Ir al contenido
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
032024001254171-3
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. 116575014754601
43 . Año – Mes – Día
2024 – 09 – 09
44 . Documento de transporte
No. PVG71378306
45 . Año – Mes – Día
2024 – 09 – 02
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
6900298132
52 . Año – Mes – Día
2024 – 08 – 30
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.
4.172.50
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.
169.00
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
25.080.55
79 . Valor fletes USD
1.159.40 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
109.491.490
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
109.491.490
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
1.27
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.160.67
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
26.241.22
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: 530160-DECL: 1837677-DO: 893120590241- 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. (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN) // NOSACOGEMOS: AL DECRETO 0925 DE 2013, MERC
ANCIA QUE NO REQUIERE REGISTRODE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3072182403. ID CONTEN
EDOR: 6077830224. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A065MZKGLTC, PRODUCTO: TELEFONO CELULAR GALAXY A06 DUOS (CON ACCESORIOS
PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, 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
032024001254171
133. Feha: 202409 10
134 . Levante No. 032024001178669 135 . Fecha
2024 – 09 – 10
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 92032406731738
Fecha presentación 2024-09-10 17:56:11
Valor pagado $0.00
Fecha de Impresión: 2024-09-10 17:56:16
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001254171-3
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
R Y AL DETAL/ /MOBILE,SM-A065M/DS,BLACK,LTC( QTY. 500,00 u )(500,00 PCE); IMEIS: 354106700998864/357809260998862. 354106700999565
/357809260999563. 354106700999680/357809260999688. 354106701000090/357809261000098. 354106701000181/357809261000189. 354106701000
389/357809261000387. 354106701000579/357809261000577. 354106701000710/357809261000718. 354106701000991/357809261000999. 354106701
001353/357809261001351. 354106701001544/357809261001542. 354106701001635/357809261001633. 354106701001684/357809261001682. 354106
701001718/357809261001716. 354106701002062/357809261002060.354106701002088/357809261002086. 354106701002120/357809261002128. 3541
06701002203/357809261002201. 354106701002211/357809261002219. 354106701002245/357809261002243. 354106701002336/357809261002334. 3
54106701002369/357809261002367. 354106701002393/357809261002391. 354106701002419/357809261002417. 354106701002443/357809261002441
. 354106701002450/357809261002458. 354106701002468/357809261002466. 354106701002492/3578092 61002490. 354106701002559/35780926100
2557. 354106701002583/357809261002581. 354106701002617/357809261002615. 354106701002807/357809261002805. 354106701002815/35780926
1002813. 354106701002831/357809261002839. 354106701002906/357809261002904. 354106701002930/357809261002938. 354106701002955/35780
9261002953. 354106701002963/357809261002961. 354106701002971/357809261002979. 354106701002989/357809261002987. 354106701002997/35
7809261002995. 354106701003037/357809261003035. 354106701003060/357809261003068. 354106701003102/357809261003100. 354106701003136
/357809261003134. 354106701003144/357809261003142. 354106701003219/357809261003217. 354106701003227/357809261003225. 354106701003
235/357809261003233. 354106701003243/357809261003241. 354106701003268/357809261003266. 354106701003276/357809261003274. 354106701
003284/357809261003282. 354106701003334/357809261003332. 354106701003367/357809261003365. 354106701003391/357809261003399. 354106
701003409/357809261003407. 354106701003417/357809261003415. 354106701003433/357809261003431. 354106701003474/357809261003472. 354
106701003516/357809261003514. 354106701003524/357809261003522. 354106701003532/357809261003530. 354106701003540/357809261003548.
354106701003557/357809261003555. 354106701003565/357809261003563. 354106701003599/357809261003597. 354106701003607/35780926100360
5.354106701003631/357809261003639. 354106701003649/357809261003647. 354106701003656/357809261003654. 354106701003706/357809261003
704. 354106701003755/357809261003753. 354106701003763/357809261003761. 354106701003771/357809261003779. 354106701003789/357809261
003787. 354106701003797/357809261003795. 354106701003813/357809261003811. 354106701003839/357809261003837. 354106701003854/357809
261003852. 354106701003870/357809261003878. 354106701003896/357809261003894. 354106701003912/357809261003910. 354106701003920/357
809261003928. 354106701003946/357809261003944.354106701003979/357809261003977. 354106701004027/357809261004025. 354106701004100/3
57809261004108. 354106701004118/357809261004116. 354106701007848/357809261007846. 354106701007855/357809261007853. 35410670100786
3/357809261007861. 354106701007889/357809261007887. 354106701007897/357809261007895. 354106701007913/357809261007911. 35410670100
7921/357809261007929. 354106701007939/357809261007937. 354106701007954/357809261007952. 354106701007970/357809261007978. 35410670
1008010/357809261008018. 354106701008333/357809261008331. 354106701008481/357809261008489. 354106701008499/357809261008497. 35410
6701008614/357809261008612. 354106701009299/357809261009297. 354106701009430/357809261009438. 354106701009455/357809261009453. 35
4106701009570/357809261009578. 354106701009695/357809261009693. 354106701009844/357809261009842. 354106701009869/357809261009867.
354106701009901/357809261009909. 354106701009950/357809261009958. 354106701009968/357809261009966. 354106701010024/3578092610100
22. 354106701010040/357809261010048. 354106701010065/357809261010063. 354106701010115/357809261010113. 354106701010131/3578092610
10139. 354106701010149/357809261010147. 354106701010156/357809261010154. 354106701010164/357809261010162. 354106701010172/3578092
61010170. 354106701010180/357809261010188. 354106701010198/357809261010196. 354106701010206/357809261010204. 354106701010222/3578
09261010220. 354106701010248/357809261010246. 354106701010255/357809261010253. 354106701010263/357809261010261. 354106701010271/3
57809261010279. 354106701010289/357809261010287. 354106701010305/357809261010303. 354106701005545/357809261005543. 35410670100555
2/357809261005550. 354106701005578/357809261005576. 354106701005586/357809261005584. 354106701005602/357809261005600.354106701005
669/357809261005667. 354106701005677/357809261005675. 354106701005685/357809261005683. 354106701005693/357809261005691. 354106701
005701/357809261005709. 354106701005719/357809261005717. 354106701005727/357809261005725. 354106701005735/357809261005733. 354106
701005743/357809261005741. 354106701005750/357809261005758. 354106701005768/357809261005766. 354106701005776/357809261005774. 354
106701005784/357809261005782. 354106701005792/357809261005790. 354106701005800/357809261005808. 354106701005818/357809261005816.
354106701005834/357809261005832.354106701005859/357809261005857. 354106701005867/357809261005865. 354106701005875/357809261005873
. 354106701005883/357809261005881. 354106701005941/357809261005949. 354106701005958/357809261005956. 354106701005990/357809261005
998. 354106701006022/357809261006020. 354106701006071/357809261006079. 354106701006113/357809261006111. 354106701006121/357809261
006129. 354106701006147/357809261006145. 354106701006162/357809261006160. 354106701006204/357809261006202. 354106701006212/357809
261006210. 354106701006220/357809261006228. 354106701006238/357809261006236. 354106701006246/357809261006244. 354106701006279/357
809261006277. 354106701006287/357809261006285. 354106701006378/357809261006376. 354106701006477/357809261006475. 354106701004977/
357809261004975. 354106701004985/357809261004983. 354106701005008/357809261005006. 354106701005016/357809261005014. 3541067010050
24/357809261005022. 354106701005040/357809261005048. 354106701005057/357809261005055. 354106701005073/357809261005071. 3541067010
05099/357809261005097. 354106701005115/357809261005113. 354106701005131/357809261005139. 354106701005149/357809261005147. 3541067
01005164/357809261005162. 354106701005172/357809261005170. 354106701005198/357809261005196. 354106701005206/357809261005204. 3541
06701005214/357809261005212. 354106701005222/357809261005220. 354106701005230/357809261005238. 354106701005248/357809261005246. 3
54106701005263/357809261005261. 354106701005297/357809261005295. 354106701005305/357809261005303. 354106701005313/357809261005311
. 354106701005321/357809261005329. 354106701005339/357809261005337. 354106701005354/357809261005352. 354106701005362/357809261005
360. 354106701005370/357809261005378. 354106701005388/357809261005386. 354106701005396/357809261005394.354106701005404/3578092610
05402. 354106701005412/357809261005410. 354106701005420/357809261005428. 354106701005438/357809261005436. 354106701005446/3578092
61005444. 354106701005453/357809261005451. 354106701005461/357809261005469. 354106701005479/357809261005477. 354106701005487/3578
09261005485. 354106701005495/357809261005493. 354106701005503/357809261005501. 354106701005511/357809261005519. 354106701005529/3
57809261005527. 354106701005537/357809261005535. 354106701004126/357809261004124. 354106701004159/357809261004157. 35410670100416
7/357809261004165.354106701004209/357809261004207. 354106701004340/357809261004348. 354106701004373/357809261004371. 354106701004
407/357809261004405. 354106701004449/357809261004447. 354106701004480/357809261004488. 354106701004506/357809261004504. 354106701
004522/357809261004520. 354106701004530/357809261004538. 354106701004589/357809261004587. 354106701004605/357809261004603. 354106
701004613/357809261004611. 354106701004621/357809261004629. 354106701004639/357809261004637. 354106701004647/357809261004645. 354
106701004654/357809261004652. 354106701004662/357809261004660. 354106701004688/357809261004686. 354106701004704/357809261004702.
354106701004712/357809261004710. 354106701004738/357809261004736. 354106701004746/357809261004744. 354106701004753/35780926100475
1. 354106701004761/357809261004769. 354106701004779/357809261004777. 354106701004787/357809261004785. 354106701004795/35780926100
4793. 354106701004803/357809261004801. 354106701004811/357809261004819. 354106701004837/357809261004835. 354106701004845/35780926
1004843. 354106701004852/357809261004850. 354106701004860/357809261004868. 354106701004878/357809261004876. 354106701004894/35780
9261004892. 354106701004902/357809261004900. 354106701004910/357809261004918. 354106701004936/357809261004934. 354106701004944/35
7809261004942. 354106701004951/357809261004959. 354106701004969/357809261004967. 354106701012152/357809261012150. 354106701012160
/357809261012168. 354106701012178/357809261012176. 354106701012186/357809261012184. 354106701012194/357809261012192. 354106701012
210/357809261012218. 354106701012228/357809261012226. 354106701012236/357809261012234. 354106701012343/357809261012341. 354106701
012368/357809261012366. 354106701012400/357809261012408. 354106701012426/357809261012424.354106701012434/357809261012432. 3541067
01012491/357809261012499. 354106701012509/357809261012507. 354106701012517/357809261012515. 354106701012525/357809261012523. 3541
06701012566/357809261012564. 354106701012608/357809261012606. 354106701012616/357809261012614. 354106701012624/357809261012622. 3
54106701012640/357809261012648. 354106701012657/357809261012655. 354106701012681/357809261012689. 354106701012699/357809261012697
032024001254171-3
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001254171-3
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
. 354106701012707/357809261012705. 354106701012715/357809261012713. 354106701012731/357809261012739. 354106701012756/357809261012
754.354106701012780/357809261012788. 354106701012814/357809261012812. 354106701012830/357809261012838. 354106701012871/3578092610
12879. 354106701012897/357809261012895. 354106701012939/357809261012937. 354106701012954/357809261012952. 354106701012962/3578092
61012960. 354106701012970/357809261012978. 354106701012996/357809261012994. 354106701013002/357809261013000. 354106701013010/3578
09261013018. 354106701013028/357809261013026. 354106701013036/357809261013034. 354106701013077/357809261013075. 354106701013085/3
57809261013083. 354106701013093/357809261013091. 354106701013101/357809261013109. 354106701013184/357809261013182. 35410670101322
6/357809261013224. 354106701013242/357809261013240. 354106701013259/357809261013257. 354106701013267/357809261013265. 35410670101
3283/357809261013281. 354106701013291/357809261013299. 354106701013309/357809261013307. 354106701013317/357809261013315. 35410670
1013325/357809261013323. 354106701013333/357809261013331. 354106701013341/357809261013349. 354106701013358/357809261013356. 35410
6701013374/357809261013372. 354106701013382/357809261013380. 354106701013432/357809261013430. 354106701013440/357809261013448. 35
4106701013457/357809261013455. 354106701013465/357809261013463. 354106701013499/357809261013497. 354106701013507/357809261013505.
354106701013515/357809261013513. 354106701013523/357809261013521. 354106701013531/357809261013539. 354106701013549/3578092610135
47. 354106701013564/357809261013562. 354106701013572/357809261013570. 354106701013606/357809261013604. 354106701013614/3578092610
13612. 354106701013648/357809261013646. 354106701013713/357809261013711. 354106701013721/357809261013729. 354106701013747/3578092
61013745. 354106701013812/357809261013810. 354106701013838/357809261013836.354106701013853/357809261013851. 354106701013929/35780
9261013927. 354106701013945/357809261013943. 354106701013952/357809261013950. 354106701014026/357809261014024. 354106701014075/35
7809261014073. 354106701014117/357809261014115. 354106701014265/357809261014263. 354106701014281/357809261014289. 354106701014315
/357809261014313. 354106701014323/357809261014321. 354106701014539/357809261014537. 354106701014596/357809261014594. 354106701014
604/357809261014602. 354106701014679/357809261014677. 354106701014695/357809261014693. 354106701014737/357809261014735.3541067010
14752/357809261014750. 354106701011386/357809261011384. 354106701011394/357809261011392. 354106701011402/357809261011400. 3541067
01011436/357809261011434. 354106701011444/357809261011442. 354106701011451/357809261011459. 354106701011469/357809261011467. 3541
06701011485/357809261011483. 354106701011519/357809261011517. 354106701011527/357809261011525. 354106701011543/357809261011541. 3
54106701011550/357809261011558. 354106701011568/357809261011566. 354106701011576/357809261011574. 354106701011584/357809261011582
. 354106701011592/357809261011590. 354106701011600/357809261011608. 354106701011634/357809261011632. 354106701011642/357809261011
640. 354106701011659/357809261011657. 354106701011675/357809261011673. 354106701011741/357809261011749. 354106701011758/357809261
011756. 354106701011766/357809261011764. 354106701011774/357809261011772. 354106701011782/357809261011780. 354106701011790/357809
261011798. 354106701011808/357809261011806. 354106701011840/357809261011848. 354106701011857/357809261011855. 354106701011865/357
809261011863. 354106701011899/357809261011897. 354106701011931/357809261011939. 354106701011972/357809261011970. 354106701011998/
357809261011996. 354106701012020/357809261012028. 354106701012038/357809261012036. 354106701012053/357809261012051. 3541067010120
61/357809261012069. 354106701012087/357809261012085. 354106701012103/357809261012101. 354106701012111/357809261012119. 3541067010
12137/357809261012135. 354106701012145/357809261012143. 354106701006485/357809261006483. 354106701006600/357809261006608. 3541067
01006634/357809261006632. 354106701006642/357809261006640. 354106701006865/357809261006863. 354106701007020/357809261007028. 3541
06701007038/357809261007036. 354106701007046/357809261007044.354106701007053/357809261007051. 354106701007079/357809261007077. 35
4106701007160/357809261007168. 354106701007202/357809261007200. 354106701007228/357809261007226. 354106701007293/357809261007291.
354106701007327/357809261007325. 354106701007368/357809261007366. 354106701007376/357809261007374. 354106701007400/3578092610074
08. 354106701007442/357809261007440. 354106701007459/357809261007457. 354106701007483/357809261007481. 354106701007509/3578092610
07507. 354106701007525/357809261007523. 354106701007533/357809261007531. 354106701007541/357809261007549.354106701007566/35780926
1007564. 354106701007582/357809261007580. 354106701007608/357809261007606. 354106701007616/357809261007614. 354106701007624/35780
9261007622. 354106701007632/357809261007630. 354106701007665/357809261007663. 354106701007673/357809261007671. 354106701007681/35
7809261007689. 354106701007699/357809261007697. 354106701007715/357809261007713. 354106701007723/357809261007721. 354106701007731
/357809261007739. 354106701007749/357809261007747. 354106701007756/357809261007754. 354106701007772/357809261007770. 354106701007
780/357809261007788. 354106701007798/357809261007796. 354106701007822/357809261007820. 354106701007830/357809261007838. 354106701
010321/357809261010329. 354106701010339/357809261010337. 354106701010347/357809261010345. 354106701010362/357809261010360. 354106
701010404/357809261010402. 354106701010412/357809261010410. 354106701010420/357809261010428. 354106701010446/357809261010444. 354
106701010453/357809261010451. 354106701010461/357809261010469. 354106701010479/357809261010477. 354106701010487/357809261010485.
354106701010503/357809261010501. 354106701010511/357809261010519. 354106701010529/357809261010527. 354106701010537/35780926101053
5. 354106701010545/357809261010543. 354106701010552/357809261010550. 354106701010578/357809261010576. 354106701010594/35780926101
0592. 354106701010602/357809261010600. 354106701010651/357809261010659. 354106701010701/357809261010709. 354106701010727/35780926
1010725. 354106701010750/357809261010758. 354106701010776/357809261010774. 354106701010784/357809261010782. 354106701010792/35780
9261010790. 354106701010800/357809261010808. 354106701010842/357809261010840. 354106701010966/357809261010964. 354106701011022/35
7809261011020. 354106701011055/357809261011053.354106701011147/357809261011145. 354106701011188/357809261011186. 354106701011196/
357809261011194. 354106701011220/357809261011228. 354106701011238/357809261011236. 354106701011246/357809261011244. 3541067010112
61/357809261011269. 354106701011295/357809261011293. 354106701011329/357809261011327. 354106701011337/357809261011335. 3541067010
11360/357809261011368. 354106701011378/357809261011376XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032024001254171-3
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3
