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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
032024001342587-0
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. 116575014825732 2024 – 09 – 28 No. HKG0380744 2024 – 09 – 23
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 6900303700 2024 – 09 – 19 procedencia 351
54 . Cod. Modo Transporte
4
55 . Código de Bandera
249
56 . Cod. Depto destino
0
57 . Empresa transportadora 58 . Tasa de cambio $ cvs. EMIRATES SUCURSAL COLOMBIA
4.175.10
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
215
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 81.30 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
112.00
300.00
78 .Valor FOB 79 . Valor fletes USD USD
13.371.57
744.80
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
80 . Valor Seguros 81 . Valor Otros Gastos USD USD
0.68
0
Arancel
0
0
0.00
92 93 94 0.00 58.940.095
95
96
I.V.A.
9798 99 100 101
0.00 58.940.095 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
745.48
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
14.117.05
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: 532286-DECL: 1843216-DO: 893122883241- DECL 1 DE 1.- //NOS ACOGEMOS AL ARTICULO 424 DEL ESTATUTO TRIBUTARIO MODIFICADO POR L
A LEY 1819DEL 29/12/2016 ARTÍCULO 175 NUMERAL 6 (EXCLUSIÓN DEL IVA). // NOS ACOGEMOS AL ARTÍCULO 2.8.3.1 ORDINAL 2.8.3.1.4 DE LA
RESOLUCIÓN 5050 DEL 10 DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOM
OLOGACIÓN) // NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION.SAMSUNG ELECTRONICS COLOMB
IA S.A. OEA COD. OE0001. . PEDIDOS: 3074299102. ID CONTENEDOR: 6078174956. MERCANCIA MARCA: SAMSUNG REFERENCIA:SM-A055MZKDLTC, PR
ODUCTO: TELEFONO CELULAR GALAXY A05 DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, M(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 032024001342587
133. Feha: 202409 26
134 . Levante No. 032024001272542 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 09 – 30
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 92032407195762
Fecha presentación 2024-09-26 17:06:15 Valor pagado $0.00
Fecha de Impresión: 2024-09-30 11:04:47
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001342587-0 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ODELO: SM-A055M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A055M/DS,BLACK,LTC( QTY. 300,00 u )(300,00 PCE);
IMEIS: 351864757364736/354706947364737. 351864757369560/354706947369561. 351864757369768/354706947369769. 351864757370519/354706
947370510. 351864757370733/354706947370734. 351864757370790/354706947370791. 351864757371004/354706947371005. 351864757371012/354
706947371013. 351864757372382/354706947372383. 351864757372424/354706947372425. 351864757373224/354706947373225. 351864757373265/
354706947373266. 351864757373299/354706947373290. 351864757373315/354706947373316. 351864757373356/354706947373357. 3518647573733
80/354706947373381. 351864757373760/354706947373761. 351864757373802/354706947373803. 351864757373836/354706947373837. 3518647573
74024/354706947374025. 351864757374156/354706947374157. 351864757374552/354706947374553. 351864757374610/354706947374611. 3518647
57374636/354706947374637. 351864757374685/354706947374686. 351864757374693/354706947374694. 351864757374719/354706947374710. 3518
64757374784/354706947374785. 351864757374859/354706947374850. 351864757374909/354706947374900. 351864757374933/354706947374934. 3
51864757374966/354706947374967. 351864757374982/354706947374983. 351864757376102/354706947376103. 351864757376177/354706947376178
. 351864757376185/354706947376186. 351864757376193/354706947376194. 351864757376557/354706947376558. 351864757376573/354706947376
574. 351864757376623/354706947376624. 351864757376680/354706947376681. 351864757376854/354706947376855. 351864757376912/354706947
376913.351864757376920/354706947376921. 351864757377191/354706947377192. 351864757377282/354706947377283. 351864757378868/3547069
47378869. 351864757379775/354706947379776. 351864757382977/354706947382978. 351864757383330/354706947383331. 351864757383454/3547
06947383455. 351864757384395/354706947384396. 351864757384452/354706947384453. 351864757384767/354706947384768. 351864757384866/3
54706947384867. 351864757385053/354706947385054. 351864757385079/354706947385070. 351864757385095/354706947385096. 35186475738511
1/354706947385112. 351864757385145/354706947385146. 351864757385152/354706947385153. 351864757385160/354706947385161. 35186475738
5244/354706947385245. 351864757385269/354706947385260. 351864757385277/354706947385278. 351864757385293/354706947385294. 35186475
7385319/354706947385310. 351864757385327/354706947385328. 351864757385335/354706947385336. 351864757385392/354706947385393. 35186
4757385434/354706947385435. 351864757385459/354706947385450. 351864757385608/354706947385609. 351864757385632/354706947385633. 35
1864757385665/354706947385666. 351864757385673/354706947385674. 351864757385707/354706947385708. 351864757385715/354706947385716.
351864757385749/354706947385740. 351864757385814/354706947385815. 351864757385822/354706947385823. 351864757385830/3547069473858
31. 351864757385848/354706947385849. 351864757385855/354706947385856. 351864757385889/354706947385880. 351864757385913/3547069473
85914. 351864757386069/354706947386060. 351864757386093/354706947386094. 351864757386119/354706947386110. 351864757386127/3547069
47386128. 351864757390103/354706947390104. 351864757390111/354706947390112. 351864757390129/354706947390120. 351864757390269/3547
06947390260. 351864757390319/354706947390310. 351864757390327/354706947390328.351864757390335/354706947390336. 351864757390384/35
4706947390385. 351864757390392/354706947390393. 351864757390483/354706947390484. 351864757390533/354706947390534. 351864757390566
/354706947390567. 351864757390608/354706947390609. 351864757390681/354706947390682. 351864757390731/354706947390732. 351864757390
798/354706947390799. 351864757390806/354706947390807. 351864757390822/354706947390823. 351864757390889/354706947390880. 351864757
390954/354706947390955. 351864757391010/354706947391011. 351864757391028/354706947391029. 351864757391085/354706947391086.3518647
57391119/354706947391110. 351864757391127/354706947391128. 351864757391234/354706947391235. 351864757391242/354706947391243. 3518
64757391291/354706947391292. 351864757391309/354706947391300. 351864757391317/354706947391318. 351864757391531/354706947391532. 3
51864757391549/354706947391540. 351864757391580/354706947391581. 351864757391598/354706947391599. 351864757391622/354706947391623
. 351864757391747/354706947391748. 351864757392273/354706947392274. 351864757392356/354706947392357. 351864757392364/354706947392
365. 351864757392471/354706947392472. 351864757392521/354706947392522. 351864757392562/354706947392563. 351864757392596/354706947
392597. 351864757392612/354706947392613. 351864757392620/354706947392621. 351864757394055/354706947394056. 351864757394063/354706
947394064. 351864757394089/354706947394080. 351864757394113/354706947394114. 351864757394170/354706947394171. 351864757394204/354
706947394205. 351864757394220/354706947394221. 351864757394246/354706947394247. 351864757394279/354706947394270. 351864757394287/
354706947394288. 351864757394303/354706947394304. 351864757394311/354706947394312. 351864757394329/354706947394320. 3518647573943
52/354706947394353. 351864757394410/354706947394411. 351864757394444/354706947394445. 351864757394485/354706947394486. 3518647573
94527/354706947394528. 351864757394535/354706947394536. 351864757394600/354706947394601. 351864757394626/354706947394627. 3518647
57394683/354706947394684. 351864757394733/354706947394734. 351864757394758/354706947394759. 351864757394766/354706947394767. 3518
64757394782/354706947394783. 351864757394790/354706947394791. 351864757394808/354706947394809. 351864757394824/354706947394825. 3
51864757394840/354706947394841. 351864757386135/354706947386136.351864757386143/354706947386144. 351864757386176/354706947386177.
351864757386192/354706947386193. 351864757386200/354706947386201. 351864757386234/354706947386235. 351864757386341/3547069473863
42. 351864757386366/354706947386367. 351864757386515/354706947386516. 351864757386523/354706947386524. 351864757386630/3547069473
86631. 351864757386929/354706947386920. 351864757387224/354706947387225. 351864757387307/354706947387308. 351864757387315/3547069
47387316. 351864757387372/354706947387373. 351864757387539/354706947387530. 351864757387554/354706947387555.351864757387562/35470
6947387563. 351864757387604/354706947387605. 351864757387612/354706947387613. 351864757387620/354706947387621. 351864757387638/35
4706947387639. 351864757387646/354706947387647. 351864757387661/354706947387662. 351864757387687/354706947387688. 351864757387729
/354706947387720. 351864757387810/354706947387811. 351864757387836/354706947387837. 351864757387844/354706947387845. 351864757387
984/354706947387985. 351864757388024/354706947388025. 351864757388032/354706947388033. 351864757388123/354706947388124. 351864757
388164/354706947388165. 351864757388180/354706947388181. 351864757388198/354706947388199. 351864757388222/354706947388223. 351864
757388230/354706947388231. 351864757388339/354706947388330. 351864757388370/354706947388371. 351864757388396/354706947388397. 351
864757388404/354706947388405. 351864757388412/354706947388413. 351864757388438/354706947388439. 351864757392661/354706947392662.
351864757392679/354706947392670. 351864757392687/354706947392688. 351864757392877/354706947392878. 351864757392901/35470694739290
2. 351864757392919/354706947392910. 351864757392935/354706947392936. 351864757392943/354706947392944. 351864757392968/35470694739
2969. 351864757392984/354706947392985. 351864757393016/354706947393017. 351864757393099/354706947393090. 351864757393131/35470694
7393132. 351864757393149/354706947393140. 351864757393156/354706947393157. 351864757393164/354706947393165. 351864757393206/35470
6947393207. 351864757393339/354706947393330. 351864757393370/354706947393371. 351864757393388/354706947393389. 351864757393396/35
4706947393397. 351864757393404/354706947393405. 351864757393420/354706947393421. 351864757393446/354706947393447. 351864757393479
/354706947393470. 351864757393487/354706947393488.351864757393495/354706947393496. 351864757393503/354706947393504. 3518647573935
11/354706947393512. 351864757393537/354706947393538. 351864757393586/354706947393587. 351864757393636/354706947393637. 3518647573
93651/354706947393652. 351864757393685/354706947393686. 351864757393735/354706947393736. 351864757393750/354706947393751. 3518647
57393784/354706947393785. 351864757393800/354706947393801. 351864757393834/354706947393835. 351864757393842/354706947393843. 3518
64757393883/354706947393884. 351864757393909/354706947393900. 351864757393941/354706947393942.351864757394006/354706947394007. 35
1864757394048/354706947394049. 351864757388446/354706947388447. 351864757388453/354706947388454. 351864757388461/354706947388462.
351864757388487/354706947388488. 351864757388545/354706947388546. 351864757388560/354706947388561. 351864757388586/3547069473885
87. 351864757388602/354706947388603. 351864757388610/354706947388611. 351864757388628/354706947388629. 351864757388644/3547069473
88645. 351864757388677/354706947388678. 351864757388693/354706947388694. 351864757388701/354706947388702. 351864757388750/3547069
47388751. 351864757388776/354706947388777. 351864757388792/354706947388793. 351864757388800/354706947388801. 351864757388818/3547
06947388819. 351864757388842/354706947388843. 351864757388966/354706947388967. 351864757388990/354706947388991. 351864757389006/3
54706947389007. 351864757389147/354706947389148. 351864757389311/354706947389312. 351864757389360/354706947389361. 35186475738939
4/354706947389395. 351864757389436/354706947389437. 351864757389519/354706947389510. 351864757389550/354706947389551. 35186475738
9576/354706947389577. 351864757389600/354706947389601. 351864757389626/354706947389627. 351864757389659/354706947389650. 35186475
032024001342587-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001342587-0 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
7389709/354706947389700. 351864757389717/354706947389718. 351864757389782/354706947389783. 351864757389808/354706947389809. 35186
4757389873/354706947389874. 351864757389907/354706947389908. 351864757389923/354706947389924. 351864757389949/354706947389940. 35
1864757389998/354706947389999. 351864757390079/354706947390070. 351864757390087/354706947390088XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001342587-0
Espacio para uso exclusivo de la Entidad Recaudadora
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