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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
032025000149200-7
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
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
99900
42 . Manifiesto de carga
No. 116575015214764
43 . Año – Mes – Día
2025 – 01 – 30
44 . Documento de transporte
No. HKG0403281
45 . Año – Mes – Día
2025 – 01 – 28
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
6900335307
52 . Año – Mes – Día
2025 – 01 – 14
53 . Cod. país
procedencia
351
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
244
56 . Cod. Depto
destino
0
57 . Empresa transportadora
EMIRATES SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.245.65
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.
160.00
72 . Peso neto kgs. dcms.
130.08
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
480.00
78 .Valor FOB
USD
24.982.56
79 . Valor fletes USD
1.256.00 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
111.405.134
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
111.405.134
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
1.27
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.257.27
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
26.239.83
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: 545793-DECL: 1881479-DO: 893102208251- 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. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOM
OLOGACIÓN) // NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION.SAMSUNG ELECTRONICS COLOMB
IA S.A. OEA COD. OE0001. . PEDIDOS: 3081901526. ID DELIVERY: 6080167059. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A055MZKGLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A05 DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MO(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
032025000149200
133. Feha: 202501 31
134 . Levante No. 032025000140184 135 . Fecha
2025 – 01 – 31
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 92032500849764
Fecha presentación 2025-01-31 15:08:36
Valor pagado $0.00
Fecha de Impresión: 2025-01-31 15:08:43
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000149200-7
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
DELO: SM-A055M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A055M/DS,BLACK,LTC( QTY. 480,00 u )(480,00 PCE);
IMEIS: 351641243721335/351847823721336. 351641243721467/351847823721468. 351641243721582/351847823721583. 351641243721608/3518478
23721609. 351641243721616/351847823721617. 351641243721749/351847823721740. 351641243721780/351847823721781.351641243721830/35184
7823721831. 351641243721855/351847823721856. 351641243721863/351847823721864. 351641243721871/351847823721872. 351641243721897/35
1847823721898. 351641243721913/351847823721914. 351641243721921/351847823721922. 351641243721947/351847823721948. 351641243721954
/351847823721955. 351641243721988/351847823721989. 351641243721996/351847823721997. 351641243722002/351847823722003. 351641243722
010/351847823722011. 351641243722036/351847823722037. 351641243722051/351847823722052. 351641243722127/351847823722128. 351641243
722135/351847823722136. 351641243722150/351847823722151. 351641243722168/351847823722169. 35 1641243722200/351847823722201. 35164
1243722226/351847823722227. 351641243722259/351847823722250. 351641243722267/351847823722268. 351641243691538/351847823691539. 35
1641243691785/351847823691786. 351641243691827/351847823691828. 351641243691850/351847823691851. 351641243692205/351847823692206.
351641243692320/351847823692321. 351641243692601/351847823692602. 351641243693419/351847823693410. 351641243693914/3518478236939
15. 351641243693930/351847823693931. 351641243693997/351847823693998. 351641243694508/351847823694509. 351641243695059/3518478236
95050. 351641243695117/351847823695118. 351641243695562/351847823695563. 351641243695760/351847823695761. 351641243696214/3518478
23696215. 351641243696495/351847823696496. 351641243696594/351847823696595. 351641243696735/351847823696736. 351641243697857/3518
47823697858. 351641243697972/351847823697973. 351641243698483/351847823698484. 351641243698681/351847823698682. 351641243698764/3
51847823698765. 351641243698822/351847823698823. 351641243698913/351847823698914. 351641243699036/351847823699037. 35164124369913
5/351847823699136. 351641243699184/351847823699185.351641243699192/351847823699193. 351641243699200/351847823699201. 351641243699
218/351847823699219. 351641243699226/351847823699227. 351641243699242/351847823699243. 351641243699283/351847823699284. 351641243
699291/351847823699292. 351641243699390/351847823699391. 351641243699465/351847823699466. 351641243699499/351847823699490. 351641
243699531/351847823699532. 351641243699556/351847823699557. 351641243699606/351847823699607. 351641243699622/351847823699623. 351
641243699671/351847823699672. 351641243699689/351847823699680. 351641243699705/351847823699706.351641243699754/351847823699755. 3
51641243699762/351847823699763. 351641243699812/351847823699813. 351641243699820/351847823699821. 351641243699853/351847823699854
. 351641243699879/351847823699870. 351641243699895/351847823699896. 351641243699945/351847823699946. 351641243699986/351847823699
987. 351641243699994/351847823699995. 351641243700016/351847823700017. 351641243700032/351847823700033. 351641243700040/351847823
700041. 351641243700081/351847823700082. 351641243700107/351847823700108. 351641243700115/351847823700116. 351641243700123/351847
823700124. 351641243700131/351847823700132. 351641243700149/351847823700140. 351641243700156/351847823700157. 351641243700198/351
847823700199. 351641243700206/351847823700207. 351641243700305/351847823700306. 351641243700362/351847823700363. 351641243700396/
351847823700397. 351641243700446/351847823700447. 351641243700529/351847823700520. 351641243700669/351847823700660. 3516412437006
77/351847823700678. 351641243700735/351847823700736. 351641243700792/351847823700793. 351641243700834/351847823700835. 3516412437
00891/351847823700892. 351641243700933/351847823700934. 351641243700990/351847823700991. 351641243701006/351847823701007. 3516412
43701014/351847823701015. 351641243701048/351847823701049. 351641243701089/351847823701080. 351641243701105/351847823701106. 3516
41243701113/351847823701114. 351641243701220/351847823701221. 351641243701253/351847823701254. 351641243701261/351847823701262. 3
51641243701279/351847823701270. 351641243701287/351847823701288. 351641243701295/351847823701296. 351641243701303/351847823701304
. 351641243701311/351847823701312. 351641243701329/351847823701320. 351641243701337/351847823701338. 351641243701345/351847823701
346. 351641243701352/351847823701353.351641243701360/351847823701361. 351641243701378/351847823701379. 351641243701394/3518478237
01395. 351641243701402/351847823701403. 351641243701410/351847823701411. 351641243701428/351847823701429. 351641243701436/3518478
23701437. 351641243701444/351847823701445. 351641243701451/351847823701452. 351641243701469/351847823701460. 351641243701501/3518
47823701502. 351641243701535/351847823701536. 351641243701592/351847823701593. 351641243701600/351847823701601. 351641243701618/3
51847823701619. 351641243701675/351847823701676. 351641243701733/351847823701734.351641243701741/351847823701742. 351641243701774
/351847823701775. 351641243701782/351847823701783. 351641243701790/351847823701791. 351641243701816/351847823701817. 351641243701
824/351847823701825. 351641243701899/351847823701890. 351641243701907/351847823701908. 351641243701923/351847823701924. 351641243
701931/351847823701932. 351641243701949/351847823701940. 351641243701956/351847823701957. 351641243701980/351847823701981. 351641
243702004/351847823702005. 351641243702053/351847823702054. 351641243702061/351847823702062. 351641243702111/351847823702112. 351
641243702145/351847823702146. 351641243702152/351847823702153. 351641243702160/351847823702161. 351641243702186/351847823702187.
351641243702194/351847823702195. 351641243702210/351847823702211. 351641243702228/351847823702229. 351641243702236/35184782370223
7. 351641243702376/351847823702377. 351641243702400/351847823702401. 351641243702418/351847823702419. 351641243702434/35184782370
2435. 351641243702475/351847823702476. 351641243702574/351847823702575. 351641243702582/351847823702583. 351641243702608/35184782
3702609. 351641243702640/351847823702641. 351641243702673/351847823702674. 351641243702699/351847823702690. 351641243702707/35184
7823702708. 351641243702715/351847823702716. 351641243702723/351847823702724. 351641243702756/351847823702757. 351641243702798/35
1847823702799. 351641243702814/351847823702815. 351641243702822/351847823702823. 351641243702962/351847823702963. 351641243703010
/351847823703011. 351641243703028/351847823703029. 351641243703051/351847823703052. 351641243703119/351847823703110. 351641243703
127/351847823703128. 351641243703242/351847823703243. 351641243703556/351847823703557. 351641243703614/351847823703615. 351641243
703630/351847823703631.351641243703721/351847823703722. 351641243703762/351847823703763. 351641243704216/351847823704217. 3516412
43704570/351847823704571. 351641243704687/351847823704688. 351641243704703/351847823704704. 351641243704877/351847823704878. 3516
41243705080/351847823705081. 351641243705312/351847823705313. 351641243705460/351847823705461. 351641243714942/351847823714943. 3
51641243715089/351847823715080. 351641243715097/351847823715098. 351641243715253/351847823715254. 351641243715279/351847823715270
. 351641243715295/351847823715296. 351641243715329/351847823715320.351641243715345/351847823715346. 351641243715352/3518478237153
53. 351641243715360/351847823715361. 351641243715410/351847823715411. 351641243715428/351847823715429. 351641243715451/3518478237
15452. 351641243715477/351847823715478. 351641243715485/351847823715486. 351641243715493/351847823715494. 351641243715519/3518478
23715510. 351641243715535/351847823715536. 351641243715543/351847823715544. 351641243715568/351847823715569. 351641243715584/3518
47823715585. 351641243715618/351847823715619. 351641243715626/351847823715627. 351641243715642/351847823715643. 351641243715659/3
51847823715650. 351641243715667/351847823715668. 351641243715675/351847823715676. 351641243715683/351847823715684. 35164124371569
1/351847823715692. 351641243715717/351847823715718. 351641243715733/351847823715734. 351641243715741/351847823715742. 35164124371
5758/351847823715759. 351641243715766/351847823715767. 351641243715782/351847823715783. 351641243715790/351847823715791. 35164124
3715808/351847823715809. 351641243715816/351847823715817. 351641243715824/351847823715825. 351641243715832/351847823715833. 35164
1243715840/351847823715841. 351641243715857/351847823715858. 351641243715873/351847823715874. 351641243715881/351847823715882. 35
1641243715899/351847823715890. 351641243705494/351847823705495. 351641243705676/351847823705677. 351641243707417/351847823707418.
351641243707508/351847823707509. 351641243707532/351847823707533. 351641243707540/351847823707541. 351641243707581/3518478237075
82. 351641243707649/351847823707640. 351641243707714/351847823707715. 351641243707748/351847823707749. 351641243707789/3518478237
07780. 351641243707797/351847823707798. 351641243707805/351847823707806. 351641243707839/351847823707830. 351641243707847/3518478
23707848.351641243707862/351847823707863. 351641243707888/351847823707889. 351641243707920/351847823707921. 351641243707979/35184
7823707970. 351641243708050/351847823708051. 351641243708092/351847823708093. 351641243708282/351847823708283. 351641243708290/35
1847823708291. 351641243708308/351847823708309. 351641243708381/351847823708382. 351641243708464/351847823708465. 351641243708530
/351847823708531. 351641243708597/351847823708598. 351641243708688/351847823708689. 351641243708829/351847823708820. 351641243709
496/351847823709497. 351641243710114/351847823710115.351641243710296/351847823710297. 351641243710379/351847823710370. 3516412437
032025000149200-7
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000149200-7
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
10437/351847823710438. 351641243710650/351847823710651. 351641243710684/351847823710685. 351641243710874/351847823710875. 3516412
43711377/351847823711378. 351641243711450/351847823711451. 351641243711492/351847823711493. 351641243711666/351847823711667. 3516
41243711708/351847823711709. 351641243711880/351847823711881. 351641243712144/351847823712145. 351641243712151/351847823712152. 3
51641243712243/351847823712244. 351641243712268/351847823712269. 351641243712292/351847823712293. 351641243712375/351847823712376
. 351641243712391/351847823712392. 351641243712417/351847823712418. 351641243712490/351847823712491. 351641243712516/351847823712
517. 351641243712532/351847823712533. 351641243712649/351847823712640. 351641243712664/351847823712665. 351641243712672/351847823
712673. 351641243712680/351847823712681. 351641243712722/351847823712723. 351641243712771/351847823712772. 351641243712797/351847
823712798. 351641243712821/351847823712822. 351641243712839/351847823712830. 351641243712847/351847823712848. 351641243712862/351
847823712863. 351641243712870/351847823712871. 351641243712888/351847823712889. 351641243712896/351847823712897. 351641243712904/
351847823712905. 351641243712912/351847823712913. 351641243712920/351847823712921. 351641243712938/351847823712939. 3516412437129
46/351847823712947. 351641243712953/351847823712954. 351641243712961/351847823712962. 351641243712979/351847823712970. 3516412437
12987/351847823712988. 351641243712995/351847823712996. 351641243713019/351847823713010. 351641243713027/351847823713028. 3516412
43713043/351847823713044. 351641243713050/351847823713051. 351641243713084/351847823713085. 351641243713100/351847823713101.35164
1243713118/351847823713119. 351641243713126/351847823713127. 351641243713159/351847823713150. 351641243713167/351847823713168. 35
1641243713175/351847823713176. 351641243713191/351847823713192. 351641243713209/351847823713200. 351641243713225/351847823713226.
351641243713233/351847823713234. 351641243713241/351847823713242. 351641243713274/351847823713275. 351641243713290/3518478237132
91. 351641243713308/351847823713309. 351641243713316/351847823713317. 351641243713324/351847823713325. 351641243713332/3518478237
13333. 351641243713365/351847823713366.351641243713373/351847823713374. 351641243713399/351847823713390. 351641243713407/35184782
3713408. 351641243713415/351847823713416. 351641243713423/351847823713424. 351641243713456/351847823713457. 351641243713472/35184
7823713473. 351641243713480/351847823713481. 351641243713498/351847823713499. 351641243713514/351847823713515. 351641243713589/35
1847823713580. 351641243713597/351847823713598. 351641243713605/351847823713606. 351641243713696/351847823713697. 351641243713746
/351847823713747. 351641243713787/351847823713788. 351641243713829/351847823713820. 351641243713845/351847823713846. 351641243713
993/351847823713994. 351641243714017/351847823714018. 351641243714025/351847823714026. 351641243714074/351847823714075. 351641243
714280/351847823714281. 351641243714306/351847823714307. 351641243714314/351847823714315. 351641243714330/351847823714331. 351641
243714348/351847823714349. 351641243714363/351847823714364. 351641243714371/351847823714372. 351641243714389/351847823714380. 351
641243714439/351847823714430. 351641243714652/351847823714653. 351641243714678/351847823714679. 351641243715931/351847823715932.
351641243715949/351847823715940. 351641243715956/351847823715957. 351641243715972/351847823715973. 351641243715998/35184782371599
9. 351641243716004/351847823716005. 351641243716012/351847823716013. 351641243716020/351847823716021. 351641243716046/35184782371
6047. 351641243716061/351847823716062. 351641243716087/351847823716088. 351641243716111/351847823716112. 351641243716145/35184782
3716146. 351641243716152/351847823716153. 351641243716178/351847823716179. 351641243716186/351847823716187. 351641243716228/35184
7823716229. 351641243716236/351847823716237. 351641243716244/351847823716245. 351641243716251/351847823716252.351641243716269/351
847823716260. 351641243716277/351847823716278. 351641243716319/351847823716310. 351641243716327/351847823716328. 351641243716350/
351847823716351. 351641243716368/351847823716369. 351641243716376/351847823716377. 351641243716392/351847823716393. 3516412437164
67/351847823716468. 351641243716509/351847823716500. 351641243716541/351847823716542. 351641243716558/351847823716559. 3516412437
16566/351847823716567. 351641243716582/351847823716583. 351641243716590/351847823716591. 351641243716764/351847823716765. 3516412
43716954/351847823716955.351641243716962/351847823716963. 351641243717002/351847823717003. 351641243717051/351847823717052. 35164
1243717804/351847823717805. 351641243718018/351847823718019. 351641243718570/351847823718571. 351641243718596/351847823718597. 35
1641243718794/351847823718795. 351641243718828/351847823718829. 351641243718844/351847823718845. 351641243718851/351847823718852.
351641243719065/351847823719066. 351641243719115/351847823719116. 351641243719123/351847823719124. 351641243719131/3518478237191
32. 351641243719784/351847823719785. 351641243719792/351847823719793. 351641243719941/351847823719942. 351641243720006/3518478237
20007. 351641243720022/351847823720023. 351641243720063/351847823720064. 351641243720105/351847823720106. 351641243720113/3518478
23720114. 351641243720147/351847823720148. 351641243720162/351847823720163. 351641243720204/351847823720205. 351641243720238/3518
47823720239. 351641243720246/351847823720247. 351641243720287/351847823720288. 351641243720303/351847823720304. 351641243720329/3
51847823720320. 351641243720345/351847823720346. 351641243720352/351847823720353. 351641243720386/351847823720387. 35164124372046
9/351847823720460. 351641243720519/351847823720510. 351641243720691/351847823720692. 351641243720808/351847823720809. 35164124372
0816/351847823720817. 351641243720949/351847823720940. 351641243720964/351847823720965. 351641243721004/351847823721005. 35164124
3721061/351847823721062. 351641243721079/351847823721070. 351641243721087/351847823721088. 351641243721095/351847823721096. 35164
1243721103/351847823721104. 351641243721129/351847823721120. 351641243721137/351847823721138. 351641243721194/351847823721195. 35
1641243721210/351847823721211. 351641243721236/351847823721237. 351641243721293/351847823721294XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025000149200-7
Espacio para uso exclusivo de la Entidad Recaudadora
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