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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
032024001220382-4
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
102294385
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
CARLOS ANDRES ROJAS MATAJUDIOS
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. 116575014736123 2024 – 09 – 04 No. SHAN0341992 2024 – 08 – 31
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 9102850959 2024 – 08 – 31 procedencia 855
54 . Cod. Modo Transporte
4
55 . Código de Bandera
249
56 . Cod. Depto destino
0
57 . Empresa transportadora 58 . Tasa de cambio $ cvs. DHL AERO EXPRESO S A SUCURSAL COLOMBIA
4.132.11
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 120.00 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
154.50
500.00
78 .Valor FOB 79 . Valor fletes USD USD
49.927.49
1.107.77
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
80 . Valor Seguros 81 . Valor Otros Gastos USD USD
2.47
0
Arancel
0
0
0.00
92 93 94 0.00 210.893.515
95
96
I.V.A.
9798 99 100 101
0.00 210.893.515 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
1.110.24
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
51.037.73
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: 529420-DECL: 1836113-DO: 893120608241- 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. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOMOL
OGACIÓN)// NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA
S.A. OEA COD. OE0001. . PEDIDOS: 3072682098. ID CONTENEDOR: 6077756278. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A155MZKILTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A15 5G DUOS, (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO(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 032024001220382
133. Feha: 202409 03
134 . Levante No. 032024001153583 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 09 – 05
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 92032406561901
Fecha presentación 2024-09-03 17:54:57 Valor pagado $0.00
Fecha de Impresión: 2024-09-05 10:37:14
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001220382-4 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
, MODELO: SM-A155M/DSN, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A155M/DSN,BLACK,LTC( QTY. 500,00 u )(500,00
PCE); IMEIS: 355170561055601/355533001055608. 355170561055619/355533001055616. 355170561055650/355533001055657. 355170561056864/3
55533001056861. 355170561056872/355533001056879. 355170561056880/355533001056887. 355170561056906/355533001056903. 35517056105691
4/355533001056911. 355170561056922/355533001056929. 355170561056955/355533001056952. 355170561056971/355533001056978. 35517056105
6989/355533001056986. 355170561057003/355533001057000. 355170561057029/355533001057026. 355170561057037/355533001057034. 35517056
1057045/355533001057042. 355170561057367/355533001057364. 355170561057383/355533001057380. 355170561057482/355533001057489. 35517
0561057508/355533001057505. 355170561064165/355533001064162. 355170561064181/355533001064188. 355170561064199/355533001064196. 35
5170561064215/355533001064212. 355170561064231/355533001064238. 355170561064256/3555330010642 53. 355170561064264/355533001064261
. 355170561064272/355533001064279.355170561064280/355533001064287. 355170561064298/355533001064295. 355170561064306/3555330010643
03. 355170561064314/355533001064311. 355170561064330/355533001064337. 355170561064348/355533001064345. 355170561064363/3555330010
64360. 355170561064371/355533001064378. 355170561064389/355533001064386. 355170561064397/355533001064394. 355170561064405/3555330
01064402. 355170561064413/355533001064410. 355170561064421/355533001064428. 355170561064439/355533001064436. 355170561064447/3555
33001064444. 355170561064454/355533001064451. 355170561064462/355533001064469.355170561064470/355533001064477. 355170561064488/35
5533001064485. 355170561064496/355533001064493. 355170561064512/355533001064519. 355170561064520/355533001064527. 355170561064538
/355533001064535. 355170561064546/355533001064543. 355170561064553/355533001064550. 355170561064579/355533001064576. 355170561064
587/355533001064584. 355170561064595/355533001064592. 355170561064603/355533001064600. 355170561064611/355533001064618. 355170561
064629/355533001064626. 355170561064645/355533001064642. 355170561064660/355533001064667. 355170561064702/355533001064709. 355170
561064728/355533001064725. 355170561064744/355533001064741. 355170561064751/355533001064758. 355170561064777/355533001064774. 355
170561064801/355533001064808. 355170561064868/355533001064865. 355170561064876/355533001064873. 355170561064884/355533001064881.
355170561064892/355533001064899. 355170561064926/355533001064923. 355170561064934/355533001064931. 355170561064942/35553300106494
9. 355170561064959/355533001064956. 355170561064967/355533001064964. 355170561064983/355533001064980. 355170561065014/35553300106
5011. 355170561065022/355533001065029. 355170561065030/355533001065037. 355170561065048/355533001065045. 355170561065055/35553300
1065052. 355170561065071/355533001065078. 355170561065097/355533001065094. 355170561065105/355533001065102. 355170561065121/35553
3001065128. 355170561065154/355533001065151. 355170561065162/355533001065169. 355170561065196/355533001065193. 355170561065212/35
5533001065219. 355170561065220/355533001065227. 355170561065238/355533001065235. 355170561065246/355533001065243. 355170561065261
/355533001065268. 355170561065279/355533001065276. 355170561065287/355533001065284. 355170561065303/355533001065300. 355170561065
337/355533001065334.355170561065352/355533001065359. 355170561065360/355533001065367. 355170561065378/355533001065375. 3551705610
65402/355533001065409. 355170561065410/355533001065417. 355170561065428/355533001065425. 355170561065469/355533001065466. 3551705
61065477/355533001065474. 355170561065485/355533001065482. 355170561065501/355533001065508. 355170561065519/355533001065516. 3551
70561065527/355533001065524. 355170561065543/355533001065540. 355170561065568/355533001065565. 355170561065576/355533001065573. 3
55170561065584/355533001065581. 355170561065592/355533001065599.355170561065618/355533001065615. 355170561065626/355533001065623.
355170561065634/355533001065631. 355170561065691/355533001065698. 355170561065709/355533001065706. 355170561065717/3555330010657
14. 355170561065725/355533001065722. 355170561065733/355533001065730. 355170561065758/355533001065755. 355170561065782/3555330010
65789. 355170561065790/355533001065797. 355170561065816/355533001065813. 355170561065832/355533001065839. 355170561065840/3555330
01065847. 355170561065865/355533001065862. 355170561065881/355533001065888. 355170561065899/355533001065896. 355170561065949/3555
33001065946. 355170561069313/355533001069310. 355170561069339/355533001069336. 355170561069354/355533001069351. 355170561069362/3
55533001069369. 355170561069370/355533001069377. 355170561069388/355533001069385. 355170561069396/355533001069393. 35517056106940
4/355533001069401. 355170561069420/355533001069427. 355170561069438/355533001069435. 355170561069446/355533001069443. 35517056106
9487/355533001069484. 355170561069511/355533001069518. 355170561069552/355533001069559. 355170561069560/355533001069567. 35517056
1069578/355533001069575. 355170561069586/355533001069583. 355170561069602/355533001069609. 355170561069610/355533001069617. 35517
0561069628/355533001069625. 355170561069636/355533001069633. 355170561069644/355533001069641. 355170561069651/355533001069658. 35
5170561069669/355533001069666. 355170561069693/355533001069690. 355170561069719/355533001069716. 355170561069735/355533001069732.
355170561069743/355533001069740. 355170561069750/355533001069757. 355170561069768/355533001069765. 355170561069784/3555330010697
81. 355170561069800/355533001069807. 355170561069818/355533001069815. 355170561069826/355533001069823. 355170561069834/3555330010
69831.355170561069842/355533001069849. 355170561069875/355533001069872. 355170561069883/355533001069880. 355170561069909/35553300
1069906. 355170561069917/355533001069914. 355170561069925/355533001069922. 355170561069933/355533001069930. 355170561069941/35553
3001069948. 355170561069958/355533001069955. 355170561069966/355533001069963. 355170561070584/355533001070581. 355170561070600/35
5533001070607. 355170561070618/355533001070615. 355170561070642/355533001070649. 355170561070659/355533001070656. 355170561070683
/355533001070680. 355170561070709/355533001070706.355170561070725/355533001070722. 355170561070741/355533001070748. 3551705610707
58/355533001070755. 355170561070774/355533001070771. 355170561070782/355533001070789. 355170561070824/355533001070821. 3551705610
71012/355533001071019. 355170561071095/355533001071092. 355170561071111/355533001071118. 355170561071178/355533001071175. 3551705
61071186/355533001071183. 355170561071228/355533001071225. 355170561071244/355533001071241. 355170561071285/355533001071282. 3551
70561071293/355533001071290. 355170561071319/355533001071316. 355170561071327/355533001071324. 355170561071335/355533001071332. 3
55170561071343/355533001071340. 355170561071350/355533001071357. 355170561071368/355533001071365. 355170561071376/355533001071373
. 355170561071384/355533001071381. 355170561071392/355533001071399. 355170561071426/355533001071423. 355170561071434/355533001071
431. 355170561071442/355533001071449. 355170561071475/355533001071472. 355170561071483/355533001071480. 355170561071491/355533001
071498. 355170561071509/355533001071506. 355170561071517/355533001071514. 355170561071525/355533001071522. 355170561071533/355533
001071530. 355170561071558/355533001071555. 355170561071673/355533001071670. 355170561071681/355533001071688. 355170561071715/355
533001071712. 355170561065956/355533001065953. 355170561065964/355533001065961. 355170561065972/355533001065979. 355170561065998/
355533001065995. 355170561066012/355533001066019. 355170561066020/355533001066027. 355170561066046/355533001066043. 3551705610660
53/355533001066050. 355170561066061/355533001066068. 355170561066087/355533001066084. 355170561066095/355533001066092. 3551705610
66111/355533001066118. 355170561066137/355533001066134. 355170561066145/355533001066142. 355170561066152/355533001066159.35517056
1066160/355533001066167. 355170561066178/355533001066175. 355170561066186/355533001066183. 355170561066210/355533001066217. 35517
0561066228/355533001066225. 355170561066251/355533001066258. 355170561066269/355533001066266. 355170561066285/355533001066282. 35
5170561066368/355533001066365. 355170561066459/355533001066456. 355170561066491/355533001066498. 355170561066566/355533001066563.
355170561068349/355533001068346. 355170561068380/355533001068387. 355170561068422/355533001068429. 355170561068448/3555330010684
45. 355170561068455/355533001068452.355170561068463/355533001068460. 355170561068471/355533001068478. 355170561068489/35553300106
8486. 355170561068497/355533001068494. 355170561068505/355533001068502. 355170561068513/355533001068510. 355170561068539/35553300
1068536. 355170561068547/355533001068544. 355170561068554/355533001068551. 355170561068562/355533001068569. 355170561068588/35553
3001068585. 355170561068596/355533001068593. 355170561068604/355533001068601. 355170561077860/355533001077867. 355170561079585/35
5533001079582. 355170561079734/355533001079731. 355170561079767/355533001079764. 355170561079775/355533001079772. 355170561079783
/355533001079780. 355170561079916/355533001079913. 355170561080021/355533001080028. 355170561080047/355533001080044. 355170561080
104/355533001080101. 355170561080138/355533001080135. 355170561080153/355533001080150. 355170561080187/355533001080184. 355170561
080195/355533001080192. 355170561080278/355533001080275. 355170561080351/355533001080358. 355170561080534/355533001080531. 355170
561080815/355533001080812. 355170561080872/355533001080879. 355170561080948/355533001080945. 355170561081060/355533001081067. 355
032024001220382-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001220382-4 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
170561081599/355533001081596. 355170561081615/355533001081612. 355170561081649/355533001081646. 355170561081664/355533001081661.
355170561081698/355533001081695. 355170561081789/355533001081786. 355170561081854/355533001081851. 355170561081953/35553300108195
0. 355170561081987/355533001081984. 355170561082001/355533001082008. 355170561082977/355533001082974. 355170561083058/35553300108
3055. 355170561083603/355533001083600. 355170561084189/355533001084186. 355170561084833/355533001084830. 355170561084841/35553300
1084848. 355170561084973/355533001084970. 355170561085038/355533001085035. 355170561085095/355533001085092.355170561085103/355533
001085100. 355170561085277/355533001085274. 355170561085301/355533001085308. 355170561085319/355533001085316. 355170561073299/355
533001073296. 355170561073380/355533001073387. 355170561073448/355533001073445. 355170561073463/355533001073460. 355170561073471/
355533001073478. 355170561073489/355533001073486. 355170561073497/355533001073494. 355170561073505/355533001073502. 3551705610735
13/355533001073510. 355170561073539/355533001073536. 355170561073554/355533001073551. 355170561073562/355533001073569. 3551705610
73570/355533001073577.355170561073588/355533001073585. 355170561073596/355533001073593. 355170561073604/355533001073601. 35517056
1073612/355533001073619. 355170561073620/355533001073627. 355170561073638/355533001073635. 355170561073646/355533001073643. 35517
0561073653/355533001073650. 355170561073661/355533001073668. 355170561074925/355533001074922. 355170561074933/355533001074930. 35
5170561074974/355533001074971. 355170561074990/355533001074997. 355170561075005/355533001075002. 355170561075377/355533001075374.
355170561075401/355533001075408. 355170561075666/355533001075663. 355170561075799/355533001075796. 355170561075807/3555330010758
04. 355170561075823/355533001075820. 355170561075864/355533001075861. 355170561075914/355533001075911. 355170561076011/3555330010
76018. 355170561076086/355533001076083. 355170561076268/355533001076265. 355170561077456/355533001077453. 355170561077589/3555330
01077586. 355170561077696/355533001077693. 355170561077704/355533001077701. 355170561077746/355533001077743. 355170561077761/3555
33001077768. 355170561077852/355533001077859. 355170561068612/355533001068619. 355170561068620/355533001068627. 355170561068638/3
55533001068635. 355170561068646/355533001068643. 355170561068653/355533001068650. 355170561068661/355533001068668. 35517056106867
9/355533001068676. 355170561068687/355533001068684. 355170561068695/355533001068692. 355170561068703/355533001068700. 35517056106
8711/355533001068718. 355170561068729/355533001068726. 355170561068737/355533001068734. 355170561068745/355533001068742. 35517056
1068752/355533001068759. 355170561068778/355533001068775. 355170561068786/355533001068783. 355170561068802/355533001068809. 35517
0561068828/355533001068825. 355170561068869/355533001068866. 355170561068901/355533001068908.355170561068919/355533001068916. 355
170561068927/355533001068924. 355170561068935/355533001068932. 355170561068943/355533001068940. 355170561068950/355533001068957.
355170561068968/355533001068965. 355170561068976/355533001068973. 355170561068984/355533001068981. 355170561069008/35553300106900
5. 355170561069016/355533001069013. 355170561069024/355533001069021. 355170561069040/355533001069047. 355170561069057/35553300106
9054. 355170561069081/355533001069088. 355170561069107/355533001069104. 355170561069149/355533001069146. 355170561069206/35553300
1069203.355170561069214/355533001069211. 355170561069248/355533001069245. 355170561069255/355533001069252. 355170561069263/355533
001069260. 355170561069271/355533001069278. 355170561069305/355533001069302. 355170561071921/355533001071928. 355170561071947/355
533001071944. 355170561071954/355533001071951. 355170561071962/355533001071969. 355170561071988/355533001071985. 355170561072119/
355533001072116. 355170561072135/355533001072132. 355170561072150/355533001072157. 355170561072168/355533001072165. 3551705610722
59/355533001072256. 355170561072275/355533001072272. 355170561072283/355533001072280. 355170561072309/355533001072306. 3551705610
72341/355533001072348. 355170561072374/355533001072371. 355170561072416/355533001072413. 355170561072432/355533001072439. 3551705
61072457/355533001072454. 355170561072465/355533001072462. 355170561072499/355533001072496. 355170561072572/355533001072579. 3551
70561072580/355533001072587. 355170561072614/355533001072611. 355170561072622/355533001072629. 355170561072630/355533001072637. 3
55170561072648/355533001072645. 355170561072689/355533001072686. 355170561072697/355533001072694. 355170561072705/355533001072702
. 355170561072713/355533001072710. 355170561072721/355533001072728. 355170561072739/355533001072736. 355170561072754/355533001072
751. 355170561072762/355533001072769. 355170561073026/355533001073023. 355170561073067/355533001073064. 355170561073182/355533001
073189. 355170561073190/355533001073197. 355170561073208/355533001073205. 355170561073216/355533001073213. 355170561073224/355533
001073221. 355170561073240/355533001073247. 355170561073265/355533001073262. 355170561073273/355533001073270. 355170561069974/355
533001069971. 355170561069990/355533001069997. 355170561070006/355533001070003.355170561070014/355533001070011. 355170561070022/3
55533001070029. 355170561070048/355533001070045. 355170561070055/355533001070052. 355170561070063/355533001070060. 35517056107007
1/355533001070078. 355170561070105/355533001070102. 355170561070113/355533001070110. 355170561070139/355533001070136. 35517056107
0162/355533001070169. 355170561070170/355533001070177. 355170561070188/355533001070185. 355170561070196/355533001070193. 35517056
1070204/355533001070201. 355170561070220/355533001070227. 355170561070238/355533001070235. 355170561070246/355533001070243.355170
561070253/355533001070250. 355170561070287/355533001070284. 355170561070303/355533001070300. 355170561070311/355533001070318. 355
170561070329/355533001070326. 355170561070337/355533001070334. 355170561070345/355533001070342. 355170561070360/355533001070367.
355170561070378/355533001070375. 355170561070386/355533001070383. 355170561070394/355533001070391. 355170561070402/35553300107040
9. 355170561070410/355533001070417. 355170561070428/355533001070425. 355170561070444/355533001070441. 355170561070469/35553300107
0466. 355170561070477/355533001070474. 355170561070493/355533001070490. 355170561070501/355533001070508. 355170561070519/35553300
1070516. 355170561070527/355533001070524. 355170561070550/355533001070557. 355170561070568/355533001070565. 355170561070576/35553
3001070573. 355170561085327/355533001085324. 355170561085335/355533001085332. 355170561085350/355533001085357. 355170561085368/35
5533001085365. 355170561085384/355533001085381. 355170561085400/355533001085407. 355170561085871/355533001085878. 355170561085897
/355533001085894. 355170561085905/355533001085902. 355170561085954/355533001085951. 355170561086069/355533001086066XXXXXXXXXXXXXX
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032024001220382-4
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