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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
032025000606118-1
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.
583.47
72 . Peso neto kgs. dcms.
525.13
73 . Código
embalaje
PK
74 . No. bultos
6
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
1.500.00
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 202532734 CODIGO / RESOLUCION OEA IMPORTADOR: OE0169; DECLARACION(2-3) 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. HOMOLOGACION DE EQUIPO MARCA REDMI MODELO: 24044RN32L, RADICACION: 2024516638, FECHA: 2024-06-07. // DOCUMENTO DE VE
RIFICACION DE IMEI: DV-226023, FECHA: 2025-02-26. //. 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.. CA
NT (1500) U HOMOLOGACION DE EQUIPO MARCA REDMI MODELO: 24044RN32L, RADICACION: 2024516638, FECHA: 2024-06-0(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
032025000606118
133. Feha: 2025 03 05
134 . Levante No. 032025000346143 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 92032501795491
Fecha presentación 2025-03-05 17:43:49
Valor pagado $0.00
Fecha de Impresión: 2025-03-05 18:21:41
Kelly Johanna Gonzalez Acero
C.C 1.023.862.658
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606118-1
Subpartida : 8517130000
Página 1 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
7. // 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 NEG
RO OCASO 3GB RAM 64GB ROM, ALIMENTACION: 5V-2A, LARGE 6.71 (17.04 CM), DISPLAY 90HZ FLUIS VISUAL EXPERIENCE POWER FUL OCTA CORE P
ROCESSOR AI DUAL CAMERA SYSTE, MASSIVE 500 MAH TYO BATTERY . EN LA CAJA CONTIENE: TELEFONO CELULAR, 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/MZB0HR6US, USO O DESTINO: COMUNICACIÓN, PARA
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032025000606118-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606118-1
Subpartida : 8517130000
Página 2 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025000606118-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
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Aceptación : 032025000606118-1
Subpartida : 8517130000
Página 3 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025000606118-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
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Página 4 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025000606118-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606118-1
Subpartida : 8517130000
Página 5 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025000606118-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
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Aceptación : 032025000606118-1
Subpartida : 8517130000
Página 6 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025000606118-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606118-1
Subpartida : 8517130000
Página 7 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025000606118-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025000606118-1
Subpartida : 8517130000
Página 8 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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8674/65PC06001//865745079588103//865745079588111, 58674/65PC06002//865745079368787//865745079368795, 58674/65PC06004//86574507958
9002//865745079589010, 58674/65PC06005//865745079394049//865745079394056, 58674/65PC06006//865745079588061//865745079588079, 5867
4/65PC06007//865745079362665//865745079362673, 58674/65PC06008//865745079573667//865745079573675, 58674/65PC06009//86574507958846
7//865745079588475, 58674/65PC06010//865745079436147//865745079436154, 58674/65PC06011//865745079385120//865745079385138, 58674/6
5PC06012//865745079402628//865745079402636, 58674/65PC06013//865745079577247//865745079577254, 58674/65PC06015//865745079443002//
865745079443010, 58674/65PC06016//865745079588368//865745079588376, 58674/65PC06017//865745079588269//865745079588277, 58674/65PC
06018//865745079401307//865745079401315, 58674/65PC06019//865745079384347//865745079384354, 58674/65PC06020//865745079289520//865
745079289538, 58674/65PC06021//865745079543645//865745079543652, 58674/65PC06022//865745079460741//865745079460758, 58674/65PC060
23//865745079560961//865745079560979, 58674/65PC06025//865745079460089//865745079460097, 58674/65PC06026//865745079543520//865745
079543538, 58674/65PC06027//865745079510404//865745079510412, 58674/65PC06028//865745079544221//865745079544239, 58674/65PC06029/
/865745079560326//865745079560334, 58674/65PC06032//865745079544361//865745079544379, 58674/65PC06112//865745079318147//865745079
318154, 58674/65PC06119//865745079253625//865745079253633, 58674/65PC06122//865745079335521//865745079335539, 58674/65PC06123//86
5745079302869//865745079302877, 58674/65PC06124//865745079283747//865745079283754, 58674/65PC06125//865745079335042//865745079335
059, 58674/65PC06135//865745079269407//865745079269415, 58674/65PC06137//865745079316687//865745079316695, 58674/65PC06139//86574
5079284265//865745079284273, 58674/65PC06180//865745079519546//865745079519553, 58674/65PC06181//865745079469965//865745079469973
, 58674/65PC06184//865745079571067//865745079571075, 58674/65PC06185//865745079316562//865745079316570, 58674/65PC06187//86574507
9485920//865745079485938, 58674/65PC06188//865745079454124//865745079454132, 58674/65PC06190//865745079288605//865745079288613, 5
8674/65PC06195//865745079338962//865745079338970, 58674/65PC06197//865745079205062//865745079205070, 58674/65PC06198//86574507952
0908//865745079520916, 58674/65PC06200//865745079335182//865745079335190, 58674/65PC06206//865745079554063//865745079554071, 5867
4/65PC06209//865745079501643//865745079501650, 58674/65PC06211//865745079521021//865745079521039, 58674/65PC06214//86574507953792
8//865745079537936, 58674/65PC06215//865745079485201//865745079485219, 58674/65PC06216//865745079486449//865745079486456, 58674/6
5PC06217//865745079470880//865745079470898, 58674/65PC06220//865745079509489//865745079509497, PAIS ORIGEN: CHINA – 215. //XXXXXX
032025000606118-1
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Aceptación : 032025000606118-1
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Página 9 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025000606118-1
Espacio para uso exclusivo de la Entidad Recaudadora
