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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
032024000994270-5
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. 116575014593747 2024 – 07 – 19 No. KHAN24076911 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 9102726431 2024 – 07 – 12 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.
4.036.73
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
82.790.76
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
4.06
0
Arancel
0
0
0.00
92 93 94 0.00 338.431.612
95
96
I.V.A.
9798 99 100 101
0.00 338.431.612 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
1.047.30
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
83.838.06
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: 524324-DECL: 1821508-DO: 893116178241- 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: 3068702975. ID CONTENEDOR: 6076746296. MERCANCIA MARCA: SAMSUNG REFERENCIA:SM-A356ELBGLTC, PR
ODUCTO: TELEFONO CELULAR GALAXY A35 5G DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL (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 032024000994270
133. Feha: 202407 22
134 . Levante No. 032024000933563 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 92032405389410
Fecha presentación 2024-07-22 16:50:23 Valor pagado $0.00
Fecha de Impresión: 2024-07-22 16:55:17
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000994270-5 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
CLARO, MODELO:SM-A356E/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A356E/DS,LIGHT B LUE,LTC( QTY. 400,00 u )
(400,00 PCE); IMEIS: 351676561200850/357896811200856. 351676561200868/357896811200864. 351676561200876/357896811200872. 351676561
200884/357896811200880. 351676561200892/357896811200898. 351676561200900/357896811200906. 351676561200918/357896811200914. 351676
561200926/357896811200922. 351676561200934/357896811200930. 351676561200942/357896811200948. 351676561200959/357896811200955. 351
676561200967/357896811200963. 351676561200975/357896811200971. 351676561200983/357896811200989. 351676561200991/357896811200997.3
51676561201007/357896811201003. 351676561201015/357896811201011. 351676561201023/357896811201029. 351676561201031/357896811201037
. 351676561201049/357896811201045. 351676561201056/357896811201052. 351676561201064/357896811201060. 351676561201072/357896811201
078. 351676561201080/357896811201086. 351676561201098/357896811201094. 351676561201106/357 896811201102. 351676561201130/35789681
1201136. 351676561201148/357896811201144. 351676561201171/357896811201177. 351676561201189/357896811201185. 351676561201312/35789
6811201318. 351676561201361/357896811201367. 351676561201429/357896811201425. 351676561201437/357896811201433. 351676561201445/35
7896811201441. 351676561201460/357896811201466. 351676561201478/357896811201474. 351676561201486/357896811201482. 351676561201536
/357896811201532. 351676561201551/357896811201557. 351676561201577/357896811201573. 351676561201585/357896811201581. 351676561201
619/357896811201615. 351676561201627/357896811201623. 351676561201643/357896811201649. 351676561201650/357896811201656. 351676561
201668/357896811201664. 351676561201676/357896811201672. 351676561201692/357896811201698. 351676561201700/357896811201706. 351676
561201718/357896811201714. 351676561201726/357896811201722. 351676561201734/357896811201730. 351676561201742/357896811201748. 351
676561201775/357896811201771. 351676561201783/357896811201789. 351676561201791/357896811201797. 351676561201809/357896811201805.
351676561201817/357896811201813. 351676561202997/357896811202993. 351676561203003/357896811203009. 351676561203037/35789681120303
3. 351676561203169/357896811203165. 351676561204928/357896811204924. 351676561204993/357896811204999. 351676561205065/35789681120
5061. 351676561205099/357896811205095. 351676561205156/357896811205152.351676561205180/357896811205186. 351676561205206/357896811
205202. 351676561205487/357896811205483. 351676561205537/357896811205533. 351676561205552/357896811205558. 351676561205560/357896
811205566. 351676561205578/357896811205574. 351676561205586/357896811205582. 351676561205602/357896811205608. 351676561205610/357
896811205616. 351676561205628/357896811205624. 351676561205636/357896811205632. 351676561205651/357896811205657. 351676561205669/
357896811205665. 351676561205677/357896811205673. 351676561205685/357896811205681. 351676561205701/357896811205707.35167656120571
9/357896811205715. 351676561205727/357896811205723. 351676561205735/357896811205731. 351676561205743/357896811205749. 35167656120
5750/357896811205756. 351676561205768/357896811205764. 351676561205776/357896811205772. 351676561205784/357896811205780. 35167656
1205800/357896811205806. 351676561205818/357896811205814. 351676561205826/357896811205822. 351676561205834/357896811205830. 35167
6561205842/357896811205848. 351676561205867/357896811205863. 351676561205875/357896811205871. 351676561205883/357896811205889. 35
1676561205891/357896811205897. 351676561205909/357896811205905. 351676561205917/357896811205913. 351676561205925/357896811205921.
351676561205933/357896811205939. 351676561205966/357896811205962. 351676561205974/357896811205970. 351676561205982/3578968112059
88. 351676561205990/357896811205996. 351676561206006/357896811206002. 351676561206014/357896811206010. 351676561206022/3578968112
06028. 351676561206048/357896811206044. 351676561206063/357896811206069. 351676561206139/357896811206135. 351676561206196/3578968
11206192. 351676561206329/357896811206325. 351676561206352/357896811206358. 351676561206386/357896811206382. 351676561206428/3578
96811206424. 351676561206477/357896811206473. 351676561206485/357896811206481. 351676561206493/357896811206499. 351676561206527/3
57896811206523. 351676561206576/357896811206572. 351676561206618/357896811206614. 351676561206626/357896811206622. 35167656120666
7/357896811206663. 351676561206725/357896811206721. 351676561206881/357896811206887. 351676561206972/357896811206978. 35167656120
6998/357896811206994. 351676561207038/357896811207034. 351676561207053/357896811207059. 351676561207103/357896811207109. 35167656
1207129/357896811207125. 351676561207152/357896811207158.351676561207269/357896811207265. 351676561207301/357896811207307. 351676
561207400/357896811207406. 351676561207434/357896811207430. 351676561207442/357896811207448. 351676561207467/357896811207463. 351
676561207558/357896811207554. 351676561207574/357896811207570. 351676561207616/357896811207612. 351676561207632/357896811207638.
351676561207699/357896811207695. 351676561207756/357896811207752. 351676561207764/357896811207760. 351676561207814/35789681120781
0. 351676561207848/357896811207844. 351676561207855/357896811207851. 351676561207939/357896811207935.351676561208093/357896811208
099. 351676561208143/357896811208149. 351676561208184/357896811208180. 351676561208192/357896811208198. 351676561208218/357896811
208214. 351676561208408/357896811208404. 351676561208473/357896811208479. 351676561208507/357896811208503. 351676561208523/357896
811208529. 351676561208531/357896811208537. 351676561208549/357896811208545. 351676561208556/357896811208552. 351676561208564/357
896811208560. 351676561208572/357896811208578. 351676561208614/357896811208610. 351676561208648/357896811208644. 351676561208655/
357896811208651. 351676561208663/357896811208669. 351676561208671/357896811208677. 351676561208689/357896811208685. 3516765612086
97/357896811208693. 351676561208705/357896811208701. 351676561208713/357896811208719. 351676561209588/357896811209584. 3516765612
09802/357896811209808. 351676561083702/357896811083708. 351676561090467/357896811090463. 351676561090491/357896811090497. 3516765
61090632/357896811090638. 351676561131105/357896811131101. 351676561191570/357896811191576. 351676561192065/357896811192061. 3516
76561192172/357896811192178. 351676561192461/357896811192467. 351676561192529/357896811192525. 351676561192594/357896811192590. 3
51676561192750/357896811192756. 351676561192792/357896811192798. 351676561192800/357896811192806. 351676561192834/357896811192830
. 351676561193444/357896811193440. 351676561193527/357896811193523. 351676561193576/357896811193572. 351676561193600/357896811193
606. 351676561193618/357896811193614. 351676561193758/357896811193754. 351676561193766/357896811193762. 351676561193782/357896811
193788. 351676561193816/357896811193812. 351676561193832/357896811193838. 351676561193873/357896811193879. 351676561193881/357896
811193887. 351676561193907/357896811193903.351676561193956/357896811193952. 351676561193964/357896811193960. 351676561194061/3578
96811194067. 351676561194129/357896811194125. 351676561194137/357896811194133. 351676561194186/357896811194182. 351676561194269/3
57896811194265. 351676561194277/357896811194273. 351676561194285/357896811194281. 351676561194319/357896811194315. 35167656119434
3/357896811194349. 351676561194459/357896811194455. 351676561194509/357896811194505. 351676561194566/357896811194562. 35167656119
4574/357896811194570. 351676561194582/357896811194588. 351676561194590/357896811194596.351676561194608/357896811194604. 351676561
194632/357896811194638. 351676561194640/357896811194646. 351676561194673/357896811194679. 351676561194715/357896811194711. 351676
561194749/357896811194745. 351676561194756/357896811194752. 351676561194939/357896811194935. 351676561195514/357896811195510. 351
676561195654/357896811195650. 351676561195738/357896811195734. 351676561195886/357896811195882. 351676561195910/357896811195916.
351676561195936/357896811195932. 351676561195951/357896811195957. 351676561195969/357896811195965. 351676561195985/35789681119598
1. 351676561195993/357896811195999. 351676561196017/357896811196013. 351676561196025/357896811196021. 351676561196041/35789681119
6047. 351676561196058/357896811196054. 351676561196066/357896811196062. 351676561196082/357896811196088. 351676561196090/35789681
1196096. 351676561196108/357896811196104. 351676561196116/357896811196112. 351676561196124/357896811196120. 351676561196132/35789
6811196138. 351676561196140/357896811196146. 351676561196157/357896811196153. 351676561196165/357896811196161. 351676561196173/35
7896811196179. 351676561196199/357896811196195. 351676561196215/357896811196211. 351676561196223/357896811196229. 351676561196256
/357896811196252. 351676561196272/357896811196278. 351676561196280/357896811196286. 351676561196298/357896811196294. 351676561196
306/357896811196302. 351676561196314/357896811196310. 351676561196322/357896811196328. 351676561196355/357896811196351. 351676561
196371/357896811196377. 351676561196439/357896811196435. 351676561196447/357896811196443. 351676561196454/357896811196450. 351676
561196462/357896811196468. 351676561196488/357896811196484. 351676561196496/357896811196492. 351676561196512/357896811196518. 351
676561196546/357896811196542.351676561196553/357896811196559. 351676561196561/357896811196567. 351676561196595/357896811196591. 3
51676561196611/357896811196617. 351676561196637/357896811196633. 351676561196645/357896811196641. 351676561196652/357896811196658
. 351676561196678/357896811196674. 351676561196694/357896811196690. 351676561196769/357896811196765. 351676561196777/357896811196
032024000994270-5
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024000994270-5 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
773. 351676561196793/357896811196799. 351676561197163/357896811197169. 351676561197296/357896811197292. 351676561197320/357896811
197326. 351676561197361/357896811197367. 351676561197395/357896811197391.351676561197403/357896811197409. 351676561197460/3578968
11197466. 351676561197536/357896811197532. 351676561197544/357896811197540. 351676561197577/357896811197573. 351676561197643/3578
96811197649. 351676561197726/357896811197722. 351676561197759/357896811197755. 351676561197882/357896811197888. 351676561197924/3
57896811197920. 351676561199441/357896811199447. 351676561199524/357896811199520. 351676561199532/357896811199538. 35167656119958
1/357896811199587. 351676561199631/357896811199637. 351676561199649/357896811199645. 351676561199730/357896811199736. 35167656119
9805/357896811199801. 351676561199839/357896811199835. 351676561199888/357896811199884. 351676561199904/357896811199900. 35167656
1199912/357896811199918. 351676561199920/357896811199926. 351676561199938/357896811199934. 351676561199946/357896811199942. 35167
6561199953/357896811199959. 351676561199961/357896811199967. 351676561199987/357896811199983. 351676561200009/357896811200005. 35
1676561200017/357896811200013. 351676561200025/357896811200021. 351676561200033/357896811200039. 351676561200041/357896811200047.
351676561200058/357896811200054. 351676561200066/357896811200062. 351676561200074/357896811200070. 351676561200082/3578968112000
88. 351676561200090/357896811200096. 351676561200108/357896811200104. 351676561200124/357896811200120. 351676561200132/3578968112
00138. 351676561200140/357896811200146. 351676561200157/357896811200153. 351676561200165/357896811200161. 351676561200173/3578968
11200179. 351676561200207/357896811200203. 351676561200215/357896811200211. 351676561200223/357896811200229. 351676561200249/3578
96811200245. 351676561200256/357896811200252. 351676561200264/357896811200260. 351676561200272/357896811200278. 351676561200280/3
57896811200286.351676561200298/357896811200294. 351676561200306/357896811200302. 351676561200314/357896811200310. 351676561200322
/357896811200328. 351676561200330/357896811200336. 351676561200355/357896811200351. 351676561200363/357896811200369. 351676561200
371/357896811200377. 351676561200389/357896811200385. 351676561200397/357896811200393. 351676561200405/357896811200401. 351676561
200413/357896811200419. 351676561200421/357896811200427. 351676561200439/357896811200435. 351676561200447/357896811200443. 351676
561200454/357896811200450. 351676561200462/357896811200468.351676561200470/357896811200476. 351676561200488/357896811200484. 3516
76561200496/357896811200492. 351676561200504/357896811200500. 351676561200512/357896811200518. 351676561200520/357896811200526. 3
51676561200538/357896811200534. 351676561200546/357896811200542. 351676561200553/357896811200559. 351676561200561/357896811200567
. 351676561200579/357896811200575. 351676561200587/357896811200583. 351676561200595/357896811200591. 351676561200603/357896811200
609. 351676561200611/357896811200617. 351676561200629/357896811200625. 351676561200637/357896811200633. 351676561200652/357896811
200658. 351676561200660/357896811200666. 351676561200686/357896811200682. 351676561200694/357896811200690. 351676561200702/357896
811200708. 351676561200710/357896811200716. 351676561200728/357896811200724. 351676561200736/357896811200732. 351676561200751/357
896811200757. 351676561200769/357896811200765. 351676561200777/357896811200773. 351676561200785/357896811200781. 351676561200793/
357896811200799. 351676561200801/357896811200807. 351676561200819/357896811200815. 351676561200827/357896811200823. 3516765612008
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032024000994270-5
Espacio para uso exclusivo de la Entidad Recaudadora
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