415691. 358251529415702/359715699415709. 358251529415710/359715699415717. 358251529415728/3597156994
15725. 358251529415736/359715699415733. 358251529415751/359715699415758. 358251529415777/359715699415774. 358251529415850/3597156
032024000633462-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000633462-4 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
99415857. 358251529415918/359715699415915. 358251529415926/359715699415923. 358251529416007/359715699416004. 358251529416023/3597
15699416020. 358251529416072/359715699416079. 358251529416080/359715699416087. 358251529416098/359715699416095. 358251529416106/3
59715699416103. 358251529416114/359715699416111. 358251529416148/359715699416145. 358251529416155/359715699416152. 35825152941617
1/359715699416178. 358251529416189/359715699416186. 358251529416197/359715699416194. 358251529416205/359715699416202. 35825152941
6213/359715699416210. 358251529416221/359715699416228. 358251529416239/359715699416236. 358251529416247/359715699416244. 35825152
9416254/359715699416251. 358251529416270/359715699416277. 358251529416288/359715699416285. 358251529416320/359715699416327. 35825
1529416353/359715699416350. 358251529416387/359715699416384. 358251529416452/359715699416459. 358251529416460/359715699416467.358
251529416478/359715699416475. 358251529416486/359715699416483. 358251529416999/359715699416996. 358251529417013/359715699417010.
358251529417021/359715699417028. 358251529417039/359715699417036. 358251529417047/359715699417044. 358251529417062/35971569941706
9. 358251529417070/359715699417077. 358251529417088/359715699417085. 358251529417096/359715699417093. 358251529417104/35971569941
7101. 358251529417112/359715699417119. 358251529417120/359715699417127. 358251529417146/359715699417143. 358251529417153/35971569
9417150. 358251529417187/359715699417184.358251529417211/359715699417218. 358251529417237/359715699417234. 358251529417245/359715
699417242. 358251529417252/359715699417259. 358251529417302/359715699417309. 358251529417310/359715699417317. 358251529417328/359
715699417325. 358251529417336/359715699417333. 358251529417344/359715699417341. 358251529417351/359715699417358. 358251529417369/
359715699417366. 358251529417377/359715699417374. 358251529417385/359715699417382. 358251529417393/359715699417390. 3582515294174
27/359715699417424. 358251529417435/359715699417432. 358251529417443/359715699417440. 358251529417450/359715699417457. 3582515294
17468/359715699417465. 358251529417484/359715699417481. 358251529417500/359715699417507. 358251529417518/359715699417515. 3582515
29417526/359715699417523. 358251529417534/359715699417531. 358251529417542/359715699417549. 358251529417559/359715699417556. 3582
51529417575/359715699417572. 358251529417583/359715699417580. 358251529417591/359715699417598. 358251529417609/359715699417606. 3
58251529417617/359715699417614. 358251529417625/359715699417622. 358251529417633/359715699417630. 358251529417641/359715699417648
. 358251529417666/359715699417663. 358251529417674/359715699417671. 358251529417682/359715699417689. 358251529417690/359715699417
697. 358251529417708/359715699417705. 358251529417716/359715699417713. 358251529417724/359715699417721. 358251529417732/359715699
417739. 358251529417740/359715699417747. 358251529417765/359715699417762. 358251529417773/359715699417770. 358251529417781/359715
699417788. 358251529417799/359715699417796. 358251529417815/359715699417812. 358251529417831/359715699417838. 358251529417849/359
715699417846. 358251529417856/359715699417853. 358251529417864/359715699417861. 358251529417872/359715699417879.358251529417880/3
59715699417887. 358251529417898/359715699417895. 358251529417906/359715699417903. 358251529417914/359715699417911. 35825152941792
2/359715699417929. 358251529417930/359715699417937. 358251529417948/359715699417945. 358251529417955/359715699417952. 35825152941
7963/359715699417960. 358251529417971/359715699417978. 358251529417989/359715699417986. 358251529417997/359715699417994. 35825152
9418003/359715699418000. 358251529418029/359715699418026. 358251529418037/359715699418034. 358251529418045/359715699418042. 35825
1529418052/359715699418059.358251529418086/359715699418083. 358251529418094/359715699418091. 358251529418102/359715699418109. 358
251529418144/359715699418141. 358251529418169/359715699418166XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032024000633462-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3