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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
032024001386056-0
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. 116575014856759 2024 – 10 – 08 No. HKG0380774 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 6900304258 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 97.56 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
127.00
360.00
78 .Valor FOB 79 . Valor fletes USD USD
16.042.47
844.55
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
80 . Valor Seguros 81 . Valor Otros Gastos USD USD
0.82
0
Arancel
0
0
0.00
92 93 94 0.00 70.728.132
95
96
I.V.A.
9798 99 100 101
0.00 70.728.132 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
845.37
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
16.887.84
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: 533210-DECL: 1845269-DO: 893123467241- 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: 3074289971. ID CONTENEDOR: 6078309379. MERCANCIA MARCA: SAMSUNG REFERENCIA:SM-A055MLGDLTC, PR
ODUCTO: TELEFONO CELULAR GALAXY A05 DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE CL(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 032024001386056
133. Feha: 202410 04
134 . Levante No. 032024001322856 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 92032407418586
Fecha presentación 2024-10-04 14:49:57 Valor pagado $0.00
Fecha de Impresión: 2024-10-09 13:18:21
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001386056-0 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ARO, MODELO: SM-A055M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A055M/DS,LIGHT G REEN,LTC( QTY. 360,00 u )
(360,00 PCE); IMEIS: 351864758526028/354706948526029. 351864758526135/354706948526136. 351864758526150/354706948526151. 351864758
526226/354706948526227. 351864758526291/354706948526292. 351864758526317/354706948526318. 351864758526382/354706948526383. 351864
758526465/354706948526466. 351864758526549/354706948526540. 351864758526838/354706948526839. 351864758526895/354706948526896. 351
864758527315/354706948527316. 351864758527620/354706948527621. 351864758527653/354706948527654. 351864758527729/354706948527720.3
51864758527901/354706948527902. 351864758528172/354706948528173. 351864758528230/354706948528231. 351864758528636/354706948528637
. 351864758528883/354706948528884. 351864758529451/354706948529452. 351864758529485/354706948529486. 351864758530012/354706948530
013. 351864758530079/354706948530070. 351864758530152/354706948530153. 351864758530178/3547 06948530179. 351864758530293/35470694
8530294. 351864758530319/354706948530310. 351864758530350/354706948530351. 351864758530459/354706948530450. 351864758530566/35470
6948530567. 351864758530616/354706948530617.351864758530624/354706948530625. 351864758530632/354706948530633. 351864758530905/354
706948530906. 351864758530921/354706948530922. 351864758530939/354706948530930. 351864758530947/354706948530948. 351864758530988/
354706948530989. 351864758531200/354706948531201. 351864758531580/354706948531581. 351864758531697/354706948531698. 3518647585340
55/354706948534056. 351864758534287/354706948534288. 351864758534576/354706948534577. 351864758534592/354706948534593. 3518647585
34618/354706948534619. 351864758534634/354706948534635. 351864758534659/354706948534650. 351864758534717/354706948534718. 3518647
58534725/354706948534726. 351864758534733/354706948534734. 351864758534741/354706948534742. 351864758534766/354706948534767. 3518
64758534774/354706948534775. 351864758534816/354706948534817. 351864758534832/354706948534833. 351864758534865/354706948534866. 3
51864758534881/354706948534882. 351864758534899/354706948534890. 351864758534907/354706948534908. 351864758534923/354706948534924
. 351864758534931/354706948534932. 351864758534956/354706948534957. 351864758535003/354706948535004. 351864758535227/354706948535
228. 351864758536084/354706948536085. 351864758536209/354706948536200. 351864758536217/354706948536218. 351864758536266/354706948
536267. 351864758536308/354706948536309. 351864758536431/354706948536432. 351864758536464/354706948536465. 351864758536480/354706
948536481. 351864758536548/354706948536549. 351864758536589/354706948536580. 351864758536597/354706948536598. 351864758536670/354
706948536671. 351864758536746/354706948536747. 351864758536779/354706948536770. 351864758536787/354706948536788. 351864758536795/
354706948536796. 351864758536803/354706948536804. 351864758536829/354706948536820. 351864758536860/354706948536861.35186475853688
6/354706948536887. 351864758536902/354706948536903. 351864758536928/354706948536929. 351864758536993/354706948536994. 35186475853
7009/354706948537000. 351864758537017/354706948537018. 351864758537025/354706948537026. 351864758537041/354706948537042. 35186475
8537058/354706948537059. 351864758537066/354706948537067. 351864758537074/354706948537075. 351864758537082/354706948537083. 35186
4758537090/354706948537091. 351864758537108/354706948537109. 351864758537116/354706948537117. 351864758537124/354706948537125. 35
1864758537132/354706948537133.351864758537140/354706948537141. 351864758537165/354706948537166. 351864758537249/354706948537240.
351864758537355/354706948537356. 351864758537371/354706948537372. 351864758537454/354706948537455. 351864758537686/35470694853768
7. 351864758537710/354706948537711. 351864758537785/354706948537786. 351864758537850/354706948537851. 351864758538049/35470694853
8040. 351864758538171/354706948538172. 351864758538254/354706948538255. 351864758538338/354706948538339. 351864758538478/35470694
8538479. 351864758538585/354706948538586. 351864758538643/354706948538644. 351864758538825/354706948538826. 351864758538833/35470
6948538834. 351864758539088/354706948539089. 351864758539112/354706948539113. 351864758539161/354706948539162. 351864758539351/35
4706948539352. 351864758539419/354706948539410. 351864758539559/354706948539550. 351864758539617/354706948539618. 351864758539674
/354706948539675. 351864758539682/354706948539683. 351864758539690/354706948539691. 351864758539708/354706948539709. 351864758539
732/354706948539733. 351864758539757/354706948539758. 351864758539773/354706948539774. 351864758539799/354706948539790. 351864758
539807/354706948539808. 351864758539815/354706948539816. 351864758539856/354706948539857. 351864758539864/354706948539865. 351864
758539880/354706948539881. 351864758539906/354706948539907. 351864758539914/354706948539915. 351864758539930/354706948539931. 351
864758539948/354706948539949. 351864758539955/354706948539956. 351864758539963/354706948539964. 351864758539997/354706948539998.
351864758540003/354706948540004. 351864758540052/354706948540053. 351864758540094/354706948540095. 351864758540102/35470694854010
3. 351864758540110/354706948540111. 351864758540128/354706948540129. 351864758540136/354706948540137.351864758540144/354706948540
145. 351864758540177/354706948540178. 351864758540185/354706948540186. 351864758540193/354706948540194. 351864758540227/354706948
540228. 351864758540235/354706948540236. 351864758540243/354706948540244. 351864758540250/354706948540251. 351864758540284/354706
948540285. 351864758540292/354706948540293. 351864758540318/354706948540319. 351864758540342/354706948540343. 351864758540375/354
706948540376. 351864758540383/354706948540384. 351864758540409/354706948540400. 351864758540417/354706948540418. 351864758540433/
354706948540434.351864758540466/354706948540467. 351864758540474/354706948540475. 351864758540516/354706948540517. 35186475854053
2/354706948540533. 351864758540565/354706948540566. 351864758540581/354706948540582. 351864758540599/354706948540590. 35186475854
0607/354706948540608. 351864758540615/354706948540616. 351864758540623/354706948540624. 351864758540631/354706948540632. 35186475
8540649/354706948540640. 351864758540664/354706948540665. 351864758540672/354706948540673. 351864758540680/354706948540681. 35186
4758540714/354706948540715. 351864758540730/354706948540731. 351864758540771/354706948540772. 351864758540821/354706948540822. 35
1864758540847/354706948540848. 351864758540870/354706948540871. 351864758540888/354706948540889. 351864758540987/354706948540988.
351864758541019/354706948541010. 351864758541043/354706948541044. 351864758541076/354706948541077. 351864758541092/3547069485410
93. 351864758541118/354706948541119. 351864758541142/354706948541143. 351864758541159/354706948541150. 351864758541167/3547069485
41168. 351864758541308/354706948541309. 351864758541316/354706948541317. 351864758541324/354706948541325. 351864758541332/3547069
48541333. 351864758541340/354706948541341. 351864758541373/354706948541374. 351864758541381/354706948541382. 351864758541407/3547
06948541408. 351864758541415/354706948541416. 351864758541423/354706948541424. 351864758541431/354706948541432. 351864758541449/3
54706948541440. 351864758541456/354706948541457. 351864758541464/354706948541465. 351864758541480/354706948541481. 35186475854149
8/354706948541499. 351864758541530/354706948541531. 351864758541563/354706948541564. 351864758541589/354706948541580. 35186475854
1621/354706948541622. 351864758541654/354706948541655. 351864758541662/354706948541663.351864758541688/354706948541689. 351864758
541753/354706948541754. 351864758541761/354706948541762. 351864758541779/354706948541770. 351864758541845/354706948541846. 351864
758541852/354706948541853. 351864758541860/354706948541861. 351864758541894/354706948541895. 351864758542058/354706948542059. 351
864758542116/354706948542117. 351864758542140/354706948542141. 351864758542199/354706948542190. 351864758542249/354706948542240.
351864758542256/354706948542257. 351864758542264/354706948542265. 351864758542280/354706948542281. 351864758542314/35470694854231
5.351864758542330/354706948542331. 351864758542355/354706948542356. 351864758542397/354706948542398. 351864758542413/354706948542
414. 351864758542488/354706948542489. 351864758542520/354706948542521. 351864758542587/354706948542588. 351864758542595/354706948
542596. 351864758542611/354706948542612. 351864758542629/354706948542620. 351864758542637/354706948542638. 351864758542645/354706
948542646. 351864758542678/354706948542679. 351864758542710/354706948542711. 351864758542736/354706948542737. 351864758542769/354
706948542760. 351864758542785/354706948542786. 351864758542801/354706948542802. 351864758542892/354706948542893. 351864758542900/
354706948542901. 351864758542918/354706948542919. 351864758542934/354706948542935. 351864758542959/354706948542950. 3518647585429
83/354706948542984. 351864758543023/354706948543024. 351864758543049/354706948543040. 351864758543056/354706948543057. 3518647585
43064/354706948543065. 351864758543072/354706948543073. 351864758543080/354706948543081. 351864758543106/354706948543107. 3518647
58543122/354706948543123. 351864758543130/354706948543131. 351864758543148/354706948543149. 351864758543171/354706948543172. 3518
64758543189/354706948543180. 351864758543197/354706948543198. 351864758543213/354706948543214. 351864758543221/354706948543222. 3
51864758543239/354706948543230. 351864758543247/354706948543248. 351864758543254/354706948543255. 351864758543262/354706948543263
. 351864758543270/354706948543271. 351864758543320/354706948543321. 351864758543379/354706948543370. 351864758543387/354706948543
032024001386056-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001386056-0 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
388. 351864758543395/354706948543396. 351864758543403/354706948543404. 351864758543411/354706948543412. 351864758543437/354706948
543438. 351864758543452/354706948543453. 351864758543460/354706948543461.351864758543536/354706948543537. 351864758543593/3547069
48543594. 351864758543643/354706948543644. 351864758543684/354706948543685. 351864758543700/354706948543701. 351864758543718/3547
06948543719. 351864758543726/354706948543727. 351864758543767/354706948543768. 351864758543858/354706948543859. 351864758543973/3
54706948543974. 351864758544013/354706948544014. 351864758544070/354706948544071. 351864758544195/354706948544196. 35186475854422
9/354706948544220. 351864758544286/354706948544287. 351864758544294/354706948544295. 351864758544310/354706948544311.351864758544
328/354706948544329. 351864758544336/354706948544337. 351864758544344/354706948544345. 351864758544351/354706948544352. 351864758
544369/354706948544360. 351864758544377/354706948544378. 351864758544385/354706948544386. 351864758544393/354706948544394. 351864
758544401/354706948544402. 351864758544419/354706948544410. 351864758544427/354706948544428. 351864758544435/354706948544436. 351
864758544443/354706948544444. 351864758544450/354706948544451. 351864758544468/354706948544469. 351864758544476/354706948544477.
351864758544526/354706948544527. 351864758544542/354706948544543. 351864758544583/354706948544584. 351864758544591/35470694854459
2. 351864758544609/354706948544600. 351864758544617/354706948544618. 351864758544633/354706948544634. 351864758544641/35470694854
4642. 351864758544666/354706948544667. 351864758544682/354706948544683. 351864758544690/354706948544691. 351864758544724/35470694
8544725. 351864758544740/354706948544741. 351864758544773/354706948544774. 351864758544807/354706948544808. 351864758544815/35470
6948544816. 351864758544849/354706948544840. 351864758544930/354706948544931. 351864758544955/354706948544956. 351864758544963/35
4706948544964. 351864758544971/354706948544972. 351864758544997/354706948544998. 351864758545010/354706948545011. 351864758545044
/354706948545045. 351864758545325/354706948545326. 351864758545457/354706948545458. 351864758545507/354706948545508. 351864758545
523/354706948545524. 351864758545564/354706948545565. 351864758545648/354706948545649. 351864758545671/354706948545672. 351864758
546034/354706948546035XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001386056-0
Espacio para uso exclusivo de la Entidad Recaudadora
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