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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
032024001565967-3
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. T617240291
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
6900313747
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: 537064-DECL: 1855376-DO: 893126695241- 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: 3077135622. ID DELIVE
RY: 6078901938. 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
032024001565967
133. Feha: 202411 09
134 . Levante No. 032024001489471 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 92032408362318
Fecha presentación 2024-11-09 08:17:37
Valor pagado $0.00
Fecha de Impresión: 2024-11-14 13:18:36
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001565967-3
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: 351641240510905/351847820510906. 351641240510913/351
847820510914. 351641240510996/351847820510997. 351641240511002/351847820511003. 351641240511077/351847820511078. 351641240511101/
351847820511102. 351641240511143/351847820511144. 351641240511226/351847820511227. 351641240511259/351847820511250. 3516412405112
67/351847820511268. 351641240511275/351847820511276. 351641240511309/351847820511300. 351641240511432/351847820511433. 3516412405
11499/351847820511490. 351641240511507/351847820511508. 351641240511572/351847820511573. 351641240511630/351847820511631. 3516412
40511663/351847820511664. 351641240511762/351847820511763. 351641240511788/351847820511789. 351641240511804/351847820511805. 3516
41240511812/351847820511813. 351641240511846/351847820511847. 351641240511960/351847820511961. 351641240511978/351847820511979. 3
51641240512133/351847820512134. 351641240512182/351847820512183. 351641240512216/351847820 512217. 351641240512240/35184782051224
1. 351641240512299/351847820512290. 351641240512315/351847820512316. 351641240512349/351847820512340.351641240512380/351847820512
381. 351641240512414/351847820512415. 351641240512448/351847820512449. 351641240512463/351847820512464. 351641240512505/351847820
512506. 351641240512554/351847820512555. 351641240512588/351847820512589. 351641240512596/351847820512597. 351641240512604/351847
820512605. 351641240512620/351847820512621. 351641240512687/351847820512688. 351641240512695/351847820512696. 351641240512703/351
847820512704. 351641240512729/351847820512720. 351641240512802/351847820512803. 351641240512836/351847820512837. 351641240512844/
351847820512845.351641240512885/351847820512886. 351641240512919/351847820512910. 351641240512984/351847820512985. 35164124051300
8/351847820513009. 351641240513032/351847820513033. 351641240513040/351847820513041. 351641240513057/351847820513058. 35164124051
3131/351847820513132. 351641240513149/351847820513140. 351641240513156/351847820513157. 351641240513180/351847820513181. 35164124
0513206/351847820513207. 351641240513222/351847820513223. 351641240513248/351847820513249. 351641240513271/351847820513272. 35164
1240513321/351847820513322. 351641240513487/351847820513488. 351641240513503/351847820513504. 351641240513537/351847820513538. 35
1641240513818/351847820513819. 351641240513834/351847820513835. 351641240513842/351847820513843. 351641240513859/351847820513850.
351641240513875/351847820513876. 351641240513909/351847820513900. 351641240513941/351847820513942. 351641240513966/3518478205139
67. 351641240513974/351847820513975. 351641240514014/351847820514015. 351641240514139/351847820514130. 351641240514204/3518478205
14205. 351641240514253/351847820514254. 351641240514261/351847820514262. 351641240514279/351847820514270. 351641240514329/3518478
20514320. 351641240514378/351847820514379. 351641240514402/351847820514403. 351641240514477/351847820514478. 351641240514576/3518
47820514577. 351641240514584/351847820514585. 351641240514642/351847820514643. 351641240514766/351847820514767. 351641240514816/3
51847820514817. 351641240514840/351847820514841. 351641240514931/351847820514932. 351641240514949/351847820514940. 35164124051495
6/351847820514957. 351641240514972/351847820514973. 351641240515045/351847820515046. 351641240515235/351847820515236. 35164124051
5979/351847820515970. 351641240515995/351847820515996. 351641240516100/351847820516101.351641240516134/351847820516135. 351641240
516324/351847820516325. 351641240516365/351847820516366. 351641240516514/351847820516515. 351641240516530/351847820516531. 351641
240516688/351847820516689. 351641240516712/351847820516713. 351641240516738/351847820516739. 351641240516746/351847820516747. 351
641240516779/351847820516770. 351641240517066/351847820517067. 351641240517090/351847820517091. 351641240517264/351847820517265.
351641240517280/351847820517281. 351641240517371/351847820517372. 351641240517538/351847820517539. 351641240517934/35184782051793
5.351641240518296/351847820518297. 351641240491254/351847820491255. 351641240491262/351847820491263. 351641240491270/351847820491
271. 351641240491296/351847820491297. 351641240491809/351847820491800. 351641240492393/351847820492394. 351641240492443/351847820
492444. 351641240492484/351847820492485. 351641240492518/351847820492519. 351641240492526/351847820492527. 351641240492658/351847
820492659. 351641240493946/351847820493947. 351641240495628/351847820495629. 351641240495636/351847820495637. 351641240495669/351
847820495660. 351641240495685/351847820495686. 351641240495818/351847820495819. 351641240495875/351847820495876. 351641240495909/
351847820495900. 351641240495933/351847820495934. 351641240495958/351847820495959. 351641240496014/351847820496015. 3516412404961
13/351847820496114. 351641240496238/351847820496239. 351641240496535/351847820496536. 351641240496683/351847820496684. 3516412404
96980/351847820496981. 351641240497103/351847820497104. 351641240498333/351847820498334. 351641240500138/351847820500139. 3516412
40500658/351847820500659. 351641240500757/351847820500758. 351641240500872/351847820500873. 351641240500914/351847820500915. 3516
41240500989/351847820500980. 351641240501003/351847820501004. 351641240501045/351847820501046. 351641240501060/351847820501061. 3
51641240501128/351847820501129. 351641240501201/351847820501202. 351641240501292/351847820501293. 351641240502076/351847820502077
. 351641240502100/351847820502101. 351641240502191/351847820502192. 351641240502217/351847820502218. 351641240502225/351847820502
226. 351641240502266/351847820502267. 351641240502274/351847820502275. 351641240502332/351847820502333. 351641240502357/351847820
502358. 351641240502381/351847820502382. 351641240502415/351847820502416.351641240502571/351847820502572. 351641240503561/3518478
20503562. 351641240504221/351847820504222. 351641240504437/351847820504438. 351641240504577/351847820504578. 351641240504676/3518
47820504677. 351641240504957/351847820504958. 351641240505103/351847820505104. 351641240505137/351847820505138. 351641240505152/3
51847820505153. 351641240505186/351847820505187. 351641240505194/351847820505195. 351641240505202/351847820505203. 35164124050521
0/351847820505211. 351641240505228/351847820505229. 351641240505236/351847820505237. 351641240505244/351847820505245.351641240505
251/351847820505252. 351641240505426/351847820505427. 351641240505624/351847820505625. 351641240505699/351847820505690. 351641240
505707/351847820505708. 351641240506044/351847820506045. 351641240506275/351847820506276. 351641240506317/351847820506318. 351641
240506325/351847820506326. 351641240506408/351847820506409. 351641240506416/351847820506417. 351641240506432/351847820506433. 351
641240506440/351847820506441. 351641240506457/351847820506458. 351641240506861/351847820506862. 351641240506945/351847820506946.
351641240506986/351847820506987. 351641240506994/351847820506995. 351641240507018/351847820507019. 351641240507034/35184782050703
5. 351641240507059/351847820507050. 351641240507067/351847820507068. 351641240507117/351847820507118. 351641240507174/35184782050
7175. 351641240507190/351847820507191. 351641240507257/351847820507258. 351641240507281/351847820507282. 351641240507307/35184782
0507308. 351641240507356/351847820507357. 351641240507364/351847820507365. 351641240507372/351847820507373. 351641240507398/35184
7820507399. 351641240507414/351847820507415. 351641240507448/351847820507449. 351641240507463/351847820507464. 351641240507521/35
1847820507522. 351641240507539/351847820507530. 351641240507570/351847820507571. 351641240507588/351847820507589. 351641240507604
/351847820507605. 351641240507653/351847820507654. 351641240507711/351847820507712. 351641240507752/351847820507753. 351641240507
810/351847820507811. 351641240508040/351847820508041. 351641240508057/351847820508058. 351641240508073/351847820508074. 351641240
508107/351847820508108. 351641240508362/351847820508363. 351641240508388/351847820508389. 351641240508396/351847820508397. 351641
240508404/351847820508405. 351641240508420/351847820508421.351641240508453/351847820508454. 351641240508461/351847820508462. 3516
41240508479/351847820508470. 351641240508487/351847820508488. 351641240508495/351847820508496. 351641240508503/351847820508504. 3
51641240508529/351847820508520. 351641240508552/351847820508553. 351641240508560/351847820508561. 351641240508578/351847820508579
. 351641240508610/351847820508611. 351641240508651/351847820508652. 351641240508735/351847820508736. 351641240508743/351847820508
744. 351641240508750/351847820508751. 351641240508768/351847820508769. 351641240508776/351847820508777.351641240508784/3518478205
08785. 351641240508792/351847820508793. 351641240508800/351847820508801. 351641240508818/351847820508819. 351641240508826/3518478
20508827. 351641240508859/351847820508850. 351641240508883/351847820508884. 351641240508891/351847820508892. 351641240508909/3518
47820508900. 351641240508917/351847820508918. 351641240508925/351847820508926. 351641240508941/351847820508942. 351641240508958/3
51847820508959. 351641240508974/351847820508975. 351641240508990/351847820508991. 351641240509022/351847820509023. 35164124050903
0/351847820509031. 351641240509063/351847820509064. 351641240509089/351847820509080. 351641240509113/351847820509114. 35164124050
9147/351847820509148. 351641240509154/351847820509155. 351641240509162/351847820509163. 351641240509170/351847820509171. 35164124
0509196/351847820509197. 351641240509238/351847820509239. 351641240509402/351847820509403. 351641240509436/351847820509437. 35164
1240510087/351847820510088. 351641240510293/351847820510294. 351641240510335/351847820510336. 351641240510376/351847820510377. 35
032024001565967-3
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001565967-3
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
1641240510384/351847820510385. 351641240510442/351847820510443. 351641240510608/351847820510609. 351641240510616/351847820510617.
351641240510723/351847820510724. 351641240510756/351847820510757. 351641240510780/351847820510781. 351641240510830/3518478205108
31. 351641240510855/351847820510856XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001565967-3
Espacio para uso exclusivo de la Entidad Recaudadora
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