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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
032024001564192-8
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
Anticipada
33 . Cod.
3
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. 116575014968365
43 . Año – Mes – Día
2024 – 11 – 12
44 . Documento de transporte
No. T617240288
45 . Año – Mes – Día
2024 – 11 – 05
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
6900313551
52 . Año – Mes – Día
2024 – 10 – 29
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
249
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
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.
112.00
72 . Peso neto kgs. dcms.
81.30
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
300.00
78 .Valor FOB
USD
12.409.28
79 . Valor fletes USD
956.48 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
58.940.121
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
58.940.121
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
0.65
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
957.13
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
13.366.41
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: 536984-DECL: 1855257-DO: 893126692241- 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: 3077135431. ID DELIVE
RY: 6078900658. MERCANCIA MARCA: SAMSUNGREFERENCIA: SM-A055MLGDLTC, PRODUCTO: TELEFONO CELULAR GALAXY A05 DUOS(CON ACCESORIOS PAR
A USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE CLARO, MODELO: SM-A055M/DS, USO O DESTINO: PARA LA VENTA AL MA(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
032024001564192
133. Feha: 202411 08
134 . Levante No. 032024001482188 135 . Fecha
2024 – 11 – 13
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 92032408350808
Fecha presentación 2024-11-08 17:57:43
Valor pagado $0.00
Fecha de Impresión: 2024-11-13 13:58:15
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001564192-8
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
YOR Y AL DETAL/ /MOBILE,SM-A055M/DS,LIGHT GREEN,LTC( QTY. 300,00 u )(300,00 PCE); IMEIS: 351641240478194/351847820478195. 3516412
40478202/351847820478203. 351641240478228/351847820478229. 351641240478244/351847820478245. 351641240478251/351847820478252. 3516
41240478269/351847820478260. 351641240478301/351847820478302. 351641240478319/351847820478310. 351641240478327/351847820478328. 3
51641240478335/351847820478336. 351641240478343/351847820478344. 351641240478350/351847820478351. 351641240478368/351847820478369
. 351641240478376/351847820478377. 351641240478392/351847820478393. 351641240478418/351847820478419. 351641240478426/351847820478
427. 351641240478434/351847820478435. 351641240478442/351847820478443. 351641240478459/351847820478450. 351641240478467/351847820
478468. 351641240478483/351847820478484. 351641240478491/351847820478492. 351641240478509/351847820478500. 351641240478525/351847
820478526. 351641240478541/351847820478542. 351641240478558/351847820478559. 3516412404785 66/351847820478567. 351641240478574/35
1847820478575. 351641240478582/351847820478583. 351641240478590/351847820478591. 351641240478616/351847820478617. 351641240478632
/351847820478633. 351641240478640/351847820478641. 351641240478665/351847820478666. 351641240478673/351847820478674. 351641240478
707/351847820478708. 351641240478715/351847820478716.351641240478723/351847820478724. 351641240478731/351847820478732. 3516412404
78756/351847820478757. 351641240478764/351847820478765. 351641240478772/351847820478773. 351641240478780/351847820478781. 3516412
40478798/351847820478799. 351641240477519/351847820477510. 351641240477527/351847820477528. 351641240477535/351847820477536. 3516
41240477550/351847820477551. 351641240477568/351847820477569. 351641240477584/351847820477585. 351641240477600/351847820477601. 3
51641240477634/351847820477635. 351641240477642/351847820477643. 351641240477659/351847820477650.351641240477675/351847820477676.
351641240477758/351847820477759. 351641240477766/351847820477767. 351641240477774/351847820477775. 351641240477790/3518478204777
91. 351641240477808/351847820477809. 351641240477816/351847820477817. 351641240477824/351847820477825. 351641240477840/3518478204
77841. 351641240477857/351847820477858. 351641240477865/351847820477866. 351641240477873/351847820477874. 351641240477881/3518478
20477882. 351641240477907/351847820477908. 351641240477915/351847820477916. 351641240477931/351847820477932. 351641240477949/3518
47820477940. 351641240477964/351847820477965. 351641240477972/351847820477973. 351641240477980/351847820477981. 351641240477998/3
51847820477999. 351641240478012/351847820478013. 351641240478038/351847820478039. 351641240478046/351847820478047. 35164124047805
3/351847820478054. 351641240478061/351847820478062. 351641240478079/351847820478070. 351641240478087/351847820478088. 35164124047
8095/351847820478096. 351641240478111/351847820478112. 351641240478129/351847820478120. 351641240478137/351847820478138. 35164124
0478145/351847820478146. 351641240478178/351847820478179. 351641240478186/351847820478187. 351641240472569/351847820472560. 35164
1240472650/351847820472651. 351641240472718/351847820472719. 351641240472809/351847820472800. 351641240472817/351847820472818. 35
1641240472833/351847820472834. 351641240472858/351847820472859. 351641240472932/351847820472933. 351641240472981/351847820472982.
351641240473005/351847820473006. 351641240473013/351847820473014. 351641240473039/351847820473030. 351641240473088/3518478204730
89. 351641240473096/351847820473097. 351641240473112/351847820473113. 351641240473138/351847820473139. 351641240473153/3518478204
73154. 351641240473187/351847820473188.351641240473203/351847820473204. 351641240473211/351847820473212. 351641240473229/35184782
0473220. 351641240473245/351847820473246. 351641240473252/351847820473253. 351641240473260/351847820473261. 351641240473278/35184
7820473279. 351641240473294/351847820473295. 351641240473328/351847820473329. 351641240473336/351847820473337. 351641240473344/35
1847820473345. 351641240473351/351847820473352. 351641240473369/351847820473360. 351641240473377/351847820473378. 351641240473385
/351847820473386. 351641240473419/351847820473410. 351641240473427/351847820473428.351641240473443/351847820473444. 3516412404734
50/351847820473451. 351641240473484/351847820473485. 351641240473492/351847820473493. 351641240473500/351847820473501. 3516412404
73518/351847820473519. 351641240473542/351847820473543. 351641240473559/351847820473550. 351641240473641/351847820473642. 3516412
40473658/351847820473659. 351641240438198/351847820438199. 351641240438305/351847820438306. 351641240439337/351847820439338. 3516
41240439675/351847820439676. 351641240439717/351847820439718. 351641240439832/351847820439833. 351641240439865/351847820439866. 3
51641240439923/351847820439924. 351641240439998/351847820439999. 351641240440228/351847820440229. 351641240440236/351847820440237
. 351641240440293/351847820440294. 351641240440319/351847820440310. 351641240440335/351847820440336. 351641240440509/351847820440
500. 351641240440822/351847820440823. 351641240441085/351847820441086. 351641240441127/351847820441128. 351641240441358/351847820
441359. 351641240441416/351847820441417. 351641240441580/351847820441581. 351641240441606/351847820441607. 351641240441762/351847
820441763. 351641240442109/351847820442100. 351641240442125/351847820442126. 351641240442174/351847820442175. 351641240442307/351
847820442308. 351641240442695/351847820442696. 351641240442950/351847820442951. 351641240455655/351847820455656. 351641240455887/
351847820455888. 351641240457263/351847820457264. 351641240458196/351847820458197. 351641240467494/351847820467495. 3516412404703
16/351847820470317. 351641240470506/351847820470507. 351641240471199/351847820471190. 351641240472072/351847820472073. 3516412404
72122/351847820472123. 351641240472262/351847820472263. 351641240472270/351847820472271. 351641240472320/351847820472321. 3516412
40472379/351847820472370.351641240472437/351847820472438. 351641240472460/351847820472461. 351641240473682/351847820473683. 35164
1240473989/351847820473980. 351641240473997/351847820473998. 351641240474003/351847820474004. 351641240474037/351847820474038. 35
1641240474060/351847820474061. 351641240474110/351847820474111. 351641240474144/351847820474145. 351641240474201/351847820474202.
351641240474243/351847820474244. 351641240474334/351847820474335. 351641240474532/351847820474533. 351641240474839/3518478204748
30. 351641240474987/351847820474988. 351641240475562/351847820475563.351641240475612/351847820475613. 351641240475638/35184782047
5639. 351641240475992/351847820475993. 351641240476008/351847820476009. 351641240476024/351847820476025. 351641240476388/35184782
0476389. 351641240476537/351847820476538. 351641240476636/351847820476637. 351641240476719/351847820476710. 351641240476727/35184
7820476728. 351641240476735/351847820476736. 351641240476867/351847820476868. 351641240476909/351847820476900. 351641240477014/35
1847820477015. 351641240477022/351847820477023. 351641240477105/351847820477106. 351641240477162/351847820477163. 351641240477188
/351847820477189. 351641240477220/351847820477221. 351641240477238/351847820477239. 351641240477287/351847820477288. 351641240477
295/351847820477296. 351641240477386/351847820477387. 351641240477428/351847820477429. 351641240477444/351847820477445. 351641240
477451/351847820477452. 351641240477469/351847820477460. 351641240477477/351847820477478. 351641240477485/351847820477486. 351641
240477501/351847820477502. 351641240478814/351847820478815. 351641240478855/351847820478856. 351641240478871/351847820478872. 351
641240478889/351847820478880. 351641240478897/351847820478898. 351641240478905/351847820478906. 351641240478921/351847820478922.
351641240478939/351847820478930. 351641240478954/351847820478955. 351641240478988/351847820478989. 351641240479002/35184782047900
3. 351641240479010/351847820479011. 351641240479028/351847820479029. 351641240479044/351847820479045. 351641240479051/35184782047
9052. 351641240479069/351847820479060. 351641240479077/351847820479078. 351641240479101/351847820479102. 351641240479119/35184782
0479110. 351641240479127/351847820479128. 351641240479135/351847820479136. 351641240479150/351847820479151. 351641240479168/35184
7820479169.351641240479184/351847820479185. 351641240479192/351847820479193. 351641240479200/351847820479201. 351641240479218/351
847820479219. 351641240479226/351847820479227. 351641240479234/351847820479235. 351641240479242/351847820479243. 351641240479259/
351847820479250. 351641240479267/351847820479268. 351641240479275/351847820479276. 351641240479309/351847820479300. 3516412404793
17/351847820479318. 351641240479358/351847820479359. 351641240479366/351847820479367. 351641240479374/351847820479375. 3516412404
79390/351847820479391. 351641240479481/351847820479482.351641240479499/351847820479490. 351641240479713/351847820479714. 35164124
0479762/351847820479763. 351641240479770/351847820479771. 351641240479788/351847820479789. 351641240479861/351847820479862. 35164
1240479887/351847820479888. 351641240479895/351847820479896. 351641240479903/351847820479904. 351641240479911/351847820479912. 35
1641240479929/351847820479920. 351641240479937/351847820479938. 351641240479952/351847820479953. 351641240479960/351847820479961.
351641240479986/351847820479987. 351641240479994/351847820479995. 351641240480034/351847820480035. 351641240480042/3518478204800
43. 351641240480083/351847820480084. 351641240480091/351847820480092. 351641240480117/351847820480118. 351641240480125/3518478204
80126. 351641240480133/351847820480134. 351641240480158/351847820480159. 351641240480166/351847820480167. 351641240480299/3518478
032024001564192-8
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001564192-8
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
20480290. 351641240480315/351847820480316. 351641240480422/351847820480423. 351641240480471/351847820480472. 351641240480570/3518
47820480571. 351641240481115/351847820481116. 351641240481164/351847820481165. 351641240481172/351847820481173. 351641240481206/3
51847820481207. 351641240481461/351847820481462XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001564192-8
Espacio para uso exclusivo de la Entidad Recaudadora
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