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VER MAS
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
0320250000954751
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. 116575015179951
43 . Año Mes
Día
2025 01
19
44 . Documento de transporte
No. SZX7980532
45 . Año Mes
Día
2025 01
14
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
21836
52 . Año Mes
Día
2025 01
14
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.
4.338.15
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.
552.00
72 . Peso neto kgs. dcms.
496.80
73 . Código
embalaje
PK
74 . No. bultos
2
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
1.000.00
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 202532272 CODIGO / RESOLUCION OEA IMPORTADOR: OE0169; DECLARACION(11)
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: 24116RACCG, RADICACION: 2024533113, FECHA: 20241024.
// DOCUMENTO DE
VERIFICACION DE IMEI: DV222949,
FECHA: 20250121.
//. FACTURA: 21836 FECHA: 20250114
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..
CANT (1000) U TELEFONO CELULAR, 1065252 REDMI NOTE 14 PRO AURORA PURPLE 8G RAM 256G ROM. // ESPECIFICACION(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
032025000095475
133. Feha: 2025 01 21
134 . Levante No. 032025000090143 135 . Fecha
2025 01
21
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 92032500552978
Fecha presentación 20250121
17:08:57
Valor pagado $0.00
Fecha de Impresión: 20250121
17:14:16
Jeimy Soler
cc 1024471947
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320250000954751
Subpartida :
8517130000
Página 1 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ES: PROCESADOR: HELIO G100ULTRA,
PANTALLA: 6,67 PULGADAS, MEMORIA: 8GB, ALMACENAMIENTO: 256GB. SISTEMA OPERATIVO: XIAOMI HYPER O
S.// EAN: 6932554406967. // TELEFONO CELULAR REDMI NOTE 14 PRO MORADO BOREAL 8G RAM 256G ROM. // ALIMENTACION: 5V3A
/ 511V4,1A
(45W MAX). // CONTIENE: ADAPTADOR, CABLE USB, LLAVE PARA SIM CARD, CARCASA, MANUAL. // PRODUCTO CON EMPAQUE TERMOSELLADO. // COD
.: 1065252. PRODUCTO: TELEFONO CELULAR, MARCA: REDMI/MI, MODELO: 24116RACCG, REFERENCIA: 61383/MZB0IW7US, USO O DESTINO: COMUNICA
CIÓN, PARA ALMACENAMIENTO Y PROCESAMIENTO DE DATOS, SERIAL//IMEI NO. (CODIGO DE QUINCE 15DIGITOS):
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9921074564532, 61383/W4Z900100//869921074560803//869921074560811, 61383/W4Z900103//869921074562049//869921074562056, 61383/W4Z900
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0320250000954751
Espacio para uso exclusivo de la Entidad
Recaudadora
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320250000954751
Subpartida :
8517130000
Página 2 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
22//869921072064030, 61383/W4Z902407//869921072146647//869921072146654, 61383/W4Z902409//869921072365205//869921072365213, 61383/
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0320250000954751
Espacio para uso exclusivo de la Entidad
Recaudadora
REPÚBLICA DE COLOMBIA
Declaración
de
Importación
Aceptación :
0320250000954751
Subpartida :
8517130000
Página 3 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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Página 5 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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61383/W4Z903401//869921072372706//869921072372714, 61383/W4Z903405//869921072376988//869921072376996, 61383/W4Z903406//8699210725
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Página 6 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
21072044040//869921072044057, 61383/W4Z903526//869921072071365//869921072071373, 61383/W4Z903527//869921072497701//86992107249771
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72495184//869921072495192, 61383/W4Z903531//869921072374884//869921072374892, 61383/W4Z903532//869921072063461//869921072063479,
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903549//869921072061226//869921072061234, 61383/W4Z903550//869921072367706//869921072367714, 61383/W4Z903551//869921072145722//86
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555//869921072368829//869921072368837, 61383/W4Z903556//869921072096669//869921072096677, 61383/W4Z903557//869921072049643//86992
1072049650, 61383/W4Z903558//869921072498782//869921072498790, 61383/W4Z903559//869921072365924//869921072365932, 61383/W4Z903560
//869921072148163//869921072148171, 61383/W4Z903561//869921072497503//869921072497511, 61383/W4Z903562//869921072368928//86992107
2368936, 61383/W4Z903563//869921072150003//869921072150011, 61383/W4Z903564//869921072495085//869921072495093, 61383/W4Z903565//8
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21072375626//869921072375634, 61383/W4Z903572//869921072374983//869921072374991, 61383/W4Z903574//869921072374504//86992107237451
2, 61383/W4Z903578//869921072374769//869921072374777, 61383/W4Z903579//869921072080242//869921072080259, 61383/W4Z903581//8699210
72371864//869921072371872, 61383/W4Z903583//869921072500488//869921072500496, 61383/W4Z903584//869921072498105//869921072498113,
61383/W4Z903585//869921072099523//869921072099531, 61383/W4Z903586//869921072078642//869921072078659, 61383/W4Z903588//8699210723
71146//869921072371153, 61383/W4Z903589//869921072504340//869921072504357, 61383/W4Z903590//869921072374686//869921072374694, 613
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W4Z903596//869921072376301//869921072376319, 61383/W4Z903597//869921072504621//869921072504639, 61383/W4Z903598//869921072505545/
/869921072505552, PAIS ORIGEN: CHINA 215.
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0320250000954751
Espacio para uso exclusivo de la Entidad
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