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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
032024001565902-5
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
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. 116575014973717
43 . Año – Mes – Día
2024 – 11 – 13
44 . Documento de transporte
No. T617240280
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
6900315322
52 . Año – Mes – Día
2024 – 10 – 29
53 . Cod. país
procedencia
215
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.
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: 537043-DECL: 1855333-DO: 893126684241- 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: 3077133436. ID DELIVERY:
6078899473. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A055MZKDLTC, PRODUCTO: TELEFONO CELULAR GALAXY A05 DUOS (CON ACCESORIOS PARA
USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODELO:SM-A055M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL(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
032024001565902
133. Feha: 202411 09
134 . Levante No. 032024001489338 135 . Fecha
2024 – 11 – 14
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 92032408362103
Fecha presentación 2024-11-09 07:48:52
Valor pagado $0.00
Fecha de Impresión: 2024-11-14 12:59:18
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001565902-5
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
DETAL/ /MOBILE,SM-A055M/DS,BLACK,LTC( QTY. 300,00 u )(300,00 PCE); IMEIS: 351641240529061/351847820529062. 351641240529079/35184
7820529070. 351641240529145/351847820529146. 351641240529194/351847820529195. 351641240529202/351847820529203. 351641240529210/35
1847820529211. 351641240529228/351847820529229. 351641240529236/351847820529237. 351641240529251/351847820529252. 351641240529343
/351847820529344. 351641240529418/351847820529419. 351641240529426/351847820529427. 351641240529509/351847820529500.3516412405295
41/351847820529542. 351641240529574/351847820529575. 351641240529616/351847820529617. 351641240529673/351847820529674. 3516412405
29699/351847820529690. 351641240529707/351847820529708. 351641240529715/351847820529716. 351641240529764/351847820529765. 3516412
40529780/351847820529781. 351641240529806/351847820529807. 351641240529871/351847820529872. 351641240529905/351847820529906. 3516
41240529913/351847820529914. 351641240529939/351847820529930. 351641240529954/351847820529 955. 351641240529970/351847820529971.
351641240530077/351847820530078.351641240530093/351847820530094. 351641240530150/351847820530151. 351641240530184/351847820530185
. 351641240530200/351847820530201. 351641240530267/351847820530268. 351641240530283/351847820530284. 351641240530291/351847820530
292. 351641240530358/351847820530359. 351641240530374/351847820530375. 351641240530424/351847820530425. 351641240530457/351847820
530458. 351641240530564/351847820530565. 351641240530580/351847820530581. 351641240530614/351847820530615. 351641240530622/351847
820530623. 351641240499257/351847820499258. 351641240506291/351847820506292. 351641240508305/351847820508306. 351641240508354/351
847820508355. 351641240508644/351847820508645. 351641240508834/351847820508835. 351641240509097/351847820509098. 351641240510137/
351847820510138. 351641240510566/351847820510567. 351641240512372/351847820512373. 351641240514022/351847820514023. 3516412405140
71/351847820514072. 351641240514113/351847820514114. 351641240514147/351847820514148. 351641240514287/351847820514288. 3516412405
14295/351847820514296. 351641240514303/351847820514304. 351641240514451/351847820514452. 351641240514733/351847820514734. 3516412
40514808/351847820514809. 351641240515276/351847820515277. 351641240515862/351847820515863. 351641240516142/351847820516143. 3516
41240516225/351847820516226. 351641240516563/351847820516564. 351641240517322/351847820517323. 351641240517678/351847820517679. 3
51641240518452/351847820518453. 351641240519104/351847820519105. 351641240519179/351847820519170. 351641240519211/351847820519212
. 351641240519302/351847820519303. 351641240519633/351847820519634. 351641240520029/351847820520020. 351641240520045/351847820520
046. 351641240521308/351847820521309. 351641240521563/351847820521564. 351641240522652/351847820522653.351641240522868/3518478205
22869. 351641240523197/351847820523198. 351641240523205/351847820523206. 351641240523395/351847820523396. 351641240523692/3518478
20523693. 351641240523932/351847820523933. 351641240523981/351847820523982. 351641240524013/351847820524014. 351641240524369/3518
47820524360. 351641240524484/351847820524485. 351641240524633/351847820524634. 351641240524641/351847820524642. 351641240524658/3
51847820524659. 351641240524682/351847820524683. 351641240524799/351847820524790. 351641240524815/351847820524816. 35164124052482
3/351847820524824.351641240524872/351847820524873. 351641240524922/351847820524923. 351641240524948/351847820524949. 351641240525
051/351847820525052. 351641240525069/351847820525060. 351641240525077/351847820525078. 351641240525101/351847820525102. 351641240
525119/351847820525110. 351641240525127/351847820525128. 351641240525259/351847820525250. 351641240525267/351847820525268. 351641
240525283/351847820525284. 351641240525358/351847820525359. 351641240525382/351847820525383. 351641240525390/351847820525391. 351
641240525408/351847820525409. 351641240525416/351847820525417. 351641240525432/351847820525433. 351641240525440/351847820525441.
351641240525465/351847820525466. 351641240525499/351847820525490. 351641240525531/351847820525532. 351641240525580/35184782052558
1. 351641240525598/351847820525599. 351641240525606/351847820525607. 351641240525614/351847820525615. 351641240525630/35184782052
5631. 351641240525655/351847820525656. 351641240525671/351847820525672. 351641240525721/351847820525722. 351641240525754/35184782
0525755. 351641240525762/351847820525763. 351641240525812/351847820525813. 351641240525820/351847820525821. 351641240525838/35184
7820525839. 351641240525895/351847820525896. 351641240525903/351847820525904. 351641240525911/351847820525912. 351641240525929/35
1847820525920. 351641240525994/351847820525995. 351641240526075/351847820526076. 351641240526083/351847820526084. 351641240526133
/351847820526134. 351641240526158/351847820526159. 351641240526216/351847820526217. 351641240526240/351847820526241. 351641240526
281/351847820526282. 351641240526372/351847820526373. 351641240526398/351847820526399. 351641240526448/351847820526449. 351641240
526455/351847820526456. 351641240526539/351847820526530. 351641240526547/351847820526548.351641240526620/351847820526621. 3516412
40526703/351847820526704. 351641240526729/351847820526720. 351641240526737/351847820526738. 351641240526745/351847820526746. 3516
41240526760/351847820526761. 351641240526828/351847820526829. 351641240526885/351847820526886. 351641240526919/351847820526910. 3
51641240526927/351847820526928. 351641240526943/351847820526944. 351641240526968/351847820526969. 351641240526976/351847820526977
. 351641240526992/351847820526993. 351641240527008/351847820527009. 351641240527024/351847820527025. 351641240527032/351847820527
033.351641240527040/351847820527041. 351641240527065/351847820527066. 351641240527073/351847820527074. 351641240527081/3518478205
27082. 351641240527123/351847820527124. 351641240527156/351847820527157. 351641240527206/351847820527207. 351641240527289/3518478
20527280. 351641240527313/351847820527314. 351641240527362/351847820527363. 351641240527503/351847820527504. 351641240527677/3518
47820527678. 351641240527735/351847820527736. 351641240527875/351847820527876. 351641240528212/351847820528213. 351641240528253/3
51847820528254. 351641240528287/351847820528288. 351641240528303/351847820528304. 351641240528337/351847820528338. 35164124052840
2/351847820528403. 351641240528444/351847820528445. 351641240528451/351847820528452. 351641240528477/351847820528478. 35164124052
8493/351847820528494. 351641240528535/351847820528536. 351641240528543/351847820528544. 351641240528592/351847820528593. 35164124
0528600/351847820528601. 351641240528618/351847820528619. 351641240528659/351847820528650. 351641240528675/351847820528676. 35164
1240528691/351847820528692. 351641240528717/351847820528718. 351641240528741/351847820528742. 351641240528758/351847820528759. 35
1641240528774/351847820528775. 351641240528782/351847820528783. 351641240528790/351847820528791. 351641240528816/351847820528817.
351641240528824/351847820528825. 351641240528832/351847820528833. 351641240528865/351847820528866. 351641240528881/3518478205288
82. 351641240528899/351847820528890. 351641240528915/351847820528916. 351641240528923/351847820528924. 351641240528931/3518478205
28932. 351641240528949/351847820528940. 351641240528956/351847820528957. 351641240528964/351847820528965. 351641240528980/3518478
20528981. 351641240528998/351847820528999. 351641240529012/351847820529013.351641240529046/351847820529047. 351641240529053/35184
7820529054. 351641240530630/351847820530631. 351641240530648/351847820530649. 351641240530663/351847820530664. 351641240530705/35
1847820530706. 351641240530721/351847820530722. 351641240530739/351847820530730. 351641240530846/351847820530847. 351641240530879
/351847820530870. 351641240530937/351847820530938. 351641240530945/351847820530946. 351641240530978/351847820530979. 351641240531
075/351847820531076. 351641240531117/351847820531118. 351641240531414/351847820531415. 351641240531489/351847820531480.3516412405
31505/351847820531506. 351641240531513/351847820531514. 351641240531521/351847820531522. 351641240531539/351847820531530. 3516412
40531547/351847820531548. 351641240531554/351847820531555. 351641240531562/351847820531563. 351641240531570/351847820531571. 3516
41240531588/351847820531589. 351641240531596/351847820531597. 351641240531604/351847820531605. 351641240531612/351847820531613. 3
51641240531620/351847820531621. 351641240531638/351847820531639. 351641240531646/351847820531647. 351641240531653/351847820531654
. 351641240531661/351847820531662. 351641240531679/351847820531670. 351641240531687/351847820531688. 351641240531695/351847820531
696. 351641240531729/351847820531720. 351641240531745/351847820531746. 351641240531752/351847820531753. 351641240531778/351847820
531779. 351641240531877/351847820531878. 351641240531885/351847820531886. 351641240531919/351847820531910. 351641240531927/351847
820531928. 351641240531943/351847820531944. 351641240531984/351847820531985. 351641240531992/351847820531993. 351641240532008/351
847820532009. 351641240532032/351847820532033. 351641240532040/351847820532041. 351641240532065/351847820532066. 351641240532073/
351847820532074. 351641240532081/351847820532082. 351641240532099/351847820532090. 351641240532115/351847820532116. 3516412405321
23/351847820532124. 351641240532131/351847820532132. 351641240532156/351847820532157. 351641240532164/351847820532165. 3516412405
32172/351847820532173. 351641240532198/351847820532199. 351641240532206/351847820532207. 351641240532214/351847820532215. 3516412
40532230/351847820532231. 351641240532248/351847820532249. 351641240532255/351847820532256. 351641240532263/351847820532264. 3516
032024001565902-5
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001565902-5
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
41240532271/351847820532272. 351641240532289/351847820532280.351641240532305/351847820532306. 351641240532313/351847820532314. 35
1641240532321/351847820532322. 351641240532347/351847820532348. 351641240532354/351847820532355. 351641240532362/351847820532363.
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032024001565902-5
Espacio para uso exclusivo de la Entidad Recaudadora
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