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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
032024001213880-1
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. PVG71378285
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
6900296000
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.
173.00
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
25.316.58
79 . Valor fletes USD
1.179.86 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
1.181.14
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: 529250-DECL: 1835527-DO: 893120135241- 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: 3072172709. ID CONTENEDO
R: 6077705685. 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
032024001213880
133. Feha: 202409 02
134 . Levante No. 032024001139064 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 92032406528101
Fecha presentación 2024-09-02 18:26:47
Valor pagado $0.00
Fecha de Impresión: 2024-09-02 18:26:53
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001213880-1
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: 354106700604884/357809260604882. 35410670060
4892/357809260604890. 354106700604900/357809260604908. 354106700604967/357809260604965. 354106700604975/357809260604973. 35410670
0604983/357809260604981. 354106700605006/357809260605004. 354106700605014/357809260605012. 354106700605022/357809260605020. 35410
6700605048/357809260605046. 354106700605121/357809260605129. 354106700605147/357809260605145. 354106700605204/357809260605202. 35
4106700605212/357809260605210. 354106700605220/357809260605228. 354106700605253/357809260605251. 354106700605329/357809260605327.
354106700605402/357809260605400. 354106700605501/357809260605509.354106700605568/357809260605566. 354106700605592/35780926060559
0. 354106700605667/357809260605665. 354106700605709/357809260605707. 354106700605907/357809260605905. 354106700606079/35780926060
6077. 354106700606152/357809260606150. 354106700606178/357809260606176. 354106700606194/ 357809260606192. 354106700606210/3578092
60606218. 354106700606228/357809260606226. 354106700606251/357809260606259. 354106700606335/357809260606333. 354106700606343/3578
09260606341. 354106700606392/357809260606390. 354106700606434/357809260606432. 354106700606467/357809260606465.354106700606475/35
7809260606473. 354106700606509/357809260606507. 354106700606558/357809260606556. 354106700606608/357809260606606. 354106700606616
/357809260606614. 354106700606624/357809260606622. 354106700606657/357809260606655. 354106700606673/357809260606671. 354106700606
749/357809260606747. 354106700606756/357809260606754. 354106700606764/357809260606762. 354106700606772/357809260606770. 354106700
606780/357809260606788. 354106700606863/357809260606861. 354106700606889/357809260606887. 354106700606905/357809260606903. 354106
700606954/357809260606952. 354106700606962/357809260606960. 354106700606996/357809260606994. 354106700607028/357809260607026. 354
106700607044/357809260607042. 354106700607069/357809260607067. 354106700607150/357809260607158. 354106700607168/357809260607166.
354106700607267/357809260607265. 354106700607275/357809260607273. 354106700607325/357809260607323. 354106700607390/35780926060739
8. 354106700607440/357809260607448. 354106700607481/357809260607489. 354106700607515/357809260607513. 354106700607564/35780926060
7562. 354106700607630/357809260607638. 354106700607648/357809260607646. 354106700607697/357809260607695. 354106700607713/35780926
0607711. 354106700607747/357809260607745. 354106700607788/357809260607786. 354106700607796/357809260607794. 354106700607937/35780
9260607935. 354106700607945/357809260607943. 354106700607952/357809260607950. 354106700607960/357809260607968. 354106700607986/35
7809260607984. 354106700608018/357809260608016. 354106700608059/357809260608057. 354106700608091/357809260608099. 354106700608109
/357809260608107. 354106700608166/357809260608164. 354106700608208/357809260608206. 354106700608240/357809260608248. 354106700608
257/357809260608255. 354106700608265/357809260608263.354106700608281/357809260608289. 354106700608356/357809260608354. 3541067006
08364/357809260608362. 354106700608372/357809260608370. 354106700608380/357809260608388. 354106700608398/357809260608396. 3541067
00608455/357809260608453. 354106700608497/357809260608495. 354106700608505/357809260608503. 354106700608521/357809260608529. 3541
06700608539/357809260608537. 354106700608547/357809260608545. 354106700608554/357809260608552. 354106700608562/357809260608560. 3
54106700608570/357809260608578. 354106700608596/357809260608594. 354106700608620/357809260608628.354106700608687/357809260608685.
354106700608695/357809260608693. 354106700608737/357809260608735. 354106700608752/357809260608750. 354106700608794/3578092606087
92. 354106700608802/357809260608800. 354106700608810/357809260608818. 354106700608828/357809260608826. 354106700608851/3578092606
08859. 354106700608877/357809260608875. 354106700608893/357809260608891. 354106700608935/357809260608933. 354106700608943/3578092
60608941. 354106700608950/357809260608958. 354106700608968/357809260608966. 354106700608984/357809260608982. 354106700609016/3578
09260609014. 354106700609024/357809260609022. 354106700609057/357809260609055. 354106700609065/357809260609063. 354106700609099/3
57809260609097. 354106700609107/357809260609105. 354106700609115/357809260609113. 354106700609172/357809260609170. 35410670060919
8/357809260609196. 354106700609206/357809260609204. 354106700609230/357809260609238. 354106700609248/357809260609246. 35410670060
9297/357809260609295. 354106700609347/357809260609345. 354106700609404/357809260609402. 354106700609412/357809260609410. 35410670
0609420/357809260609428. 354106700609438/357809260609436. 354106700609446/357809260609444. 354106700609453/357809260609451. 35410
6700609461/357809260609469. 354106700609479/357809260609477. 354106700572347/357809260572345. 354106700572354/357809260572352. 35
4106700572362/357809260572360. 354106700572370/357809260572378. 354106700572388/357809260572386. 354106700572396/357809260572394.
354106700572412/357809260572410. 354106700572420/357809260572428. 354106700572438/357809260572436. 354106700572446/3578092605724
44. 354106700572453/357809260572451. 354106700572461/357809260572469. 354106700572479/357809260572477. 354106700572487/3578092605
72485. 354106700572495/357809260572493.354106700572503/357809260572501. 354106700572511/357809260572519. 354106700572529/35780926
0572527. 354106700572537/357809260572535. 354106700572545/357809260572543. 354106700572560/357809260572568. 354106700572578/35780
9260572576. 354106700572586/357809260572584. 354106700572594/357809260572592. 354106700572610/357809260572618. 354106700572628/35
7809260572626. 354106700572636/357809260572634. 354106700572644/357809260572642. 354106700572651/357809260572659. 354106700572677
/357809260572675. 354106700572685/357809260572683. 354106700572693/357809260572691.354106700572701/357809260572709. 3541067005727
19/357809260572717. 354106700572727/357809260572725. 354106700572735/357809260572733. 354106700572743/357809260572741. 3541067005
72750/357809260572758. 354106700572776/357809260572774. 354106700572784/357809260572782. 354106700572792/357809260572790. 3541067
00572818/357809260572816. 354106700572826/357809260572824. 354106700572842/357809260572840. 354106700572859/357809260572857. 3541
06700572867/357809260572865. 354106700572875/357809260572873. 354106700572891/357809260572899. 354106700572909/357809260572907. 3
54106700572917/357809260572915. 354106700572925/357809260572923. 354106700572966/357809260572964. 354106700572974/357809260572972
. 354106700572982/357809260572980. 354106700572990/357809260572998. 354106700573014/357809260573012. 354106700573022/357809260573
020. 354106700573030/357809260573038. 354106700573048/357809260573046. 354106700573097/357809260573095. 354106700573113/357809260
573111. 354106700573121/357809260573129. 354106700573139/357809260573137. 354106700573147/357809260573145. 354106700573188/357809
260573186. 354106700573204/357809260573202. 354106700573220/357809260573228. 354106700573238/357809260573236. 354106700573337/357
809260573335. 354106700573345/357809260573343. 354106700578047/357809260578045. 354106700581769/357809260581767. 354106700582288/
357809260582286. 354106700582395/357809260582393. 354106700582403/357809260582401. 354106700582759/357809260582757. 3541067005827
91/357809260582799. 354106700582908/357809260582906. 354106700582973/357809260582971. 354106700583211/357809260583219. 3541067005
83245/357809260583243. 354106700583252/357809260583250. 354106700583260/357809260583268. 354106700583278/357809260583276. 3541067
00583294/357809260583292.354106700583336/357809260583334. 354106700583351/357809260583359. 354106700583369/357809260583367. 35410
6700583377/357809260583375. 354106700583401/357809260583409. 354106700583427/357809260583425. 354106700583468/357809260583466. 35
4106700583526/357809260583524. 354106700583534/357809260583532. 354106700583567/357809260583565. 354106700583575/357809260583573.
354106700583583/357809260583581. 354106700583591/357809260583599. 354106700583609/357809260583607. 354106700583617/3578092605836
15. 354106700583633/357809260583631. 354106700583658/357809260583656.354106700583674/357809260583672. 354106700583682/35780926058
3680. 354106700583690/357809260583698. 354106700583708/357809260583706. 354106700583716/357809260583714. 354106700583724/35780926
0583722. 354106700583732/357809260583730. 354106700583740/357809260583748. 354106700583765/357809260583763. 354106700583799/35780
9260583797. 354106700583807/357809260583805. 354106700583815/357809260583813. 354106700583831/357809260583839. 354106700583922/35
7809260583920. 354106700583955/357809260583953. 354106700583963/357809260583961. 354106700583989/357809260583987. 354106700584003
/357809260584001. 354106700584011/357809260584019. 354106700584029/357809260584027. 354106700584037/357809260584035. 354106700584
045/357809260584043. 354106700584052/357809260584050. 354106700584060/357809260584068. 354106700584078/357809260584076. 354106700
584086/357809260584084. 354106700584094/357809260584092. 354106700584110/357809260584118. 354106700584144/357809260584142. 354106
700584433/357809260584431. 354106700584540/357809260584548. 354106700585067/357809260585065. 354106700570580/357809260570588. 354
106700571232/357809260571230. 354106700571471/357809260571479. 354106700571489/357809260571487. 354106700571604/357809260571602.
354106700571638/357809260571636. 354106700571653/357809260571651. 354106700571679/357809260571677. 354106700571687/35780926057168
5. 354106700571695/357809260571693. 354106700571729/357809260571727. 354106700571737/357809260571735. 354106700571745/35780926057
032024001213880-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001213880-1
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
1743. 354106700571752/357809260571750. 354106700571828/357809260571826. 354106700571836/357809260571834. 354106700571869/35780926
0571867. 354106700571877/357809260571875. 354106700571943/357809260571941. 354106700571976/357809260571974. 354106700572024/35780
9260572022.354106700572057/357809260572055. 354106700572065/357809260572063. 354106700572073/357809260572071. 354106700572107/357
809260572105. 354106700572115/357809260572113. 354106700572131/357809260572139. 354106700572149/357809260572147. 354106700572156/
357809260572154. 354106700572164/357809260572162. 354106700572180/357809260572188. 354106700572198/357809260572196. 3541067005722
06/357809260572204. 354106700572214/357809260572212. 354106700572222/357809260572220. 354106700572230/357809260572238. 3541067005
72255/357809260572253. 354106700572263/357809260572261.354106700572271/357809260572279. 354106700572289/357809260572287. 35410670
0572297/357809260572295. 354106700572305/357809260572303. 354106700572313/357809260572311. 354106700572339/357809260572337. 35410
6700585687/357809260585685. 354106700585919/357809260585917. 354106700585976/357809260585974. 354106700586024/357809260586022. 35
4106700586032/357809260586030. 354106700586057/357809260586055. 354106700586156/357809260586154. 354106700586206/357809260586204.
354106700586289/357809260586287. 354106700586362/357809260586360. 354106700586503/357809260586501. 354106700586552/3578092605865
50. 354106700586560/357809260586568. 354106700586586/357809260586584. 354106700586610/357809260586618. 354106700586636/3578092605
86634. 354106700586693/357809260586691. 354106700586727/357809260586725. 354106700586925/357809260586923. 354106700586966/3578092
60586964. 354106700587105/357809260587103. 354106700587162/357809260587160. 354106700587246/357809260587244. 354106700587253/3578
09260587251. 354106700587261/357809260587269. 354106700587352/357809260587350. 354106700587485/357809260587483. 354106700587493/3
57809260587491. 354106700587501/357809260587509. 354106700587519/357809260587517. 354106700587535/357809260587533. 35410670058754
3/357809260587541. 354106700587568/357809260587566. 354106700587576/357809260587574. 354106700587584/357809260587582. 35410670058
7592/357809260587590. 354106700587600/357809260587608. 354106700587642/357809260587640. 354106700587667/357809260587665. 35410670
0587675/357809260587673. 354106700587709/357809260587707. 354106700587733/357809260587731. 354106700587790/357809260587798. 35410
6700587832/357809260587830. 354106700587857/357809260587855. 354106700587873/357809260587871. 354106700587881/357809260587889.354
106700587899/357809260587897. 354106700587907/357809260587905. 354106700587915/357809260587913. 354106700587923/357809260587921.
354106700587931/357809260587939. 354106700587949/357809260587947. 354106700587998/357809260587996. 354106700588012/35780926058801
0. 354106700588020/357809260588028. 354106700588038/357809260588036. 354106700588053/357809260588051. 354106700588061/35780926058
8069. 354106700588079/357809260588077. 354106700588095/357809260588093. 354106700588103/357809260588101. 354106700588111/35780926
0588119. 354106700588145/357809260588143.354106700588152/357809260588150. 354106700588178/357809260588176. 354106700588186/357809
260588184. 354106700588194/357809260588192. 354106700588202/357809260588200. 354106700588210/357809260588218. 354106700588228/357
809260588226. 354106700588244/357809260588242. 354106700588269/357809260588267. 354106700588277/357809260588275. 354106700588285/
357809260588283. 354106700588301/357809260588309. 354106700588327/357809260588325. 354106700588335/357809260588333. 3541067005883
43/357809260588341. 354106700588350/357809260588358. 354106700588368/357809260588366. 354106700588376/357809260588374. 3541067005
88384/357809260588382. 354106700588392/357809260588390. 354106700588418/357809260588416. 354106700588475/357809260588473. 3541067
00588483/357809260588481. 354106700588509/357809260588507. 354106700588525/357809260588523. 354106700588533/357809260588531. 3541
06700588558/357809260588556. 354106700588707/357809260588705. 354106700591826/357809260591824. 354106700592774/357809260592772. 3
54106700593616/357809260593614. 354106700594259/357809260594257. 354106700595207/357809260595205. 354106700595272/357809260595270
. 354106700596700/357809260596708. 354106700597989/357809260597987. 354106700598631/357809260598639. 354106700598862/357809260598
860. 354106700598896/357809260598894. 354106700599035/357809260599033. 354106700599167/357809260599165. 354106700599217/357809260
599215. 354106700599282/357809260599280. 354106700599423/357809260599421. 354106700600387/357809260600385. 354106700600460/357809
260600468. 354106700600700/357809260600708. 354106700600866/357809260600864. 354106700600924/357809260600922. 354106700601138/357
809260601136. 354106700601229/357809260601227. 354106700601245/357809260601243. 354106700601518/357809260601516.354106700601708/3
57809260601706. 354106700601799/357809260601797. 354106700601823/357809260601821. 354106700601831/357809260601839. 35410670060198
9/357809260601987. 354106700602078/357809260602076. 354106700602102/357809260602100. 354106700602185/357809260602183. 35410670060
2201/357809260602209. 354106700602219/357809260602217. 354106700602243/357809260602241. 354106700602300/357809260602308. 35410670
0602375/357809260602373. 354106700602458/357809260602456. 354106700602870/357809260602878. 354106700602953/357809260602951. 35410
6700602987/357809260602985.354106700603001/357809260603009. 354106700603050/357809260603058. 354106700603209/357809260603207. 354
106700603381/357809260603389. 354106700603399/357809260603397. 354106700603472/357809260603470. 354106700603480/357809260603488.
354106700603647/357809260603645. 354106700603696/357809260603694. 354106700603811/357809260603819. 354106700603852/35780926060385
0. 354106700603886/357809260603884. 354106700603910/357809260603918. 354106700604009/357809260604007. 354106700604066/35780926060
4064. 354106700604090/357809260604098. 354106700604132/357809260604130. 354106700604256/357809260604254. 354106700604330/35780926
0604338. 354106700604355/357809260604353. 354106700604413/357809260604411. 354106700604454/357809260604452. 354106700604462/35780
9260604460. 354106700604470/357809260604478. 354106700604488/357809260604486. 354106700604496/357809260604494. 354106700604512/35
7809260604510. 354106700604579/357809260604577. 354106700604587/357809260604585. 354106700604595/357809260604593. 354106700604611
/357809260604619. 354106700604629/357809260604627. 354106700604637/357809260604635. 354106700604645/357809260604643. 354106700604
678/357809260604676. 354106700604686/357809260604684. 354106700604694/357809260604692. 354106700604710/357809260604718. 354106700
604736/357809260604734. 354106700604751/357809260604759. 354106700604801/357809260604809. 354106700604827/357809260604825. 354106
700604843/357809260604841. 354106700604850/357809260604858XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001213880-1
Espacio para uso exclusivo de la Entidad Recaudadora
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