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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
0320240017903417
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. 116575015096381
43 . Año Mes
Día
2024 12
18
44 . Documento de transporte
No. 41n0688256
45 . Año Mes
Día
2024 12
12
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
RY3IM2024121000077
52 . Año Mes
Día
2024 12
10
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.
4.335.20
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.
1.184.00
72 . Peso neto kgs. dcms.
994.18
73 . Código
embalaje
YY
74 . No. bultos
4
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
2.400.00
78 .Valor FOB
USD
79 . Valor fletes USD
Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93 94
0
95
0
96
0.00
I.V.A.
97
0.00
98 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
81 . Valor Otros Gastos USD
0
82 . Sumatoria
de fletes,
seguros
y otros gastos
USD
83 . Ajuste valor USD
0.00
84 . Valor
aduana USD
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 BB7G0002711001
DECLARACION(11)
DOCUMENTO DE VERIFICACIÓN DE IMEI NO: DV220773
CON FECHA: 20241213.
FACTURA: RY3IM20241210
00077 FECHA: 20241210
PRODUCTO: TELEFONO INTELIGENTE (CELULAR), MARCA: HONOR, MODELO: LLYNX3,
REFERENCIA: 5109BESW, USO O DEST
INO: EQUIPO TERMINAL MOVIL PARA TELECOMUNICACION, DESCARGA DE APLICACIONES, NAVEGACION EN INTERNET Y TOMA DE FOTOGRAFIAS ENTRE OT
ROS, IMEI NO. (CODIGO DE QUINCE 15DIGITOS):
864616063350001 864616063363020 864616063349714 864616063362733 864616063350431 86
4616063363459 864616063350191 864616063363210 864616063349664 864616063362683 864616063350050 864616063363079 864616063349706 864
616063362725 864616063350068 864616063363087 864616063350035 864616063363053 864616063350449 86461606336346(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
032024001790341
133. Feha: 2024 12 19
134 . Levante No. 032024001703715 135 . Fecha
2024 12
19
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 92032409506619
Fecha presentación 20241219
22:20:55
Valor pagado $0.00
Fecha de Impresión: 20241219
22:34:05
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320240017903417
Subpartida :
8517130000
Página 2 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
826696 864616062838956 864616062828411 864616062840671 864616062826589 864616062838840 864616062828221 864616062840481 8646160628
26829 864616062839087 864616062827934 864616062840192 864616062828361 864616062840622 864616062827827 864616062840085 86461606282
6423 864616062838683 864616062826290 864616062838550 864616062828734 864616062840994 864616062826761 864616062839020 864616062827
751 864616062840010 864616062826399 864616062838659 864616062826381 864616062838642 864616062828593 864616062840853 8646160628267
20 864616062838980 864616062828585 864616062840846 864616062827769 864616062840028 864616062826241 864616062838501 86461606282661
3 864616062838873 864616062827942 864616062840200 864616062826175 864616062838436 864616062827652 864616062839913 864616062828213
864616062840473 864616062828395 864616062840655 864616062826688 864616062838949 864616062827975 864616062840234 864616062827207
864616062839467 864616062828627 864616062840887 864616062827066 864616062839327 864616062828577 864616062840838 864616062826449 8
64616062838709 864616062827074 864616062839335 864616062828676 864616062840937 864616062826076 864616062838337 864616062828403 86
4616062840663 864616062827587 864616062839848 864616062827850 864616062840119 864616062827520 864616062839780 864616062827165 864
616062839426 864616062827926 864616062840184 864616062827744 864616062840002 864616062826977 864616062839236 864616062828270 8646
16062840531 864616062828189 864616062840440 864616062826308 864616062838568 864616062827306 864616062839566 864616062827884 86461
6062840143 864616062827199 864616062839459 864616062826852 864616062839111 864616062826472 864616062838733 864616062825839 864616
062838097 864616062825383 864616062837644 864616062819980 864616062832249 864616062825003 864616062837263 864616062820244 8646160
62832504 864616062823354 864616062835614 864616062822638 864616062834898 864616062825953 864616062838212 864616062819493 86461606
2831753 864616062825680 864616062837941 864616062825854 864616062838113 864616062826282 864616062838543 864616062826340 864616062
838600 864616062826548 864616062838808 864616062827462 864616062839723 864616062826712 864616062838972 864616062826274 8646160628
38535 864616062826779 864616062839038 864616062827363 864616062839624 864616062827264 864616062839525 864616062828015 86461606284
0275 864616062827157 864616062839418 864616062827868 864616062840127 864616062828007 864616062840267 864616062820756 864616062833
015 864616062824519 864616062836778 864616062819865 864616062832124 864616062824071 864616062836331 864616062823875 8646160628361
33 864616062824378 864616062836638 864616062824543 864616062836802 864616062824410 864616062836679 864616062821739 86461606283399
9 864616062823420 864616062835689 864616062827470 864616062839731 864616062826886 864616062839145 864616062827272 864616062839533
864616062827371 864616062839632 864616062828148 864616062840408 864616062828528 864616062840788 864616062828429 864616062840689
864616062827405 864616062839665 864616062826928 864616062839186 864616062828379 864616062840630 864616062826316 864616062838576 8
64616062828080 864616062840341 864616062826605 864616062838865 864616062828700 864616062840960 864616062828205 864616062840465 86
4616062827603 864616062839863 864616062826639 864616062838899 864616062826142 864616062838402 864616062826787 864616062839046 864
616062828114 864616062840374 864616062826563 864616062838824 864616062828452 864616062840713 864616062828387 864616062840648 8646
16062825342 864616062837602 864616062825565 864616062837826 864616062824592 864616062836851 864616062825722 864616062837982 86461
6062825987 864616062838246 864616062825532 864616062837792 864616062824865 864616062837123 864616062825219 864616062837479 864616
062824808 864616062837065 864616062823743 864616062836000 864616062819931 864616062832199 864616062822570 864616062834831 8646160
62822414 864616062834674 864616062825474 864616062837735 864616062825482 864616062837743 864616062825862 864616062838121 86461606
2820434 864616062832694 864616062820111 864616062832371 864616062821333 864616062833593 864616062825177 864616062837438 864616062
825268 864616062837529 864616062825227 864616062837487 864616062824816 864616062837073 864616062825292 864616062837552 8646160628
25250 864616062837511 864616062824618 864616062836877 864616062823735 864616062835994 864616062824634 864616062836893 86461606281
6762 864616062829021 864616062817414 864616062829674 864616062816614 864616062828874 864616062817224 864616062829484 864616062818
073 864616062830334 864616062817000 864616062829260 864616062818016 864616062830276 864616062816796 864616062829054 8646160628176
46 864616062829906 864616062817422 864616062829682 864616062817836 864616062830094 864616062817349 864616062829609 86461606282535
9 864616062837610 864616062825961 864616062838220 864616062824824 864616062837081 864616062821069 864616062833320 864616062824006
864616062836265 864616062824444 864616062836703 864616062824261 864616062836521 864616062824584 864616062836844 864616062820822
864616062833080 864616062819436 864616062831696 864616062819501 864616062831761 864616062821127 864616062833387 864616062824527 8
64616062836786 864616062824170 864616062836430 864616062822521 864616062834781 864616062824014 864616062836273 864616062825458 86
4616062837719 864616062825540 864616062837800 864616062825797 864616062838055 864616062825730 864616062837990 864616062825326 864
616062837586 864616062822034 864616062834294 864616062825375 864616062837636 864616062816648 864616062828908 864616062817729 8646
16062829989 864616062816663 864616062828924 864616062817083 864616062829344 864616062817133 864616062829393 864616062818032 86461
6062830292 864616062825763 864616062838022 864616062826019 864616062838279 864616062819428 864616062831688 864616062825599 864616
062837859 864616062821093 864616062833353 864616062824501 864616062836760 864616062825706 864616062837966 864616062825748 8646160
62838006 864616062822448 864616062834708 864616062817182 864616062829443 864616062817885 864616062830144 864616062817372 86461606
2829633 864616062817588 864616062829849 864616062816846 864616062829104 864616062816580 864616062828841 864616062817208 864616062
829468 864616062825631 864616062837891 864616062825649 864616062837909 864616062823180 864616062835440 864616062824121 8646160628
36380 864616062819444 864616062831704 864616062819618 864616062831878 864616062817596 864616062829856 864616062817844 86461606283
0102 864616062816903 864616062829161 864616062817737 864616062829997 864616062817778 864616062830037 864616062816812 864616062829
070 864616062818917 864616062831175 864616062818107 864616062830367 864616062817513 864616062829773 864616062817455 8646160628297
16 864616062817091 864616062829351 864616062817679 864616062829930 864616062816531 864616062828791 864616062816655 86461606282891
6 864616062827579 864616062839830 864616062826084 864616062838345 864616062828643 864616062840903 864616062826167 864616062838428
864616062827629 864616062839889 864616062826514 864616062838774 864616062828247 864616062840507 864616062827686 864616062839947
864616062819139 864616062831399 864616062825276 864616062837537 864616062824980 864616062837248 864616062823594 864616062835853 8
64616062823701 864616062835960 864616062821523 864616062833783 864616062821184 864616062833445 864616062825136 864616062837396 86
4616062824675 864616062836935 864616062824162 864616062836422 864616062820210 864616062832470 864616062824915 864616062837172 864
616062824923 864616062837180 864616062825896 864616062838154 864616062821622 864616062833882 864616062822653 864616062834914 8646
16062825391 864616062837651 864616062816721 864616062828981 864616062816671 864616062828932 864616062816895 864616062829153 86461
6062817463 864616062829724 864616062818172 864616062830433 864616062828619 864616062840879 864616062826795 864616062839053 864616
062826498 864616062838758 864616062826233 864616062838493 864616062826415 864616062838675 864616062826068 864616062838329 8646160
62826670 864616062838931 864616062827637 864616062839897 864616062827801 864616062840069 864616062826324 864616062838584 86461606
2828635 864616062840895 864616062827181 864616062839442 864616062827033 864616062839293 864616062827124 864616062839384 864616062
827660 864616062839921 864616062827249 864616062839509 864616062826480 864616062838741 864616062826159 864616062838410 8646160628
26456 864616062838717 864616062827702 864616062839962 864616062827082 864616062839343 864616062827694 864616062839954 86461606281
6804 864616062829062 864616062818115 864616062830375 864616062817232 864616062829492 864616062818537 864616062830797 864616062816
937 864616062829195 864616062816960 864616062829229 864616062818156 864616062830417 864616062816572 864616062828833 8646160628182
22 864616062830482 864616062824642 864616062836901 864616062824626 864616062836885 864616062826050 864616062838311 86461606282602
7 864616062838287 864616062826043 864616062838303 864616062821507 864616062833767 864616062824964 864616062837222 864616062825235
864616062837495 864616062822059 864616062834310 864616062825110 864616062837370 864616062823982 864616062836240 864616062825623
864616062837883 864616062823404 864616062835663, SERIAL: NO APLICA, CARTA DE HOMOLOGACION DEL EQUIPO TRAMITADA CON EL RADICADO CR
C 2024508948. CODIGO DE HOMOLOGACION: TM240240,
FECHA DE HOMOLOGACION: 11/04/2024.// DESCRIPCIÓN SEGÚN FACTURA, PART NO: 5109BE
SW, 5G CELLULAR PHONE,LILYN33C,
NR/TDDLTE/
FDD LTE/WCDMA/GSM,USB CABLE,INTERNAL LITHIUM ION BATTERY 1/US TRAVEL CHARGER 1,BAR,CYA
N LAKE,CHANNEL CANT (600) UND (ITEM 1). PRODUCTO: TELEFONO INTELIGENTE (CELULAR), MARCA: HONOR, MODELO: LLYNX3,
REFERENCIA: 5109
0320240017903417
Espacio para uso exclusivo de la Entidad
Recaudadora
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320240017903417
Subpartida :
8517130000
Página 5 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
062968142 864616062932692 864616062965866, SERIAL: NO APLICA, CARTA DE HOMOLOGACION DEL EQUIPO TRAMITADA CON EL RADICADO CRC 2024
508948. CODIGO DE HOMOLOGACION: TM240240,
FECHA DE HOMOLOGACION: 11/04/2024. // DESCRIPCIÓN SEGÚN FACTURA, PART NO: 5109BESY, 5
G CELLULAR PHONE,LILYN33C,
NR/TDDLTE/
FDD LTE/WCDMA/GSM,USB CABLE,INTERNAL LITHIUM ION BATTERY 1/US TRAVEL CHARGER 1,BAR,STARRY B
LUE,CHANNEL CANT (600) UND (ITEM 2). PRODUCTO: TELEFONO INTELIGENTE (CELULAR), MARCA: HONOR, MODELO: GFYLX3,
REFERENCIA: 5109BQK
N, USO O DESTINO: EQUIPO TERMINAL MOVIL PARA TELECOMUNICACION, DESCARGA DE APLICACIONES, NAVEGACION EN INTERNET Y TOMA DE FOTOGRA
FIAS ENTRE OTROS, IMEI NO. (CODIGO DE QUINCE 15DIGITOS):
862703070095795 862703070195793 862703070095829 862703070195827 86270
3070095498 862703070195496 862703070079781 862703070089780 862703070095621 862703070195629 862703070076845 862703070086844 862703
070077025 862703070087024 862703070076803 862703070086802 862703070112335 862703070212333 862703070076357 862703070086356 8627030
70104175 862703070204173 862703070104183 862703070204181 862703070074790 862703070084799 862703070113010 862703070213018 86270307
0113226 862703070213224 862703070104464 862703070204462 862703070104456 862703070204454 862703070095696 862703070195694 862703070
095571 862703070195579 862703070095613 862703070195611 862703070094921 862703070194929 862703070076399 862703070086398 8627030700
76282 862703070086281 862703070076076 862703070086075 862703070112749 862703070212747 862703070075995 862703070085994 86270307011
2038 862703070212036 862703070112657 862703070212655 862703070094384 862703070194382 862703070112624 862703070212622 862703070112
608 862703070212606 862703070075318 862703070085317 862703070098039 862703070198037 862703070098021 862703070198029 8627030700950
19 862703070195017 862703070076480 862703070086489 862703070094947 862703070194945 862703070076381 862703070086380 86270307007618
3 862703070086182 862703070076258 862703070086257 862703070112798 862703070212796 862703070076019 862703070086018 862703070113424
862703070213422 862703070002429 862703070006925 862703070002452 862703070006958 862703070077157 862703070087156 862703070077181
862703070087180 862703070002270 862703070006776 862703070002569 862703070007063 862703070002494 862703070006990 862703070002437 8
62703070006933 862703070096165 862703070196163 862703070113440 862703070213448 862703070077421 862703070087420 862703070074295 86
2703070084294 862703070077256 862703070087255 862703070095761 862703070195769 862703070077272 862703070087271 862703070077207 862
703070087206 862703070077249 862703070087248 862703070077074 862703070087073 862703070097718 862703070197716 862703070079245 8627
03070089244 862703070097825 862703070197823 862703070115544 862703070215542 862703070115403 862703070215401 862703070115585 86270
3070215583 862703070097726 862703070197724 862703070079278 862703070089277 862703070097817 862703070197815 862703070078981 862703
070088980 862703070115452 862703070215450 862703070097940 862703070197948 862703070003856 862703070008350 862703070003898 8627030
70008392 862703070113333 862703070213331 862703070076977 862703070086976 862703070076811 862703070086810 862703070076548 86270307
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877 862703070076530 862703070086539 862703070074618 862703070084617 862703070075946 862703070085945 862703070112673 8627030702126
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862703070095035 862703070195033 862703070104613 862703070204611 862703070113861 862703070213869 862703070113853 862703070213851
862703070096132 862703070196130 862703070077579 862703070087578 862703070077108 862703070087107 862703070113473 862703070213471 8
62703070076605 862703070086604 862703070113408 862703070213406 862703070077298 862703070087297 862703070077132 862703070087131 86
2703070077090 862703070087099 862703070002593 862703070007097 862703070113762 862703070213760 862703070002403 862703070006909 862
703070113739 862703070213737 862703070004086 862703070008582 862703070079583 862703070089582 862703070113077 862703070213075 8627
03070107392 862703070207390 862703070107376 862703070207374 862703070107244 862703070207242 862703070107491 862703070207499 86270
3070107426 862703070207424 862703070107533 862703070207531 862703070107418 862703070207416 862703070107251 862703070207259 862703
070107541 862703070207549 862703070107327 862703070207325 862703070107442 862703070207440 862703070107590 862703070207598 8627030
70107434 862703070207432 862703070107616 862703070207614 862703070098807 862703070198805 862703070098583 862703070198581 86270307
0098724 862703070198722 862703070098633 862703070198631 862703070098617 862703070198615 862703070107681 862703070207689 862703070
107731 862703070207739 862703070107665 862703070207663 862703070071028 862703070081027 862703070071291 862703070081290 8627030700
71077 862703070081076 862703070070640 862703070080649 862703070071184 862703070081183 862703070071150 862703070081159 86270307007
1010 862703070081019 862703070071192 862703070081191 862703070070996 862703070080995 862703070107350 862703070207358 862703070071
408 862703070081407 862703070071085 862703070081084 862703070071036 862703070081035 862703070071226 862703070081225 8627030700978
82 862703070197880 862703070079591 862703070089590 862703070071135 862703070081134 862703070113374 862703070213372 86270307010426
6 862703070204264 862703070112970 862703070212978 862703070074303 862703070084302 862703070113150 862703070213158 862703070112913
862703070212911 862703070095845 862703070195843 862703070113200 862703070213208 862703070113143 862703070213141 862703070095886
862703070195884 862703070095753 862703070195751 862703070095506 862703070195504 862703070102674 862703070202672 862703070077033 8
62703070087032 862703070076761 862703070086760 862703070076779 862703070086778 862703070095233 862703070195231 862703070103698 86
2703070203696 862703070113176 862703070213174 862703070113366 862703070213364 862703070104068 862703070204066 862703070074758 862
703070084757 862703070096207 862703070196205 862703070077504 862703070087503 862703070077447 862703070087446 862703070113457 8627
03070213455 862703070077140 862703070087149 862703070077363 862703070087362 862703070002262 862703070006768 862703070113846 86270
3070213844 862703070076571 862703070086570 862703070002536 862703070007030 862703070002510 862703070007014 862703070002320 862703
070006826 862703070113903 862703070213901 862703070113754 862703070213752 862703070113622 862703070213620 862703070113598 8627030
70213596 862703070102666 862703070202664 862703070095597 862703070195595 862703070106782 862703070206780 862703070098203 86270307
0198201 862703070003815 862703070008319 862703070106766 862703070206764 862703070098211 862703070198219 862703070106691 862703070
206699 862703070115510 862703070215518 862703070003872 862703070008376 862703070079047 862703070089046 862703070098096 8627030701
98094 862703070097890 862703070197898 862703070106824 862703070206822 862703070097759 862703070197757 862703070071234 86270307008
1233 862703070071325 862703070081324 862703070079955 862703070089954 862703070003922 862703070008426 862703070071457 862703070081
456 862703070080052 862703070090051 862703070071069 862703070081068 862703070071424 862703070081423 862703070071440 8627030700814
49 862703070071432 862703070081431 862703070097700 862703070197708 862703070098765 862703070198763 862703070079872 86270307008987
1 862703070079294 862703070089293 862703070003930 862703070008434 862703070080045 862703070090044 862703070079864 862703070089863
862703070079252 862703070089251 862703070107301 862703070207309 862703070079914 862703070089913 862703070115577 862703070215575
862703070079997 862703070089996 862703070095803 862703070195801 862703070113309 862703070213307 862703070103961 862703070203969 8
62703070095985 862703070195983 862703070076662 862703070086661 862703070076894 862703070086893 862703070076852 862703070086851 86
2703070076563 862703070086562 862703070076712 862703070086711 862703070113283 862703070213281 862703070104126 862703070204124 862
703070075417 862703070085416 862703070004078 862703070008574 862703070074691 862703070084690 862703070113127 862703070213125 8627
03070112939 862703070212937 862703070095688 862703070195686 862703070095944 862703070195942 862703070095464 862703070195462 86270
3070076969 862703070086968 862703070095589 862703070195587 862703070076860 862703070086869 862703070104803 862703070204801 862703
070104910 862703070204918 862703070104787 862703070204785 862703070076670 862703070086679 862703070104571 862703070204579 8627030
70104647 862703070204645 862703070002353 862703070006859 862703070113937 862703070213935 862703070113879 862703070213877 86270307
0104506 862703070204504 862703070113580 862703070213588 862703070113770 862703070213778 862703070113713 862703070213711 862703070
113531 862703070213539 862703070095712 862703070195710 862703070104811 862703070204819 862703070104951 862703070204959 8627030701
0320240017903417
Espacio para uso exclusivo de la Entidad
Recaudadora
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
0320240017895515
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. 116575015092973
43 . Año Mes
Día
2024 12
18
44 . Documento de transporte
No. 41N0688263
45 . Año Mes
Día
2024 12
12
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
RY3IM2024121100181
52 . Año Mes
Día
2024 12
11
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.
4.335.20
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.
863.50
72 . Peso neto kgs. dcms.
715.20
73 . Código
embalaje
YY
74 . No. bultos
3
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
1.800.00
78 .Valor FOB
USD
79 . Valor fletes USD
Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93 94
0
95
0
96
0.00
I.V.A.
97
0.00
98 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
81 . Valor Otros Gastos USD
0
82 . Sumatoria
de fletes,
seguros
y otros gastos
USD
83 . Ajuste valor USD
0.00
84 . Valor
aduana USD
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 BB7G0002710001
DECLARACION(11)
DOCUMENTO DE VERIFICACIÓN DE IMEI NO: DV220756
CON FECHA: 20241213,.
FACTURA: RY3IM2024121
100181 FECHA: 20241211
PRODUCTO: TELEFONO INTELIGENTE (CELULAR), MARCA: HONOR, MODELO: GFYLX3,
REFERENCIA: 5109BQKN, USO O DES
TINO: EQUIPO TERMINAL MOVIL PARA TELECOMUNICACION, DESCARGA DE APLICACIONES, NAVEGACION EN INTERNET Y TOMA DE FOTOGRAFIAS ENTRE O
TROS, IMEI NO. (CODIGO DE QUINCE 15DIGITOS):
862703071327932 862703071627935 862703071310540 862703071610543 862703071310599 8
62703071610592 862703071319152 862703071619155 862703071308106 862703071608109 862703071327866 862703071627869 862703071327767 86
2703071627760 862703071327726 862703071627729 862703071327825 862703071627828 862703071319178 8627030716191(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
032024001789551
133. Feha: 2024 12 19
134 . Levante No. 032024001702433 135 . Fecha
2024 12
19
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 92032409500476
Fecha presentación 20241219
18:16:00
Valor pagado $0.00
Fecha de Impresión: 20241219
18:18:15
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320240017895515
Subpartida :
8517130000
Página 3 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
703071629246 862703071311761 862703071611764 862703071320580 862703071620583 862703071310714 862703071610717 862703071311449 8627
03071611442 862703071305961 862703071605964 862703071305896 862703071605899 862703071330290 862703071630293 862703071319905 86270
3071619908 862703071313270 862703071613273 862703071312678 862703071612671 862703071319145 862703071619148 862703071312710 862703
071612713 862703071321646 862703071621649 862703071312736 862703071612739 862703071313205 862703071613208 862703071308791 8627030
71608794 862703071313072 862703071613075 862703071321786 862703071621789 862703071313262 862703071613265 862703071321406 86270307
1621409 862703071313296 862703071613299 862703071330654 862703071630657 862703071313304 862703071613307 862703071313569 862703071
613562 862703071313239 862703071613232 862703071322016 862703071622019 862703071330233 862703071630236 862703071312967 8627030716
12960 862703071311472 862703071611475 862703071317420 862703071617423 862703071320903 862703071620906 862703071326447 86270307162
6440 862703071329490 862703071629493 862703071308155 862703071608158 862703071329524 862703071629527 862703071312041 862703071612
044 862703071311399 862703071611392 862703071329425 862703071629428 862703071328039 862703071628032 862703071312215 8627030716122
18 862703071312397 862703071612390 862703071317610 862703071617613 862703071328807 862703071628800 862703071334938 86270307163493
1 862703071312165 862703071612168 862703071312413 862703071612416 862703071312421 862703071612424 862703071320879 862703071620872
862703071311910 862703071611913 862703071319723 862703071619726 862703071314989 862703071614982 862703071329177 862703071629170
862703070111501 862703070211509 862703071313197 862703071613190 862703071320432 862703071620435 862703071320226 862703071620229 8
62703071311795 862703071611798 862703071329110 862703071629113 862703071320341 862703071620344 862703071329144 862703071629147 86
2703071320689 862703071620682 862703071311415 862703071611418 862703071306118 862703071606111 862703071311548 862703071611541 862
703071314757 862703071614750 862703071305847 862703071605840 862703071314724 862703071614727 862703071306092 862703071606095 8627
03070072752 862703070082751 862703070109869 862703070209867 862703071328526 862703071628529 862703070109877 862703070209875 86270
3071321869 862703071621862 862703071328849 862703071628842 862703071313346 862703071613349 862703071310359 862703071610352 862703
071313429 862703071613422 862703071330621 862703071630624 862703071328070 862703071628073 862703071330316 862703071630319 8627030
71313155 862703071613158 862703071313528 862703071613521 862703071313551 862703071613554 862703071321828 862703071621821 86270307
1330357 862703071630350 862703071322107 862703071622100 862703071321711 862703071621714 862703071313015 862703071613018 862703071
330092 862703071630095 862703071312777 862703071612770 862703071321067 862703071621060 862703071312868 862703071612861 8627030713
13288 862703071613281 862703071313114 862703071613117 862703071329383 862703071629386 862703071321851 862703071621854 86270307132
6546 862703071626549 862703071329508 862703071629501 862703071317743 862703071617746 862703071320911 862703071620914 862703071312
124 862703071612127 862703071326413 862703071626416 862703071329011 862703071629014 862703071329201 862703071629204 8627030713282
11 862703071628214 862703071310813 862703071610816 862703071312173 862703071612176 862703071320507 862703071620500 86270307131982
2 862703071619825 862703071329151 862703071629154 862703071328062 862703071628065 862703071329565 862703071629568 862703071334763
862703071634766 862703071311985 862703071611988 862703071311118 862703071611111 862703071311944 862703071611947 862703071328005
862703071628008 862703071328898 862703071628891 862703071311407 862703071611400 862703071320556 862703071620559 862703071311894 8
62703071611897 862703071309559 862703071609552 862703071306159 862703071606152 862703071332239 862703071632232 862703070109620 86
2703070209628 862703071306035 862703071606038 862703070073073 862703070083072 862703070109901 862703070209909 862703070100892 862
703070200890 862703070109976 862703070209974 862703071320457 862703071620450 862703071306134 862703071606137 862703071320721 8627
03071620724 862703071320648 862703071620641 862703071329037 862703071629030 862703071329250 862703071629253 862703071311662 86270
3071611665 862703071320465 862703071620468 862703071313247 862703071613240 862703071305912 862703071605915 862703071312785 862703
071612788 862703071330647 862703071630640 862703071321901 862703071621904 862703071321778 862703071621771 862703071321877 8627030
71621870 862703071330456 862703071630459 862703071311324 862703071611327 862703071312900 862703071612903 862703071330126 86270307
1630129 862703071312488 862703071612481 862703071313403 862703071613406 862703071312942 862703071612945 862703071313379 862703071
613372 862703071313494 862703071613497 862703071330845 862703071630848 862703071313452 862703071613455 862703071330282 8627030716
30285 862703071322404 862703071622407 862703071322271 862703071622274 862703071331058 862703071631051 862703071319251 86270307161
9254 862703071313635 862703071613638 862703071319574 862703071619577 862703071319483 862703071619486 862703071312140 862703071612
143 862703071311720 862703071611723 862703071320713 862703071620716 862703071319855 862703071619858 862703071329409 8627030716294
02 862703071316927 862703071616920 862703071311712 862703071611715 862703071329649 862703071629642 862703071328732 86270307162873
5 862703071329516 862703071629519 862703071328476 862703071628479 862703071311738 862703071611731 862703071329136 862703071629139
862703071328435 862703071628438 862703071328765 862703071628768 862703071328161 862703071628164 862703071312181 862703071612184
862703071319665 862703071619668 862703071323287 862703071623280 862703071312009 862703071612002 862703071312637 862703071612630 8
62703071323428 862703071623421 862703071312348 862703071612341 862703071305474 862703071605477 862703071323121 862703071623124 86
2703071305276 862703071605279 862703071314658 862703071614651 862703071305367 862703071605360 862703071306050 862703071606053 862
703071305680 862703071605683 862703071322735 862703071622738 862703071323238 862703071623231 862703071314708 862703071614701 8627
03071306100 862703071606103 862703071306340 862703071606343 862703070109729 862703070209727 862703071328245 862703071628248 86270
3071306241 862703071606244 862703071314575 862703071614578 862703071306324 862703071606327 862703071311837 862703071611830 862703
071320267 862703071620260 862703071309021 862703071609024 862703071311498 862703071611491 862703070109810 862703070209818 8627030
71311787 862703071611780 862703071320549 862703071620542 862703071319772 862703071619775 862703071332437 862703071632430 86270307
0100793 862703070200791 862703070093741 862703070193749 862703070100934 862703070200932 862703071330704 862703071630707 862703070
109679 862703070209677 862703071319897 862703071619890 862703071322073 862703071622076 862703071321976 862703071621979 8627030713
22123 862703071622126 862703071330308 862703071630301 862703071321836 862703071621839 862703071321968 862703071621961 86270307133
1066 862703071631069 862703071330878 862703071630871 862703071328278 862703071628271 862703071330993 862703071630996 862703071313
593 862703071613596 862703071322248 862703071622241 862703071322131 862703071622134 862703071330761 862703071630764 8627030713133
38 862703071613331 862703071320143 862703071620146 862703071313585 862703071613588 862703071329433 862703071629436 86270307132209
9 862703071622092 862703071330480 862703071630483 862703071330217 862703071630210 862703071326637 862703071626630 862703071329318
862703071629311 862703071328948 862703071628941 862703071311936 862703071611939 862703071326611 862703071626614 862703071329334
862703071629337 862703071310474 862703071610477 862703071319624 862703071619627 862703071326603 862703071626606 862703071310789 8
62703071610782 862703071309385 862703071609388 862703071328104 862703071628107 862703071328047 862703071628040 862703071328625 86
2703071628628 862703071311621 862703071611624 862703071319970 862703071619973 862703071311951 862703071611954 862703071311928 862
703071611921 862703071329615 862703071629618 862703071311977 862703071611970 862703071311704 862703071611707 862703071319657 8627
03071619650 862703071314492 862703071614495 862703071331736 862703071631739 862703071305383 862703071605386 862703071312884 86270
3071612887 862703071331264 862703071631267 862703071331793 862703071631796 862703071331439 862703071631432 862703071330241 862703
071630244 862703071305532 862703071605535 862703071314120 862703071614123 862703071328120 862703071628123 862703071323030 8627030
71623033 862703071305508 862703071605501 862703071320515 862703071620518 862703071314609 862703071614602 862703071305458 86270307
1605451 862703071321737 862703071621730 862703071331603 862703071631606 862703071305854 862703071605857 862703071305755 862703071
605758 862703071305490 862703071605493 862703071305524 862703071605527 862703071328757 862703071628750 862703071332270 8627030716
32273 862703071328443 862703071628446 862703071320192 862703071620195 862703071320531 862703071620534 862703071329359 86270307162
9352 862703071320200 862703071620203 862703071320564 862703071620567 862703070094764 862703070194762 862703071306043 862703071606
046 862703071314732 862703071614735 862703070100959 862703070200957 862703071328575 862703071628578 862703071306258 8627030716062
51 862703071306027 862703071606020 862703071323386 862703071623389 862703071320325 862703071620328 862703071306183 86270307160618
0320240017895515
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