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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
032024001564382-0
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. T617240290
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
6900314729
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.
111.00
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: 536978-DECL: 1855252-DO: 893126694241- 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: 3077135569. ID DELIVE
RY: 6078900871. MERCANCIA MARCA: SAMSUNGREFERENCIA: SM-A055MZKDLTC, PRODUCTO: TELEFONO CELULAR GALAXY A05 DUOS(CON ACCESORIOS PAR
A USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODELO: SM-A055M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y (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
032024001564382
133. Feha: 202411 08
134 . Levante No. 032024001482209 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 92032408351798
Fecha presentación 2024-11-08 18:22:22
Valor pagado $0.00
Fecha de Impresión: 2024-11-13 14:02:50
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001564382-0
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
AL DETAL/ /MOBILE,SM-A055M/DS,BLACK,LTC( QTY. 300,00 u )(300,00 PCE); IMEIS: 351641240506895/351847820506896. 351641240506903/351
847820506904. 351641240506952/351847820506953. 351641240507000/351847820507001. 351641240507075/351847820507076. 351641240507091/
351847820507092. 351641240507109/351847820507100. 351641240507125/351847820507126. 351641240507133/351847820507134. 3516412405071
58/351847820507159. 351641240507166/351847820507167. 351641240507182/351847820507183. 351641240507224/351847820507225. 3516412405
07265/351847820507266. 351641240507273/351847820507274. 351641240507299/351847820507290. 351641240507349/351847820507340. 3516412
40507380/351847820507381. 351641240507430/351847820507431. 351641240507455/351847820507456. 351641240507471/351847820507472. 3516
41240507489/351847820507480. 351641240507497/351847820507498. 351641240507513/351847820507514. 351641240507547/351847820507548. 3
51641240507554/351847820507555. 351641240507562/351847820507563. 351641240507596/351847820 507597. 351641240507612/35184782050761
3. 351641240507620/351847820507621. 351641240507638/351847820507639. 351641240507646/351847820507647.351641240507661/351847820507
662. 351641240507687/351847820507688. 351641240507703/351847820507704. 351641240507760/351847820507761. 351641240507786/351847820
507787. 351641240507794/351847820507795. 351641240507802/351847820507803. 351641240507844/351847820507845. 351641240507869/351847
820507860. 351641240507927/351847820507928. 351641240507950/351847820507951. 351641240507968/351847820507969. 351641240508008/351
847820508009. 351641240508016/351847820508017. 351641240508024/351847820508025. 351641240508032/351847820508033. 351641240508081/
351847820508082.351641240508115/351847820508116. 351641240508123/351847820508124. 351641240508131/351847820508132. 35164124050814
9/351847820508140. 351641240508156/351847820508157. 351641240508164/351847820508165. 351641240508214/351847820508215. 35164124050
8222/351847820508223. 351641240508230/351847820508231. 351641240508248/351847820508249. 351641240508255/351847820508256. 35164124
0508263/351847820508264. 351641240508271/351847820508272. 351641240508289/351847820508280. 351641240508297/351847820508298. 35164
1240508339/351847820508330. 351641240508347/351847820508348. 351641240508412/351847820508413. 351641240508446/351847820508447. 35
1641240508594/351847820508595. 351641240508677/351847820508678. 351641240508685/351847820508686. 351641240508693/351847820508694.
351641240508701/351847820508702. 351641240508727/351847820508728. 351641240508867/351847820508868. 351641240508982/3518478205089
83. 351641240509006/351847820509007. 351641240509014/351847820509015. 351641240509055/351847820509056. 351641240509212/3518478205
09213. 351641240509220/351847820509221. 351641240509360/351847820509361. 351641240509410/351847820509411. 351641240509428/3518478
20509429. 351641240509527/351847820509528. 351641240509691/351847820509692. 351641240509873/351847820509874. 351641240509923/3518
47820509924. 351641240509931/351847820509932. 351641240509956/351847820509957. 351641240509972/351847820509973. 351641240509998/3
51847820509999. 351641240510020/351847820510021. 351641240510038/351847820510039. 351641240510079/351847820510070. 35164124051012
9/351847820510120. 351641240510186/351847820510187. 351641240510301/351847820510302. 351641240510582/351847820510583. 35164124051
0848/351847820510849. 351641240511010/351847820511011. 351641240511044/351847820511045.351641240511333/351847820511334. 351641240
511457/351847820511458. 351641240511549/351847820511540. 351641240511606/351847820511607. 351641240511754/351847820511755. 351641
240511820/351847820511821. 351641240511861/351847820511862. 351641240511887/351847820511888. 351641240512059/351847820512050. 351
641240512166/351847820512167. 351641240513958/351847820513959. 351641240513990/351847820513991. 351641240514055/351847820514056.
351641240514105/351847820514106. 351641240514154/351847820514155. 351641240514170/351847820514171. 351641240514212/35184782051421
3.351641240514337/351847820514338. 351641240514345/351847820514346. 351641240514360/351847820514361. 351641240514634/351847820514
635. 351641240514659/351847820514650. 351641240514667/351847820514668. 351641240514709/351847820514700. 351641240514717/351847820
514718. 351641240514774/351847820514775. 351641240514865/351847820514866. 351641240514881/351847820514882. 351641240514899/351847
820514890. 351641240515060/351847820515061. 351641240515094/351847820515095. 351641240515102/351847820515103. 351641240515136/351
847820515137. 351641240515144/351847820515145. 351641240515151/351847820515152. 351641240515169/351847820515160. 351641240515219/
351847820515210. 351641240515318/351847820515319. 351641240515326/351847820515327. 351641240515417/351847820515418. 3516412405154
25/351847820515426. 351641240515490/351847820515491. 351641240515508/351847820515509. 351641240515557/351847820515558. 3516412405
15623/351847820515624. 351641240515714/351847820515715. 351641240515722/351847820515723. 351641240515763/351847820515764. 3516412
40515789/351847820515780. 351641240515805/351847820515806. 351641240515813/351847820515814. 351641240515847/351847820515848. 3516
41240515854/351847820515855. 351641240515896/351847820515897. 351641240515920/351847820515921. 351641240515938/351847820515939. 3
51641240515946/351847820515947. 351641240515953/351847820515954. 351641240515961/351847820515962. 351641240516001/351847820516002
. 351641240516019/351847820516010. 351641240516118/351847820516119. 351641240516126/351847820516127. 351641240516316/351847820516
317. 351641240516332/351847820516333. 351641240516357/351847820516358. 351641240516407/351847820516408. 351641240516415/351847820
516416. 351641240516431/351847820516432. 351641240516456/351847820516457.351641240516555/351847820516556. 351641240516571/3518478
20516572. 351641240516647/351847820516648. 351641240516670/351847820516671. 351641240516837/351847820516838. 351641240516902/3518
47820516903. 351641240516936/351847820516937. 351641240516985/351847820516986. 351641240516993/351847820516994. 351641240517009/3
51847820517000. 351641240517157/351847820517158. 351641240517199/351847820517190. 351641240517686/351847820517687. 35164124051771
0/351847820517711. 351641240517728/351847820517729. 351641240517736/351847820517737. 351641240517926/351847820517927.351641240517
942/351847820517943. 351641240517975/351847820517976. 351641240517991/351847820517992. 351641240518064/351847820518065. 351641240
518098/351847820518099. 351641240518171/351847820518172. 351641240518205/351847820518206. 351641240518254/351847820518255. 351641
240518304/351847820518305. 351641240518379/351847820518370. 351641240518460/351847820518461. 351641240518510/351847820518511. 351
641240518536/351847820518537. 351641240518577/351847820518578. 351641240518650/351847820518651. 351641240518692/351847820518693.
351641240518825/351847820518826. 351641240518866/351847820518867. 351641240518908/351847820518909. 351641240518973/35184782051897
4. 351641240519138/351847820519139. 351641240491213/351847820491214. 351641240491221/351847820491222. 351641240491239/35184782049
1230. 351641240491288/351847820491289. 351641240491445/351847820491446. 351641240491692/351847820491693. 351641240491882/35184782
0491883. 351641240492260/351847820492261. 351641240492278/351847820492279. 351641240492286/351847820492287. 351641240492302/35184
7820492303. 351641240492369/351847820492360. 351641240492385/351847820492386. 351641240495602/351847820495603. 351641240495610/35
1847820495611. 351641240495644/351847820495645. 351641240496071/351847820496072. 351641240497228/351847820497229. 351641240497822
/351847820497823. 351641240498499/351847820498490. 351641240501144/351847820501145. 351641240501516/351847820501517. 351641240501
631/351847820501632. 351641240502159/351847820502150. 351641240502167/351847820502168. 351641240502308/351847820502309. 351641240
502324/351847820502325. 351641240502373/351847820502374. 351641240502407/351847820502408. 351641240502548/351847820502549. 351641
240502704/351847820502705. 351641240502829/351847820502820.351641240503157/351847820503158. 351641240503793/351847820503794. 3516
41240504080/351847820504081. 351641240504858/351847820504859. 351641240505087/351847820505088. 351641240505129/351847820505120. 3
51641240505160/351847820505161. 351641240505350/351847820505351. 351641240505376/351847820505377. 351641240505616/351847820505617
. 351641240505681/351847820505682. 351641240505715/351847820505716. 351641240505723/351847820505724. 351641240505749/351847820505
740. 351641240505814/351847820505815. 351641240505822/351847820505823. 351641240505830/351847820505831.351641240505871/3518478205
05872. 351641240505905/351847820505906. 351641240505939/351847820505930. 351641240505947/351847820505948. 351641240505962/3518478
20505963. 351641240505988/351847820505989. 351641240506085/351847820506086. 351641240506101/351847820506102. 351641240506135/3518
47820506136. 351641240506143/351847820506144. 351641240506150/351847820506151. 351641240506184/351847820506185. 351641240506192/3
51847820506193. 351641240506226/351847820506227. 351641240506259/351847820506250. 351641240506465/351847820506466. 35164124050649
9/351847820506490. 351641240506515/351847820506516. 351641240506523/351847820506524. 351641240506531/351847820506532. 35164124050
6549/351847820506540. 351641240506598/351847820506599. 351641240506614/351847820506615. 351641240506655/351847820506656. 35164124
0506671/351847820506672. 351641240506689/351847820506680. 351641240506697/351847820506698. 351641240506705/351847820506706. 35164
1240506713/351847820506714. 351641240506721/351847820506722. 351641240506739/351847820506730. 351641240506747/351847820506748. 35
032024001564382-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001564382-0
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
1641240506762/351847820506763. 351641240506770/351847820506771. 351641240506788/351847820506789. 351641240506796/351847820506797.
351641240506804/351847820506805. 351641240506838/351847820506839. 351641240506846/351847820506847. 351641240506853/3518478205068
54. 351641240506879/351847820506870XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001564382-0
Espacio para uso exclusivo de la Entidad Recaudadora
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