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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
032024001555083-5
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. 116575014948262
43 . Año – Mes – Día
2024 – 11 – 06
44 . Documento de transporte
No. 41N0681166
45 . Año – Mes – Día
2024 – 10 – 31
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
6900314734
52 . Año – Mes – Día
2024 – 10 – 29
53 . Cod. país
procedencia
351
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.
4.409.57
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.
166.00
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
24.159.55
79 . Valor fletes USD
1.337.96 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
112.438.479
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
112.438.479
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
1.23
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.339.19
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
25.498.74
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: 536735-DECL: 1854803-DO: 893126292241- 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. (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN)/ NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANC
IA QUE NO REQUIERE REGISTRO DEIMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3076641684. ID DELIVERY:
6078815367. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A065MLBGLTC, PRODUCTO: TELEFONO CELULAR GALAXY A06 DUOS (CON ACCESORIOS PARA
USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL CLARO, 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
032024001555083
133. Feha: 202411 07
134 . Levante No. 032024001459179 135 . Fecha
2024 – 11 – 07
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 92032408304428
Fecha presentación 2024-11-07 15:48:05
Valor pagado $0.00
Fecha de Impresión: 2024-11-07 15:48:15
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001555083-5
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
R Y AL DETAL/ /MOBILE,SM-A065M/DS,LIGHT BLUE,LTC( QTY. 500,00 u )(500,00 PCE); IMEIS:354106705180666/357809265180664. 35410670518
0674/357809265180672. 354106705180682/357809265180680. 354106705180708/357809265180706. 354106705180724/357809265180722. 35410670
5180732/357809265180730. 354106705180740/357809265180748. 354106705180757/357809265180755. 354106705180765/357809265180763. 35410
6705180781/357809265180789. 354106705180799/357809265180797. 354106705180807/357809265180805. 354106705180815/357809265180813. 35
4106705180823/357809265180821. 354106705180831/357809265180839. 354106705180849/357809265180847. 354106705180856/357809265180854.
354106705180872/357809265180870. 354106705180880/357809265180888. 354106705180898/357809265180896. 354106705180906/3578092651809
04. 354106705180914/357809265180912. 354106705180922/357809265180920. 354106705180930/357809265180938. 354106705180948/3578092651
80946. 354106705180955/357809265180953. 354106705180963/357809265180961. 354106705180971/35 7809265180979. 354106705180989/357809
265180987. 354106705180997/357809265180995. 354106705181003/357809265181001. 354106705181011/357809265181019. 354106705181029/357
809265181027. 354106705181037/357809265181035. 354106705181045/357809265181043. 354106705181052/357809265181050. 354106705181060/
357809265181068. 354106705181078/357809265181076. 354106705181086/357809265181084. 354106705181094/357809265181092. 3541067051811
02/357809265181100. 354106705181110/357809265181118. 354106705181128/357809265181126. 354106705181136/357809265181134. 3541067051
81144/357809265181142. 354106705181151/357809265181159. 354106705181169/357809265181167. 354106705181177/357809265181175. 3541067
05181185/357809265181183. 354106705181193/357809265181191. 354106705181201/357809265181209. 354106705181219/357809265181217. 3541
06705181235/357809265181233.354106705181243/357809265181241. 354106705181250/357809265181258. 354106705181268/357809265181266. 35
4106705181276/357809265181274. 354106705181284/357809265181282. 354106705181292/357809265181290. 354106705181300/357809265181308.
354106705181318/357809265181316. 354106705181326/357809265181324. 354106705181334/357809265181332. 354106705181342/3578092651813
40. 354106705181359/357809265181357. 354106705181367/357809265181365. 354106705181375/357809265181373. 354106705181383/3578092651
81381. 354106705181391/357809265181399. 354106705181409/357809265181407.354106705181417/357809265181415. 354106705181425/35780926
5181423. 354106705181433/357809265181431. 354106705181441/357809265181449. 354106705181458/357809265181456. 354106705181466/35780
9265181464. 354106705181474/357809265181472. 354106705181482/357809265181480. 354106705181490/357809265181498. 354106705181508/35
7809265181506. 354106705181516/357809265181514. 354106705181524/357809265181522. 354106705181532/357809265181530. 354106705181540
/357809265181548. 354106705181557/357809265181555. 354106705181565/357809265181563. 354106705181573/357809265181571. 354106705181
581/357809265181589. 354106705181599/357809265181597. 354106705181607/357809265181605. 354106705181615/357809265181613. 354106705
181623/357809265181621. 354106705181631/357809265181639. 354106705181649/357809265181647. 354106705181656/357809265181654. 354106
705181664/357809265181662. 354106705181672/357809265181670. 354106705181680/357809265181688. 354106705181698/357809265181696. 354
106705181706/357809265181704. 354106705181714/357809265181712. 354106705181722/357809265181720. 354106705181730/357809265181738.
354106705181748/357809265181746. 354106705181771/357809265181779. 354106705181789/357809265181787. 354106705181797/35780926518179
5. 354106705181805/357809265181803. 354106705181813/357809265181811. 354106705181821/357809265181829. 354106705181839/35780926518
1837. 354106705181847/357809265181845. 354106705181854/357809265181852. 354106705181862/357809265181860. 354106705181870/35780926
5181878. 354106705181888/357809265181886. 354106705181896/357809265181894. 354106705181904/357809265181902. 354106705181912/35780
9265181910. 354106705181920/357809265181928. 354106705181938/357809265181936. 354106705181946/357809265181944. 354106705181953/35
7809265181951.354106705181961/357809265181969. 354106705181979/357809265181977. 354106705181987/357809265181985. 354106705181995/
357809265181993. 354106705182001/357809265182009. 354106705182019/357809265182017. 354106705182027/357809265182025. 3541067051820
35/357809265182033. 354106705182043/357809265182041. 354106705182050/357809265182058. 354106705182068/357809265182066. 3541067051
82076/357809265182074. 354106705182084/357809265182082. 354106705182092/357809265182090. 354106705182100/357809265182108. 3541067
05182118/357809265182116. 354106705182126/357809265182124.354106705182134/357809265182132. 354106705182142/357809265182140. 35410
6705182159/357809265182157. 354106705182175/357809265182173. 354106705182183/357809265182181. 354106705182191/357809265182199. 35
4106705182209/357809265182207. 354106705182217/357809265182215. 354106705182225/357809265182223. 354106705182233/357809265182231.
354106705182241/357809265182249. 354106705182258/357809265182256. 354106705182266/357809265182264. 354106705182274/3578092651822
72. 354106705182282/357809265182280. 354106705182290/357809265182298. 354106705182308/357809265182306. 354106705182316/3578092651
82314. 354106705182324/357809265182322. 354106705182332/357809265182330. 354106705182340/357809265182348. 354106705182357/3578092
65182355. 354106705182373/357809265182371. 354106705182381/357809265182389. 354106705182399/357809265182397. 354106705182407/3578
09265182405. 354106705182415/357809265182413. 354106705182423/357809265182421. 354106705182431/357809265182439. 354106705182449/3
57809265182447. 354106705182456/357809265182454. 354106705182464/357809265182462. 354106705182472/357809265182470. 35410670518248
0/357809265182488. 354106705182498/357809265182496. 354106705182506/357809265182504. 354106705182514/357809265182512. 35410670518
2522/357809265182520. 354106705182530/357809265182538. 354106705182548/357809265182546. 354106705182555/357809265182553. 35410670
5182563/357809265182561. 354106705182571/357809265182579. 354106705182589/357809265182587. 354106705182597/357809265182595. 35410
6705096292/357809265096290. 354106705096318/357809265096316. 354106705096375/357809265096373. 354106705096383/357809265096381. 35
4106705096391/357809265096399. 354106705096409/357809265096407. 354106705096425/357809265096423. 354106705096433/357809265096431.
354106705096466/357809265096464. 354106705096508/357809265096506. 354106705096516/357809265096514. 354106705096524/35780926509652
2. 354106705096532/357809265096530. 354106705096540/357809265096548. 354106705096581/357809265096589. 354106705096599/35780926509
6597. 354106705096607/357809265096605. 354106705096615/357809265096613. 354106705096623/357809265096621. 354106705096631/35780926
5096639. 354106705096656/357809265096654. 354106705096664/357809265096662. 354106705096672/357809265096670. 354106705096680/35780
9265096688. 354106705096706/357809265096704.354106705096722/357809265096720. 354106705096730/357809265096738. 354106705096748/357
809265096746. 354106705096763/357809265096761. 354106705096771/357809265096779. 354106705096789/357809265096787. 354106705096813/
357809265096811. 354106705096821/357809265096829. 354106705096839/357809265096837. 354106705096847/357809265096845. 3541067050968
70/357809265096878. 354106705096888/357809265096886. 354106705096896/357809265096894. 354106705096904/357809265096902. 3541067050
96912/357809265096910. 354106705096920/357809265096928. 354106705096946/357809265096944. 354106705096953/357809265096951. 3541067
05096979/357809265096977. 354106705097035/357809265097033. 354106705097142/357809265097140. 354106705097282/357809265097280. 3541
06705097324/357809265097322. 354106705097373/357809265097371. 354106705097381/357809265097389. 354106705097431/357809265097439. 3
54106705097449/357809265097447. 354106705097456/357809265097454. 354106705097464/357809265097462. 354106705097472/357809265097470
. 354106705097480/357809265097488. 354106705097498/357809265097496. 354106705097506/357809265097504. 354106705097514/357809265097
512. 354106705097522/357809265097520. 354106705097548/357809265097546. 354106705097555/357809265097553. 354106705097571/357809265
097579. 354106705097589/357809265097587. 354106705097597/357809265097595. 354106705097605/357809265097603. 354106705097613/357809
265097611. 354106705097639/357809265097637. 354106705097647/357809265097645. 354106705097654/357809265097652. 354106705097662/357
809265097660. 354106705097688/357809265097686. 354106705097696/357809265097694. 354106705097704/357809265097702. 354106705097712/
357809265097710. 354106705097720/357809265097728. 354106705097738/357809265097736. 354106705097746/357809265097744.35410670509775
3/357809265097751. 354106705097761/357809265097769. 354106705097779/357809265097777. 354106705097787/357809265097785. 35410670509
7795/357809265097793. 354106705097803/357809265097801. 354106705097811/357809265097819. 354106705097829/357809265097827. 35410670
5097837/357809265097835. 354106705097845/357809265097843. 354106705097852/357809265097850. 354106705097860/357809265097868. 35410
6705097886/357809265097884. 354106705097894/357809265097892. 354106705097902/357809265097900. 354106705097910/357809265097918. 35
4106705097928/357809265097926.354106705097936/357809265097934. 354106705097944/357809265097942. 354106705097951/357809265097959.
354106705097969/357809265097967. 354106705097977/357809265097975. 354106705097985/357809265097983. 354106705097993/35780926509799
1. 354106705098009/357809265098007. 354106705098017/357809265098015. 354106705098025/357809265098023. 354106705098033/35780926509
032024001555083-5
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001555083-5
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
8031. 354106705098041/357809265098049. 354106705098058/357809265098056. 354106705098066/357809265098064. 354106705098074/35780926
5098072. 354106705098108/357809265098106. 354106705098124/357809265098122. 354106705098140/357809265098148. 354106705098157/35780
9265098155. 354106705098199/357809265098197. 354106705098207/357809265098205. 354106705098215/357809265098213. 354106705098249/35
7809265098247. 354106705098256/357809265098254. 354106705098264/357809265098262. 354106705098272/357809265098270. 354106705098280
/357809265098288. 354106705098306/357809265098304. 354106705098355/357809265098353. 354106705098363/357809265098361. 354106705098
371/357809265098379. 354106705098397/357809265098395. 354106705098405/357809265098403. 354106705098413/357809265098411. 354106705
098421/357809265098429. 354106705098454/357809265098452. 354106705098462/357809265098460. 354106705098470/357809265098478. 354106
705098488/357809265098486. 354106705098512/357809265098510. 354106705179619/357809265179617. 354106705179627/357809265179625. 354
106705179635/357809265179633. 354106705179643/357809265179641. 354106705179668/357809265179666. 354106705179684/357809265179682.
354106705179692/357809265179690. 354106705179700/357809265179708. 354106705179718/357809265179716. 354106705179742/35780926517974
0. 354106705179759/357809265179757. 354106705179767/357809265179765. 354106705179775/357809265179773.354106705179783/357809265179
781. 354106705179791/357809265179799. 354106705179809/357809265179807. 354106705179817/357809265179815. 354106705179841/357809265
179849. 354106705179858/357809265179856. 354106705179866/357809265179864. 354106705179874/357809265179872. 354106705179882/357809
265179880. 354106705179908/357809265179906. 354106705179924/357809265179922. 354106705179932/357809265179930. 354106705179957/357
809265179955. 354106705179965/357809265179963. 354106705179973/357809265179971. 354106705179981/357809265179989. 354106705179999/
357809265179997.354106705180005/357809265180003. 354106705180013/357809265180011. 354106705180021/357809265180029. 35410670518003
9/357809265180037. 354106705180047/357809265180045. 354106705180054/357809265180052. 354106705180062/357809265180060. 35410670518
0070/357809265180078. 354106705180088/357809265180086. 354106705180096/357809265180094. 354106705180104/357809265180102. 35410670
5180112/357809265180110. 354106705180120/357809265180128. 354106705180138/357809265180136. 354106705180146/357809265180144. 35410
6705098520/357809265098528. 354106705098546/357809265098544. 354106705098553/357809265098551. 354106705098561/357809265098569. 35
4106705098587/357809265098585. 354106705098645/357809265098643. 354106705098660/357809265098668. 354106705098710/357809265098718.
354106705098736/357809265098734. 354106705099072/357809265099070. 354106705099569/357809265099567. 354106705099957/3578092650999
55. 354106705100367/357809265100365. 354106705100458/357809265100456. 354106705100771/357809265100779. 354106705101621/3578092651
01629. 354106705101852/357809265101850. 354106705102165/357809265102163. 354106705102348/357809265102346. 354106705102454/3578092
65102452. 354106705102504/357809265102502. 354106705102512/357809265102510. 354106705102520/357809265102528. 354106705102538/3578
09265102536. 354106705102546/357809265102544. 354106705102553/357809265102551. 354106705102561/357809265102569. 354106705102579/3
57809265102577. 354106705102587/357809265102585. 354106705102595/357809265102593. 354106705102603/357809265102601. 35410670510261
1/357809265102619. 354106705102629/357809265102627. 354106705102637/357809265102635. 354106705102652/357809265102650. 35410670510
2678/357809265102676. 354106705102694/357809265102692. 354106705102710/357809265102718.354106705102728/357809265102726. 354106705
102736/357809265102734. 354106705102744/357809265102742. 354106705102751/357809265102759. 354106705102769/357809265102767. 354106
705102777/357809265102775. 354106705102785/357809265102783. 354106705102876/357809265102874. 354106705103056/357809265103054. 354
106705103080/357809265103088. 354106705103197/357809265103195. 354106705103502/357809265103500. 354106705103650/357809265103658.
354106705103841/357809265103849. 354106705104112/357809265104110. 354106705104310/357809265104318. 354106705104328/35780926510432
6.354106705104401/357809265104409. 354106705104443/357809265104441. 354106705104567/357809265104565. 354106705104781/357809265104
789. 354106705105226/357809265105224. 354106705105267/357809265105265. 354106705105317/357809265105315. 354106705105341/357809265
105349. 354106705105358/357809265105356. 354106705178553/357809265178551. 354106705178645/357809265178643. 354106705178652/357809
265178650. 354106705178769/357809265178767. 354106705178835/357809265178833. 354106705178843/357809265178841. 354106705179031/357
809265179039. 354106705179049/357809265179047. 354106705179189/357809265179187. 354106705179262/357809265179260. 354106705179304/
357809265179302. 354106705179338/357809265179336. 354106705179403/357809265179401. 354106705179411/357809265179419. 3541067051794
37/357809265179435. 354106705179445/357809265179443. 354106705179452/357809265179450. 354106705179502/357809265179500. 3541067051
79510/357809265179518. 354106705179528/357809265179526. 354106705179536/357809265179534. 354106705179551/357809265179559. 3541067
05179569/357809265179567. 354106705179577/357809265179575. 354106705179585/357809265179583. 354106705179601/357809265179609. 3541
06705180153/357809265180151. 354106705180179/357809265180177. 354106705180187/357809265180185. 354106705180195/357809265180193. 3
54106705180203/357809265180201. 354106705180211/357809265180219. 354106705180229/357809265180227. 354106705180237/357809265180235
. 354106705180245/357809265180243. 354106705180252/357809265180250. 354106705180260/357809265180268. 354106705180278/357809265180
276. 354106705180286/357809265180284. 354106705180294/357809265180292. 354106705180302/357809265180300. 354106705180310/357809265
180318. 354106705180328/357809265180326. 354106705180336/357809265180334.354106705180344/357809265180342. 354106705180351/3578092
65180359. 354106705180369/357809265180367. 354106705180377/357809265180375. 354106705180385/357809265180383. 354106705180393/3578
09265180391. 354106705180401/357809265180409. 354106705180419/357809265180417. 354106705180427/357809265180425. 354106705180435/3
57809265180433. 354106705180443/357809265180441. 354106705180450/357809265180458. 354106705180468/357809265180466. 35410670518047
6/357809265180474. 354106705180484/357809265180482. 354106705180492/357809265180490. 354106705180518/357809265180516.354106705180
526/357809265180524. 354106705180534/357809265180532. 354106705180542/357809265180540. 354106705180559/357809265180557. 354106705
180575/357809265180573. 354106705180583/357809265180581. 354106705180609/357809265180607. 354106705180633/357809265180631. 354106
705180641/357809265180649. 354106705180658/357809265180656XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001555083-5
Espacio para uso exclusivo de la Entidad Recaudadora
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