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REPÚBLICA DE COLOMBIA
Declaración de Importación Privada 500
1. Año 2025
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
0320250000341091
5 . Número de Identificación Tributaria (NIT)
800091549
6 . DV.
2
11 . Apellidos y nombres o Razón Social
IMPRESISTEM S A S
13 . Dirección
AUT MEDELLIN CL 80 KM 2
15 . Teléfono
8766500
12 . Cód. Admón.
03
16 . Cód. Dpto
25
17 . Cód. Ciudad Municipio
214
24 . Número de Identificación Tributaria (NIT)
830122083
25 . DV.
6
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS LATINOAMERICANA DE ADUANAS SAS NIVEL2
27 . Tipo usuario
26
28 . Cód. usuario
459
29 . Número documento de identificación
1024471947
30 . Apellidos y nombres
SOLER CASAS JEIMY CAROLINA
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
26924
42 . Manifiesto de carga
No. 116575015133898
43 . Año Mes
Día
2025 01
02
44 . Documento de transporte
No. SZX7975487
45 . Año Mes
Día
2024 12
23
46 . Nombre exportador o proveedor en el exterior
IMC INTERNATIONAL INC
47 . Ciudad
MIAMI
48 . Cod.País Exportador
249
49 . Dirección exportador o proveedor en el exterior
7707 NW 46 STREET MIAMI, FL 33166
50 . Email
3059947965
51 . No. de factura
21785
52 . Año Mes
Día
2025 01
02
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.
4.410.50
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
03
69 . Tipo de
importación
01
70 . Cod. país
compra
249
71 . Peso bruto kgs. dcms.
200.77
72 . Peso neto kgs. dcms.
180.69
73 . Código
embalaje
PK
74 . No. bultos
6
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
500.00
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 202532104 CODIGO / RESOLUCION OEA IMPORTADOR: OE0169; DECLARACION(37)
NOS ACOGEMOS AL ART 424 DEL ESTATUTO TRIBUTARIO MODIFIC
ADO POR LEY 1819 DE 29 DE DICIEMBRE 2016, NUEVA REFORMA TRIBUTARIA, ART 175 PARA COMPUTADORES PORTATILES, DE ESCRITORIO TABLETAS
Y CELULARES. HOMOLOGACION DE EQUIPO MARCA REDMI MODELO: 2312CRNCCL, RADICACION: CRC 2024501192, FECHA: 23/01/2024. // DOCUMENTO D
E VERIFICACION DE IMEI: DV222016
FECHA: 20250108..
FACTURA: 21785 FECHA: 20250102
NOS ACOGEMOS AL DECRETO 1881 DEL 2021, NOS
ACOGEMOS AL DECRETO 0925 DE MAYO 9 DEL 2013, MINISTERIO DE COMERCIO EXTERIOR, IMPORTACIÓN EXENTA DE REGISTRO DE IMPORTACIÓN.. CA
NT (500) UNIDADES TELEFONO CELULAR, 1062615 REDMI A3 FOREST GREEN 3GB RAM 64GB ROM //ESPECIFICACIONES: PROC(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
032025000034109
133. Feha: 2025 01 09
134 . Levante No. 032025000031386 135 . Fecha
2025 01
09
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 92032500201875
Fecha presentación 20250109
17:38:15
Valor pagado $0.00
Fecha de Impresión: 20250109
17:45:04
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320250000341091
Subpartida :
8517130000
Página 1 de 3
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ESADOR: MEDIATEK HELIO G36, PANTALLA: 6.71 PULGADAS, MEMORIA: 3 GB ALMACENAMIENTO: 64 GB, SISTEMA OPERATIVO: ANDROID 14. // REDMI
A3 VERDE BOSQUE 3GB RAM 64GB ROM, CONTIENE ADAPTADOR, CABLE USB TIPOC,
LLAVE PARA SIM CARD, GUIA DE INICIO RAPIDO, TARJETA DE G
ARANTIA, POWER OCTA CORE, PROCESOR AL DUAL CAMERA SYSTEM MASSIVE 5000MAH TYP BATTERY, PRODUCTO TERMOSELLADO. EAN: 6941812766934//
COD:. 1062615; PRODUCTO: TELEFONO CELULAR, MARCA: REDMI/MI, MODELO: 2312CRNCCL, REFERENCIA: 54128/MZB0GIJUS, USO O DESTINO: COMU
NICACIÓN, PARA ALMACENAMIENTO Y PROCESAMIENTO DE DATOS, SERIAL: NO TIENE, IMEI NO. (CODIGO DE QUINCE 15DIGITOS):
54128/64XQ011
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/865887071096485//865887071096493, 54128/64XQ05040//865887071083848//865887071083855, 54128/64XQ05049//865887071097301//865887071
097319, 54128/64XQ05064//865887071117349//865887071117356, 54128/64XQ05065//865887071124865//865887071124873, 54128/64XQ05067//86
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235, 54128/64XQ05070//865887071095362//865887071095370, 54128/64XQ05071//865887071125383//865887071125391, 54128/64XQ05073//86588
7071123784//865887071123792, 54128/64XQ05074//865887071124600//865887071124618, 54128/64XQ05076//865887071038040//865887071038057
, 54128/64XQ05077//865887070916345//865887070916352, 54128/64XQ05084//865887071125680//865887071125698, 54128/64XQ05085//86588707
1124063//865887071124071, 54128/64XQ05088//865887071119568//865887071119576, 54128/64XQ05093//865887071105849//865887071105856, 5
4128/64XQ05102//865887071107209//865887071107217, 54128/64XQ05137//865887070740067//865887070740075, 54128/64XQ05146//86588707071
8162//865887070718170, 54128/64XQ05164//865887070767623//865887070767631, 54128/64XQ05182//865887070712165//865887070712173, 5412
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095511, 54128/64XQ05578//865887071090223//865887071090231, 54128/64XQ05615//865887071093003//865887071093011, 54128/64XQ05637//86
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615, 54128/64XQ05676//865887071102382//865887071102390, 54128/64XQ05743//865887071127207//865887071127215, 54128/64XQ05772//86588
7071128502//865887071128510, 54128/64XQ05773//865887071129542//865887071129559, 54128/64XQ05784//865887070740729//865887070740737
, 54128/64XQ05810//865887071098523//865887071098531, 54128/64XQ05816//865887071092369//865887071092377, 54128/64XQ05834//86588707
0772565//865887070772573, 54128/64XQ05836//865887070776749//865887070776756, 54128/64XQ05839//865887070757384//865887070757392, 5
4128/64XQ05840//865887070756329//865887070756337, 54128/64XQ05854//865887070720747//865887070720754, 54128/64XQ05858//86588707072
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06218//865887070949544//865887070949551, 54128/64XQ06263//865887071109122//865887071109130, 54128/64XQ06315//865887071118362//865
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24//865887071049302//865887071049310, 54128/64XQ06357//865887071068682//865887071068690, 54128/64XQ06371//865887071088185//865887
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0320250000341091
Espacio para uso exclusivo de la Entidad
Recaudadora
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320250000341091
Subpartida :
8517130000
Página 2 de 3
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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0320250000341091
Espacio para uso exclusivo de la Entidad
Recaudadora
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320250000341091
Subpartida :
8517130000
Página 3 de 3
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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7927//865887070797935, 54128/64XR04994//865887071106649//865887071106656, PAIS ORIGEN: CHINA 215.
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