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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
0320240017197440
5 . Número de Identificación Tributaria (NIT) 6 . DV. 11 . Apellidos y nombres o Razón Social
13 . Dirección 15 . Teléfono 12 . Cód. Admón. 16 . Cód. Dpto 17 . Cód. Ciudad Municipio
24 . Número de Identificación Tributaria (NIT) 25 . DV. 26 . Razón social del declarante autorizado 27 . Tipo usuario 28 . Cód. usuario
29 . Número documento de identificación 30 . Apellidos y nombres
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
13101
42 . Manifiesto de carga
No. 116575015048101
43 . Año Mes
Día
2024 12
04
44 . Documento de transporte
No. 41N0688139
45 . Año Mes
Día
2024 11
28
46 . Nombre exportador o proveedor en el exterior 47 . Ciudad 48 . Cod.País Exportador
49 . Dirección exportador o proveedor en el exterior 50 . Email
51 . No. de factura
RY3IM2024112700119
52 . Año Mes
Día
2024 11
27
53 . Cod. país
procedencia
351
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.
4.406.16
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
244
71 . Peso bruto kgs. dcms.
603.00
72 . Peso neto kgs. dcms.
498.48
73 . Código
embalaje
YY
74 . No. bultos
2
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
1.200.00
78 .Valor FOB
USD
72.824.09
79 . Valor fletes USD
4.932.00 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
342.627.055
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
342.627.055
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
4.83
81 . Valor Otros Gastos USD
0
82 . Sumatoria
de fletes,
seguros
y otros gastos
USD
4.936.83
83 . Ajuste valor USD
0.00
84 . Valor
aduana USD
77.760.92
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)
DO BB7G0002605001
DECLARACION(11)
DOCUMENTO DE VERIFICACIÓN DE IMEI NO: DV220045
DEL 20241202..
FACTURA: RY3IM2024112700119
FECHA: 20241127
PRODUCTO: TELEFONO INTELIGENTE (CELULAR), MARCA: HONOR, MODELO: JDYLX3P,
REFERENCIA: 5109BHQA, USO O DESTINO:
EQUIPO TERMINAL MOVIL PARA TELECOMUNICACION, DESCARGA DE APLICACIONES, NAVEGACION EN INTERNET Y TOMA DE FOTOGRAFIAS ENTRE OTROS,
IMEI NO. (CODIGO DE QUINCE 15DIGITOS):
865630078242185/865630078502182 865630078250055/865630078510052 865630078234687/865630
078494687 865630078250428/865630078510425 865630078242292/865630078502299 865630078242607/865630078502604 865630078250071/8656300
78510078 865630078250303/865630078510300 865630078250139/865630078510136 865630078250030/865630078510037 86(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
032024001719744
133. Feha: 2024 12 06
134 . Levante No. 032024001639267 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 92032409161796
Fecha presentación 20241206
17:53:03
Valor pagado $0.00
Fecha de Impresión: 20241206
17:55:42
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320240017197440
Subpartida :
8517130000
Página 1 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
5630078242599/865630078502596 865630078250295/865630078510292 865630078242458/865630078502455 865630078234653/865630078494653 865
630078242417/865630078502414 865630078250238/865630078510235 865630078242649/865630078502646 865630078242235/865630078502232 8656
30078250154/865630078510151 865630078212386/865630078472386 865630078227061/865630078487061 865630078241708/865630078501705 86563
0078234521/865630078494521 865630078234349/865630078494349 865630078218847/865630078478847 865630078204763/865630078464763 865630
078203807/865630078463807 865630078234240/865630078494240 865630078234232/865630078494232 865630078234307/865630078494307 8656300
78211602/865630078471602 865630078226873/865630078486873 865630078211826/865630078471826 865630078226824/865630078486824 86563007
8203971/865630078463971 865630078226832/865630078486832 865630078234372/865630078494372 865630078211255/865630078471255 865630078
204110/865630078464110 865630078241641/865630078501648 865630078234471/865630078494471 865630078211354/865630078471354 8656300782
18839/865630078478839 865630078234463/865630078494463 865630078234489/865630078494489 865630078234430/865630078494430 86563007822
7202/865630078487202 865630078227434/865630078487434 865630078227152/865630078487152 865630078227467/865630078487467 865630078234
364/865630078494364 865630078227079/865630078487079 865630078227160/865630078487160 865630078227046/865630078487046 8656300782270
20/865630078487020 865630078227301/865630078487301 865630078234380/865630078494380 865630078227095/865630078487095 86563007822703
8/865630078487038 865630078226949/865630078486949 865630078227111/865630078487111 865630078211347/865630078471347 865630078203849
/865630078463849 865630078226410/865630078486410 865630078212147/865630078472147 865630078211990/865630078471990 865630078218763/
865630078478763 865630078211925/865630078471925 865630078226436/865630078486436 865630078226725/865630078486725 865630078226659/8
65630078486659 865630078212121/865630078472121 865630078226550/865630078486550 865630078218730/865630078478730 865630078212113/86
5630078472113 865630078211891/865630078471891 865630078226618/865630078486618 865630078226741/865630078486741 865630078226691/865
630078486691 865630078225990/865630078485990 865630078226766/865630078486766 865630078226980/865630078486980 865630078226972/8656
30078486972 865630078227145/865630078487145 865630078227012/865630078487012 865630078226774/865630078486774 865630078227442/86563
0078487442 865630078227228/865630078487228 865630078234828/865630078494828 865630078204821/865630078464821 865630078204920/865630
078464920 865630078204813/865630078464813 865630078250014/865630078510011 865630078234356/865630078494356 865630078234778/8656300
78494778 865630078227376/865630078487376 865630078234786/865630078494786 865630078241799/865630078501796 865630078227483/86563007
8487483 865630078227475/865630078487475 865630078226667/865630078486667 865630078234612/865630078494612 865630078204698/865630078
464698 865630078234000/865630078494000 865630078226576/865630078486576 865630078204714/865630078464714 865630078226501/8656300784
86501 865630078226709/865630078486709 865630078211834/865630078471834 865630078212139/865630078472139 865630078211883/86563007847
1883 865630078211685/865630078471685 865630078226808/865630078486808 865630078212170/865630078472170 865630078226733/865630078486
733 865630078212089/865630078472089 865630078226600/865630078486600 865630078226428/865630078486428 865630078227251/8656300784872
51 865630078250006/865630078510003 865630078227368/865630078487368 865630078234885/865630078494885 865630078227277/86563007848727
7 865630078227285/865630078487285 865630078234794/865630078494794 865630078234950/865630078494950 865630078250022/865630078510029
865630078212444/865630078472444 865630078220082/865630078480082 865630078220066/865630078480066 865630078220041/865630078480041
865630078220074/865630078480074 865630078219860/865630078479860 865630078219985/865630078479985 865630078220017/865630078480017 8
65630078219316/865630078479316 865630078219431/865630078479431 865630078219969/865630078479969 865630078219811/865630078479811 86
5630078219381/865630078479381 865630078219480/865630078479480 865630078219449/865630078479449 865630078219472/865630078479472 865
630078219753/865630078479753 865630078249909/865630078509906 865630078227335/865630078487335 865630078227384/865630078487384 8656
30078227129/865630078487129 865630078219712/865630078479712 865630078219829/865630078479829 865630078219852/865630078479852 86563
0078219910/865630078479910 865630078211636/865630078471636 865630078220033/865630078480033 865630078220025/865630078480025 865630
078219340/865630078479340 865630078203997/865630078463997 865630078219621/865630078479621 865630078226527/865630078486527 8656300
78212188/865630078472188 865630078211628/865630078471628 865630078204748/865630078464748 865630078226626/865630078486626 86563007
8211776/865630078471776 865630078226402/865630078486402 865630078219589/865630078479589 865630078203864/865630078463864 865630078
211792/865630078471792 865630078219464/865630078479464 865630078226519/865630078486519 865630078204730/865630078464730 8656300782
18748/865630078478748 865630078226592/865630078486592 865630078219555/865630078479555 865630078211438/865630078471438 86563007824
9446/865630078509443 865630078226493/865630078486493 865630078219720/865630078479720 865630078219936/865630078479936 865630078219
837/865630078479837 865630078219993/865630078479993 865630078205190/865630078465190 865630078219803/865630078479803 8656300782200
09/865630078480009 865630078219787/865630078479787 865630078219696/865630078479696 865630078219746/865630078479746 86563007821267
5/865630078472675 865630078219670/865630078479670 865630078212154/865630078472154 865630078219217/865630078479217 865630078204425
/865630078464425 865630078226642/865630078486642 865630078226451/865630078486451 865630078211388/865630078471388 865630078225933/
865630078485933 865630078204383/865630078464383 865630078226154/865630078486154 865630078226246/865630078486246 865630078218946/8
65630078478946 865630078218805/865630078478805 865630078241294/865630078501291 865630078234125/865630078494125 865630078233895/86
5630078493895 865630078218888/865630078478888 865630078218896/865630078478896 865630078234042/865630078494042 865630078211487/865
630078471487 865630078204359/865630078464359 865630078234075/865630078494075 865630078219662/865630078479662 865630078212501/8656
30078472501 865630078205042/865630078465042 865630078212451/865630078472451 865630078219738/865630078479738 865630078219944/86563
0078479944 865630078219902/865630078479902 865630078219761/865630078479761 865630078212576/865630078472576 865630078241344/865630
078501341 865630078212279/865630078472279 865630078212626/865630078472626 865630078220090/865630078480090 865630078212683/8656300
78472683 865630078219928/865630078479928 865630078219886/865630078479886 865630078204334/865630078464334 865630078219878/86563007
8479878 865630078241658/865630078501655 865630078205299/865630078465299 865630078241971/865630078501978 865630078249966/865630078
509963 865630078226311/865630078486311 865630078219183/865630078479183 865630078249511/865630078509518 865630078234190/8656300784
94190 865630078241476/865630078501473 865630078234182/865630078494182 865630078233812/865630078493812 865630078225958/86563007848
5958 865630078225867/865630078485867 865630078219092/865630078479092 865630078226121/865630078486121 865630078241179/865630078501
176 865630078219233/865630078479233 865630078219498/865630078479498 865630078219639/865630078479639 865630078203773/8656300784637
73 865630078211701/865630078471701 865630078212204/865630078472204 865630078234133/865630078494133 865630078219415/86563007847941
5 865630078203831/865630078463831 865630078249750/865630078509757 865630078249354/865630078509351 865630078249438/865630078509435
865630078205067/865630078465067 865630078205281/865630078465281 865630078249925/865630078509922 865630078212246/865630078472246
865630078205117/865630078465117 865630078212220/865630078472220 865630078212378/865630078472378 865630078212295/865630078472295 8
65630078212469/865630078472469 865630078212360/865630078472360 865630078212352/865630078472352 865630078249487/865630078509484 86
5630078212253/865630078472253 865630078204896/865630078464896 865630078205273/865630078465273 865630078249578/865630078509575 865
630078204797/865630078464797 865630078204854/865630078464854 865630078212261/865630078472261 865630078204326/865630078464326 8656
30078205216/865630078465216 865630078211933/865630078471933 865630078233978/865630078493978 865630078219258/865630078479258 86563
0078219423/865630078479423 865630078211750/865630078471750 865630078204706/865630078464706 865630078212212/865630078472212 865630
078204771/865630078464771 865630078219407/865630078479407 865630078219399/865630078479399 865630078204409/865630078464409 8656300
78204029/865630078464029 865630078211578/865630078471578 865630078211859/865630078471859 865630078219548/865630078479548 86563007
8219209/865630078479209 865630078219308/865630078479308 865630078233887/865630078493887 865630078204680/865630078464680 865630078
211313/865630078471313 865630078211537/865630078471537 865630078204219/865630078464219 865630078205182/865630078465182 8656300782
11966/865630078471966 865630078212402/865630078472402 865630078205240/865630078465240 865630078212105/865630078472105 86563007821
2584/865630078472584 865630078212550/865630078472550 865630078219704/865630078479704 865630078212410/865630078472410 865630078212
618/865630078472618 865630078212568/865630078472568 865630078212196/865630078472196 865630078212477/865630078472477 8656300782342
0320240017197440
Espacio para uso exclusivo de la Entidad
Recaudadora
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320240017197440
Subpartida :
8517130000
Página 2 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
65/865630078494265 865630078212634/865630078472634 865630078249818/865630078509815 865630078212543/865630078472543 86563007823432
3/865630078494323 865630078212428/865630078472428 865630078204318/865630078464318 865630078212485/865630078472485 865630078212311
/865630078472311 865630078226220/865630078486220 865630078218995/865630078478995 865630078204722/865630078464722 865630078241385/
865630078501382 865630078226048/865630078486048 865630078218854/865630078478854 865630078219084/865630078479084 865630078241450/8
65630078501457 865630078234067/865630078494067 865630078218979/865630078478979 865630078234109/865630078494109 865630078203880/86
5630078463880 865630078211321/865630078471321 865630078211404/865630078471404 865630078204102/865630078464102 865630078233861/865
630078493861 865630078204490/865630078464490 865630078211529/865630078471529 865630078226105/865630078486105 865630078241351/8656
30078501358 865630078211495/865630078471495 865630078218987/865630078478987 865630078212329/865630078472329 865630078249503/86563
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078472337 865630078212493/865630078472493 865630078212667/865630078472667 865630078212659/865630078472659 865630078241146/8656300
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0320240017197440
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Página 3 de 4
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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0320240017197440
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0320240017197440
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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170626/865630078430624, SERIAL: NO APLICA., CARTA DE HOMOLOGACION DEL EQUIPO TRAMITADA CON EL RADICADO CRC 2024519037. CODIGO DE
HOMOLOGACION: TM240463,
FECHA DE HOMOLOGACION: 24/06/2024. PRODUCTO: 5109BHQA, LTE Cellular Phone,JudyL43D,
LTE TDD/FDDLTE/
WCD
MA/GSM,USB Cable/TPU Case/QSG/Warranty Card/TP selling point film,Internal Lithium Ion Battery*1/US Travel Charger*1,Bar,Starry P
urple,Channel CANT (1200) PCS (ITEM 1).XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
0320240017197440
Espacio para uso exclusivo de la Entidad
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