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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
032024001593392-8
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. 116575014982018
43 . Año – Mes – Día
2024 – 11 – 16
44 . Documento de transporte
No. KSZX24117035
45 . Año – Mes – Día
2024 – 11 – 08
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
6900317020
52 . Año – Mes – Día
2024 – 11 – 06
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
249
56 . Cod. Depto
destino
0
57 . Empresa transportadora
ATLAS AIR INC SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.344.55
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.
101.00
72 . Peso neto kgs. dcms.
82.50
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
12.686.08
79 . Valor fletes USD
879.71 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
58.940.120
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
58.940.120
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
0.66
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
880.37
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
13.566.45
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: 537695-DECL: 1857203-DO: 893126967241- 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. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOMOL
OGACIÓN)// NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA
S.A. OEA COD. OE0001. . PEDIDOS: 3077134126. ID DELIVERY: 6078923809. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A065MLBDLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A06 DUOS (CON ACCESORIOSPARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL CLARO, (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
032024001593392
133. Feha: 202411 14
134 . Levante No. 032024001506890 135 . Fecha
2024 – 11 – 18
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 92032408510543
Fecha presentación 2024-11-14 19:29:42
Valor pagado $0.00
Fecha de Impresión: 2024-11-18 12:26:14
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001593392-8
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
MODELO: SM-A065M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A065M/DS,LIGHT BLUE,LTC( QTY. 300,00 u )(300,00
PCE); IMEIS: 354106706021588/357809266021586. 354106706021612/357809266021610. 354106706021927/357809266021925. 354106706022628/
357809266022626. 354106706022636/357809266022634. 354106706022693/357809266022691. 354106706022719/357809266022717. 3541067060227
27/357809266022725. 354106706022768/357809266022766. 354106706022784/357809266022782. 354106706022800/357809266022808.35410670602
2818/357809266022816. 354106706022883/357809266022881. 354106706022925/357809266022923. 354106706022966/357809266022964. 35410670
6022990/357809266022998. 354106706023006/357809266023004. 354106706023030/357809266023038. 354106706023048/357809266023046. 35410
6706023055/357809266023053. 354106706023089/357809266023087. 354106706023105/357809266023103. 354106706023113/357809266023111. 35
4106706023121/357809266023129. 354106706023139/357809266023137. 354106706023147/35780926602 3145. 354106706023154/357809266023152
. 354106706023162/357809266023160. 354106706023188/357809266023186. 354106706023204/357809266023202. 354106706023212/357809266023
210. 354106706023238/357809266023236. 354106706023253/357809266023251. 354106706023279/357809266023277. 354106706023287/357809266
023285. 354106706023295/357809266023293. 354106706023303/357809266023301. 354106706023311/357809266023319. 354106706023345/357809
266023343. 354106706023352/357809266023350. 354106706023360/357809266023368. 354106706023378/357809266023376. 354106706023386/357
809266023384. 354106706023394/357809266023392. 354106706023402/357809266023400. 354106706023410/357809266023418. 354106706023428/
357809266023426. 354106706023436/357809266023434. 354106706023444/357809266023442. 354106706023451/357809266023459. 3541067060235
01/357809266023509. 354106706023535/357809266023533. 354106706023998/357809266023996. 354106706024145/357809266024143. 3541067060
24319/357809266024317. 354106706024343/357809266024341. 354106706024558/357809266024556. 354106706024913/357809266024911. 3541067
06024954/357809266024952. 354106706025134/357809266025132. 354106706025209/357809266025207. 354106706025225/357809266025223. 3541
06706025258/357809266025256. 354106706025266/357809266025264.354106706025274/357809266025272. 354106706025290/357809266025298. 35
4106706025308/357809266025306. 354106706025316/357809266025314. 354106706025324/357809266025322. 354106706025357/357809266025355.
354106706025373/357809266025371. 354106706025415/357809266025413. 354106706025423/357809266025421. 354106706025431/3578092660254
39. 354106706025449/357809266025447. 354106706025480/357809266025488. 354106706025548/357809266025546. 354106706025555/3578092660
25553. 354106706025613/357809266025611. 354106706025647/357809266025645. 354106706025670/357809266025678.354106706025688/35780926
6025686. 354106706025787/357809266025785. 354106706025795/357809266025793. 354106706026678/357809266026676. 354106706026876/35780
9266026874. 354106706027700/357809266027708. 354106706027833/357809266027831. 354106706027858/357809266027856. 354106706027866/35
7809266027864. 354106706027874/357809266027872. 354106706028112/357809266028110. 354106706028203/357809266028201. 354106706028302
/357809266028300. 354106706028351/357809266028359. 354106706028377/357809266028375. 354106706028500/357809266028508. 354106706028
518/357809266028516. 354106706028542/357809266028540. 354106706028567/357809266028565. 354106706028591/357809266028599. 354106706
028617/357809266028615. 354106706028716/357809266028714. 354106706028773/357809266028771. 354106706029052/357809266029050. 354106
706029078/357809266029076. 354106706029086/357809266029084. 354106706029151/357809266029159. 354106706029235/357809266029233. 354
106706029359/357809266029357. 354106706029433/357809266029431. 354106706029649/357809266029647. 354106706030274/357809266030272.
354106706030316/357809266030314. 354106706030324/357809266030322. 354106706030464/357809266030462. 354106706030605/35780926603060
3. 354106706030647/357809266030645. 354106706030704/357809266030702. 354106706030753/357809266030751. 354106706030795/35780926603
0793. 354106706030803/357809266030801. 354106706030977/357809266030975. 354106706031009/357809266031007. 354106706031033/35780926
6031031. 354106706031066/357809266031064. 354106706031124/357809266031122. 354106706031132/357809266031130. 354106706031256/35780
9266031254. 354106706031306/357809266031304. 354106706031330/357809266031338. 354106706031348/357809266031346. 354106706031355/35
7809266031353. 354106706031363/357809266031361.354106706031389/357809266031387. 354106706031397/357809266031395. 354106706031421/
357809266031429. 354106706031439/357809266031437. 354106706031546/357809266031544. 354106706031553/357809266031551. 3541067060315
61/357809266031569. 354106706031587/357809266031585. 354106706031595/357809266031593. 354106706031611/357809266031619. 3541067060
31637/357809266031635. 354106706031660/357809266031668. 354106706031678/357809266031676. 354106706031694/357809266031692. 3541067
06031702/357809266031700. 354106706031769/357809266031767. 354106706031777/357809266031775.354106706031785/357809266031783. 35410
6706031801/357809266031809. 354106706031819/357809266031817. 354106706031835/357809266031833. 354106706031843/357809266031841. 35
4106706031850/357809266031858. 354106706031868/357809266031866. 354106706031876/357809266031874. 354106706031884/357809266031882.
354106706031892/357809266031890. 354106706031900/357809266031908. 354106706031918/357809266031916. 354106706031975/3578092660319
73. 354106706031983/357809266031981. 354106706032007/357809266032005. 354106706032023/357809266032021. 354106706032049/3578092660
32047. 354106706032056/357809266032054. 354106706032072/357809266032070. 354106706032106/357809266032104. 354106706032130/3578092
66032138. 354106706032148/357809266032146. 354106706032163/357809266032161. 354106706032171/357809266032179. 354106706032189/3578
09266032187. 354106706032197/357809266032195. 354106706032205/357809266032203. 354106706032213/357809266032211. 354106706032254/3
57809266032252. 354106706032288/357809266032286. 354106706032296/357809266032294. 354106706032304/357809266032302. 35410670603231
2/357809266032310. 354106706032320/357809266032328. 354106706032338/357809266032336. 354106706032346/357809266032344. 35410670603
2353/357809266032351. 354106706032361/357809266032369. 354106706032379/357809266032377. 354106706032395/357809266032393. 35410670
6032403/357809266032401. 354106706032437/357809266032435. 354106706032452/357809266032450. 354106706032460/357809266032468. 35410
6706032486/357809266032484. 354106706032494/357809266032492. 354106706032502/357809266032500. 354106706032510/357809266032518. 35
4106706032528/357809266032526. 354106706032544/357809266032542. 354106706032551/357809266032559. 354106706032569/357809266032567.
354106706032577/357809266032575.354106706032585/357809266032583. 354106706032593/357809266032591. 354106706032601/35780926603260
9. 354106706032619/357809266032617. 354106706032627/357809266032625. 354106706032635/357809266032633. 354106706032643/35780926603
2641. 354106706032650/357809266032658. 354106706032668/357809266032666. 354106706032684/357809266032682. 354106706032692/35780926
6032690. 354106706032700/357809266032708. 354106706032734/357809266032732. 354106706032759/357809266032757. 354106706032767/35780
9266032765. 354106706032783/357809266032781. 354106706032791/357809266032799.354106706032809/357809266032807. 354106706032817/357
809266032815. 354106706032825/357809266032823. 354106706032833/357809266032831. 354106706032874/357809266032872. 354106706032957/
357809266032955. 354106706032973/357809266032971. 354106706033013/357809266033011. 354106706033047/357809266033045. 3541067060330
88/357809266033086. 354106706033138/357809266033136. 354106706033146/357809266033144. 354106706033187/357809266033185. 3541067060
33203/357809266033201. 354106706033310/357809266033318. 354106706033336/357809266033334. 354106706033351/357809266033359. 3541067
06033377/357809266033375. 354106706033419/357809266033417. 354106706033427/357809266033425. 354106706033484/357809266033482. 3541
06706033559/357809266033557. 354106706033583/357809266033581. 354106706033625/357809266033623. 354106706033641/357809266033649. 3
54106706033674/357809266033672. 354106706033732/357809266033730. 354106706033781/357809266033789. 354106706033864/357809266033862
. 354106706033971/357809266033979. 354106706034003/357809266034001. 354106706034029/357809266034027. 354106706034078/357809266034
076. 354106706034086/357809266034084. 354106706034110/357809266034118. 354106706034144/357809266034142. 354106706034151/357809266
034159. 354106706034169/357809266034167. 354106706034300/357809266034308. 354106706034318/357809266034316. 354106706034334/357809
266034332. 354106706034342/357809266034340. 354106706034490/357809266034498. 354106706034516/357809266034514. 354106706034532/357
809266034530. 354106706034540/357809266034548. 354106706034557/357809266034555. 354106706034565/357809266034563. 354106706034573/
357809266034571. 354106706034581/357809266034589. 354106706034615/357809266034613. 354106706034698/357809266034696. 3541067060347
14/357809266034712.354106706034771/357809266034779. 354106706034847/357809266034845. 354106706035117/357809266035115. 35410670603
5141/357809266035149. 354106706035315/357809266035313. 354106706035323/357809266035321. 354106706035331/357809266035339. 35410670
6035398/357809266035396. 354106706035646/357809266035644. 354106706035851/357809266035859. 354106706036099/357809266036097. 35410
6706036172/357809266036170. 354106706036180/357809266036188. 354106706036206/357809266036204. 354106706036214/357809266036212. 35
032024001593392-8
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001593392-8
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
4106706036248/357809266036246. 354106706036255/357809266036253.354106706036289/357809266036287. 354106706036479/357809266036477.
354106706036487/357809266036485. 354106706036594/357809266036592. 354106706036644/357809266036642. 354106706036677/35780926603667
5. 354106706036883/357809266036881. 354106706037022/357809266037020. 354106706037055/357809266037053XXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001593392-8
Espacio para uso exclusivo de la Entidad Recaudadora
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