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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
032024001565933-3
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. T617240297
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
6900314727
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: 537079-DECL: 1855390-DO: 893126701241- 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: 3077136162. ID DELIVE
RY: 6078900036. 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
032024001565933
133. Feha: 202411 09
134 . Levante No. 032024001489444 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 92032408362260
Fecha presentación 2024-11-09 08:08:54
Valor pagado $0.00
Fecha de Impresión: 2024-11-14 13:12:33
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001565933-3
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: 351641240154423/351847820154424. 351641240154480/351
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351847820154614. 351641240154639/351847820154630. 351641240154837/351847820154838. 351641240154860/351847820154861. 3516412401548
86/351847820154887. 351641240154910/351847820154911. 351641240154969/351847820154960. 351641240155073/351847820155074. 3516412401
55115/351847820155116. 351641240155230/351847820155231. 351641240155388/351847820155389. 351641240155529/351847820155520. 3516412
40155545/351847820155546. 351641240155552/351847820155553. 351641240155586/351847820155587. 351641240155610/351847820155611. 3516
41240155636/351847820155637. 351641240155644/351847820155645. 351641240155651/351847820155652. 351641240155685/351847820155686. 3
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900. 351641240155925/351847820155926. 351641240155958/351847820155959. 351641240155966/351847820155967. 351641240155974/351847820
155975. 351641240155982/351847820155983. 351641240156006/351847820156007. 351641240156048/351847820156049. 351641240156055/351847
820156056. 351641240156063/351847820156064. 351641240156071/351847820156072. 351641240156089/351847820156080. 351641240156097/351
847820156098. 351641240156105/351847820156106. 351641240156121/351847820156122. 351641240156154/351847820156155. 351641240156162/
351847820156163.351641240156188/351847820156189. 351641240156212/351847820156213. 351641240156253/351847820156254. 35164124015633
7/351847820156338. 351641240156360/351847820156361. 351641240156469/351847820156460. 351641240157053/351847820157054. 35164124015
7186/351847820157187. 351641240157350/351847820157351. 351641240157400/351847820157401. 351641240157434/351847820157435. 35164124
0157517/351847820157518. 351641240157582/351847820157583. 351641240157632/351847820157633. 351641240157681/351847820157682. 35164
1240157764/351847820157765. 351641240157822/351847820157823. 351641240157848/351847820157849. 351641240157855/351847820157856. 35
1641240157863/351847820157864. 351641240157889/351847820157880. 351641240157954/351847820157955. 351641240158028/351847820158029.
351641240158101/351847820158102. 351641240158671/351847820158672. 351641240158846/351847820158847. 351641240137501/3518478201375
02. 351641240137741/351847820137742. 351641240138053/351847820138054. 351641240138129/351847820138120. 351641240138418/3518478201
38419. 351641240138491/351847820138492. 351641240138533/351847820138534. 351641240138566/351847820138567. 351641240138582/3518478
20138583. 351641240138681/351847820138682. 351641240138723/351847820138724. 351641240138731/351847820138732. 351641240138749/3518
47820138740. 351641240138772/351847820138773. 351641240138871/351847820138872. 351641240138988/351847820138989. 351641240139002/3
51847820139003. 351641240139010/351847820139011. 351641240139044/351847820139045. 351641240139069/351847820139060. 35164124013907
7/351847820139078. 351641240139085/351847820139086. 351641240139119/351847820139110. 351641240139143/351847820139144. 35164124013
9176/351847820139177. 351641240139192/351847820139193. 351641240139200/351847820139201.351641240139226/351847820139227. 351641240
139242/351847820139243. 351641240139283/351847820139284. 351641240139358/351847820139359. 351641240139390/351847820139391. 351641
240139416/351847820139417. 351641240139465/351847820139466. 351641240139481/351847820139482. 351641240139549/351847820139540. 351
641240139564/351847820139565. 351641240139697/351847820139698. 351641240139754/351847820139755. 351641240139796/351847820139797.
351641240139846/351847820139847. 351641240139895/351847820139896. 351641240139929/351847820139920. 351641240139937/35184782013993
8.351641240139978/351847820139979. 351641240142493/351847820142494. 351641240142519/351847820142510. 351641240142535/351847820142
536. 351641240142618/351847820142619. 351641240142774/351847820142775. 351641240143152/351847820143153. 351641240143194/351847820
143195. 351641240143269/351847820143260. 351641240143293/351847820143294. 351641240143350/351847820143351. 351641240143368/351847
820143369. 351641240143400/351847820143401. 351641240143459/351847820143450. 351641240143467/351847820143468. 351641240143491/351
847820143492. 351641240143517/351847820143518. 351641240143558/351847820143559. 351641240143624/351847820143625. 351641240143632/
351847820143633. 351641240143657/351847820143658. 351641240143665/351847820143666. 351641240143723/351847820143724. 3516412401437
56/351847820143757. 351641240143798/351847820143799. 351641240145843/351847820145844. 351641240146478/351847820146479. 3516412401
46510/351847820146511. 351641240146528/351847820146529. 351641240146635/351847820146636. 351641240146718/351847820146719. 3516412
40146759/351847820146750. 351641240146775/351847820146776. 351641240146809/351847820146800. 351641240146940/351847820146941. 3516
41240146965/351847820146966. 351641240146999/351847820146990. 351641240147005/351847820147006. 351641240147112/351847820147113. 3
51641240147138/351847820147139. 351641240147369/351847820147360. 351641240148110/351847820148111. 351641240148227/351847820148228
. 351641240149381/351847820149382. 351641240149746/351847820149747. 351641240149753/351847820149754. 351641240140026/351847820140
027. 351641240140216/351847820140217. 351641240140273/351847820140274. 351641240140281/351847820140282. 351641240140299/351847820
140290. 351641240140349/351847820140340. 351641240140364/351847820140365.351641240140406/351847820140407. 351641240140455/3518478
20140456. 351641240140513/351847820140514. 351641240140521/351847820140522. 351641240140547/351847820140548. 351641240140638/3518
47820140639. 351641240140802/351847820140803. 351641240140885/351847820140886. 351641240140992/351847820140993. 351641240141008/3
51847820141009. 351641240141032/351847820141033. 351641240141073/351847820141074. 351641240141099/351847820141090. 35164124014110
7/351847820141108. 351641240141131/351847820141132. 351641240141180/351847820141181. 351641240141214/351847820141215.351641240141
255/351847820141256. 351641240141271/351847820141272. 351641240141453/351847820141454. 351641240141487/351847820141488. 351641240
141503/351847820141504. 351641240141594/351847820141595. 351641240141651/351847820141652. 351641240141727/351847820141728. 351641
240141784/351847820141785. 351641240141826/351847820141827. 351641240141842/351847820141843. 351641240141891/351847820141892. 351
641240142196/351847820142197. 351641240142212/351847820142213. 351641240142253/351847820142254. 351641240142386/351847820142387.
351641240142394/351847820142395. 351641240142402/351847820142403. 351641240142436/351847820142437. 351641240142477/35184782014247
8. 351641240142485/351847820142486. 351641240149902/351847820149903. 351641240150157/351847820150158. 351641240150454/35184782015
0455. 351641240150488/351847820150489. 351641240150512/351847820150513. 351641240150579/351847820150570. 351641240150603/35184782
0150604. 351641240150611/351847820150612. 351641240150637/351847820150638. 351641240150645/351847820150646. 351641240150694/35184
7820150695. 351641240150710/351847820150711. 351641240150728/351847820150729. 351641240150801/351847820150802. 351641240150827/35
1847820150828. 351641240150843/351847820150844. 351641240150868/351847820150869. 351641240150876/351847820150877. 351641240150900
/351847820150901. 351641240150983/351847820150984. 351641240151072/351847820151073. 351641240151288/351847820151289. 351641240151
296/351847820151297. 351641240151379/351847820151370. 351641240151395/351847820151396. 351641240151403/351847820151404. 351641240
151411/351847820151412. 351641240151429/351847820151420. 351641240151437/351847820151438. 351641240151452/351847820151453. 351641
240151478/351847820151479. 351641240151494/351847820151495.351641240151528/351847820151529. 351641240151544/351847820151545. 3516
41240151551/351847820151552. 351641240151585/351847820151586. 351641240151593/351847820151594. 351641240151601/351847820151602. 3
51641240151619/351847820151610. 351641240151650/351847820151651. 351641240151668/351847820151669. 351641240151684/351847820151685
. 351641240151692/351847820151693. 351641240151718/351847820151719. 351641240151734/351847820151735. 351641240151791/351847820151
792. 351641240151809/351847820151800. 351641240151825/351847820151826. 351641240151833/351847820151834.351641240151866/3518478201
51867. 351641240151916/351847820151917. 351641240151940/351847820151941. 351641240151957/351847820151958. 351641240151973/3518478
20151974. 351641240151981/351847820151982. 351641240152039/351847820152030. 351641240152146/351847820152147. 351641240152161/3518
47820152162. 351641240152179/351847820152170. 351641240152203/351847820152204. 351641240152385/351847820152386. 351641240152468/3
51847820152469. 351641240152526/351847820152527. 351641240152567/351847820152568. 351641240152872/351847820152873. 35164124015296
3/351847820152964. 351641240153011/351847820153012. 351641240153037/351847820153038. 351641240153045/351847820153046. 35164124015
3110/351847820153111. 351641240153201/351847820153202. 351641240153219/351847820153210. 351641240153268/351847820153269. 35164124
0153300/351847820153301. 351641240153318/351847820153319. 351641240153391/351847820153392. 351641240153425/351847820153426. 35164
1240153441/351847820153442. 351641240153532/351847820153533. 351641240153565/351847820153566. 351641240153706/351847820153707. 35
032024001565933-3
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001565933-3
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
1641240153763/351847820153764. 351641240153813/351847820153814. 351641240153839/351847820153830. 351641240153854/351847820153855.
351641240154035/351847820154036. 351641240154225/351847820154226. 351641240154266/351847820154267. 351641240154274/3518478201542
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032024001565933-3
Espacio para uso exclusivo de la Entidad Recaudadora
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