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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
032024001713874-2
5 . Número de Identificación Tributaria (NIT)
901605292
6 . DV.
1
11 . Apellidos y nombres o Razón Social
CROWN COLOMBIANA INT SAS
13 . Dirección
CL 26 NORTE 5 A N 50 OF 108
15 . Teléfono
3042271239
12 . Cód. Admón.
03
16 . Cód. Dpto
76
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
804015975
25 . DV.
8
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS ARNEL SAS NIVEL 2
27 . Tipo usuario
26
28 . Cód. usuario
570
29 . Número documento de identificación
79452773
30 . Apellidos y nombres
PULIDO MELO FABIO ENRIQUE
31 . Clase
Importador
02
32 . Tipo declaración
Inicial
33 . Cod.
1
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
4801
42 . Manifiesto de carga
No. 116575015042648
43 . Año – Mes – Día
2024 – 12 – 04
44 . Documento de transporte
No. 369-93038643
45 . Año – Mes – Día
2024 – 12 – 02
46 . Nombre exportador o proveedor en el exterior
AMERICARGO EXPRESS INC
47 . Ciudad
MIAMI
48 . Cod.País Exportador
249
49 . Dirección exportador o proveedor en el exterior
1105 E PICO BLVD LOS ANGELES CA 90021
50 . E-mail
1-213-6233312
51 . No. de factura
4510
52 . Año – Mes – Día
2024 – 11 – 29
53 . Cod. país
procedencia
249
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
249
56 . Cod. Depto
destino
11
57 . Empresa transportadora
ATLAS AIR INC SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.406.16
S59 . Subpartida arancelaria
8517130000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C101
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
05
69 . Tipo de
importación
01
70 . Cod. país
compra
249
71 . Peso bruto kgs. dcms.
504.00
72 . Peso neto kgs. dcms.
478.80
73 . Código
embalaje
CT
74 . No. bultos
12
75 . Subpartidas
2
76 . Cod. unidad
comercial
u
77 . Cantidad dcms.
980.00
78 .Valor FOB USD
110.160.00
79 . Valor fletes USD
230.55 Concepto % Base Total Liquidado ($)
Total a pagar con esta
declaración ($)
Total Liquidado
(USD)
Arancel
92
0.00
93
486.530.611
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
486.530.611
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
30.00
81 . Valor Otros Gastos USD
0
82 . Sumatoria de fletes, seguros
y otros gastos USD
260.55
83 . Ajuste valor USD
0.00
84 . Valor aduana USD
110.420.55
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)
DOARNEL9792/24, DIM 2/2, MERCANCIA NUEVA, MERCANCIA EXCLUIDA DE IVA DE ACUERDOCON EL NUMERAL 06 DEL ARTICULO 424 DEL ESTATUTO TRI
BUTARIO//NOS ACOGEMOS ALDECRETO 0925 DE MAYO 9 DE 2013, MERCANCIA EXCENTA DE REGISTRO DEIMPORTACION.///DOCUMENTO VERIFICACION IME
I No. DV-220141 DECRETO 2025 DEOCTUBRE16 DE 2015/DECRETO 2142 DE DICIEMBRE 23 DE 2016, FECHA DE EMISION2024/12/03, REFERENCIA DE
PROCESO IME-125.1_428028, CARTAS DE HOMOLOGACIONNo.CRC2023523564 DE FECHA 24/10/2023, CRC2024523502 DE FECHA 29/07/2024,CRC202352
5543 DE FECHA 17/11/2023.///CANTIDAD 180 UND, P.O CHINA, PRODUCTO.TELEFONOS CELULARES INTELIGENTES, MARCA. TECNO, MODELO. KJ5, RE
FERENCIA. TECNOSPARK 20 KJ5 8GB 256GB GRAVITY BLACK/ CYBER WHITE/ MAGIC SKIN BLUE, USO ODESTINO. COMUNICACI(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
032024001713874
133. Feha: 2024 12 06
134 . Levante No. 032024001633725 135 . Fecha
2024 – 12 – 06
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 92032409130225
Fecha presentación 2024-12-06 09:26:47
Valor pagado $0.00
Fecha de Impresión: 2024-12-06 09:44:00
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032024001713874-2
Subpartida : 8517130000
Página 1 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ÓNTELEFONICA MOVIL IMEIS. 356170184135946,356170184135953/356170184139989,356170184139997/356170184141563,356170184141571/3561701
84142488,356170184142496/356170184143544,356170184143551/356170184173285,356170184173293/356170184173327,356170184173335/35617018
4173483,356170184173491/356170184173566,356170184173574/356170184174085,356170184174093/356170184174168,356170184174176/356170184
174325,356170184174333/356170184174366,356170184174374/356170184174408,356170184174416/356170184174440,356170184174457/3561701841
74465,356170184174473/356170184174523,356170184174531/356170184174564,356170184174572/356170184174606,356170184174614/35617018417
4648,356170184174655/356170184174689,356170184174697/356170184174721,356170184174739/356170184174788,356170184174796/356170184174
820,356170184174838/356170184174861,356170184174879/356170184174903,356170184174911/356170184174945,356170184174952/3561701841749
60,356170184174978/356170184174986,356170184174994/356170184175140,356170184175157/356170184061985,356170184061993/35617018406250
4,356170184062512/356170184062603,356170184062611/356170184062769,356170184062777/356170184063882,356170184063890/356170184063908
,356170184063916/356170184081223,356170184081231/356170184081322,356170184081330/356170184082601,356170184082619/356170184082627,
356170184082635/356170184082643,356170184082650/356170184082668,356170184082676/356170184082684,356170184082692/356170184082700,3
56170184082718/356170184083088,356170184083096/356170184083104,356170184083112/356170184083187,356170184083195/356170184083302,35
6170184083310/356170184083328,356170184083336/356170184083344,356170184083351/356170184083369,356170184083377/356170184083500,356
170184083518/356170184083526,356170184083534/356170184083542,356170184083559/356170184083641,356170184083658/356170184083666,3561
70184083674/356170184083724,356170184083732/356170184083740,356170184083757/356170184083765,356170184083773/356170184083807,35617
0184083815/356170184870781,356170184870799/356170184883362,356170184883370/356170184883628,356170184883636/356170184884568,356170
184884576/356170184885227,356170184885235/356170184889229,356170184889237/356170184903707,356170184903715/356170184911825,3561701
84911833/356170184916667,356170184916675/356170184916964,356170184916972/356170184917004,356170184917012/356170184918226,35617018
4918234/356170184918267,356170184918275/356170184918523,356170184918531/356170184921402,356170184921410/356170184921980,356170184
921998/356170184922541,356170184922558/356170184922723,356170184922731/356170184922889,356170184922897/356170184923622,3561701849
23630/356170184925924,356170184925932/356170186930302,356170186930310/356170186930526,356170186930534/356170186930948,35617018693
0955/356170186931524,356170186931532/356170186942125,356170186942133/356170186950763,356170186950771/356170186951407,356170186951
415/356170186951985,356170186951993/356170186952363,356170186952371/356170184913946,356170184913953/356170184914126,3561701849141
34/356170184914142,356170184914159/356170184914183,356170184914191/356170184914266,356170184914274/356170184914282,35617018491429
0/356170184914324,356170184914332/356170184914365,356170184914373/356170186932688,356170186932696/356170186937208,356170186937216
/356170186937307,356170186937315/356170186939345,356170186939352/356170186940582,356170186940590/356170186943560,356170186943578/
356170186943602,356170186943610/356170186944121,356170186944139/356170186944261,356170186944279/356170186944287,356170186944295/3
56170186944329,356170186944337/356170186944360,356170186944378/356170186944386,356170186944394/356170186944428,356170186944436/35
6170186944469,356170186944477/356170186944501,356170186944519/356170186944527,356170186944535/356170186944907,356170186944915/356
170186945045,356170186945052/356170186945086,356170186945094/356170186945144,356170186945151/356170186945185,356170186945193/3561
70184658947,356170184658954/356170184660448,356170184660455/356170184661040,356170184661057/356170184663145,356170184663152/35617
0184672864,356170184672872/356170184678309,356170184678317/356170184679588,356170184679596/356170184689009,356170184689017/356170
184689082,356170184689090/356170184689207,356170184689215/356170184689280,356170184689298/356170184689421,356170184689439/3561701
84689504,356170184689512/356170184689546,356170184689553/356170184689587,356170184689595/356170184689785,356170184689793/35617018
4689983,356170184689991/356170184690148,356170184690155/356170184690205,356170184690213/356170184690320,356170184690338/356170184
690387,356170184690395/356170184690403,356170184690411/356170184691708,356170184691716/356170184702885,356170184702893/3561701847
07942,356170184707959/356170184712504,356170184712512/356170184713080,356170184713098/356170184721307,356170184721315/35617018472
1448,356170184721455/356170184721521,356170184721539/356170184660265,356170184660273/356170184660547,356170184660554/356170184660
646,356170184660653/356170184661164,356170184661172/356170184661586,356170184661594/356170184661628,356170184661636/3561701846618
42,356170184661859/356170184667369,356170184667377/356170184688225,356170184688233/356170184696160,356170184696178/35617018470598
7,356170184705995/356170184708965,356170184708973/356170184709120,356170184709138/356170184709161,356170184709179/356170184709823
,356170184709831/356170184709906,356170184709914/356170184709922,356170184709930/356170184710045,356170184710052/356170184710060,
356170184710078/356170184710169,356170184710177/356170184710227,356170184710235/356170184711167,356170184711175/356170184711241,3
56170184711258/356170184711266,356170184711274/356170184711365,356170184711373/356170184711464,356170184711472/356170184711480,35
6170184711498/356170184712926,356170184712934/356170184713163,356170184713171/356170184713205,356170184713213///CANTIDAD 300 UND,
P.O CHINA, PRODUCTO.TELEFONOS CELULARES INTELIGENTES, MARCA. REDMI, MODELO. 23129RA5FL,REFERENCIA. REDMI NOTE 13 8GB 512GB MIDNI
GHT BLACK, USO O DESTINO.COMUNICACIÓNTELEFONICA MOVIL IMEIS. 868796077527848,868796077527855/868796077529661,868796077529679/8687
96077531303,868796077531311/868796077520744,868796077520751/868796077593089,868796077593097/868796077611089,868796077611097/86879
6077595829,868796077595837/868796077569949,868796077569956/868796077606360,868796077606378/868796077591604,868796077591612/868796
077594889,868796077594897/868796077530529,868796077530537/868796077541906,868796077541914/868796077520124,868796077520132/8687960
77519886,868796077519894/868796077582421,868796077582439/868796077528044,868796077528051/868796077528465,868796077528473/86879607
7610149,868796077610156/868796077519068,868796077519076/868796077602542,868796077602559/868796077530966,868796077530974/868796077
607806,868796077607814/868796077607368,868796077607376/868796077603201,868796077603219/868796077579401,868796077579419/8687960776
02823,868796077602831/868796077592941,868796077592958/868796077597866,868796077597874/868796077597205,868796077597213/86879607755
5021,868796077555039/868796077584401,868796077584419/868796077597262,868796077597270/868796077572042,868796077572059/868796077601
601,868796077601619/868796072783180,868796072783198/868796077564569,868796077564577/868796077603805,868796077603813/8687960775524
65,868796077552473/862281070734044,862281070734051/868796077590044,868796077590051/868796072818507,868796072818515/86879607279654
7,868796072796554/868796077604985,868796077604993/868796077558785,868796077558793/868796077564189,868796077564197/868796077573867
,868796077573875/868796077552887,868796077552895/868796077563785,868796077563793/868796077524464,868796077524472/868796077565509,
868796077565517/868796077576886,868796077576894/868796077545444,868796077545451/868796077583981,868796077583999/868796077584021,8
68796077584039/868796077598120,868796077598138/868796077562944,868796077562951/868796077559700,868796077559718/868796077527640,86
8796077527657/868796077603664,868796077603672/868796077590200,868796077590218/868796077532145,868796077532152/868796077582041,868
796077582058/868796077584724,868796077584732/868796077556623,868796077556631/868796077537722,868796077537730/868796077568065,8687
96077568073/868796077558405,868796077558413/868796077580201,868796077580219/868796077544363,868796077544371/868796077582884,86879
6077582892/868796077548505,868796077548513/868796077546707,868796077546715/868796077574923,868796077574931/868796077554321,868796
077554339/868796077547085,868796077547093/868796077546608,868796077546616/868796077550303,868796077550311/868796077560807,8687960
77560815/868796077558165,868796077558173/868796077582645,868796077582652/868796077542920,868796077542938/868796077565285,86879607
7565293/868796077548729,868796077548737/868796077546822,868796077546830/868796077560666,868796077560674/868796077571481,868796077
571499/868796077552564,868796077552572/868796077558629,868796077558637/868796077536963,868796077536971/868796077520140,8687960775
20157/868796077558660,868796077558678/868796077597528,868796077597536/868796077588626,868796077588634/868796077545469,86879607754
5477/868796077561425,868796077561433/868796077551624,868796077551632/868796077561920,868796077561938/868796077541229,868796077541
237/868796077543589,868796077543597/868796077568628,868796077568636/868796077557506,868796077557514/868796077542987,8687960775429
95/868796077568701,868796077568719/868796077575086,868796077575094/868796077559502,868796077559510/868796077568008,86879607756801
6/868796077563405,868796077563413/868796077582124,868796077582132/868796077573461,868796077573479/868796077572448,868796077572455
/868796077584427,868796077584435/868796077598161,868796077598179/868796077568222,868796077568230/868796077552101,868796077552119/
032024001713874-2
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032024001713874-2
Subpartida : 8517130000
Página 2 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
868796077549248,868796077549255/868796077552762,868796077552770/868796077555260,868796077555278/868796077522286,868796077522294/8
68796077519423,868796077519431/868796077523169,868796077523177/868796077602724,868796077602732/868796077607442,868796077607459/86
8796077558504,868796077558512/868796077547549,868796077547556/868796077594004,868796077594012/868796077585341,868796077585358/868
796077559221,868796077559239/868796077563827,868796077563835/868796077552986,868796077552994/868796077559288,868796077559296/8687
96077561144,868796077561151/868796077573446,868796077573453/868796077570343,868796077570350/868796077573347,868796077573354/86879
6077538068,868796077538076/868796077571184,868796077571192/868796077567364,868796077567372/868796077547101,868796077547119/868796
077527129,868796077527137/868796077556664,868796077556672/868796077608283,868796077608291/868796077558181,868796077558199/8687960
77554743,868796077554750/868796077551665,868796077551673/868796077542185,868796077542193/868796077555641,868796077555658/86879607
7566523,868796077566531/868796077573586,868796077573594/868796077534901,868796077534919/868796077546301,868796077546319/868796077
579724,868796077579732/868796077580607,868796077580615/868796077566986,868796077566994/868796077547267,868796077547275/8687960775
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UND, P.O CHINA, PRODUCTO.TELEFONOS CELULARES INTELIGENTES, MARCA. REDMI, MODELO. 2409BRN2CL,REFERENCIA. REDMI 14C 4GB 256GB MIDN
IGHT BLACK/ STARRY BLUE, USO O DESTINO.COMUNICACIÓNTELEFONICA MOVIL IMEIS. 867070073503802,867070073503810/867070073498862,867070
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032024001713874-2
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
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Importación
Aceptación : 032024001713874-2
Subpartida : 8517130000
Página 3 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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602074727472/860602074744048,860602074744055/860602074744329,860602074744337/860602074744584,860602074744592/860602074708563,8606
02074708571/860602074758022,860602074758030/860602074708084,860602074708092/860602074724925,860602074724933/860602074725369,86060
2074725377/860602074742786,860602074742794/860602074752280,860602074752298/860602074708860,860602074708878/860602074709223,860602
074709231/860602074720907,860602074720915/860602074705163,860602074705171/860602074760382,860602074760390/860602074721624,8606020
74721632/860602074738529,860602074738537/860602074738669,860602074738677/860602074693302,860602074693310/860602074710668,86060207
4710676/860602074719602,860602074719610/860602074719644,860602074719651/860602074744543,860602074744550/860602074699648,860602074
699655/860602074771504,860602074771512/860602074736002,860602074736010/860602074761109,860602074761117/860602074693328,8606020746
93336/860602074693427,860602074693435/860602074693468,860602074693476/860602074709645,860602074709652/860602074709827,86060207470
9835/860602074727068,860602074727076/860602074727225,860602074727233/860602074727241,860602074727258/860602074727449,860602074727
032024001713874-2
Espacio para uso exclusivo de la Entidad Recaudadora
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Aceptación : 032024001713874-2
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Página 4 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
456/860602074727605,860602074727613/860602074727720,860602074727738/860602074744386,860602074744394/860602074744642,8606020747446
59/860602074744683,860602074744691/860602074744824,860602074744832/860602074761349,860602074761356/860602074734601,86060207473461
9/860602074742182,860602074742190/860602074742281,860602074742299/860602074708605,860602074708613/860602074726342,860602074726359
/860602074726482,860602074726490/860602074726649,860602074726656/860602074742844,860602074742851/860602074742869,860602074742877/
860602074742885,860602074742893/860602074742901,860602074742919/860602074742968,860602074742976/860602074743040,860602074743057/8
60602074743149,860602074743156/860602074743305,860602074743313/860602074743362,860602074743370/860602074743529,860602074743537/86
0602074743560,860602074743578/860602074716749,860602074716756/860602074736309,860602074736317/860602074741929,860602074741937/860
602074759384,860602074759392/860602074737489,860602074737497/860602074726144,860602074726151/860602074726367,860602074726375/8606
02074760762,860602074760770/860602074761026,860602074761034/860602074727506,860602074727514/860602074727522,860602074727530/86060
2074727563,860602074727571/860602074744105,860602074744113/860602074744345,860602074744352/860602074744527,860602074744535/860602
074744568,860602074744576/860602074744709,860602074744717/860602074744725,860602074744733/860602074744766,860602074744774/8606020
74761182,860602074761190/860602074761208,860602074761216/860602074761281,860602074761299/860602074699465,860602074699473/86060207
4699564,860602074699572/860602074760127,860602074760135/860602074760267,860602074760275/860602074760580,860602074760598/860602074
760648,860602074760655/860602074760747,860602074760754/860602074760804,860602074760812/860602074760820,860602074760838/8606020747
60846,860602074760853/860602074760861,860602074760879/860602074760887,860602074760895/860602074760903,860602074760911/86060207476
0929,860602074760937/860602074760960,860602074760978/860602074760986,860602074760994/860602074761067,860602074761075/860602074692
809,860602074692817/860602074693229,860602074693237/860602074710148,860602074710155/860602074725344,860602074725351/8606020747417
62,860602074741770/860602074758980,860602074758998/860602074709249,860602074709256/860602074743461,860602074743479/86060207470150
1,860602074701519/860602074760440,860602074760457/860602074721962,860602074721970/860602074756083,860602074756091/860602074693187
,860602074693195/860602074739709,860602074739717/860602074710403,860602074710411/860602074756984,860602074756992/860602074727647,
860602074727654/860602074744626,860602074744634/860602074761968,860602074761976/860602074762040,860602074762057/860602074707128,8
60602074707136/860602074707284,860602074707292/860602074707466,860602074707474, CON TODOS SUS ACCESORIOS PARA SU NORMALFUNCIONAMI
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032024001713874-2
Espacio para uso exclusivo de la Entidad Recaudadora
