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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
032024001565934-0
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. T617240298
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
6900315518
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: 537075-DECL: 1855387-DO: 893126702241- 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: 3077136231. ID DELIVE
RY: 6078900971. 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
032024001565934
133. Feha: 202411 09
134 . Levante No. 032024001489446 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 92032408362278
Fecha presentación 2024-11-09 08:10:36
Valor pagado $0.00
Fecha de Impresión: 2024-11-14 13:13:54
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001565934-0
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: 351641240139689/351847820139680. 351641240139739/351
847820139730. 351641240139812/351847820139813. 351641240139887/351847820139888. 351641240139960/351847820139961. 351641240139986/
351847820139987. 351641240139994/351847820139995. 351641240140000/351847820140001. 351641240140125/351847820140126. 3516412401401
66/351847820140167. 351641240140240/351847820140241. 351641240140323/351847820140324. 351641240140331/351847820140332. 3516412401
40463/351847820140464. 351641240140562/351847820140563. 351641240140604/351847820140605. 351641240140711/351847820140712. 3516412
40140729/351847820140720. 351641240140844/351847820140845. 351641240140851/351847820140852. 351641240140893/351847820140894. 3516
41240140901/351847820140902. 351641240140968/351847820140969. 351641240141024/351847820141025. 351641240141222/351847820141223. 3
51641240141263/351847820141264. 351641240141289/351847820141280. 351641240141479/351847820 141470. 351641240141537/35184782014153
8. 351641240141628/351847820141629. 351641240141743/351847820141744. 351641240141800/351847820141801.351641240141818/351847820141
819. 351641240141966/351847820141967. 351641240142006/351847820142007. 351641240142089/351847820142080. 351641240142097/351847820
142098. 351641240142147/351847820142148. 351641240142170/351847820142171. 351641240142220/351847820142221. 351641240142238/351847
820142239. 351641240142246/351847820142247. 351641240142287/351847820142288. 351641240142337/351847820142338. 351641240142410/351
847820142411. 351641240142444/351847820142445. 351641240142469/351847820142460. 351641240142501/351847820142502. 351641240142717/
351847820142718.351641240142725/351847820142726. 351641240142808/351847820142809. 351641240142840/351847820142841. 35164124014286
5/351847820142866. 351641240142873/351847820142874. 351641240143020/351847820143021. 351641240143426/351847820143427. 35164124014
3442/351847820143443. 351641240143483/351847820143484. 351641240143533/351847820143534. 351641240143541/351847820143542. 35164124
0143582/351847820143583. 351641240143590/351847820143591. 351641240143681/351847820143682. 351641240143699/351847820143690. 35164
1240143707/351847820143708. 351641240143731/351847820143732. 351641240143764/351847820143765. 351641240143772/351847820143773. 35
1641240143780/351847820143781. 351641240143806/351847820143807. 351641240143830/351847820143831. 351641240143939/351847820143930.
351641240143970/351847820143971. 351641240146031/351847820146032. 351641240146346/351847820146347. 351641240146353/3518478201463
54. 351641240146361/351847820146362. 351641240146452/351847820146453. 351641240146502/351847820146503. 351641240146536/3518478201
46537. 351641240146643/351847820146644. 351641240146668/351847820146669. 351641240146684/351847820146685. 351641240146791/3518478
20146792. 351641240146833/351847820146834. 351641240146890/351847820146891. 351641240147013/351847820147014. 351641240147088/3518
47820147089. 351641240148128/351847820148129. 351641240148136/351847820148137. 351641240148144/351847820148145. 351641240148292/3
51847820148293. 351641240148375/351847820148376. 351641240148516/351847820148517. 351641240148532/351847820148533. 35164124014872
2/351847820148723. 351641240148771/351847820148772. 351641240148938/351847820148939. 351641240148987/351847820148988. 35164124014
9092/351847820149093. 351641240149126/351847820149127. 351641240149225/351847820149226.351641240149332/351847820149333. 351641240
149340/351847820149341. 351641240149373/351847820149374. 351641240149415/351847820149416. 351641240149456/351847820149457. 351641
240149464/351847820149465. 351641240149472/351847820149473. 351641240149506/351847820149507. 351641240149563/351847820149564. 351
641240149571/351847820149572. 351641240149662/351847820149663. 351641240149837/351847820149838. 351641240149936/351847820149937.
351641240150033/351847820150034. 351641240150231/351847820150232. 351641240150447/351847820150448. 351641240150462/35184782015046
3.351641240150520/351847820150521. 351641240150587/351847820150588. 351641240150629/351847820150620. 351641240150702/351847820150
703. 351641240150751/351847820150752. 351641240150785/351847820150786. 351641240150835/351847820150836. 351641240150934/351847820
150935. 351641240150942/351847820150943. 351641240151007/351847820151008. 351641240151023/351847820151024. 351641240151056/351847
820151057. 351641240151080/351847820151081. 351641240151098/351847820151099. 351641240151130/351847820151131. 351641240151486/351
847820151487. 351641240151510/351847820151511. 351641240151676/351847820151677. 351641240151767/351847820151768. 351641240151775/
351847820151776. 351641240151783/351847820151784. 351641240151817/351847820151818. 351641240151841/351847820151842. 3516412401518
58/351847820151859. 351641240151882/351847820151883. 351641240151932/351847820151933. 351641240151965/351847820151966. 3516412401
51999/351847820151990. 351641240152005/351847820152006. 351641240152047/351847820152048. 351641240152054/351847820152055. 3516412
40152088/351847820152089. 351641240152096/351847820152097. 351641240152112/351847820152113. 351641240152120/351847820152121. 3516
41240152187/351847820152188. 351641240152229/351847820152220. 351641240152476/351847820152477. 351641240152484/351847820152485. 3
51641240152534/351847820152535. 351641240152542/351847820152543. 351641240152617/351847820152618. 351641240152658/351847820152659
. 351641240152724/351847820152725. 351641240152948/351847820152949. 351641240152955/351847820152956. 351641240152971/351847820152
972. 351641240153003/351847820153004. 351641240153052/351847820153053. 351641240153060/351847820153061. 351641240153094/351847820
153095. 351641240153102/351847820153103. 351641240153144/351847820153145.351641240153276/351847820153277. 351641240153284/3518478
20153285. 351641240153292/351847820153293. 351641240153383/351847820153384. 351641240153409/351847820153400. 351641240153433/3518
47820153434. 351641240153557/351847820153558. 351641240153649/351847820153640. 351641240153680/351847820153681. 351641240153748/3
51847820153749. 351641240153755/351847820153756. 351641240153805/351847820153806. 351641240153847/351847820153848. 35164124015388
8/351847820153889. 351641240153912/351847820153913. 351641240153938/351847820153939. 351641240153953/351847820153954.351641240153
961/351847820153962. 351641240153995/351847820153996. 351641240154118/351847820154119. 351641240154159/351847820154150. 351641240
154233/351847820154234. 351641240154241/351847820154242. 351641240154282/351847820154283. 351641240154332/351847820154333. 351641
240154431/351847820154432. 351641240154464/351847820154465. 351641240154654/351847820154655. 351641240154761/351847820154762. 351
641240154902/351847820154903. 351641240154936/351847820154937. 351641240154993/351847820154994. 351641240155065/351847820155066.
351641240155321/351847820155322. 351641240155339/351847820155330. 351641240155438/351847820155439. 351641240155560/35184782015556
1. 351641240155628/351847820155629. 351641240155677/351847820155678. 351641240155818/351847820155819. 351641240155834/35184782015
5835. 351641240155842/351847820155843. 351641240155990/351847820155991. 351641240156113/351847820156114. 351641240156170/35184782
0156171. 351641240156196/351847820156197. 351641240156238/351847820156239. 351641240156246/351847820156247. 351641240156352/35184
7820156353. 351641240156378/351847820156379. 351641240156386/351847820156387. 351641240156394/351847820156395. 351641240156402/35
1847820156403. 351641240156410/351847820156411. 351641240156634/351847820156635. 351641240156915/351847820156916. 351641240156980
/351847820156981. 351641240157087/351847820157088. 351641240157228/351847820157229. 351641240157236/351847820157237. 351641240157
269/351847820157260. 351641240157277/351847820157278. 351641240157327/351847820157328. 351641240157335/351847820157336. 351641240
157384/351847820157385. 351641240157418/351847820157419. 351641240157475/351847820157476. 351641240157483/351847820157484. 351641
240157491/351847820157492. 351641240157574/351847820157575.351641240157608/351847820157609. 351641240157616/351847820157617. 3516
41240157657/351847820157658. 351641240157699/351847820157690. 351641240157715/351847820157716. 351641240157772/351847820157773. 3
51641240157897/351847820157898. 351641240157913/351847820157914. 351641240158168/351847820158169. 351641240158820/351847820158821
. 351641240158879/351847820158870. 351641240158911/351847820158912. 351641240158978/351847820158979. 351641240137410/351847820137
411. 351641240137444/351847820137445. 351641240137477/351847820137478. 351641240137493/351847820137494.351641240137527/3518478201
37528. 351641240137535/351847820137536. 351641240137576/351847820137577. 351641240137584/351847820137585. 351641240137659/3518478
20137650. 351641240137709/351847820137700. 351641240137717/351847820137718. 351641240137766/351847820137767. 351641240138038/3518
47820138039. 351641240138152/351847820138153. 351641240138194/351847820138195. 351641240138202/351847820138203. 351641240138228/3
51847820138229. 351641240138285/351847820138286. 351641240138335/351847820138336. 351641240138442/351847820138443. 35164124013845
9/351847820138450. 351641240138558/351847820138559. 351641240138624/351847820138625. 351641240138640/351847820138641. 35164124013
8673/351847820138674. 351641240138764/351847820138765. 351641240138822/351847820138823. 351641240138848/351847820138849. 35164124
0138863/351847820138864. 351641240138921/351847820138922. 351641240138947/351847820138948. 351641240139051/351847820139052. 35164
1240139150/351847820139151. 351641240139218/351847820139219. 351641240139234/351847820139235. 351641240139259/351847820139250. 35
032024001565934-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001565934-0
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
1641240139291/351847820139292. 351641240139325/351847820139326. 351641240139440/351847820139441. 351641240139499/351847820139490.
351641240139515/351847820139516. 351641240139572/351847820139573. 351641240139580/351847820139581. 351641240139606/3518478201396
07. 351641240139655/351847820139656XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001565934-0
Espacio para uso exclusivo de la Entidad Recaudadora
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