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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
032024001633700-6
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. 116575015009955
43 . Año – Mes – Día
2024 – 11 – 23
44 . Documento de transporte
No. 45T0357129
45 . Año – Mes – Día
2024 – 11 – 16
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
9103034917
52 . Año – Mes – Día
2024 – 11 – 16
53 . Cod. país
procedencia
855
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.
4.475.57
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
855
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.
156.50
72 . Peso neto kgs. dcms.
120.00
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
500.00
78 .Valor FOB
USD
46.618.71
79 . Valor fletes USD
1.768.43 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
216.570.505
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
216.570.505
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
2.34
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.770.77
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
48.389.48
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: 538722-DECL: 1860612-DO: 893127918241- 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: 3078057983. ID DELIVE
RY: 6079074206. MERCANCIA MARCA: SAMSUNGREFERENCIA: SM-A155MLBILTC, PRODUCTO: TELEFONO CELULAR GALAXY A15 5G DUOS, (CON ACCESORIO
S PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL CLARO, MODELO: SM-A155M/DSN, USO O DESTINO: PARA LA VENTA (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
032024001633700
133. Feha: 202411 21
134 . Levante No. 032024001550225 135 . Fecha
2024 – 11 – 25
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 92032408723509
Fecha presentación 2024-11-21 20:54:59
Valor pagado $0.00
Fecha de Impresión: 2024-11-25 17:54:04
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001633700-6
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
AL MAYOR Y ALDETAL/ /MOBILE,SM-A155M/DSN,LIGHT BLUE,LTC( QTY. 500,00 u )(500,00 PCE); IMEIS: 355170561449333/355533001449330. 355
170561449341/355533001449348. 355170561449358/355533001449355. 355170561449366/355533001449363. 355170561449374/355533001449371.
355170561449382/355533001449389. 355170561449408/355533001449405. 355170561449457/355533001449454. 355170561449473/35553300144947
0. 355170561449481/355533001449488. 355170561449507/355533001449504. 355170561449515/355533001449512. 355170561449531/35553300144
9538. 355170561449549/355533001449546. 355170561449556/355533001449553. 355170561449572/355533001449579. 355170561449580/35553300
1449587. 355170561449606/355533001449603. 355170561449614/355533001449611. 355170561449630/355533001449637. 355170561449648/35553
3001449645. 355170561449655/355533001449652. 355170561449663/355533001449660. 355170561449671/355533001449678. 355170561449689/35
5533001449686. 355170561449721/355533001449728. 355170561449739/355533001449736. 355170561 449747/355533001449744. 35517056144975
4/355533001449751. 355170561449762/355533001449769. 355170561449770/355533001449777. 355170561449812/355533001449819. 35517056144
9838/355533001449835. 355170561449853/355533001449850. 355170561449861/355533001449868. 355170561449929/355533001449926. 35517056
1449937/355533001449934. 355170561449952/355533001449959. 355170561449986/355533001449983. 355170561449994/355533001449991.355170
561450026/355533001450023. 355170561450034/355533001450031. 355170561450059/355533001450056. 355170561450331/355533001450338. 355
170561450364/355533001450361. 355170561450372/355533001450379. 355170561450398/355533001450395. 355170561450414/355533001450411.
355170561450463/355533001450460. 355170561450489/355533001450486. 355170561450497/355533001450494. 355170561450547/35553300145054
4. 355170561450554/355533001450551. 355170561450562/355533001450569. 355170561450570/355533001450577. 355170561450604/35553300145
0601. 355170561450620/355533001450627.355170561450646/355533001450643. 355170561450687/355533001450684. 355170561450703/355533001
450700. 355170561450752/355533001450759. 355170561450786/355533001450783. 355170561450802/355533001450809. 355170561450810/355533
001450817. 355170561450828/355533001450825. 355170561450844/355533001450841. 355170561450851/355533001450858. 355170561450885/355
533001450882. 355170561450893/355533001450890. 355170561450919/355533001450916. 355170561450968/355533001450965. 355170561450976/
355533001450973. 355170561450984/355533001450981. 355170561450992/355533001450999. 355170561451024/355533001451021. 3551705614510
32/355533001451039. 355170561451040/355533001451047. 355170561451065/355533001451062. 355170561451073/355533001451070. 3551705614
51107/355533001451104. 355170561451123/355533001451120. 355170561451131/355533001451138. 355170561451156/355533001451153. 3551705
61451172/355533001451179. 355170561451255/355533001451252. 355170561451305/355533001451302. 355170561451396/355533001451393. 3551
70561451404/355533001451401. 355170561451420/355533001451427. 355170561451438/355533001451435. 355170561451453/355533001451450. 3
55170561451461/355533001451468. 355170561451479/355533001451476. 355170561451495/355533001451492. 355170561451503/355533001451500
. 355170561451537/355533001451534. 355170561451602/355533001451609. 355170561451628/355533001451625. 355170561451644/355533001451
641. 355170561451669/355533001451666. 355170561451677/355533001451674. 355170561451685/355533001451682. 355170561451768/355533001
451765. 355170561451776/355533001451773. 355170561451784/355533001451781. 355170561451800/355533001451807. 355170561451818/355533
001451815. 355170561451826/355533001451823. 355170561451917/355533001451914. 355170561451933/355533001451930.355170561451958/3555
33001451955. 355170561451966/355533001451963. 355170561451982/355533001451989. 355170561451990/355533001451997. 355170561452030/3
55533001452037. 355170561452063/355533001452060. 355170561452089/355533001452086. 355170561452121/355533001452128. 35517056145216
2/355533001452169. 355170561452170/355533001452177. 355170561452196/355533001452193. 355170561452204/355533001452201. 35517056145
2212/355533001452219. 355170561452238/355533001452235. 355170561452246/355533001452243. 355170561452253/355533001452250. 35517056
1452279/355533001452276.355170561452287/355533001452284. 355170561452295/355533001452292. 355170561452303/355533001452300. 355170
561452345/355533001452342. 355170561452352/355533001452359. 355170561452402/355533001452409. 355170561452410/355533001452417. 355
170561452428/355533001452425. 355170561452436/355533001452433. 355170561452444/355533001452441. 355170561452469/355533001452466.
355170561452485/355533001452482. 355170561452493/355533001452490. 355170561452501/355533001452508. 355170561452519/35553300145251
6. 355170561452527/355533001452524. 355170561452535/355533001452532. 355170561452543/355533001452540. 355170561452550/35553300145
2557. 355170561452584/355533001452581. 355170561452592/355533001452599. 355170561452600/355533001452607. 355170561452618/35553300
1452615. 355170561452626/355533001452623. 355170561452642/355533001452649. 355170561452667/355533001452664. 355170561452675/35553
3001452672. 355170561452683/355533001452680. 355170561452717/355533001452714. 355170561452733/355533001452730. 355170561452741/35
5533001452748. 355170561452758/355533001452755. 355170561452766/355533001452763. 355170561452774/355533001452771. 355170561452782
/355533001452789. 355170561452790/355533001452797. 355170561452816/355533001452813. 355170561452824/355533001452821. 355170561452
832/355533001452839. 355170561452840/355533001452847. 355170561452857/355533001452854. 355170561452881/355533001452888. 355170561
452899/355533001452896. 355170561452907/355533001452904. 355170561452956/355533001452953. 355170561452998/355533001452995. 355170
561453004/355533001453001. 355170561453012/355533001453019. 355170561453020/355533001453027. 355170561453038/355533001453035. 355
170561453046/355533001453043. 355170561453079/355533001453076. 355170561453095/355533001453092.355170561453103/355533001453100. 3
55170561453129/355533001453126. 355170561453145/355533001453142. 355170561453160/355533001453167. 355170561453178/355533001453175
. 355170561453228/355533001453225. 355170561453269/355533001453266. 355170561453277/355533001453274. 355170561453285/355533001453
282. 355170561453293/355533001453290. 355170561453376/355533001453373. 355170561453384/355533001453381. 355170561453418/355533001
453415. 355170561453459/355533001453456. 355170561453467/355533001453464. 355170561453475/355533001453472. 355170561453491/355533
001453498.355170561453517/355533001453514. 355170561453541/355533001453548. 355170561453582/355533001453589. 355170561453616/3555
33001453613. 355170561453640/355533001453647. 355170561453665/355533001453662. 355170561453673/355533001453670. 355170561453681/3
55533001453688. 355170561453699/355533001453696. 355170561453731/355533001453738. 355170561453749/355533001453746. 35517056145377
2/355533001453779. 355170561453798/355533001453795. 355170561453806/355533001453803. 355170561453822/355533001453829. 35517056145
3848/355533001453845. 355170561453863/355533001453860. 355170561453897/355533001453894. 355170561453905/355533001453902. 35517056
1453954/355533001453951. 355170561453996/355533001453993. 355170561454044/355533001454041. 355170561454085/355533001454082. 35517
0561454093/355533001454090. 355170561454101/355533001454108. 355170561454119/355533001454116. 355170561454135/355533001454132. 35
5170561454143/355533001454140. 355170561454168/355533001454165. 355170561454176/355533001454173. 355170561454192/355533001454199.
355170561454218/355533001454215. 355170561454226/355533001454223. 355170561454234/355533001454231. 355170561454242/3555330014542
49. 355170561454259/355533001454256. 355170561454267/355533001454264. 355170561454275/355533001454272. 355170561454283/3555330014
54280. 355170561454291/355533001454298. 355170561454341/355533001454348. 355170561454358/355533001454355. 355170561454366/3555330
01454363. 355170561454374/355533001454371. 355170561454382/355533001454389. 355170561454390/355533001454397. 355170561454408/3555
33001454405. 355170561454432/355533001454439. 355170561454440/355533001454447. 355170561454457/355533001454454. 355170561454465/3
55533001454462. 355170561454499/355533001454496. 355170561454515/355533001454512.355170561454572/355533001454579. 355170561454614
/355533001454611. 355170561454622/355533001454629. 355170561454630/355533001454637. 355170561454655/355533001454652. 355170561454
671/355533001454678. 355170561454689/355533001454686. 355170561455124/355533001455121. 355170561455132/355533001455139. 355170561
455140/355533001455147. 355170561455207/355533001455204. 355170561455215/355533001455212. 355170561455223/355533001455220. 355170
561455231/355533001455238. 355170561455249/355533001455246. 355170561455264/355533001455261. 355170561455272/355533001455279.3551
70561455306/355533001455303. 355170561455314/355533001455311. 355170561455355/355533001455352. 355170561456411/355533001456418. 3
55170561456437/355533001456434. 355170561456445/355533001456442. 355170561456452/355533001456459. 355170561456486/355533001456483
. 355170561456502/355533001456509. 355170561456536/355533001456533. 355170561456551/355533001456558. 355170561456577/355533001456
574. 355170561456585/355533001456582. 355170561456593/355533001456590. 355170561456601/355533001456608. 355170561456635/355533001
456632. 355170561456668/355533001456665. 355170561456684/355533001456681. 355170561456692/355533001456699. 355170561456726/355533
001456723. 355170561456734/355533001456731. 355170561456775/355533001456772. 355170561456825/355533001456822. 355170561456841/355
032024001633700-6
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001633700-6
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
533001456848. 355170561456882/355533001456889. 355170561456890/355533001456897. 355170561456916/355533001456913. 355170561456924/
355533001456921. 355170561456932/355533001456939. 355170561456940/355533001456947. 355170561456957/355533001456954. 3551705614569
65/355533001456962. 355170561457005/355533001457002. 355170561457013/355533001457010. 355170561457039/355533001457036. 3551705614
57047/355533001457044. 355170561457054/355533001457051. 355170561457070/355533001457077. 355170561457104/355533001457101. 3551705
61457120/355533001457127. 355170561457179/355533001457176. 355170561457195/355533001457192. 355170561457211/355533001457218. 3551
70561457229/355533001457226. 355170561457237/355533001457234. 355170561457245/355533001457242. 355170561457252/355533001457259. 3
55170561457278/355533001457275. 355170561457294/355533001457291. 355170561457310/355533001457317. 355170561457328/355533001457325
. 355170561457336/355533001457333. 355170561457385/355533001457382.355170561455363/355533001455360. 355170561455371/3555330014553
78. 355170561455389/355533001455386. 355170561455413/355533001455410. 355170561455421/355533001455428. 355170561455447/3555330014
55444. 355170561455470/355533001455477. 355170561455488/355533001455485. 355170561455496/355533001455493. 355170561455538/3555330
01455535. 355170561455553/355533001455550. 355170561455579/355533001455576. 355170561455587/355533001455584. 355170561455595/3555
33001455592. 355170561455611/355533001455618. 355170561455629/355533001455626. 355170561455637/355533001455634.355170561455645/35
5533001455642. 355170561455652/355533001455659. 355170561455678/355533001455675. 355170561455686/355533001455683. 355170561455900
/355533001455907. 355170561455918/355533001455915. 355170561455934/355533001455931. 355170561456106/355533001456103. 355170561456
114/355533001456111. 355170561456122/355533001456129. 355170561456130/355533001456137. 355170561456155/355533001456152. 355170561
456163/355533001456160. 355170561456189/355533001456186. 355170561456197/355533001456194. 355170561456205/355533001456202. 355170
561456221/355533001456228. 355170561456239/355533001456236. 355170561456254/355533001456251. 355170561456262/355533001456269. 355
170561456296/355533001456293. 355170561456312/355533001456319. 355170561456320/355533001456327. 355170561456338/355533001456335.
355170561456346/355533001456343. 355170561456353/355533001456350. 355170561456387/355533001456384. 355170561456403/35553300145640
0. 355170561267842/355533001267849. 355170561284714/355533001284711. 355170561287816/355533001287813. 355170561287840/35553300128
7847. 355170561287857/355533001287854. 355170561287865/355533001287862. 355170561287873/355533001287870. 355170561287881/35553300
1287888. 355170561287899/355533001287896. 355170561287907/355533001287904. 355170561287915/355533001287912. 355170561287923/35553
3001287920. 355170561287980/355533001287987. 355170561287998/355533001287995. 355170561288707/355533001288704. 355170561288723/35
5533001288720. 355170561288749/355533001288746. 355170561288764/355533001288761. 355170561288772/355533001288779. 355170561288814
/355533001288811. 355170561288848/355533001288845. 355170561288855/355533001288852. 355170561288863/355533001288860. 355170561288
871/355533001288878. 355170561288897/355533001288894.355170561288905/355533001288902. 355170561288921/355533001288928. 3551705612
88939/355533001288936. 355170561288947/355533001288944. 355170561288954/355533001288951. 355170561288962/355533001288969. 3551705
61288970/355533001288977. 355170561288988/355533001288985. 355170561288996/355533001288993. 355170561289002/355533001289009. 3551
70561289028/355533001289025. 355170561289101/355533001289108. 355170561289119/355533001289116. 355170561289143/355533001289140. 3
55170561289168/355533001289165. 355170561289176/355533001289173. 355170561289184/355533001289181.355170561289192/355533001289199.
355170561289200/355533001289207. 355170561290042/355533001290049. 355170561292006/355533001292003. 355170561295314/3555330012953
11. 355170561296619/355533001296616. 355170561299118/355533001299115. 355170561302219/355533001302216. 355170561307325/3555330013
07322. 355170561311624/355533001311621. 355170561375678/355533001375675. 355170561397375/355533001397372. 355170561398423/3555330
01398420. 355170561402571/355533001402578. 355170561402860/355533001402867. 355170561402894/355533001402891. 355170561402910/3555
33001402917. 355170561402951/355533001402958. 355170561402977/355533001402974. 355170561402985/355533001402982. 355170561402993/3
55533001402990. 355170561403017/355533001403014. 355170561403025/355533001403022. 355170561403041/355533001403048. 35517056140310
8/355533001403105. 355170561403116/355533001403113. 355170561403132/355533001403139. 355170561403173/355533001403170. 35517056140
3181/355533001403188. 355170561403199/355533001403196. 355170561403215/355533001403212. 355170561403223/355533001403220. 35517056
1403249/355533001403246. 355170561403256/355533001403253. 355170561403280/355533001403287. 355170561403298/355533001403295. 35517
0561403306/355533001403303. 355170561403314/355533001403311. 355170561403322/355533001403329. 355170561403348/355533001403345. 35
5170561403355/355533001403352. 355170561403371/355533001403378. 355170561403389/355533001403386. 355170561403397/355533001403394.
355170561403405/355533001403402. 355170561403413/355533001403410. 355170561403421/355533001403428. 355170561403439/3555330014034
36. 355170561403462/355533001403469. 355170561411655/355533001411652. 355170561411671/355533001411678. 355170561411697/3555330014
11694. 355170561412315/355533001412312.355170561413578/355533001413575. 355170561413784/355533001413781. 355170561413933/35553300
1413930. 355170561420680/355533001420687. 355170561424401/355533001424408. 355170561425127/355533001425124. 355170561425143/35553
3001425140. 355170561425150/355533001425157. 355170561425218/355533001425215. 355170561425226/355533001425223. 355170561425234/35
5533001425231. 355170561425259/355533001425256. 355170561448806/355533001448803. 355170561448814/355533001448811. 355170561448822
/355533001448829. 355170561448830/355533001448837. 355170561448848/355533001448845.355170561448855/355533001448852. 3551705614488
63/355533001448860. 355170561448871/355533001448878. 355170561448889/355533001448886. 355170561448897/355533001448894. 3551705614
48905/355533001448902. 355170561448939/355533001448936. 355170561448947/355533001448944. 355170561448970/355533001448977. 3551705
61448988/355533001448985. 355170561448996/355533001448993. 355170561449002/355533001449009. 355170561449010/355533001449017. 3551
70561449028/355533001449025. 355170561449036/355533001449033. 355170561449044/355533001449041. 355170561449051/355533001449058. 3
55170561449069/355533001449066. 355170561449093/355533001449090. 355170561449119/355533001449116. 355170561449218/355533001449215
. 355170561449242/355533001449249. 355170561449267/355533001449264XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032024001633700-6
Espacio para uso exclusivo de la Entidad Recaudadora
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