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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
032024001564550-1
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. T617240287
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
6900315320
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
12.417.82
79 . Valor fletes USD
947.94 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
948.59
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: 536989-DECL: 1855265-DO: 893126691241- 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: 3077135341. ID DELIVE
RY: 6078901021. 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
032024001564550
133. Feha: 202411 08
134 . Levante No. 032024001482187 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 92032408352986
Fecha presentación 2024-11-08 18:38:56
Valor pagado $0.00
Fecha de Impresión: 2024-11-13 13:58:11
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001564550-1
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: 351641240492328/351847820492329. 351641240492336/351
847820492337. 351641240492344/351847820492345. 351641240492351/351847820492352. 351641240492377/351847820492378. 351641240492401/
351847820492402. 351641240492419/351847820492410. 351641240492427/351847820492428. 351641240492435/351847820492436. 3516412404924
68/351847820492469. 351641240492476/351847820492477. 351641240492559/351847820492550. 351641240495925/351847820495926. 3516412404
96196/351847820496197. 351641240497384/351847820497385. 351641240500104/351847820500105. 351641240500823/351847820500824. 3516412
40500971/351847820500972. 351641240501011/351847820501012. 351641240501078/351847820501079. 351641240501086/351847820501087. 3516
41240501110/351847820501111. 351641240501219/351847820501210. 351641240501268/351847820501269. 351641240501276/351847820501277. 3
51641240501284/351847820501285. 351641240501318/351847820501319. 351641240501334/351847820 501335. 351641240501342/35184782050134
3. 351641240501367/351847820501368. 351641240501375/351847820501376. 351641240501425/351847820501426.351641240501987/351847820501
988. 351641240502068/351847820502069. 351641240502084/351847820502085. 351641240502142/351847820502143. 351641240502340/351847820
502341. 351641240502423/351847820502424. 351641240502456/351847820502457. 351641240502480/351847820502481. 351641240502498/351847
820502499. 351641240502555/351847820502556. 351641240502605/351847820502606. 351641240502688/351847820502689. 351641240502746/351
847820502747. 351641240512331/351847820512332. 351641240512539/351847820512530. 351641240512547/351847820512548. 351641240512570/
351847820512571.351641240512646/351847820512647. 351641240512653/351847820512654. 351641240512661/351847820512662. 35164124051267
9/351847820512670. 351641240512711/351847820512712. 351641240512737/351847820512738. 351641240512745/351847820512746. 35164124051
2752/351847820512753. 351641240512760/351847820512761. 351641240512778/351847820512779. 351641240512828/351847820512829. 35164124
0512851/351847820512852. 351641240512901/351847820512902. 351641240512935/351847820512936. 351641240512943/351847820512944. 35164
1240512968/351847820512969. 351641240513081/351847820513082. 351641240513099/351847820513090. 351641240513123/351847820513124. 35
1641240513164/351847820513165. 351641240513172/351847820513173. 351641240513198/351847820513199. 351641240513214/351847820513215.
351641240513305/351847820513306. 351641240513362/351847820513363. 351641240513370/351847820513371. 351641240513412/3518478205134
13. 351641240513420/351847820513421. 351641240513446/351847820513447. 351641240513453/351847820513454. 351641240513461/3518478205
13462. 351641240513511/351847820513512. 351641240513693/351847820513694. 351641240513743/351847820513744. 351641240513800/3518478
20513801. 351641240513826/351847820513827. 351641240514386/351847820514387. 351641240514683/351847820514684. 351641240514741/3518
47820514742. 351641240514923/351847820514924. 351641240514980/351847820514981. 351641240502761/351847820502762. 351641240502779/3
51847820502770. 351641240502852/351847820502853. 351641240502878/351847820502879. 351641240502969/351847820502960. 35164124050302
5/351847820503026. 351641240503033/351847820503034. 351641240503371/351847820503372. 351641240503835/351847820503836. 35164124050
4148/351847820504149. 351641240504338/351847820504339. 351641240504932/351847820504933.351641240505285/351847820505286. 351641240
505756/351847820505757. 351641240505798/351847820505799. 351641240505848/351847820505849. 351641240505863/351847820505864. 351641
240505897/351847820505898. 351641240505954/351847820505955. 351641240505970/351847820505971. 351641240505996/351847820505997. 351
641240506036/351847820506037. 351641240506051/351847820506052. 351641240506069/351847820506060. 351641240506127/351847820506128.
351641240506168/351847820506169. 351641240506200/351847820506201. 351641240506218/351847820506219. 351641240506242/35184782050624
3.351641240506473/351847820506474. 351641240506481/351847820506482. 351641240506556/351847820506557. 351641240506572/351847820506
573. 351641240506580/351847820506581. 351641240506606/351847820506607. 351641240506622/351847820506623. 351641240506630/351847820
506631. 351641240506648/351847820506649. 351641240506663/351847820506664. 351641240506754/351847820506755. 351641240506812/351847
820506813. 351641240506820/351847820506821. 351641240506887/351847820506888. 351641240506911/351847820506912. 351641240506929/351
847820506920. 351641240506937/351847820506938. 351641240506960/351847820506961. 351641240506978/351847820506979. 351641240507026/
351847820507027. 351641240507042/351847820507043. 351641240507141/351847820507142. 351641240507232/351847820507233. 3516412405073
15/351847820507316. 351641240507323/351847820507324. 351641240507505/351847820507506. 351641240507729/351847820507720. 3516412405
07745/351847820507746. 351641240507828/351847820507829. 351641240507836/351847820507837. 351641240507851/351847820507852. 3516412
40507877/351847820507878. 351641240507885/351847820507886. 351641240507893/351847820507894. 351641240507901/351847820507902. 3516
41240507919/351847820507910. 351641240507935/351847820507936. 351641240507943/351847820507944. 351641240507984/351847820507985. 3
51641240507992/351847820507993. 351641240508180/351847820508181. 351641240508198/351847820508199. 351641240508206/351847820508207
. 351641240509105/351847820509106. 351641240509121/351847820509122. 351641240509204/351847820509205. 351641240509535/351847820509
536. 351641240509543/351847820509544. 351641240509584/351847820509585. 351641240509626/351847820509627. 351641240509659/351847820
509650. 351641240509774/351847820509775. 351641240509824/351847820509825.351641240509840/351847820509841. 351641240509857/3518478
20509858. 351641240509865/351847820509866. 351641240509881/351847820509882. 351641240509964/351847820509965. 351641240510004/3518
47820510005. 351641240510061/351847820510062. 351641240510103/351847820510104. 351641240510145/351847820510146. 351641240510244/3
51847820510245. 351641240510269/351847820510260. 351641240510285/351847820510286. 351641240510319/351847820510310. 35164124051036
8/351847820510369. 351641240510392/351847820510393. 351641240510491/351847820510492. 351641240510509/351847820510500.351641240510
533/351847820510534. 351641240510574/351847820510575. 351641240510590/351847820510591. 351641240510624/351847820510625. 351641240
510632/351847820510633. 351641240510640/351847820510641. 351641240510657/351847820510658. 351641240510673/351847820510674. 351641
240510699/351847820510690. 351641240510731/351847820510732. 351641240510749/351847820510740. 351641240510863/351847820510864. 351
641240510871/351847820510872. 351641240510962/351847820510963. 351641240510988/351847820510989. 351641240511028/351847820511029.
351641240511069/351847820511060. 351641240511085/351847820511086. 351641240511127/351847820511128. 351641240511176/35184782051117
7. 351641240511200/351847820511201. 351641240511234/351847820511235. 351641240511242/351847820511243. 351641240511317/35184782051
1318. 351641240511325/351847820511326. 351641240511390/351847820511391. 351641240511515/351847820511516. 351641240511523/35184782
0511524. 351641240511531/351847820511532. 351641240511564/351847820511565. 351641240511598/351847820511599. 351641240511739/35184
7820511730. 351641240511853/351847820511854. 351641240511911/351847820511912. 351641240511986/351847820511987. 351641240512190/35
1847820512191. 351641240515003/351847820515004. 351641240515011/351847820515012. 351641240515037/351847820515038. 351641240515185
/351847820515186. 351641240515292/351847820515293. 351641240515516/351847820515517. 351641240515532/351847820515533. 351641240515
615/351847820515616. 351641240515631/351847820515632. 351641240515748/351847820515749. 351641240516043/351847820516044. 351641240
516050/351847820516051. 351641240516068/351847820516069. 351641240516076/351847820516077. 351641240516084/351847820516085. 351641
240516191/351847820516192. 351641240516241/351847820516242.351641240516266/351847820516267. 351641240516290/351847820516291. 3516
41240516381/351847820516382. 351641240516464/351847820516465. 351641240516480/351847820516481. 351641240516548/351847820516549. 3
51641240516720/351847820516721. 351641240516795/351847820516796. 351641240516860/351847820516861. 351641240516886/351847820516887
. 351641240516894/351847820516895. 351641240516928/351847820516929. 351641240516969/351847820516960. 351641240517058/351847820517
059. 351641240517082/351847820517083. 351641240517223/351847820517224. 351641240517330/351847820517331.351641240517348/3518478205
17349. 351641240517405/351847820517406. 351641240517439/351847820517430. 351641240517447/351847820517448. 351641240517454/3518478
20517455. 351641240517470/351847820517471. 351641240517504/351847820517505. 351641240517546/351847820517547. 351641240517553/3518
47820517554. 351641240517595/351847820517596. 351641240517629/351847820517620. 351641240517645/351847820517646. 351641240517694/3
51847820517695. 351641240517769/351847820517760. 351641240517777/351847820517778. 351641240517785/351847820517786. 35164124051779
3/351847820517794. 351641240517843/351847820517844. 351641240517868/351847820517869. 351641240517918/351847820517919. 35164124051
7959/351847820517950. 351641240518007/351847820518008. 351641240518015/351847820518016. 351641240518023/351847820518024. 35164124
0518031/351847820518032. 351641240518049/351847820518040. 351641240518072/351847820518073. 351641240518106/351847820518107. 35164
1240518114/351847820518115. 351641240518163/351847820518164. 351641240518221/351847820518222. 351641240518338/351847820518339. 35
032024001564550-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001564550-1
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
1641240518429/351847820518420. 351641240518544/351847820518545. 351641240518601/351847820518602. 351641240518619/351847820518610.
351641240518817/351847820518818. 351641240518858/351847820518859. 351641240518890/351847820518891. 351641240518981/3518478205189
82. 351641240519112/351847820519113XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001564550-1
Espacio para uso exclusivo de la Entidad Recaudadora
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