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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
032024001565932-6
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. T617240295
45 . Año – Mes – Día
2024 – 11 – 06
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
6900314926
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.
110.00
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
12.426.36
79 . Valor fletes USD
939.40 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
940.05
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: 537088-DECL: 1855396-DO: 893126699241- 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: 3077135933. ID DELIVE
RY: 6078900783. 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
032024001565932
133. Feha: 202411 09
134 . Levante No. 032024001489411 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 92032408362253
Fecha presentación 2024-11-09 08:06:39
Valor pagado $0.00
Fecha de Impresión: 2024-11-14 13:08:19
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001565932-6
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: 351641240509741/351847820509742. 351641240509758/351
847820509759. 351641240509816/351847820509817. 351641240509915/351847820509916. 351641240509949/351847820509940. 351641240509980/
351847820509981. 351641240510012/351847820510013. 351641240510046/351847820510047. 351641240510053/351847820510054. 3516412405100
95/351847820510096. 351641240510202/351847820510203. 351641240510251/351847820510252. 351641240510277/351847820510278. 3516412405
10327/351847820510328. 351641240510350/351847820510351. 351641240510400/351847820510401. 351641240510434/351847820510435. 3516412
40510459/351847820510450. 351641240510467/351847820510468. 351641240510475/351847820510476. 351641240510483/351847820510484. 3516
41240510517/351847820510518. 351641240510525/351847820510526. 351641240510541/351847820510542. 351641240510558/351847820510559. 3
51641240510665/351847820510666. 351641240510681/351847820510682. 351641240510707/351847820 510708. 351641240510715/35184782051071
6. 351641240510764/351847820510765. 351641240510772/351847820510773. 351641240510806/351847820510807.351641240510814/351847820510
815. 351641240510889/351847820510880. 351641240510921/351847820510922. 351641240510939/351847820510930. 351641240510947/351847820
510948. 351641240510954/351847820510955. 351641240510970/351847820510971. 351641240511051/351847820511052. 351641240511119/351847
820511110. 351641240511135/351847820511136. 351641240511168/351847820511169. 351641240511192/351847820511193. 351641240511218/351
847820511219. 351641240511366/351847820511367. 351641240511382/351847820511383. 351641240511424/351847820511425. 351641240511556/
351847820511557.351641240511622/351847820511623. 351641240511648/351847820511649. 351641240511747/351847820511748. 35164124051179
6/351847820511797. 351641240511838/351847820511839. 351641240511879/351847820511870. 351641240511903/351847820511904. 35164124051
1929/351847820511920. 351641240512018/351847820512019. 351641240512026/351847820512027. 351641240512083/351847820512084. 35164124
0512091/351847820512092. 351641240512109/351847820512100. 351641240512117/351847820512118. 351641240512125/351847820512126. 35164
1240512141/351847820512142. 351641240512273/351847820512274. 351641240512323/351847820512324. 351641240512398/351847820512399. 35
1641240512406/351847820512407. 351641240512430/351847820512431. 351641240512455/351847820512456. 351641240512471/351847820512472.
351641240512521/351847820512522. 351641240512562/351847820512563. 351641240512638/351847820512639. 351641240512786/3518478205127
87. 351641240512810/351847820512811. 351641240512927/351847820512928. 351641240512992/351847820512993. 351641240513024/3518478205
13025. 351641240513065/351847820513066. 351641240513073/351847820513074. 351641240513107/351847820513108. 351641240513115/3518478
20513116. 351641240513230/351847820513231. 351641240513263/351847820513264. 351641240513289/351847820513280. 351641240513313/3518
47820513314. 351641240513396/351847820513397. 351641240513404/351847820513405. 351641240513438/351847820513439. 351641240513552/3
51847820513553. 351641240513578/351847820513579. 351641240513594/351847820513595. 351641240513610/351847820513611. 35164124051363
6/351847820513637. 351641240513644/351847820513645. 351641240513669/351847820513660. 351641240513719/351847820513710. 35164124051
3727/351847820513728. 351641240513768/351847820513769. 351641240514063/351847820514064.351641240514196/351847820514197. 351641240
514238/351847820514239. 351641240514311/351847820514312. 351641240514352/351847820514353. 351641240514394/351847820514395. 351641
240514410/351847820514411. 351641240514436/351847820514437. 351641240514469/351847820514460. 351641240514485/351847820514486. 351
641240514501/351847820514502. 351641240514527/351847820514528. 351641240514543/351847820514544. 351641240514550/351847820514551.
351641240514592/351847820514593. 351641240514618/351847820514619. 351641240514691/351847820514692. 351641240514725/35184782051472
6.351641240514758/351847820514759. 351641240514782/351847820514783. 351641240514790/351847820514791. 351641240514824/351847820514
825. 351641240514857/351847820514858. 351641240514873/351847820514874. 351641240514907/351847820514908. 351641240514998/351847820
514999. 351641240515029/351847820515020. 351641240515110/351847820515111. 351641240515201/351847820515202. 351641240515227/351847
820515228. 351641240515268/351847820515269. 351641240515359/351847820515350. 351641240515367/351847820515368. 351641240515391/351
847820515392. 351641240515433/351847820515434. 351641240515474/351847820515475. 351641240515524/351847820515525. 351641240515565/
351847820515566. 351641240515581/351847820515582. 351641240515599/351847820515590. 351641240515607/351847820515608. 3516412405156
64/351847820515665. 351641240515680/351847820515681. 351641240515730/351847820515731. 351641240515797/351847820515798. 3516412405
16233/351847820516234. 351641240516274/351847820516275. 351641240516308/351847820516309. 351641240516373/351847820516374. 3516412
40516399/351847820516390. 351641240516472/351847820516473. 351641240516506/351847820516507. 351641240516589/351847820516580. 3516
41240516597/351847820516598. 351641240516639/351847820516630. 351641240516654/351847820516655. 351641240516696/351847820516697. 3
51641240516811/351847820516812. 351641240516829/351847820516820. 351641240516845/351847820516846. 351641240516878/351847820516879
. 351641240516944/351847820516945. 351641240516977/351847820516978. 351641240517017/351847820517018. 351641240517033/351847820517
034. 351641240517108/351847820517109. 351641240517140/351847820517141. 351641240517165/351847820517166. 351641240517215/351847820
517216. 351641240517298/351847820517299. 351641240517306/351847820517307.351641240517397/351847820517398. 351641240517421/3518478
20517422. 351641240517488/351847820517489. 351641240517520/351847820517521. 351641240517603/351847820517604. 351641240517611/3518
47820517612. 351641240517660/351847820517661. 351641240517751/351847820517752. 351641240517876/351847820517877. 351641240517967/3
51847820517968. 351641240518056/351847820518057. 351641240518130/351847820518131. 351641240518148/351847820518149. 35164124051818
9/351847820518180. 351641240518213/351847820518214. 351641240518239/351847820518230. 351641240518247/351847820518248.351641240518
502/351847820518503. 351641240518528/351847820518529. 351641240518551/351847820518552. 351641240518569/351847820518560. 351641240
518718/351847820518719. 351641240518726/351847820518727. 351641240518742/351847820518743. 351641240518775/351847820518776. 351641
240518791/351847820518792. 351641240518809/351847820518800. 351641240518882/351847820518883. 351641240518916/351847820518917. 351
641240518924/351847820518925. 351641240518940/351847820518941. 351641240518957/351847820518958. 351641240518965/351847820518966.
351641240519013/351847820519014. 351641240519054/351847820519055. 351641240519062/351847820519063. 351641240519088/35184782051908
9. 351641240519096/351847820519097. 351641240491429/351847820491420. 351641240491627/351847820491628. 351641240492013/35184782049
2014. 351641240492237/351847820492238. 351641240492310/351847820492311. 351641240492450/351847820492451. 351641240492542/35184782
0492543. 351641240492575/351847820492576. 351641240492609/351847820492600. 351641240492625/351847820492626. 351641240492757/35184
7820492758. 351641240492799/351847820492790. 351641240492880/351847820492881. 351641240493185/351847820493186. 351641240493235/35
1847820493236. 351641240493441/351847820493442. 351641240493961/351847820493962. 351641240494514/351847820494515. 351641240494571
/351847820494572. 351641240494712/351847820494713. 351641240495115/351847820495116. 351641240495180/351847820495181. 351641240495
404/351847820495405. 351641240495594/351847820495595. 351641240495776/351847820495777. 351641240496436/351847820496437. 351641240
497079/351847820497070. 351641240497137/351847820497138. 351641240498978/351847820498979. 351641240499893/351847820499894. 351641
240501169/351847820501160. 351641240501227/351847820501228.351641240501235/351847820501236. 351641240501250/351847820501251. 3516
41240501326/351847820501327. 351641240501458/351847820501459. 351641240501474/351847820501475. 351641240502241/351847820502242. 3
51641240503082/351847820503083. 351641240503249/351847820503240. 351641240503298/351847820503299. 351641240503322/351847820503323
. 351641240503355/351847820503356. 351641240503462/351847820503463. 351641240503678/351847820503679. 351641240503686/351847820503
687. 351641240503694/351847820503695. 351641240503702/351847820503703. 351641240503710/351847820503711.351641240505061/3518478205
05062. 351641240505079/351847820505070. 351641240505095/351847820505096. 351641240505111/351847820505112. 351641240505145/3518478
20505146. 351641240505582/351847820505583. 351641240506267/351847820506268. 351641240506283/351847820506284. 351641240506333/3518
47820506334. 351641240506366/351847820506367. 351641240506390/351847820506391. 351641240506424/351847820506425. 351641240507208/3
51847820507209. 351641240507216/351847820507217. 351641240507240/351847820507241. 351641240507679/351847820507670. 35164124050797
6/351847820507977. 351641240508065/351847820508066. 351641240508099/351847820508090. 351641240508313/351847820508314. 35164124050
8321/351847820508322. 351641240508438/351847820508439. 351641240508545/351847820508546. 351641240508628/351847820508629. 35164124
0508636/351847820508637. 351641240508669/351847820508660. 351641240508719/351847820508710. 351641240508842/351847820508843. 35164
1240508875/351847820508876. 351641240509071/351847820509072. 351641240509139/351847820509130. 351641240509188/351847820509189. 35
032024001565932-6
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001565932-6
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
1641240509378/351847820509379. 351641240509394/351847820509395. 351641240509485/351847820509486. 351641240509493/351847820509494.
351641240509592/351847820509593. 351641240509642/351847820509643. 351641240509667/351847820509668. 351641240509709/3518478205097
00. 351641240509725/351847820509726XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001565932-6
Espacio para uso exclusivo de la Entidad Recaudadora
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