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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
032024001381120-1
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. 116575014856759 2024 – 10 – 08 No. HKG0380765 2024 – 10 – 02
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 6900304365 2024 – 09 – 25 procedencia 351
54 . Cod. Modo Transporte
4
55 . Código de Bandera
244
56 . Cod. Depto destino
0
57 . Empresa transportadora 58 . Tasa de cambio $ cvs. EMIRATES SUCURSAL COLOMBIA
4.188.11
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
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
111.00
300.00
78 .Valor FOB 79 . Valor fletes USD USD
13.327.72
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 58.940.110
95
96
I.V.A.
9798 99 100 101
0.00 58.940.110 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
14.073.20
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: 533145-DECL: 1845154-DO: 893123459241- 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: 3074298637. ID CONTENEDOR: 6078309524. 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 032024001381120
133. Feha: 202410 03
134 . Levante No. 032024001322687 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 10 – 09
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 92032407394530
Fecha presentación 2024-10-03 17:53:04 Valor pagado $0.00
Fecha de Impresión: 2024-10-09 12:50:13
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001381120-1 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: 351864758381564/354706948381565. 351864758381705/354706948381706. 351864758381903/354706948381904. 351864758382315/354706
948382316. 351864758382364/354706948382365. 351864758382372/354706948382373. 351864758382414/354706948382415. 351864758382455/354
706948382456. 351864758382497/354706948382498. 351864758382547/354706948382548. 351864758382802/354706948382803. 351864758382836/
354706948382837. 351864758383008/354706948383009. 351864758383016/354706948383017. 351864758383073/354706948383074. 3518647583830
81/354706948383082. 351864758383339/354706948383330. 351864758383529/354706948383520. 351864758383792/354706948383793. 3518647583
84139/354706948384130. 351864758384188/354706948384189. 351864758384220/354706948384221. 351864758384303/354706948384304. 3518647
58384840/354706948384841. 351864758385169/354706948385160. 351864758385193/354706948385194. 351864758385227/354706948385228. 3518
64758385441/354706948385442. 351864758385474/354706948385475. 351864758385706/354706948385707. 351864758385888/354706948385889. 3
51864758386761/354706948386762. 351864758386803/354706948386804. 351864758386977/354706948386978. 351864758387793/354706948387794
. 351864758388155/354706948388156. 351864758388171/354706948388172. 351864758389518/354706948389519. 351864758389567/354706948389
568. 351864758390011/354706948390012. 351864758390672/354706948390673. 351864758390722/354706948390723. 351864758391019/354706948
391010.351864758391050/354706948391051. 351864758392066/354706948392067. 351864758392306/354706948392307. 351864758392314/3547069
48392315. 351864758392330/354706948392331. 351864758392355/354706948392356. 351864758392363/354706948392364. 351864758392389/3547
06948392380. 351864758393288/354706948393289. 351864758393445/354706948393446. 351864758393809/354706948393800. 351864758394369/3
54706948394360. 351864758394443/354706948394444. 351864758394880/354706948394881. 351864758394922/354706948394923. 35186475839494
8/354706948394949. 351864758394963/354706948394964. 351864758395036/354706948395037. 351864758395044/354706948395045. 35186475839
5051/354706948395052. 351864758395176/354706948395177. 351864758395192/354706948395193. 351864758395200/354706948395201. 35186475
8395234/354706948395235. 351864758395242/354706948395243. 351864758395267/354706948395268. 351864758395291/354706948395292. 35186
4758395317/354706948395318. 351864758395325/354706948395326. 351864758395499/354706948395490. 351864758395549/354706948395540. 35
1864758395580/354706948395581. 351864758395895/354706948395896. 351864758396059/354706948396050. 351864758396083/354706948396084.
351864758396109/354706948396100. 351864758396232/354706948396233. 351864758396240/354706948396241. 351864758396257/3547069483962
58. 351864758396273/354706948396274. 351864758396323/354706948396324. 351864758396331/354706948396332. 351864758396349/3547069483
96340. 351864758396356/354706948396357. 351864758396364/354706948396365. 351864758396372/354706948396373. 351864758396398/3547069
48396399. 351864758396406/354706948396407. 351864758396505/354706948396506. 351864758396745/354706948396746. 351864758397032/3547
06948397033. 351864758398220/354706948398221. 351864758398295/354706948398296.351864758398352/354706948398353. 351864758398451/35
4706948398452. 351864758398576/354706948398577. 351864758399046/354706948399047. 351864758399053/354706948399054. 351864758399061
/354706948399062. 351864758399079/354706948399070. 351864758399137/354706948399138. 351864758399152/354706948399153. 351864758399
178/354706948399179. 351864758399210/354706948399211. 351864758399251/354706948399252. 351864758399319/354706948399310. 351864758
399343/354706948399344. 351864758399376/354706948399377. 351864758399418/354706948399419. 351864758399426/354706948399427.3518647
58399459/354706948399450. 351864758399558/354706948399559. 351864758399608/354706948399609. 351864758399624/354706948399625. 3518
64758399632/354706948399633. 351864758399657/354706948399658. 351864758399764/354706948399765. 351864758399772/354706948399773. 3
51864758399798/354706948399799. 351864758399806/354706948399807. 351864758399822/354706948399823. 351864758399830/354706948399831
. 351864758399848/354706948399849. 351864758399855/354706948399856. 351864758399921/354706948399922. 351864758399947/354706948399
948. 351864758399988/354706948399989. 351864758400034/354706948400035. 351864758400042/354706948400043. 351864758400133/354706948
400134. 351864758400158/354706948400159. 351864758400166/354706948400167. 351864758400174/354706948400175. 351864758400190/354706
948400191. 351864758400216/354706948400217. 351864758400224/354706948400225. 351864758400232/354706948400233. 351864758400240/354
706948400241. 351864758400257/354706948400258. 351864758400323/354706948400324. 351864758400398/354706948400399. 351864758400406/
354706948400407. 351864758400422/354706948400423. 351864758400588/354706948400589. 351864758400836/354706948400837. 3518647584008
44/354706948400845. 351864758400976/354706948400977. 351864758401016/354706948401017. 351864758401024/354706948401025. 3518647584
01099/354706948401090. 351864758401107/354706948401108. 351864758401115/354706948401116. 351864758401149/354706948401140. 3518647
58401172/354706948401173. 351864758401180/354706948401181. 351864758401263/354706948401264. 351864758401297/354706948401298. 3518
64758401305/354706948401306. 351864758401339/354706948401330. 351864758401347/354706948401348. 351864758401362/354706948401363. 3
51864758401388/354706948401389. 351864758401396/354706948401397.351864758401412/354706948401413. 351864758401420/354706948401421.
351864758401461/354706948401462. 351864758401503/354706948401504. 351864758401511/354706948401512. 351864758401529/3547069484015
20. 351864758401537/354706948401538. 351864758401545/354706948401546. 351864758401560/354706948401561. 351864758401578/3547069484
01579. 351864758401594/354706948401595. 351864758401610/354706948401611. 351864758401628/354706948401629. 351864758401644/3547069
48401645. 351864758401651/354706948401652. 351864758401669/354706948401660. 351864758401677/354706948401678.351864758401685/35470
6948401686. 351864758401727/354706948401728. 351864758401735/354706948401736. 351864758401768/354706948401769. 351864758401784/35
4706948401785. 351864758401800/354706948401801. 351864758401818/354706948401819. 351864758401826/354706948401827. 351864758401834
/354706948401835. 351864758401842/354706948401843. 351864758401859/354706948401850. 351864758401867/354706948401868. 351864758401
875/354706948401876. 351864758401891/354706948401892. 351864758401909/354706948401900. 351864758401966/354706948401967. 351864758
401974/354706948401975. 351864758402022/354706948402023. 351864758402113/354706948402114. 351864758402147/354706948402148. 351864
758402212/354706948402213. 351864758402220/354706948402221. 351864758402246/354706948402247. 351864758402253/354706948402254. 351
864758402279/354706948402270. 351864758402337/354706948402338. 351864758402386/354706948402387. 351864758402402/354706948402403.
351864758402436/354706948402437. 351864758402451/354706948402452. 351864758402477/354706948402478. 351864758402501/35470694840250
2. 351864758402592/354706948402593. 351864758402626/354706948402627. 351864758402683/354706948402684. 351864758402691/35470694840
2692. 351864758402709/354706948402700. 351864758402717/354706948402718. 351864758402782/354706948402783. 351864758402790/35470694
8402791. 351864758402808/354706948402809. 351864758402881/354706948402882. 351864758402899/354706948402890. 351864758402915/35470
6948402916. 351864758402931/354706948402932. 351864758402998/354706948402999. 351864758403012/354706948403013. 351864758403079/35
4706948403070. 351864758403095/354706948403096. 351864758403277/354706948403278. 351864758403285/354706948403286. 351864758403301
/354706948403302. 351864758403343/354706948403344.351864758403384/354706948403385. 351864758403418/354706948403419. 3518647584034
75/354706948403476. 351864758403632/354706948403633. 351864758403657/354706948403658. 351864758403665/354706948403666. 3518647584
03673/354706948403674. 351864758403715/354706948403716. 351864758403798/354706948403799. 351864758403806/354706948403807. 3518647
58403921/354706948403922. 351864758403939/354706948403930. 351864758403962/354706948403963. 351864758403970/354706948403971. 3518
64758403988/354706948403989. 351864758403996/354706948403997. 351864758404010/354706948404011.351864758404028/354706948404029. 35
1864758404127/354706948404128. 351864758404150/354706948404151. 351864758404168/354706948404169. 351864758404176/354706948404177.
351864758404192/354706948404193. 351864758404242/354706948404243. 351864758404267/354706948404268. 351864758404275/3547069484042
76. 351864758404283/354706948404284. 351864758404309/354706948404300. 351864758404325/354706948404326. 351864758404333/3547069484
04334. 351864758404341/354706948404342. 351864758404358/354706948404359. 351864758404366/354706948404367. 351864758404473/3547069
48404474. 351864758404507/354706948404508. 351864758404515/354706948404516. 351864758404531/354706948404532. 351864758404929/3547
06948404920. 351864758404960/354706948404961. 351864758404986/354706948404987. 351864758405017/354706948405018. 351864758405025/3
54706948405026. 351864758405066/354706948405067. 351864758405090/354706948405091. 351864758405108/354706948405109. 35186475840516
5/354706948405166. 351864758405173/354706948405174. 351864758405199/354706948405190. 351864758405207/354706948405208. 35186475840
5215/354706948405216. 351864758405223/354706948405224. 351864758405231/354706948405232. 351864758405256/354706948405257. 35186475
032024001381120-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001381120-1 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
8405272/354706948405273. 351864758405363/354706948405364. 351864758405371/354706948405372. 351864758405421/354706948405422. 35186
4758405439/354706948405430. 351864758405462/354706948405463. 351864758405470/354706948405471. 351864758405496/354706948405497. 35
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032024001381120-1
Espacio para uso exclusivo de la Entidad Recaudadora
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