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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
032024001213336-6
5 . Número de Identificación Tributaria (NIT)
830028931
6 . DV.
5
11 . Apellidos y nombres o Razón Social
SAMSUNG ELECTRONICS COLOMBIA S.A.
13 . Dirección
CR 7 113 43 OF 607
15 . Teléfono
4870707
12 . Cód. Admón.
03
16 . Cód. Dpto
11
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
860536003
25 . DV.
3
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS ABC REPECEV S.A.S. NIVEL 1
27 . Tipo usuario
26
28 . Cód. usuario
99
29 . Número documento de identificación
102294385
30 . Apellidos y nombres
CARLOS ANDRES ROJAS MATAJUDIOS
31 . Clase
Importador
02
32 . Tipo declaración
Inicial
33 . Cod.
1
34 .No.Formulario Anterior
XXXXXXXXXXXXXX
35 . Año – Mes – Día
XXXX – XX – XX
36 . Cod. Admón.
XX
37 . Declaración de Exportación
No. XXXXXXXXXXXXXXX
38 . Año – Mes – Día
XXXX – XX – XX
39 . Cod. Admón.
XX
40 . Cod. lugar ingreso
de las mercancías
BOG
41 . Cod. Depósito
99900
42 . Manifiesto de carga
No. 116575014725138
43 . Año – Mes – Día
2024 – 09 – 01
44 . Documento de transporte
No. PVG71378287
45 . Año – Mes – Día
2024 – 08 – 27
46 . Nombre exportador o proveedor en el exterior
SAMSUNG ELECTRONICS CO., LTD
47 . Ciudad
GYEONGGI-DO
48 . Cod.País Exportador
190
49 . Dirección exportador o proveedor en el exterior
129, SAMSUNG-RO, YEONGTONG-GU SUWON 16677
50 . E-mail
010-8705-6749
51 . No. de factura
6900294486
52 . Año – Mes – Día
2024 – 08 – 26
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
TAMPA CARGO S.A.S.
58 . Tasa de cambio $ cvs.
4.132.11
S 59 . Subpartida arancelaria
8517130000
60 . Cod.
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
de origen
215
67 . Cod. Acuerdo
XXX
68 . Forma de pago
de la importación
01
69 . Tipo de
importación
01
70 . Cod. país
compra
190
71 . Peso bruto kgs. dcms.
171.00
72 . Peso neto kgs. dcms.
137.50
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
500.00
78 .Valor FOB
USD
25.330.22
79 . Valor fletes USD
1.166.22 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
109.491.494
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
109.491.494
99
0
100
0
101
0.00
Salvaguardia
102
0.00
103
0
104
0
105
0
106
0.00
Derechos
Compensatorios
107
0.00
108
0
109
0
110
0
111
0.00
Derechos
Antidumping
112
0.00
113
0
114
0
115
0
116
0.00
Sancion
117
0
118
0
119
0
120
0
Rescate
121
0
122
0
123
0
124
0
Total 125
0
126
0.00
80 . Valor Seguros
USD
1.28
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.167.50
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
26.497.72
85 . Código registro
o licencia
X
86 . Número
XXXXXXXXXX
87 .
Cod.
oficina
99
88 . Año
XXXX
89 . Programa No
XXXXXXXXXX
90 . Cód Interno del
Producto
0
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: 529239-DECL: 1835487-DO: 893120137241- 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, MERCANC
IA QUE NO REQUIERE REGISTRO DEIMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3072172519. ID CONTENEDO
R: 6077707089. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A065MLBGLTC, PRODUCTO: TELEFONO CELULAR GALAXY A06 DUOS(CON ACCESORIOS PAR
A USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL CLARO,MODELO: SM-A065M/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
032024001213336
133. Feha: 202409 02
134 . Levante No. 032024001138289 135 . Fecha
2024 – 09 – 02
Firma funcionario responsable 136 . Nombre
137 . C.C. No.
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 92032406525336
Fecha presentación 2024-09-02 17:21:18
Valor pagado $0.00
Fecha de Impresión: 2024-09-02 17:21:24
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001213336-6
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
R Y AL DETAL//MOBILE,SM-A065M/DS,LIGHT BLUE,LTC( QTY. 500,00 u )(500,00 PCE); IMEIS: 354106700592378/357809260592376. 35410670059
3020/357809260593028. 354106700593152/357809260593150. 354106700593236/357809260593234. 354106700593277/357809260593275. 35410670
0593285/357809260593283. 354106700593293/357809260593291. 354106700593301/357809260593309. 354106700593319/357809260593317. 35410
6700593434/357809260593432. 354106700593459/357809260593457. 354106700593467/357809260593465. 354106700593475/357809260593473. 35
4106700593491/357809260593499. 354106700593509/357809260593507. 354106700593533/357809260593531. 354106700593566/357809260593564.
354106700593640/357809260593648. 354106700593707/357809260593705.354106700593723/357809260593721. 354106700593749/35780926059374
7. 354106700593756/357809260593754. 354106700593764/357809260593762. 354106700593996/357809260593994. 354106700594234/35780926059
4232. 354106700595264/357809260595262. 354106700595280/357809260595288. 354106700595306/ 357809260595304. 354106700595397/3578092
60595395. 354106700595454/357809260595452. 354106700595470/357809260595478. 354106700595488/357809260595486. 354106700595496/3578
09260595494. 354106700595504/357809260595502. 354106700595538/357809260595536. 354106700595546/357809260595544.354106700595561/35
7809260595569. 354106700595579/357809260595577. 354106700595595/357809260595593. 354106700595603/357809260595601. 354106700595611
/357809260595619. 354106700595629/357809260595627. 354106700595637/357809260595635. 354106700595645/357809260595643. 354106700595
652/357809260595650. 354106700595660/357809260595668. 354106700595686/357809260595684. 354106700595710/357809260595718. 354106700
595769/357809260595767. 354106700595777/357809260595775. 354106700595785/357809260595783. 354106700595793/357809260595791. 354106
700595801/357809260595809. 354106700595819/357809260595817. 354106700595827/357809260595825. 354106700595835/357809260595833. 354
106700595843/357809260595841. 354106700595850/357809260595858. 354106700595868/357809260595866. 354106700595876/357809260595874.
354106700595900/357809260595908. 354106700595967/357809260595965. 354106700596015/357809260596013. 354106700596031/35780926059603
9. 354106700596601/357809260596609. 354106700597393/357809260597391. 354106700597690/357809260597698. 354106700597740/35780926059
7748. 354106700598888/357809260598886. 354106700599589/357809260599587. 354106700599605/357809260599603. 354106700600031/35780926
0600039. 354106700600155/357809260600153. 354106700600312/357809260600310. 354106700601013/357809260601011. 354106700601377/35780
9260601375. 354106700601948/357809260601946. 354106700602771/357809260602779. 354106700603712/357809260603710. 354106700603761/35
7809260603769. 354106700603902/357809260603900. 354106700604041/357809260604049. 354106700604199/357809260604197. 354106700604272
/357809260604270. 354106700604439/357809260604437. 354106700604744/357809260604742. 354106700604785/357809260604783. 354106700604
819/357809260604817. 354106700605196/357809260605194.354106700605352/357809260605350. 354106700605360/357809260605368. 3541067006
05378/357809260605376. 354106700605386/357809260605384. 354106700605394/357809260605392. 354106700605428/357809260605426. 3541067
00605436/357809260605434. 354106700605444/357809260605442. 354106700605451/357809260605459. 354106700605469/357809260605467. 3541
06700605485/357809260605483. 354106700605618/357809260605616. 354106700605626/357809260605624. 354106700605634/357809260605632. 3
54106700605642/357809260605640. 354106700605659/357809260605657. 354106700605683/357809260605681.354106700605691/357809260605699.
354106700605717/357809260605715. 354106700605733/357809260605731. 354106700605741/357809260605749. 354106700605758/3578092606057
56. 354106700605766/357809260605764. 354106700605790/357809260605798. 354106700605808/357809260605806. 354106700605816/3578092606
05814. 354106700605824/357809260605822. 354106700605832/357809260605830. 354106700605840/357809260605848. 354106700605857/3578092
60605855. 354106700605865/357809260605863. 354106700605873/357809260605871. 354106700605881/357809260605889. 354106700605899/3578
09260605897. 354106700605915/357809260605913. 354106700605923/357809260605921. 354106700605931/357809260605939. 354106700605949/3
57809260605947. 354106700605956/357809260605954. 354106700605964/357809260605962. 354106700605972/357809260605970. 35410670060599
8/357809260605996. 354106700606004/357809260606002. 354106700606012/357809260606010. 354106700606020/357809260606028. 35410670060
6038/357809260606036. 354106700606087/357809260606085. 354106700606236/357809260606234. 354106700606285/357809260606283. 35410670
0607143/357809260607141. 354106700608026/357809260608024. 354106700608422/357809260608420. 354106700608646/357809260608644. 35410
6700609214/357809260609212. 354106700609388/357809260609386. 354106700571661/357809260571669. 354106700573063/357809260573061. 35
4106700579110/357809260579118. 354106700579425/357809260579423. 354106700579839/357809260579837. 354106700580068/357809260580066.
354106700580126/357809260580124. 354106700580852/357809260580850. 354106700580910/357809260580918. 354106700580993/3578092605809
91. 354106700581157/357809260581155. 354106700581165/357809260581163. 354106700581199/357809260581197. 354106700581215/3578092605
81213. 354106700581272/357809260581270.354106700581330/357809260581338. 354106700581348/357809260581346. 354106700581421/35780926
0581429. 354106700581579/357809260581577. 354106700581728/357809260581726. 354106700581736/357809260581734. 354106700581751/35780
9260581759. 354106700581793/357809260581791. 354106700581876/357809260581874. 354106700581884/357809260581882. 354106700581892/35
7809260581890. 354106700582031/357809260582039. 354106700582171/357809260582179. 354106700582221/357809260582229. 354106700582254
/357809260582252. 354106700582262/357809260582260. 354106700582296/357809260582294.354106700582312/357809260582310. 3541067005823
20/357809260582328. 354106700582379/357809260582377. 354106700582429/357809260582427. 354106700582437/357809260582435. 3541067005
82445/357809260582443. 354106700582460/357809260582468. 354106700582502/357809260582500. 354106700582585/357809260582583. 3541067
00582619/357809260582617. 354106700582643/357809260582641. 354106700582650/357809260582658. 354106700582668/357809260582666. 3541
06700582676/357809260582674. 354106700582684/357809260582682. 354106700582692/357809260582690. 354106700582700/357809260582708. 3
54106700582718/357809260582716. 354106700582726/357809260582724. 354106700582734/357809260582732. 354106700582742/357809260582740
. 354106700582775/357809260582773. 354106700582783/357809260582781. 354106700582809/357809260582807. 354106700582817/357809260582
815. 354106700582825/357809260582823. 354106700582833/357809260582831. 354106700582866/357809260582864. 354106700582874/357809260
582872. 354106700582882/357809260582880. 354106700582890/357809260582898. 354106700582916/357809260582914. 354106700582924/357809
260582922. 354106700582940/357809260582948. 354106700582981/357809260582989. 354106700582999/357809260582997. 354106700583005/357
809260583003. 354106700583013/357809260583011. 354106700583021/357809260583029. 354106700583039/357809260583037. 354106700583047/
357809260583045. 354106700583054/357809260583052. 354106700583062/357809260583060. 354106700583070/357809260583078. 3541067005830
88/357809260583086. 354106700583096/357809260583094. 354106700583104/357809260583102. 354106700583112/357809260583110. 3541067005
83120/357809260583128. 354106700583138/357809260583136. 354106700583146/357809260583144. 354106700583153/357809260583151. 3541067
00583179/357809260583177.354106700583187/357809260583185. 354106700583203/357809260583201. 354106700583229/357809260583227. 35410
6700583237/357809260583235. 354106700583302/357809260583300. 354106700583328/357809260583326. 354106700583393/357809260583391. 35
4106700583542/357809260583540. 354106700583872/357809260583870. 354106700583898/357809260583896. 354106700583906/357809260583904.
354106700584136/357809260584134. 354106700584151/357809260584159. 354106700584169/357809260584167. 354106700584177/3578092605841
75. 354106700584193/357809260584191. 354106700584201/357809260584209.354106700584219/357809260584217. 354106700584227/35780926058
4225. 354106700584243/357809260584241. 354106700584268/357809260584266. 354106700584284/357809260584282. 354106700584300/35780926
0584308. 354106700584318/357809260584316. 354106700584326/357809260584324. 354106700584359/357809260584357. 354106700584375/35780
9260584373. 354106700584383/357809260584381. 354106700584391/357809260584399. 354106700584458/357809260584456. 354106700584466/35
7809260584464. 354106700584474/357809260584472. 354106700584482/357809260584480. 354106700584490/357809260584498. 354106700584508
/357809260584506. 354106700584524/357809260584522. 354106700584532/357809260584530. 354106700584599/357809260584597. 354106700584
615/357809260584613. 354106700584623/357809260584621. 354106700584631/357809260584639. 354106700584649/357809260584647. 354106700
584656/357809260584654. 354106700584672/357809260584670. 354106700584698/357809260584696. 354106700584706/357809260584704. 354106
700584714/357809260584712. 354106700584748/357809260584746. 354106700584763/357809260584761. 354106700584771/357809260584779. 354
106700584953/357809260584951. 354106700585190/357809260585198. 354106700585430/357809260585438. 354106700585505/357809260585503.
354106700585547/357809260585545. 354106700585620/357809260585628. 354106700585653/357809260585651. 354106700585661/35780926058566
9. 354106700585869/357809260585867. 354106700585877/357809260585875. 354106700585885/357809260585883. 354106700585901/35780926058
032024001213336-6
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001213336-6
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
5909. 354106700585927/357809260585925. 354106700585935/357809260585933. 354106700585950/357809260585958. 354106700585968/35780926
0585966. 354106700585984/357809260585982. 354106700585992/357809260585990. 354106700586073/357809260586071. 354106700586081/35780
9260586089.354106700586107/357809260586105. 354106700586131/357809260586139. 354106700586149/357809260586147. 354106700586172/357
809260586170. 354106700586180/357809260586188. 354106700586198/357809260586196. 354106700586214/357809260586212. 354106700586222/
357809260586220. 354106700586230/357809260586238. 354106700586248/357809260586246. 354106700586255/357809260586253. 3541067005862
63/357809260586261. 354106700586271/357809260586279. 354106700586297/357809260586295. 354106700586313/357809260586311. 3541067005
86321/357809260586329. 354106700586339/357809260586337.354106700586370/357809260586378. 354106700586396/357809260586394. 35410670
0586404/357809260586402. 354106700586412/357809260586410. 354106700586438/357809260586436. 354106700586446/357809260586444. 35410
6700586461/357809260586469. 354106700586479/357809260586477. 354106700586487/357809260586485. 354106700586511/357809260586519. 35
4106700586529/357809260586527. 354106700586537/357809260586535. 354106700586545/357809260586543. 354106700586578/357809260586576.
354106700586594/357809260586592. 354106700586651/357809260586659. 354106700586669/357809260586667. 354106700586776/3578092605867
74. 354106700586826/357809260586824. 354106700586834/357809260586832. 354106700587014/357809260587012. 354106700587048/3578092605
87046. 354106700587063/357809260587061. 354106700587113/357809260587111. 354106700587204/357809260587202. 354106700587212/3578092
60587210. 354106700587238/357809260587236. 354106700587311/357809260587319. 354106700587360/357809260587368. 354106700587378/3578
09260587376. 354106700587402/357809260587400. 354106700587410/357809260587418. 354106700587428/357809260587426. 354106700587436/3
57809260587434. 354106700587469/357809260587467. 354106700587477/357809260587475. 354106700587527/357809260587525. 35410670058755
0/357809260587558. 354106700587626/357809260587624. 354106700587634/357809260587632. 354106700587659/357809260587657. 35410670058
7683/357809260587681. 354106700587691/357809260587699. 354106700587717/357809260587715. 354106700587758/357809260587756. 35410670
0587766/357809260587764. 354106700587816/357809260587814. 354106700587824/357809260587822. 354106700587840/357809260587848. 35410
6700587865/357809260587863. 354106700587980/357809260587988. 354106700588087/357809260588085. 354106700588129/357809260588127.354
106700588137/357809260588135. 354106700588251/357809260588259. 354106700588400/357809260588408. 354106700588442/357809260588440.
354106700588467/357809260588465. 354106700588517/357809260588515. 354106700588541/357809260588549. 354106700588632/35780926058863
0. 354106700588640/357809260588648. 354106700588657/357809260588655. 354106700588665/357809260588663. 354106700588673/35780926058
8671. 354106700588681/357809260588689. 354106700588715/357809260588713. 354106700588731/357809260588739. 354106700588749/35780926
0588747. 354106700588756/357809260588754.354106700588764/357809260588762. 354106700588772/357809260588770. 354106700588780/357809
260588788. 354106700588798/357809260588796. 354106700588806/357809260588804. 354106700588814/357809260588812. 354106700588822/357
809260588820. 354106700588830/357809260588838. 354106700588848/357809260588846. 354106700588855/357809260588853. 354106700588863/
357809260588861. 354106700588871/357809260588879. 354106700589002/357809260589000. 354106700589010/357809260589018. 3541067005890
28/357809260589026. 354106700589036/357809260589034. 354106700589044/357809260589042. 354106700589051/357809260589059. 3541067005
89069/357809260589067. 354106700589077/357809260589075. 354106700589085/357809260589083. 354106700589093/357809260589091. 3541067
00589101/357809260589109. 354106700589127/357809260589125. 354106700589135/357809260589133. 354106700589143/357809260589141. 3541
06700589168/357809260589166. 354106700589184/357809260589182. 354106700589192/357809260589190. 354106700589200/357809260589208. 3
54106700589218/357809260589216. 354106700589226/357809260589224. 354106700589234/357809260589232. 354106700589242/357809260589240
. 354106700589259/357809260589257. 354106700589267/357809260589265. 354106700589275/357809260589273. 354106700589283/357809260589
281. 354106700589317/357809260589315. 354106700589382/357809260589380. 354106700589416/357809260589414. 354106700589598/357809260
589596. 354106700589663/357809260589661. 354106700589671/357809260589679. 354106700589697/357809260589695. 354106700589705/357809
260589703. 354106700589747/357809260589745. 354106700589796/357809260589794. 354106700589895/357809260589893. 354106700589903/357
809260589901. 354106700589929/357809260589927. 354106700589978/357809260589976. 354106700590117/357809260590115.354106700590372/3
57809260590370. 354106700590927/357809260590925. 354106700591081/357809260591089. 354106700591099/357809260591097. 35410670059110
7/357809260591105. 354106700591164/357809260591162. 354106700591172/357809260591170. 354106700591305/357809260591303. 35410670059
1438/357809260591436. 354106700591446/357809260591444. 354106700591453/357809260591451. 354106700591479/357809260591477. 35410670
0591487/357809260591485. 354106700591495/357809260591493. 354106700591529/357809260591527. 354106700591552/357809260591550. 35410
6700591560/357809260591568.354106700591578/357809260591576. 354106700591586/357809260591584. 354106700591594/357809260591592. 354
106700591602/357809260591600. 354106700591610/357809260591618. 354106700591636/357809260591634. 354106700591651/357809260591659.
354106700591669/357809260591667. 354106700591677/357809260591675. 354106700591685/357809260591683. 354106700591693/35780926059169
1. 354106700591701/357809260591709. 354106700591727/357809260591725. 354106700591735/357809260591733. 354106700591743/35780926059
1741. 354106700591768/357809260591766. 354106700591776/357809260591774. 354106700591784/357809260591782. 354106700591792/35780926
0591790. 354106700591800/357809260591808. 354106700591818/357809260591816. 354106700591834/357809260591832. 354106700591859/35780
9260591857. 354106700591867/357809260591865. 354106700591875/357809260591873. 354106700591883/357809260591881. 354106700591891/35
7809260591899. 354106700591917/357809260591915. 354106700591925/357809260591923. 354106700591933/357809260591931. 354106700591941
/357809260591949. 354106700591958/357809260591956. 354106700591966/357809260591964. 354106700591974/357809260591972. 354106700591
982/357809260591980. 354106700592006/357809260592004. 354106700592022/357809260592020. 354106700592048/357809260592046. 354106700
592055/357809260592053. 354106700592063/357809260592061. 354106700592071/357809260592079. 354106700592170/357809260592178. 354106
700592212/357809260592210. 354106700592279/357809260592277XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001213336-6
Espacio para uso exclusivo de la Entidad Recaudadora
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