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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
032025000606117-4
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 NIVEL 2
27 . Tipo usuario
26
28 . Cód. usuario
459
29 . Número documento de identificación
1023862658
30 . Apellidos y nombres
GONZALEZ ACERO KELLY JOHANNA
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. 116575015304581
43 . Año – Mes – Día
2025 – 02 – 27
44 . Documento de transporte
No. 8VT8721
45 . Año – Mes – Día
2025 – 02 – 21
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 . E-mail
3059947965
51 . No. de factura
21985
52 . Año – Mes – Día
2025 – 02 – 22
53 . Cod. país
procedencia
351
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.120.11
S59 . 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.
539.06
72 . Peso neto kgs. dcms.
485.14
73 . Código
embalaje
PK
74 . No. bultos
6
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
1.100.00
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 202532734 CODIGO / RESOLUCION OEA IMPORTADOR: OE0169; DECLARACION(1-3) 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. // DOCUMENTO DE VERIFICACION DE IMEI: DV-226057, FECHA: 2025-02-27. // HOMOLOGACION DE EQUIPO MARCA REDMI MODELO: 24
116RACCG, RADICACION: 2024533113, FECHA: 2024-10-24. // HOMOLOGACION DE EQUIPO MARCA REDMI MODELO: 24044RN32L, RADICACION: 202451
6638, FECHA: 2024-06-07. //. FACTURA: 21985 FECHA: 2025-02-22 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 (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
032025000606117
133. Feha: 2025 03 05
134 . Levante No. 032025000346140 135 . Fecha
2025 – 03 – 05
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 92032501795501
Fecha presentación 2025-03-05 17:43:53
Valor pagado $0.00
Fecha de Impresión: 2025-03-05 18:18:43
Kelly Johanna Gonzalez Acero
C.C 1.023.862.658
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606117-4
Subpartida : 8517130000
Página 1 de 7
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
(100) U HOMOLOGACION DE EQUIPO MARCA REDMI MODELO: 24116RACCG, RADICACION: 2024533113, FECHA: 2024-10-24. // TELEFONO CELULAR, 10
65253 REDMI NOTE 14 PRO OCEAN BLUE 8GB RAM 256G ROM. // ESPECIFICACIONES: PROCESADOR: HELIO G100-ULTRA, PANTALLA: 6,67 PULGADAS.
MEMORIA: 8GB, ALMACENAMIENTO: 256GB. SISTEMA OPERATIVO: XIAOMI HYPER OS.// EAN: 6932554406790. // REDMI NOTE 14 PRO AZUL OCEANO 8
GB RAM 256G ROM. // ALIMENTACION: 5V=3A / 5-11V-4,1A (45W MAX), 200MP AI CAMERA MASSIVE 5500MAH TYP BATTERY. // CONTIENE: TELEFON
O CELULAR, ADAPTADOR, CABLE USB, LLAVE PARA SIM CARD, MANUAL, CARCASA. // PRODUCTO CON EMPAQUE TERMOSELLADO. // COD.: 1065253. PR
ODUCTO: TELEFONO CELULAR, MARCA: REDMI/MI, MODELO: 24116RACCG, REFERENCIA: 61400/MZB0IWOUS, USO O DESTINO: COMUNICACIÓN, PARA ALM
ACENAMIENTO Y PROCESAMIENTO DE DATOS, SERIAL//IMEI NO. (CODIGO DE QUINCE -15- DIGITOS): 61400/W5NH00016//864908078595369//8649080
78595377, 61400/W5NH00018//864908078613527//864908078613535, 61400/W5NH00023//864908078622544//864908078622551, 61400/W5NH00024//
864908078594149//864908078594156, 61400/W5NH00062//864908078407185//864908078407193, 61400/W5NH00076//867159070164781//8671590701
64799, 61400/W5NH00193//867159070107525//867159070107533, 61400/W5NH00196//864908078606307//864908078606315, 61400/W5NH00212//864
908078608964//864908078608972, 61400/W5NH00221//864908078613840//864908078613857, 61400/W5NH00226//864908078606182//8649080786061
90, 61400/W5NH00232//864908078608105//864908078608113, 61400/W5NH00294//864908078599700//864908078599718, 61400/W5NH00309//864908
078598025//864908078598033, 61400/W5NH00335//864908078615167//864908078615175, 61400/W5NH00347//864908078615126//864908078615134,
61400/W5NH00348//864908078611349//864908078611356, 61400/W5NH00351//864908078609509//864908078609517, 61400/W5NH00353//864908078
613964//864908078613972, 61400/W5NH00363//864908078606869//864908078606877, 61400/W5NH00375//864908078620829//864908078620837, 61
400/W5NH00393//864908078587564//864908078587572, 61400/W5NH00394//864908078589107//864908078589115, 61400/W5NH00432//864908078588
307//864908078588315, 61400/W5NH00435//864908078304127//864908078304135, 61400/W5NH00442//864908078583282//864908078583290, 61400
/W5NH00443//864908078593422//864908078593430, 61400/W5NH00446//864908078599064//864908078599072, 61400/W5NH00449//864908078600508
//864908078600516, 61400/W5NH00463//864908078606026//864908078606034, 61400/W5NH00468//864908078604484//864908078604492, 61400/W5
NH00469//864908078604724//864908078604732, 61400/W5NH00481//864908078609764//864908078609772, 61400/W5NH00508//864908078604229//8
64908078604237, 61400/W5NH00509//864908078602306//864908078602314, 61400/W5NH00572//864908078606786//864908078606794, 61400/W5NH0
0599//864908078610168//864908078610176, 61400/W5NH00601//864908078607461//864908078607479, 61400/W5NH00604//864908078383840//8649
08078383857, 61400/W5NH00619//864908078595609//864908078595617, 61400/W5NH00626//864908078374229//864908078374237, 61400/W5NH0062
9//864908077750825//864908077750833, 61400/W5NH00633//864908078604708//864908078604716, 61400/W5NH00646//864908078597001//8649080
78597019, 61400/W5NH00661//864908078599288//864908078599296, 61400/W5NH00741//867159070111782//867159070111790, 61400/W5NH00743//
867159070164526//867159070164534, 61400/W5NH00745//867159070114067//867159070114075, 61400/W5NH00762//864908078596805//8649080785
96813, 61400/W5NH00765//867159070108143//867159070108150, 61400/W5NH00770//867159070102740//867159070102757, 61400/W5NH00773//867
159070097247//867159070097254, 61400/W5NH00792//867159070146101//867159070146119, 61400/W5NH00795//864908078468666//8649080784686
74, 61400/W5NH00797//867159070106162//867159070106170, 61400/W5NH00798//867159070116203//867159070116211, 61400/W5NH00800//867159
070166364//867159070166372, 61400/W5NH00804//867159070100629//867159070100637, 61400/W5NH00806//867159070119447//867159070119454,
61400/W5NH00825//867159070117607//867159070117615, 61400/W5NH00830//867159070120809//867159070120817, 61400/W5NH00844//867159070
100280//867159070100298, 61400/W5NH00989//867159070121161//867159070121179, 61400/W5NH00999//867159070126202//867159070126210, 61
400/W5NH01020//867159070144569//867159070144577, 61400/W5NH01036//867159070131905//867159070131913, 61400/W5NH01041//867159070120
882//867159070120890, 61400/W5NH01046//867159070125840//867159070125857, 61400/W5NH01059//864908077118064//864908077118072, 61400
/W5NH01066//864908077116720//864908077116738, 61400/W5NH01089//864908077116027//864908077116035, 61400/W5NH01245//864908078392825
//864908078392833, 61400/W5NH01247//864908078398228//864908078398236, 61400/W5NH01248//864908078396727//864908078396735, 61400/W5
NH01315//864908078570289//864908078570297, 61400/W5NH01321//864908078584025//864908078584033, 61400/W5NH01380//864908078576260//8
64908078576278, 61400/W5NH01394//864908078575403//864908078575411, 61400/W5NH01456//864908079007380//864908079007398, 61400/W5NH0
1656//867159070121583//867159070121591, 61400/W5NH01659//867159070122367//867159070122375, 61400/W5NH01698//864908077102282//8649
08077102290, 61400/W5NH01799//864908078622189//864908078622197, 61400/W5NH01870//864908079026703//864908079026711, 61400/W5NH0187
8//864908079037247//864908079037254, 61400/W5NH01880//864908079014568//864908079014576, 61400/W5NH01881//864908079044581//8649080
79044599, 61400/W5NH01885//864908079041660//864908079041678, 61400/W5NH01888//864908079015649//864908079015656, 61400/W5NH02143//
867159070180589//867159070180597, 61400/W5NH02177//867159070147166//867159070147174, 61400/W5NH02573//864908076918142//8649080769
18159, 61400/W5NH02588//864908076838084//864908076838092, 61400/W5NH02595//864908078623146//864908078623153, 61400/W5NH02611//864
908078623427//864908078623435, 61400/W5NH02627//864908077297587//864908077297595, 61400/W5NH02661//864908076831402//8649080768314
10, 61400/W5NH02677//867159070180647//867159070180654, 61400/W5NH02717//864908079041967//864908079041975, 61400/W5NH02824//864908
079000948//864908079000955, PAIS ORIGEN: CHINA – 215. // CANT (1000) U HOMOLOGACION DE EQUIPO MARCA REDMI MODELO: 24044RN32L, RAD
ICACION: 2024516638, FECHA: 2024-06-07. // TELEFONO CELULAR, 1065282 REDMI A3X MIDNIGHT BLACK 3G RAM 64G ROM.// ESPECIFICACIONES:
PROCESADOR: PROCESADOR UNISOC T603, PANTALLA: 6.71 PULGADAS, MEMORIA: 3 GB, DISCO DURO: 64 GB ROM, SISTEMA OPERATIVO: ANDROID 14
// EAN: 6941812799024, REDMI A3X NEGRO OCASO 3GB RAM 64GB ROM, ALIMENTACION: 5V-2A, LARGE 6.71 (17.04 CM), DISPLAY 90HZ FLUIS VI
SUAL EXPERIENCE POWER FUL OCTA CORE PROCESSOR AI DUAL CAMERA SYSTE, MASSIVE 500 MAH TYO BATTERY . EN LA CAJA CONTIENE: TELEFONO C
ELULAR, ADAPTADOR DE CORRIENTE, CABLE USB TIPO-C, LLAVE PARA SIM CARD, GUIA DE INICIO RAPIDO, TARJETA DE GARANTIA// PRODUCTO CON
EMPAQUE TERMOSELLADO //COD:. 1065282; PRODUCTO: TELEFONO CELULAR, MARCA: REDMI/MI, MODELO: 24044RN32L, REFERENCIA: 58674/MZB0HR6U
S, USO ODESTINO: COMUNICACIÓN, PARA ALMACENAMIENTO Y PROCESAMIENTO DE DATOS., SERIAL//IMEI NO. (CODIGO DE QUINCE -15- DIGITOS): 5
8674/65PC06221//865745079563502//865745079563510, 58674/65PC06222//865745079531483//865745079531491, 58674/65PC06223//86574507946
3687//865745079463695, 58674/65PC06224//865745079495184//865745079495192, 58674/65PC06225//865745079547828//865745079547836, 5867
4/65PC06227//865745079531301//865745079531319, 58674/65PC06228//865745079511766//865745079511774, 58674/65PC06229//86574507946694
6//865745079466953, 58674/65PC06230//865745079480764//865745079480772, 58674/65PC06231//865745079530949//865745079530956, 58674/6
5PC06232//865745079563643//865745079563650, 58674/65PC06233//865745079547984//865745079547992, 58674/65PC06234//865745079497883//
865745079497891, 58674/65PC06235//865745079483800//865745079483818, 58674/65PC06236//865745079475467//865745079475475, 58674/65PC
06237//865745079547646//865745079547653, 58674/65PC06238//865745079548008//865745079548016, 58674/65PC06239//865745079514208//865
745079514216, 58674/65PC06240//865745079512889//865745079512897, 58674/65PC06241//865745079514380//865745079514398, 58674/65PC062
42//865745079508226//865745079508234, 58674/65PC06243//865745079549360//865745079549378, 58674/65PC06244//865745079490268//865745
079490276, 58674/65PC06245//865745079546440//865745079546457, 58674/65PC06246//865745079563841//865745079563858, 58674/65PC06247/
/865745079531509//865745079531517, 58674/65PC06248//865745079530881//865745079530899, 58674/65PC06249//865745079463182//865745079
463190, 58674/65PC06250//865745079480400//865745079480418, 58674/65PC06251//865745079563189//865745079563197, 58674/65PC06252//86
5745079462663//865745079462671, 58674/65PC06253//865745079546507//865745079546515, 58674/65PC06254//865745079333344//865745079333
351, 58674/65PC06255//865745079530105//865745079530113, 58674/65PC06256//865745079463083//865745079463091, 58674/65PC06257//86574
5079463281//865745079463299, 58674/65PC06258//865745079529321//865745079529339, 58674/65PC06259//865745079285304//865745079285312
, 58674/65PC06414//865745079190488//865745079190496, 58674/65PC06416//865745079158469//865745079158477, 58674/65PC06417//86574507
9206409//865745079206417, 58674/65PC06418//865745079156364//865745079156372, 58674/65PC06429//865745079568048//865745079568055, 5
8674/65PC06500//865745079527564//865745079527572, 58674/65PC06501//865745079510842//865745079510859, 58674/65PC06502//86574507950
9661//865745079509679, 58674/65PC06503//865745079527986//865745079527994, 58674/65PC06504//865745079528083//865745079528091, 5867
4/65PC06505//865745079477240//865745079477257, 58674/65PC06507//865745079543785//865745079543793, 58674/65PC06508//86574507952828
1//865745079528299, 58674/65PC06509//865745079528166//865745079528174, 58674/65PC06510//865745079562363//865745079562371, 58674/6
032025000606117-4
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606117-4
Subpartida : 8517130000
Página 2 de 7
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
5PC06511//865745079512905//865745079512913, 58674/65PC06512//865745079529909//865745079529917, 58674/65PC06514//865745079475426//
865745079475434, 58674/65PC06515//865745079512863//865745079512871, 58674/65PC06516//865745079478446//865745079478453, 58674/65PC
06517//865745079462242//865745079462259, 58674/65PC06518//865745079524181//865745079524199, 58674/65PC06519//865745079478602//865
745079478610, 58674/65PC06520//865745079513341//865745079513358, 58674/65PC06521//865745079530220//865745079530238, 58674/65PC065
22//865745079530568//865745079530576, 58674/65PC06523//865745079562546//865745079562553, 58674/65PC06524//865745079463406//865745
079463414, 58674/65PC06525//865745079530345//865745079530352, 58674/65PC06526//865745079529388//865745079529396, 58674/65PC06527/
/865745079480749//865745079480756, 58674/65PC06528//865745079480426//865745079480434, 58674/65PC06529//865745079479527//865745079
479535, 58674/65PC06530//865745079479048//865745079479055, 58674/65PC06531//865745079461764//865745079461772, 58674/65PC06532//86
5745079497685//865745079497693, 58674/65PC06533//865745079513069//865745079513077, 58674/65PC06534//865745079495762//865745079495
770, 58674/65PC06535//865745079525766//865745079525774, 58674/65PC06536//865745079511808//865745079511816, 58674/65PC06538//86574
5079462689//865745079462697, 58674/65PC06539//865745079545301//865745079545319, 58674/65PC06540//865745079526087//865745079526095
, 58674/65PC06541//865745079476341//865745079476358, 58674/65PC06543//865745079509349//865745079509356, 58674/65PC06544//86574507
9513705//865745079513713, 58674/65PC06545//865745079496364//865745079496372, 58674/65PC06546//865745079527861//865745079527879, 5
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032025000606117-4
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606117-4
Subpartida : 8517130000
Página 3 de 7
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025000606117-4
Espacio para uso exclusivo de la Entidad Recaudadora
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025000606117-4
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606117-4
Subpartida : 8517130000
Página 5 de 7
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025000606117-4
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606117-4
Subpartida : 8517130000
Página 6 de 7
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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5PC10000//865745079177469//865745079177477, PAIS ORIGEN: CHINA – 215. //XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025000606117-4
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606117-4
Subpartida : 8517130000
Página 7 de 7
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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Espacio para uso exclusivo de la Entidad Recaudadora
