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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
032024000971162-9
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. 116575014596322 2024 – 07 – 20 No. KHAN24076959 2024 – 07 – 13
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 9102729530 2024 – 07 – 13 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.
3.968.87
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
855
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 112.00 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
145.50
400.00
78 .Valor FOB 79 . Valor fletes USD USD
84.224.16
1.043.24
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
80 . Valor Seguros 81 . Valor Otros Gastos USD USD
4.13
0
Arancel
0
0
0.00
92 93 94 0.00 338.431.617
95
96
I.V.A.
9798 99 100 101
0.00 338.431.617 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
1.047.37
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
85.271.53
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: 523827-DECL: 1820191-DO: 893116392241- 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: 3068703719. ID CONTENED
OR: 6076760279. MERCANCIA MARCA: SAMSUNGREFERENCIA: SM-A356EZKGLTC, PRODUCTO: TELEFONO CELULAR GALAXY A35 5G DUOS (CON ACCESORIOS
PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODELO: SM-A356E/DS, USO O DESTINO: PARA LA VENTA AL MAYO(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 032024000971162
133. Feha: 202407 17
134 . Levante No. 032024000931425 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 07 – 22
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 92032405262151
Fecha presentación 2024-07-17 19:34:18 Valor pagado $0.00
Fecha de Impresión: 2024-07-22 14:12:41
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000971162-9 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
R Y AL DETAL//MOBILE,SM-A356E/DS,BLACK,LTC( QTY. 400,00 u )(400,00 PCE); IMEIS: 351676561312747/357896811312743. 351676561312762/
357896811312768. 351676561312788/357896811312784. 351676561312804/357896811312800. 351676561312812/357896811312818. 3516765613128
46/357896811312842. 351676561312853/357896811312859. 351676561312861/357896811312867. 351676561312879/357896811312875. 3516765613
12887/357896811312883. 351676561312895/357896811312891. 351676561312903/357896811312909. 351676561312929/357896811312925. 3516765
61312937/357896811312933. 351676561312945/357896811312941. 351676561312952/357896811312958. 351676561312978/357896811312974. 3516
76561312994/357896811312990. 351676561313000/357896811313006. 351676561313018/357896811313014. 351676561313026/357896811313022. 3
51676561313034/357896811313030. 351676561313042/357896811313048. 351676561313059/357896811313055. 351676561313067/357896811313063
. 351676561313075/357896811313071. 351676561313083/357896811313089. 351676561313091/357896 811313097. 351676561313109/35789681131
3105. 351676561313125/357896811313121. 351676561313141/357896811313147. 351676561313158/357896811313154. 351676561313166/35789681
1313162. 351676561313174/357896811313170. 351676561313182/357896811313188. 351676561313224/357896811313220. 351676561314305/35789
6811314301. 351676561314941/357896811314947. 351676561314958/357896811314954. 351676561315005/357896811315001. 351676561315013/35
7896811315019. 351676561315302/357896811315308. 351676561315385/357896811315381. 351676561317118/357896811317114. 351676561317555
/357896811317551. 351676561317902/357896811317908. 351676561318413/357896811318419. 351676561318421/357896811318427. 351676561318
462/357896811318468. 351676561318496/357896811318492. 351676561318504/357896811318500.351676561318512/357896811318518. 3516765613
18520/357896811318526. 351676561318538/357896811318534. 351676561318546/357896811318542. 351676561318561/357896811318567. 3516765
61318579/357896811318575. 351676561318611/357896811318617. 351676561318645/357896811318641. 351676561318652/357896811318658. 3516
76561318660/357896811318666. 351676561318710/357896811318716. 351676561318769/357896811318765. 351676561318793/357896811318799. 3
51676561318819/357896811318815. 351676561318827/357896811318823. 351676561318850/357896811318856. 351676561318884/357896811318880
.351676561318900/357896811318906. 351676561318926/357896811318922. 351676561318934/357896811318930. 351676561318942/3578968113189
48. 351676561318967/357896811318963. 351676561318975/357896811318971. 351676561321615/357896811321611. 351676561321649/3578968113
21645. 351676561321680/357896811321686. 351676561321953/357896811321959. 351676561323090/357896811323096. 351676561323116/3578968
11323112. 351676561323298/357896811323294. 351676561323371/357896811323377. 351676561323413/357896811323419. 351676561323447/3578
96811323443. 351676561323454/357896811323450. 351676561323546/357896811323542. 351676561323629/357896811323625. 351676561323645/3
57896811323641. 351676561254501/357896811254507. 351676561254519/357896811254515. 351676561254535/357896811254531. 35167656125454
3/357896811254549. 351676561254550/357896811254556. 351676561254568/357896811254564. 351676561254576/357896811254572. 35167656125
4584/357896811254580. 351676561254600/357896811254606. 351676561254626/357896811254622. 351676561254659/357896811254655. 35167656
1254667/357896811254663. 351676561254675/357896811254671. 351676561254683/357896811254689. 351676561254691/357896811254697. 35167
6561254709/357896811254705. 351676561254717/357896811254713. 351676561254725/357896811254721. 351676561254733/357896811254739. 35
1676561254741/357896811254747. 351676561254758/357896811254754. 351676561254766/357896811254762. 351676561254774/357896811254770.
351676561254782/357896811254788. 351676561254832/357896811254838. 351676561254840/357896811254846. 351676561254873/3578968112548
79. 351676561254907/357896811254903. 351676561255011/357896811255017. 351676561255029/357896811255025. 351676561255037/3578968112
55033. 351676561255045/357896811255041. 351676561255060/357896811255066.351676561255078/357896811255074. 351676561255086/35789681
1255082. 351676561255094/357896811255090. 351676561255102/357896811255108. 351676561255110/357896811255116. 351676561255128/35789
6811255124. 351676561255136/357896811255132. 351676561255144/357896811255140. 351676561255151/357896811255157. 351676561255177/35
7896811255173. 351676561255185/357896811255181. 351676561256316/357896811256312. 351676561256324/357896811256320. 351676561256332
/357896811256338. 351676561256357/357896811256353. 351676561256365/357896811256361. 351676561256373/357896811256379.3516765612564
07/357896811256403. 351676561256423/357896811256429. 351676561256431/357896811256437. 351676561256449/357896811256445. 3516765612
56522/357896811256528. 351676561256530/357896811256536. 351676561256613/357896811256619. 351676561256738/357896811256734. 3516765
61256746/357896811256742. 351676561256761/357896811256767. 351676561256787/357896811256783. 351676561256811/357896811256817. 3516
76561256837/357896811256833. 351676561256852/357896811256858. 351676561256928/357896811256924. 351676561256944/357896811256940. 3
51676561256951/357896811256957. 351676561256969/357896811256965. 351676561257025/357896811257021. 351676561257058/357896811257054
. 351676561257116/357896811257112. 351676561257181/357896811257187. 351676561257231/357896811257237. 351676561257298/357896811257
294. 351676561257306/357896811257302. 351676561257330/357896811257336. 351676561257348/357896811257344. 351676561257363/357896811
257369. 351676561257439/357896811257435. 351676561257579/357896811257575. 351676561257587/357896811257583. 351676561257611/357896
811257617. 351676561257645/357896811257641. 351676561257660/357896811257666. 351676561257801/357896811257807. 351676561257819/357
896811257815. 351676561261233/357896811261239. 351676561309990/357896811309996. 351676561310972/357896811310978. 351676561310980/
357896811310986. 351676561310998/357896811310994. 351676561311004/357896811311000. 351676561311012/357896811311018. 3516765613110
20/357896811311026. 351676561311046/357896811311042. 351676561311053/357896811311059. 351676561311129/357896811311125. 3516765613
11137/357896811311133. 351676561311152/357896811311158. 351676561311178/357896811311174. 351676561311194/357896811311190. 3516765
61311202/357896811311208. 351676561311210/357896811311216.351676561311236/357896811311232. 351676561311277/357896811311273. 35167
6561311293/357896811311299. 351676561311319/357896811311315. 351676561311368/357896811311364. 351676561311426/357896811311422. 35
1676561311434/357896811311430. 351676561311442/357896811311448. 351676561311517/357896811311513. 351676561311525/357896811311521.
351676561311558/357896811311554. 351676561311566/357896811311562. 351676561311616/357896811311612. 351676561311632/3578968113116
38. 351676561311640/357896811311646. 351676561311665/357896811311661. 351676561311673/357896811311679.351676561311731/35789681131
1737. 351676561311798/357896811311794. 351676561312150/357896811312156. 351676561312176/357896811312172. 351676561312655/35789681
1312651. 351676561312663/357896811312669. 351676561312671/357896811312677. 351676561312689/357896811312685. 351676561312697/35789
6811312693. 351676561312705/357896811312701. 351676561312721/357896811312727. 351676561312739/357896811312735. 351676561090897/35
7896811090893. 351676561121643/357896811121649. 351676561121650/357896811121656. 351676561152317/357896811152313. 351676561190184
/357896811190180. 351676561253966/357896811253962. 351676561253974/357896811253970. 351676561254048/357896811254044. 351676561254
063/357896811254069. 351676561254089/357896811254085. 351676561254097/357896811254093. 351676561254105/357896811254101. 351676561
254121/357896811254127. 351676561254139/357896811254135. 351676561254147/357896811254143. 351676561254154/357896811254150. 351676
561254170/357896811254176. 351676561254188/357896811254184. 351676561254196/357896811254192. 351676561254212/357896811254218. 351
676561254220/357896811254226. 351676561254238/357896811254234. 351676561254246/357896811254242. 351676561254253/357896811254259.
351676561254261/357896811254267. 351676561254287/357896811254283. 351676561254295/357896811254291. 351676561254303/35789681125430
9. 351676561254311/357896811254317. 351676561254337/357896811254333. 351676561254345/357896811254341. 351676561254352/35789681125
4358. 351676561254360/357896811254366. 351676561254378/357896811254374. 351676561254394/357896811254390. 351676561254402/35789681
1254408. 351676561254410/357896811254416. 351676561254428/357896811254424. 351676561254436/357896811254432. 351676561254451/35789
6811254457. 351676561254469/357896811254465.351676561254477/357896811254473. 351676561254485/357896811254481. 351676561254493/357
896811254499. 351676561255201/357896811255207. 351676561255219/357896811255215. 351676561255227/357896811255223. 351676561255243/
357896811255249. 351676561255250/357896811255256. 351676561255268/357896811255264. 351676561255276/357896811255272. 3516765612552
84/357896811255280. 351676561255292/357896811255298. 351676561255300/357896811255306. 351676561255318/357896811255314. 3516765612
55326/357896811255322. 351676561255342/357896811255348. 351676561255417/357896811255413.351676561255482/357896811255488. 35167656
1255508/357896811255504. 351676561255540/357896811255546. 351676561255565/357896811255561. 351676561255573/357896811255579. 35167
6561255581/357896811255587. 351676561255615/357896811255611. 351676561255631/357896811255637. 351676561255649/357896811255645. 35
1676561255722/357896811255728. 351676561255730/357896811255736. 351676561255771/357896811255777. 351676561255805/357896811255801.
032024000971162-9
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000971162-9 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
351676561255839/357896811255835. 351676561255854/357896811255850. 351676561255870/357896811255876. 351676561255888/3578968112558
84. 351676561255912/357896811255918. 351676561255953/357896811255959. 351676561256019/357896811256015. 351676561256027/3578968112
56023. 351676561256043/357896811256049. 351676561256076/357896811256072. 351676561256167/357896811256163. 351676561256191/3578968
11256197. 351676561256217/357896811256213. 351676561256225/357896811256221. 351676561256274/357896811256270. 351676561256282/3578
96811256288. 351676561256290/357896811256296. 351676561323678/357896811323674. 351676561323686/357896811323682. 351676561323702/3
57896811323708. 351676561323769/357896811323765. 351676561323801/357896811323807. 351676561323827/357896811323823. 35167656132384
3/357896811323849. 351676561323868/357896811323864. 351676561323918/357896811323914. 351676561323926/357896811323922. 35167656132
4023/357896811324029. 351676561324098/357896811324094. 351676561324221/357896811324227. 351676561324676/357896811324672. 35167656
1324817/357896811324813. 351676561325293/357896811325299. 351676561325319/357896811325315. 351676561325426/357896811325422. 35167
6561325442/357896811325448. 351676561325871/357896811325877. 351676561325905/357896811325901. 351676561326002/357896811326008. 35
1676561326077/357896811326073.351676561326119/357896811326115. 351676561326408/357896811326404. 351676561326564/357896811326560.
351676561326580/357896811326586. 351676561326606/357896811326602. 351676561326614/357896811326610. 351676561329014/35789681132901
0. 351676561329147/357896811329143. 351676561330186/357896811330182. 351676561330293/357896811330299. 351676561330699/35789681133
0695. 351676561330715/357896811330711. 351676561331077/357896811331073. 351676561331085/357896811331081. 351676561331093/35789681
1331099. 351676561331101/357896811331107. 351676561331168/357896811331164.351676561331176/357896811331172. 351676561331200/357896
811331206. 351676561331259/357896811331255. 351676561331283/357896811331289. 351676561331309/357896811331305. 351676561331325/357
896811331321. 351676561331341/357896811331347. 351676561331382/357896811331388. 351676561331390/357896811331396. 351676561331408/
357896811331404. 351676561331416/357896811331412. 351676561331432/357896811331438. 351676561331440/357896811331446. 3516765613314
57/357896811331453. 351676561331465/357896811331461. 351676561331473/357896811331479. 351676561331481/357896811331487. 3516765613
31507/357896811331503. 351676561331515/357896811331511. 351676561331523/357896811331529. 351676561331531/357896811331537. 3516765
61331549/357896811331545. 351676561331556/357896811331552. 351676561331572/357896811331578. 351676561331614/357896811331610. 3516
76561331648/357896811331644. 351676561331655/357896811331651. 351676561331663/357896811331669. 351676561331671/357896811331677. 3
51676561331689/357896811331685. 351676561331697/357896811331693. 351676561331705/357896811331701. 351676561331713/357896811331719
. 351676561331739/357896811331735. 351676561331747/357896811331743. 351676561331754/357896811331750. 351676561331796/357896811331
792. 351676561331804/357896811331800. 351676561331812/357896811331818. 351676561331838/357896811331834. 351676561331846/357896811
331842. 351676561331895/357896811331891. 351676561331903/357896811331909. 351676561331911/357896811331917. 351676561331929/357896
811331925. 351676561331937/357896811331933. 351676561331945/357896811331941. 351676561331952/357896811331958. 351676561332174/357
896811332170. 351676561332752/357896811332758. 351676561332984/357896811332980. 351676561333016/357896811333012XXXXXXXXXXXXXXXXXX
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032024000971162-9
Espacio para uso exclusivo de la Entidad Recaudadora
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