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VER MAS
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
032024001816771-5
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. 116575015122673
43 . Año – Mes – Día
2024 – 12 – 27
44 . Documento de transporte
No. T61724Q02195
45 . Año – Mes – Día
2024 – 12 – 23
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
6900327385
52 . Año – Mes – Día
2024 – 12 – 17
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
249
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.394.50
S 59 . Subpartida arancelaria
8517130000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C134
63 . No. cuotas
o meses
XX
64 . Valor cuota USD
XXXX
65 . Periodicidad del
pago de la cuota
XX
66 . Cod. país
de origen
215
67 . Cod. Acuerdo
XXX
68 . Forma de pago
de la importación
01
69 . Tipo de
importación
01
70 . Cod. país
compra
190
71 . Peso bruto kgs. dcms.
136.00
72 . Peso neto kgs. dcms.
105.60
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
400.00
78 .Valor FOB
USD
27.743.84
79 . Valor fletes USD
1.161.44 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
127.030.405
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
127.030.405
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
1.40
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.162.84
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
28.906.68
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: 542285-DECL: 1871152-DO: 893130671241- 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: 3079838440. ID DELIVE
RY: 6079667535. MERCANCIA MARCA: SAMSUNGREFERENCIA: SM-A057MLVHLTC, PRODUCTO: TELEFONO CELULAR GALAXY A05S DUOS (CON ACCESORIOS P
ARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VIOLETA CLARO, MODELO: SM-A057M/DS, USO O DESTINO: PARA LA VENTA A(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
032024001816771
133. Feha: 202412 26
134 . Levante No. 032024001733702 135 . Fecha
2024 – 12 – 28
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 92032409639150
Fecha presentación 2024-12-26 17:56:01
Valor pagado $0.00
Fecha de Impresión: 2024-12-28 11:13:58
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001816771-5
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
L MAYOR Y AL DETAL/ /MOBILE,SM-A057M/DS,LIGHT VIOLET,LTC( QTY. 400,00 u )(400,00 PCE); IMEIS: 350290619137543/355253229137548. 35
0290619137550/355253229137555. 350290619137568/355253229137563. 350290619137592/355253229137597. 350290619137741/355253229137746.
350290619137758/355253229137753. 350290619137840/355253229137845. 350290619137907/355253229137902. 350290619137964/3552532291379
69. 350290619138350/355253229138355. 350290619138368/355253229138363. 350290619139234/355253229139239. 350290619139465/3552532291
39460. 350290619139630/355253229139635. 350290619139655/355253229139650. 350290619139838/355253229139833. 350290619139895/3552532
29139890. 350290619139952/355253229139957. 350290619139960/355253229139965. 350290619140141/355253229140146. 350290619140182/3552
53229140187. 350290619140190/355253229140195. 350290619140208/355253229140203. 350290619140216/355253229140211. 350290619140224/3
55253229140229. 350290619140232/355253229140237. 350290619140240/355253229140245. 350290619 140257/355253229140252. 3502906191402
81/355253229140286. 350290619140299/355253229140294. 350290619140315/355253229140310. 350290619140323/355253229140328. 3502906191
40349/355253229140344. 350290619140364/355253229140369. 350290619140380/355253229140385. 350290619140406/355253229140401. 3502906
19140414/355253229140419. 350290619140430/355253229140435. 350290619140448/355253229140443. 350290619140455/355253229140450.35029
0619140471/355253229140476. 350290619140505/355253229140500. 350290619140513/355253229140518. 350290619140521/355253229140526. 35
0290619140539/355253229140534. 350290619140547/355253229140542. 350290619140562/355253229140567. 350290619140570/355253229140575.
350290619140588/355253229140583. 350290619140596/355253229140591. 350290619140612/355253229140617. 350290619140638/3552532291406
33. 350290619140646/355253229140641. 350290619140661/355253229140666. 350290619140679/355253229140674. 350290619140687/3552532291
40682. 350290619140695/355253229140690.350290619140711/355253229140716. 350290619140737/355253229140732. 350290619140745/35525322
9140740. 350290619140752/355253229140757. 350290619140760/355253229140765. 350290619140778/355253229140773. 350290619140802/35525
3229140807. 350290619140810/355253229140815. 350290619140828/355253229140823. 350290619140851/355253229140856. 350290619140893/35
5253229140898. 350290619141099/355253229141094. 350290619141107/355253229141102. 350290619141131/355253229141136. 350290619141156
/355253229141151. 350290619141180/355253229141185. 350290619141206/355253229141201. 350290619141214/355253229141219. 350290619141
230/355253229141235. 350290619141248/355253229141243. 350290619141255/355253229141250. 350290619141271/355253229141276. 350290619
142543/355253229142548. 350290619144549/355253229144544. 350290619144556/355253229144551. 350290619144689/355253229144684. 350290
619144713/355253229144718. 350290619144739/355253229144734. 350290619144853/355253229144858. 350290619144861/355253229144866. 350
290619145033/355253229145038. 350290619145074/355253229145079. 350290619145082/355253229145087. 350290619145108/355253229145103.
350290619145116/355253229145111. 350290619111167/355253229111162. 350290619111894/355253229111899. 350290619113031/35525322911303
6. 350290619113122/355253229113127. 350290619113353/355253229113358. 350290619113361/355253229113366. 350290619113452/35525322911
3457. 350290619113635/355253229113630. 350290619113908/355253229113903. 350290619117545/355253229117540. 350290619117552/35525322
9117557. 350290619118683/355253229118688. 350290619120671/355253229120676. 350290619120697/355253229120692. 350290619121323/35525
3229121328. 350290619121661/355253229121666. 350290619121679/355253229121674. 350290619121737/355253229121732.350290619122115/355
253229122110. 350290619122362/355253229122367. 350290619122388/355253229122383. 350290619122396/355253229122391. 350290619122644/
355253229122649. 350290619122651/355253229122656. 350290619122669/355253229122664. 350290619122693/355253229122698. 3502906191227
43/355253229122748. 350290619122776/355253229122771. 350290619122792/355253229122797. 350290619122875/355253229122870. 3502906191
22941/355253229122946. 350290619122974/355253229122979. 350290619123121/355253229123126. 350290619123311/355253229123316. 3502906
19123329/355253229123324.350290619123352/355253229123357. 350290619123444/355253229123449. 350290619123592/355253229123597. 35029
0619123659/355253229123654. 350290619123717/355253229123712. 350290619123725/355253229123720. 350290619123774/355253229123779. 35
0290619123782/355253229123787. 350290619123790/355253229123795. 350290619130480/355253229130485. 350290619131082/355253229131087.
350290619131090/355253229131095. 350290619131249/355253229131244. 350290619131413/355253229131418. 350290619131454/3552532291314
59. 350290619131546/355253229131541. 350290619131553/355253229131558. 350290619131629/355253229131624. 350290619131710/3552532291
31715. 350290619131736/355253229131731. 350290619131744/355253229131749. 350290619131793/355253229131798. 350290619131801/3552532
29131806. 350290619131827/355253229131822. 350290619131892/355253229131897. 350290619131918/355253229131913. 350290619131934/3552
53229131939. 350290619131942/355253229131947. 350290619131967/355253229131962. 350290619131983/355253229131988. 350290619132098/3
55253229132093. 350290619132106/355253229132101. 350290619132122/355253229132127. 350290619132148/355253229132143. 35029061913216
3/355253229132168. 350290619132171/355253229132176. 350290619132197/355253229132192. 350290619132213/355253229132218. 35029061913
2221/355253229132226. 350290619132247/355253229132242. 350290619132254/355253229132259. 350290619132262/355253229132267. 35029061
9132270/355253229132275. 350290619132288/355253229132283. 350290619132296/355253229132291. 350290619132304/355253229132309. 35029
0619132312/355253229132317. 350290619132320/355253229132325. 350290619132338/355253229132333. 350290619132346/355253229132341. 35
0290619132353/355253229132358. 350290619132361/355253229132366. 350290619132379/355253229132374.350290619123824/355253229123829.
350290619123899/355253229123894. 350290619123915/355253229123910. 350290619123923/355253229123928. 350290619123931/35525322912393
6. 350290619123949/355253229123944. 350290619123956/355253229123951. 350290619123964/355253229123969. 350290619123972/35525322912
3977. 350290619123980/355253229123985. 350290619123998/355253229123993. 350290619124004/355253229124009. 350290619124012/35525322
9124017. 350290619124020/355253229124025. 350290619124038/355253229124033. 350290619124046/355253229124041. 350290619124053/35525
3229124058.350290619124079/355253229124074. 350290619124087/355253229124082. 350290619124095/355253229124090. 350290619124111/355
253229124116. 350290619124129/355253229124124. 350290619124137/355253229124132. 350290619124145/355253229124140. 350290619124152/
355253229124157. 350290619124160/355253229124165. 350290619124178/355253229124173. 350290619124186/355253229124181. 3502906191241
94/355253229124199. 350290619124202/355253229124207. 350290619124210/355253229124215. 350290619124228/355253229124223. 3502906191
24236/355253229124231. 350290619124244/355253229124249. 350290619124277/355253229124272. 350290619124293/355253229124298. 3502906
19124350/355253229124355. 350290619124384/355253229124389. 350290619124392/355253229124397. 350290619124426/355253229124421. 3502
90619124442/355253229124447. 350290619124459/355253229124454. 350290619124467/355253229124462. 350290619124475/355253229124470. 3
50290619124509/355253229124504. 350290619124558/355253229124553. 350290619124608/355253229124603. 350290619124616/355253229124611
. 350290619124624/355253229124629. 350290619124640/355253229124645. 350290619124657/355253229124652. 350290619124673/355253229124
678. 350290619124699/355253229124694. 350290619124715/355253229124710. 350290619124731/355253229124736. 350290619124749/355253229
124744. 350290619124764/355253229124769. 350290619125019/355253229125014. 350290619125456/355253229125451. 350290619125969/355253
229125964. 350290619125985/355253229125980. 350290619125993/355253229125998. 350290619126330/355253229126335. 350290619126702/355
253229126707. 350290619127387/355253229127382. 350290619127627/355253229127622. 350290619128005/355253229128000. 350290619128047/
355253229128042. 350290619128054/355253229128059. 350290619128062/355253229128067.350290619128070/355253229128075. 35029061912808
8/355253229128083. 350290619128096/355253229128091. 350290619128112/355253229128117. 350290619128138/355253229128133. 35029061912
8146/355253229128141. 350290619128179/355253229128174. 350290619128187/355253229128182. 350290619128195/355253229128190. 35029061
9128211/355253229128216. 350290619128245/355253229128240. 350290619128252/355253229128257. 350290619128260/355253229128265. 35029
0619128286/355253229128281. 350290619128294/355253229128299. 350290619128427/355253229128422. 350290619128518/355253229128513.350
290619128526/355253229128521. 350290619128534/355253229128539. 350290619128542/355253229128547. 350290619128567/355253229128562.
350290619128575/355253229128570. 350290619128583/355253229128588. 350290619128617/355253229128612. 350290619128625/35525322912862
0. 350290619128633/355253229128638. 350290619128641/355253229128646. 350290619128690/355253229128695. 350290619128708/35525322912
8703. 350290619128732/355253229128737. 350290619128740/355253229128745. 350290619128757/355253229128752. 350290619128781/35525322
9128786. 350290619128799/355253229128794. 350290619128823/355253229128828. 350290619128898/355253229128893. 350290619128971/35525
3229128976. 350290619128997/355253229128992. 350290619129029/355253229129024. 350290619129169/355253229129164. 350290619129433/35
032024001816771-5
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001816771-5
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
5253229129438. 350290619129482/355253229129487. 350290619129524/355253229129529. 350290619129797/355253229129792. 350290619129805
/355253229129800. 350290619129813/355253229129818. 350290619129839/355253229129834. 350290619129847/355253229129842. 350290619129
854/355253229129859. 350290619129862/355253229129867. 350290619129870/355253229129875. 350290619129888/355253229129883. 350290619
129896/355253229129891. 350290619129904/355253229129909. 350290619129912/355253229129917. 350290619129920/355253229129925. 350290
619129938/355253229129933. 350290619129961/355253229129966. 350290619129979/355253229129974. 350290619129995/355253229129990. 350
290619130241/355253229130246. 350290619130258/355253229130253. 350290619132387/355253229132382. 350290619132395/355253229132390.
350290619132403/355253229132408. 350290619132411/355253229132416. 350290619132429/355253229132424. 350290619132437/35525322913243
2. 350290619132445/355253229132440. 350290619132460/355253229132465.350290619132528/355253229132523. 350290619132544/355253229132
549. 350290619132551/355253229132556. 350290619132569/355253229132564. 350290619132577/355253229132572. 350290619132585/355253229
132580. 350290619132593/355253229132598. 350290619132601/355253229132606. 350290619132619/355253229132614. 350290619132627/355253
229132622. 350290619132635/355253229132630. 350290619132643/355253229132648. 350290619132650/355253229132655. 350290619132676/355
253229132671. 350290619132700/355253229132705. 350290619132718/355253229132713. 350290619132726/355253229132721.350290619132734/3
55253229132739. 350290619132742/355253229132747. 350290619132759/355253229132754. 350290619132767/355253229132762. 35029061913277
5/355253229132770. 350290619132783/355253229132788. 350290619132791/355253229132796. 350290619132809/355253229132804. 35029061913
2825/355253229132820. 350290619132833/355253229132838. 350290619132841/355253229132846. 350290619132858/355253229132853. 35029061
9132866/355253229132861. 350290619132874/355253229132879. 350290619132882/355253229132887. 350290619132890/355253229132895. 35029
0619132916/355253229132911. 350290619132924/355253229132929. 350290619132932/355253229132937. 350290619132940/355253229132945. 35
0290619132957/355253229132952. 350290619132965/355253229132960. 350290619132973/355253229132978. 350290619132999/355253229132994.
350290619133005/355253229133000. 350290619133013/355253229133018. 350290619133039/355253229133034. 350290619133047/3552532291330
42. 350290619133054/355253229133059. 350290619133070/355253229133075. 350290619133989/355253229133984. 350290619134532/3552532291
34537. 350290619134557/355253229134552. 350290619135497/355253229135492. 350290619135505/355253229135500. 350290619135513/3552532
29135518. 350290619135588/355253229135583. 350290619135661/355253229135666. 350290619135679/355253229135674. 350290619135687/3552
53229135682. 350290619136339/355253229136334. 350290619136420/355253229136425. 350290619136479/355253229136474. 350290619136560/3
55253229136565. 350290619136578/355253229136573. 350290619136586/355253229136581. 350290619136685/355253229136680. 35029061913669
3/355253229136698. 350290619136735/355253229136730. 350290619136750/355253229136755. 350290619136784/355253229136789. 35029061913
6834/355253229136839. 350290619136842/355253229136847.350290619136859/355253229136854. 350290619136883/355253229136888. 350290619
136891/355253229136896. 350290619136917/355253229136912. 350290619136925/355253229136920. 350290619136933/355253229136938. 350290
619136941/355253229136946. 350290619136958/355253229136953. 350290619136974/355253229136979. 350290619137006/355253229137001XXXXX
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032024001816771-5
Espacio para uso exclusivo de la Entidad Recaudadora
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