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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
032024001565914-3
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. T617240282
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
6900313491
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: 537059-DECL: 1855369-DO: 893126686241- 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: 3077134108. ID DELIVERY:
6078900868. 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
032024001565914
133. Feha: 202411 09
134 . Levante No. 032024001489367 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 92032408362199
Fecha presentación 2024-11-09 07:55:48
Valor pagado $0.00
Fecha de Impresión: 2024-11-14 13:02:29
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001565914-3
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: 351641240520417/351847820520418. 351641240520425/35184
7820520426. 351641240520433/351847820520434. 351641240520441/351847820520442. 351641240520508/351847820520509. 351641240520524/35
1847820520525. 351641240520540/351847820520541. 351641240520599/351847820520590. 351641240520631/351847820520632. 351641240520656
/351847820520657. 351641240520664/351847820520665. 351641240520680/351847820520681. 351641240520706/351847820520707.3516412405207
14/351847820520715. 351641240520771/351847820520772. 351641240520805/351847820520806. 351641240520854/351847820520855. 3516412405
20938/351847820520939. 351641240520979/351847820520970. 351641240520987/351847820520988. 351641240520995/351847820520996. 3516412
40521019/351847820521010. 351641240521027/351847820521028. 351641240521035/351847820521036. 351641240521142/351847820521143. 3516
41240521183/351847820521184. 351641240521209/351847820521200. 351641240521225/351847820521 226. 351641240521266/351847820521267.
351641240521324/351847820521325.351641240521381/351847820521382. 351641240521399/351847820521390. 351641240521423/351847820521424
. 351641240521449/351847820521440. 351641240521464/351847820521465. 351641240521472/351847820521473. 351641240521480/351847820521
481. 351641240521514/351847820521515. 351641240521662/351847820521663. 351641240521704/351847820521705. 351641240521712/351847820
521713. 351641240521738/351847820521739. 351641240521753/351847820521754. 351641240521811/351847820521812. 351641240521829/351847
820521820. 351641240491346/351847820491347. 351641240491551/351847820491552. 351641240493193/351847820493194. 351641240493607/351
847820493608. 351641240494332/351847820494333. 351641240494365/351847820494366. 351641240494944/351847820494945. 351641240495545/
351847820495546. 351641240495784/351847820495785. 351641240495800/351847820495801. 351641240496089/351847820496080. 3516412404962
12/351847820496213. 351641240496402/351847820496403. 351641240496410/351847820496411. 351641240496428/351847820496429. 3516412404
96451/351847820496452. 351641240496485/351847820496486. 351641240496493/351847820496494. 351641240496840/351847820496841. 3516412
40496857/351847820496858. 351641240499034/351847820499035. 351641240501136/351847820501137. 351641240505178/351847820505179. 3516
41240508370/351847820508371. 351641240509048/351847820509049. 351641240510210/351847820510211. 351641240510343/351847820510344. 3
51641240511283/351847820511284. 351641240511945/351847820511946. 351641240512208/351847820512209. 351641240512513/351847820512514
. 351641240513628/351847820513629. 351641240513867/351847820513868. 351641240513917/351847820513918. 351641240514428/351847820514
429. 351641240515177/351847820515178. 351641240515342/351847820515343. 351641240515839/351847820515830.351641240516035/3518478205
16036. 351641240517124/351847820517125. 351641240517272/351847820517273. 351641240517462/351847820517463. 351641240517983/3518478
20517984. 351641240518122/351847820518123. 351641240518262/351847820518263. 351641240518320/351847820518321. 351641240518361/3518
47820518362. 351641240518387/351847820518388. 351641240518403/351847820518404. 351641240518411/351847820518412. 351641240518437/3
51847820518438. 351641240518478/351847820518479. 351641240518486/351847820518487. 351641240518494/351847820518495. 35164124051858
5/351847820518586.351641240518635/351847820518636. 351641240518668/351847820518669. 351641240518833/351847820518834. 351641240518
874/351847820518875. 351641240519005/351847820519006. 351641240519039/351847820519030. 351641240519070/351847820519071. 351641240
519120/351847820519121. 351641240519146/351847820519147. 351641240519153/351847820519154. 351641240519161/351847820519162. 351641
240519195/351847820519196. 351641240519203/351847820519204. 351641240519229/351847820519220. 351641240519245/351847820519246. 351
641240519260/351847820519261. 351641240519278/351847820519279. 351641240519286/351847820519287. 351641240519328/351847820519329.
351641240519336/351847820519337. 351641240519351/351847820519352. 351641240519369/351847820519360. 351641240519393/35184782051939
4. 351641240519419/351847820519410. 351641240519435/351847820519436. 351641240519443/351847820519444. 351641240519468/35184782051
9469. 351641240519476/351847820519477. 351641240519484/351847820519485. 351641240519500/351847820519501. 351641240519518/35184782
0519519. 351641240519526/351847820519527. 351641240519534/351847820519535. 351641240519559/351847820519550. 351641240519567/35184
7820519568. 351641240519583/351847820519584. 351641240519591/351847820519592. 351641240519625/351847820519626. 351641240519641/35
1847820519642. 351641240519658/351847820519659. 351641240519666/351847820519667. 351641240519682/351847820519683. 351641240519690
/351847820519691. 351641240519740/351847820519741. 351641240519757/351847820519758. 351641240519765/351847820519766. 351641240519
773/351847820519774. 351641240519781/351847820519782. 351641240519799/351847820519790. 351641240519807/351847820519808. 351641240
519815/351847820519816. 351641240519831/351847820519832. 351641240519880/351847820519881.351641240519914/351847820519915. 3516412
40519922/351847820519923. 351641240519930/351847820519931. 351641240519948/351847820519949. 351641240519955/351847820519956. 3516
41240519963/351847820519964. 351641240519971/351847820519972. 351641240519989/351847820519980. 351641240520060/351847820520061. 3
51641240520086/351847820520087. 351641240520102/351847820520103. 351641240520110/351847820520111. 351641240520144/351847820520145
. 351641240520151/351847820520152. 351641240520185/351847820520186. 351641240520193/351847820520194. 351641240520201/351847820520
202.351641240520219/351847820520210. 351641240520235/351847820520236. 351641240520250/351847820520251. 351641240520292/3518478205
20293. 351641240520318/351847820520319. 351641240520334/351847820520335. 351641240520359/351847820520350. 351641240520367/3518478
20520368. 351641240520375/351847820520376. 351641240520391/351847820520392. 351641240524906/351847820524907. 351641240524914/3518
47820524915. 351641240524930/351847820524931. 351641240524963/351847820524964. 351641240524989/351847820524980. 351641240525002/3
51847820525003. 351641240525028/351847820525029. 351641240525036/351847820525037. 351641240525135/351847820525136. 35164124052514
3/351847820525144. 351641240525234/351847820525235. 351641240525473/351847820525474. 351641240526265/351847820526266. 35164124052
6562/351847820526563. 351641240526570/351847820526571. 351641240526588/351847820526589. 351641240526596/351847820526597. 35164124
0526646/351847820526647. 351641240526679/351847820526670. 351641240526687/351847820526688. 351641240526711/351847820526712. 35164
1240526752/351847820526753. 351641240526794/351847820526795. 351641240526851/351847820526852. 351641240526877/351847820526878. 35
1641240526893/351847820526894. 351641240526901/351847820526902. 351641240526935/351847820526936. 351641240526984/351847820526985.
351641240527107/351847820527108. 351641240521845/351847820521846. 351641240522017/351847820522018. 351641240522041/3518478205220
42. 351641240522058/351847820522059. 351641240522074/351847820522075. 351641240522082/351847820522083. 351641240522090/3518478205
22091. 351641240522108/351847820522109. 351641240522140/351847820522141. 351641240522165/351847820522166. 351641240522173/3518478
20522174. 351641240522181/351847820522182. 351641240522199/351847820522190.351641240522207/351847820522208. 351641240522249/35184
7820522240. 351641240522264/351847820522265. 351641240522272/351847820522273. 351641240522298/351847820522299. 351641240522322/35
1847820522323. 351641240522348/351847820522349. 351641240522413/351847820522414. 351641240522439/351847820522430. 351641240522454
/351847820522455. 351641240522512/351847820522513. 351641240522546/351847820522547. 351641240522553/351847820522554. 351641240522
561/351847820522562. 351641240522587/351847820522588. 351641240522611/351847820522612. 351641240522637/351847820522638.3516412405
22660/351847820522661. 351641240522678/351847820522679. 351641240522728/351847820522729. 351641240522736/351847820522737. 3516412
40522744/351847820522745. 351641240522827/351847820522828. 351641240522876/351847820522877. 351641240522892/351847820522893. 3516
41240522942/351847820522943. 351641240522967/351847820522968. 351641240522983/351847820522984. 351641240523015/351847820523016. 3
51641240523023/351847820523024. 351641240523072/351847820523073. 351641240523080/351847820523081. 351641240523098/351847820523099
. 351641240523114/351847820523115. 351641240523130/351847820523131. 351641240523163/351847820523164. 351641240523213/351847820523
214. 351641240523221/351847820523222. 351641240523247/351847820523248. 351641240523262/351847820523263. 351641240523270/351847820
523271. 351641240523288/351847820523289. 351641240523312/351847820523313. 351641240523320/351847820523321. 351641240523338/351847
820523339. 351641240523346/351847820523347. 351641240523353/351847820523354. 351641240523361/351847820523362. 351641240523379/351
847820523370. 351641240523403/351847820523404. 351641240523429/351847820523420. 351641240523437/351847820523438. 351641240523445/
351847820523446. 351641240523460/351847820523461. 351641240523478/351847820523479. 351641240523486/351847820523487. 3516412405235
10/351847820523511. 351641240523528/351847820523529. 351641240523536/351847820523537. 351641240523544/351847820523545. 3516412405
23577/351847820523578. 351641240523585/351847820523586. 351641240523627/351847820523628. 351641240523635/351847820523636. 3516412
40523650/351847820523651. 351641240523684/351847820523685. 351641240524146/351847820524147. 351641240524161/351847820524162. 3516
032024001565914-3
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001565914-3
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
41240524252/351847820524253. 351641240524500/351847820524501.351641240524559/351847820524550. 351641240524591/351847820524592. 35
1641240524617/351847820524618. 351641240524732/351847820524733. 351641240524864/351847820524865. 351641240524880/351847820524881.
351641240524898/351847820524899XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001565914-3
Espacio para uso exclusivo de la Entidad Recaudadora
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