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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
032024001565927-9
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. T617240283
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
6900315410
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: 537063-DECL: 1855375-DO: 893126687241- 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: 3077134271. ID DELIVERY:
6078901971. 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
032024001565927
133. Feha: 202411 09
134 . Levante No. 032024001482100 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 92032408362214
Fecha presentación 2024-11-09 07:58:52
Valor pagado $0.00
Fecha de Impresión: 2024-11-13 13:46:15
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001565927-9
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: 351641240493920/351847820493921. 351641240495651/35184
7820495652. 351641240495677/351847820495678. 351641240502209/351847820502200. 351641240502514/351847820502515. 351641240506374/35
1847820506375. 351641240506382/351847820506383. 351641240507422/351847820507423. 351641240507737/351847820507738. 351641240508586
/351847820508587. 351641240508602/351847820508603. 351641240508933/351847820508934. 351641240508966/351847820508967.3516412405094
44/351847820509445. 351641240509477/351847820509478. 351641240509501/351847820509502. 351641240509519/351847820509510. 3516412405
09550/351847820509551. 351641240509568/351847820509569. 351641240509576/351847820509577. 351641240509600/351847820509601. 3516412
40509618/351847820509619. 351641240509634/351847820509635. 351641240509675/351847820509676. 351641240509683/351847820509684. 3516
41240509717/351847820509718. 351641240509733/351847820509734. 351641240509782/351847820509 783. 351641240509790/351847820509791.
351641240509808/351847820509809.351641240509899/351847820509890. 351641240510178/351847820510179. 351641240510194/351847820510195
. 351641240510897/351847820510898. 351641240511036/351847820511037. 351641240511937/351847820511938. 351641240512158/351847820512
159. 351641240512364/351847820512365. 351641240512869/351847820512860. 351641240512877/351847820512878. 351641240513297/351847820
513298. 351641240513529/351847820513520. 351641240513677/351847820513678. 351641240513701/351847820513702. 351641240513792/351847
820513793. 351641240513891/351847820513892. 351641240514089/351847820514080. 351641240514121/351847820514122. 351641240515086/351
847820515087. 351641240515128/351847820515129. 351641240515193/351847820515194. 351641240515441/351847820515442. 351641240515458/
351847820515459. 351641240515466/351847820515467. 351641240515649/351847820515640. 351641240516217/351847820516218. 3516412405164
23/351847820516424. 351641240516704/351847820516705. 351641240516803/351847820516804. 351641240517207/351847820517208. 3516412405
17413/351847820517414. 351641240517496/351847820517497. 351641240517512/351847820517513. 351641240517579/351847820517570. 3516412
40517587/351847820517588. 351641240517637/351847820517638. 351641240517744/351847820517745. 351641240517900/351847820517901. 3516
41240518353/351847820518354. 351641240518593/351847820518594. 351641240518627/351847820518628. 351641240518783/351847820518784. 3
51641240518932/351847820518933. 351641240519450/351847820519451. 351641240519849/351847820519840. 351641240519906/351847820519907
. 351641240520128/351847820520129. 351641240520169/351847820520160. 351641240520177/351847820520178. 351641240520268/351847820520
269. 351641240520342/351847820520343. 351641240520482/351847820520483. 351641240520755/351847820520756.351641240520862/3518478205
20863. 351641240520896/351847820520897. 351641240520904/351847820520905. 351641240520912/351847820520913. 351641240521068/3518478
20521069. 351641240521084/351847820521085. 351641240521118/351847820521119. 351641240521126/351847820521127. 351641240521134/3518
47820521135. 351641240521159/351847820521150. 351641240521175/351847820521176. 351641240521241/351847820521242. 351641240521274/3
51847820521275. 351641240521282/351847820521283. 351641240521290/351847820521291. 351641240521316/351847820521317. 35164124052134
0/351847820521341.351641240521357/351847820521358. 351641240521365/351847820521366. 351641240521373/351847820521374. 351641240521
415/351847820521416. 351641240521498/351847820521499. 351641240521506/351847820521507. 351641240521522/351847820521523. 351641240
521548/351847820521549. 351641240521555/351847820521556. 351641240521571/351847820521572. 351641240521589/351847820521580. 351641
240521605/351847820521606. 351641240521621/351847820521622. 351641240521654/351847820521655. 351641240521688/351847820521689. 351
641240521696/351847820521697. 351641240521779/351847820521770. 351641240521787/351847820521788. 351641240521795/351847820521796.
351641240521803/351847820521804. 351641240521860/351847820521861. 351641240521878/351847820521879. 351641240521894/35184782052189
5. 351641240522009/351847820522000. 351641240522025/351847820522026. 351641240522033/351847820522034. 351641240522066/35184782052
2067. 351641240522116/351847820522117. 351641240522132/351847820522133. 351641240522157/351847820522158. 351641240522215/35184782
0522216. 351641240522223/351847820522224. 351641240522231/351847820522232. 351641240522280/351847820522281. 351641240522314/35184
7820522315. 351641240522355/351847820522356. 351641240522447/351847820522448. 351641240522462/351847820522463. 351641240522470/35
1847820522471. 351641240522488/351847820522489. 351641240522496/351847820522497. 351641240522504/351847820522505. 351641240522520
/351847820522521. 351641240522538/351847820522539. 351641240522579/351847820522570. 351641240522595/351847820522596. 351641240522
603/351847820522604. 351641240522629/351847820522620. 351641240522645/351847820522646. 351641240522686/351847820522687. 351641240
522694/351847820522695. 351641240522702/351847820522703. 351641240522710/351847820522711.351641240522751/351847820522752. 3516412
40522769/351847820522760. 351641240522777/351847820522778. 351641240522785/351847820522786. 351641240522793/351847820522794. 3516
41240522801/351847820522802. 351641240522819/351847820522810. 351641240522835/351847820522836. 351641240522850/351847820522851. 3
51641240522884/351847820522885. 351641240522900/351847820522901. 351641240522918/351847820522919. 351641240522959/351847820522950
. 351641240522991/351847820522992. 351641240523007/351847820523008. 351641240523049/351847820523040. 351641240523056/351847820523
057.351641240523452/351847820523453. 351641240523593/351847820523594. 351641240523775/351847820523776. 351641240523858/3518478205
23859. 351641240523866/351847820523867. 351641240523882/351847820523883. 351641240523908/351847820523909. 351641240523916/3518478
20523917. 351641240523924/351847820523925. 351641240523940/351847820523941. 351641240523965/351847820523966. 351641240523973/3518
47820523974. 351641240524021/351847820524022. 351641240524104/351847820524105. 351641240524187/351847820524188. 351641240524195/3
51847820524196. 351641240524211/351847820524212. 351641240524237/351847820524238. 351641240524245/351847820524246. 35164124052426
0/351847820524261. 351641240524278/351847820524279. 351641240524286/351847820524287. 351641240524294/351847820524295. 35164124052
4302/351847820524303. 351641240524310/351847820524311. 351641240524328/351847820524329. 351641240524344/351847820524345. 35164124
0524377/351847820524378. 351641240524385/351847820524386. 351641240524401/351847820524402. 351641240524450/351847820524451. 35164
1240524492/351847820524493. 351641240524534/351847820524535. 351641240524542/351847820524543. 351641240524575/351847820524576. 35
1641240524583/351847820524584. 351641240524609/351847820524600. 351641240524625/351847820524626. 351641240524666/351847820524667.
351641240524674/351847820524675. 351641240524716/351847820524717. 351641240524740/351847820524741. 351641240524773/3518478205247
74. 351641240524781/351847820524782. 351641240524997/351847820524998. 351641240525010/351847820525011. 351641240525044/3518478205
25045. 351641240525085/351847820525086. 351641240525242/351847820525243. 351641240525291/351847820525292. 351641240525325/3518478
20525326. 351641240525333/351847820525334. 351641240525341/351847820525342.351641240525366/351847820525367. 351641240525374/35184
7820525375. 351641240525861/351847820525862. 351641240526208/351847820526209. 351641240526422/351847820526423. 351641240526463/35
1847820526464. 351641240526471/351847820526472. 351641240526505/351847820526506. 351641240526513/351847820526514. 351641240526521
/351847820526522. 351641240526638/351847820526639. 351641240526810/351847820526811. 351641240527099/351847820527090. 351641240527
131/351847820527132. 351641240527164/351847820527165. 351641240527198/351847820527199. 351641240527222/351847820527223.3516412405
27230/351847820527231. 351641240527248/351847820527249. 351641240527271/351847820527272. 351641240527354/351847820527355. 3516412
40527370/351847820527371. 351641240527420/351847820527421. 351641240527453/351847820527454. 351641240527461/351847820527462. 3516
41240527487/351847820527488. 351641240527537/351847820527538. 351641240527560/351847820527561. 351641240527578/351847820527579. 3
51641240527693/351847820527694. 351641240527701/351847820527702. 351641240527743/351847820527744. 351641240527750/351847820527751
. 351641240527776/351847820527777. 351641240527792/351847820527793. 351641240527818/351847820527819. 351641240527826/351847820527
827. 351641240527834/351847820527835. 351641240527867/351847820527868. 351641240527909/351847820527900. 351641240527917/351847820
527918. 351641240527925/351847820527926. 351641240527958/351847820527959. 351641240527974/351847820527975. 351641240527982/351847
820527983. 351641240527990/351847820527991. 351641240528006/351847820528007. 351641240528014/351847820528015. 351641240528063/351
847820528064. 351641240528071/351847820528072. 351641240528097/351847820528098. 351641240528139/351847820528130. 351641240528188/
351847820528189. 351641240528196/351847820528197. 351641240528204/351847820528205. 351641240528311/351847820528312. 3516412405284
85/351847820528486. 351641240528683/351847820528684. 351641240528766/351847820528767. 351641240528873/351847820528874. 3516412405
28907/351847820528908. 351641240529004/351847820529005. 351641240529087/351847820529088. 351641240529095/351847820529096. 3516412
40529111/351847820529112. 351641240529269/351847820529260. 351641240529277/351847820529278. 351641240529293/351847820529294. 3516
032024001565927-9
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001565927-9
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
41240529301/351847820529302. 351641240529319/351847820529310.351641240529327/351847820529328. 351641240529335/351847820529336. 35
1641240529350/351847820529351. 351641240529368/351847820529369. 351641240529376/351847820529377. 351641240529384/351847820529385.
351641240529442/351847820529443XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001565927-9
Espacio para uso exclusivo de la Entidad Recaudadora
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