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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
032025000633271-5
5 . Número de Identificación Tributaria (NIT) 6 . DV. 11 . Apellidos y nombres o Razón Social
.
13 . Dirección 15 . Teléfono 12 . Cód. Admón. 16 . Cód. Dpto 17 . Cód. Ciudad Municipio
24 . Número de Identificación Tributaria (NIT) 25 . DV. 26 . Razón social del declarante autorizado 27 . Tipo usuario 28 . Cód. usuario
29 . Número documento de identificación 30 . Apellidos y nombres
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
13101
42 . Manifiesto de carga
No. 116575015335424
43 . Año – Mes – Día
2025 – 03 – 08
44 . Documento de transporte
No. 41N0701757
45 . Año – Mes – Día
2025 – 03 – 04
46 . Nombre exportador o proveedor en el exterior 47 . Ciudad 48 . Cod.País Exportador
49 . Dirección exportador o proveedor en el exterior
,
50 . E-mail
51 . No. de factura
RY3IM2025030300083
52 . Año – Mes – Día
2025 – 03 – 03
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.
4.104.56
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
351
71 . Peso bruto kgs. dcms.
298.31
72 . Peso neto kgs. dcms.
250.54
73 . Código
embalaje
YY
74 . No. bultos
5
75 . Subpartidas
2
76 . Cod. unidad
comercialU
77 . Cantidad dcms.
600.00
78 .Valor FOB U 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 US
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 BB7G0003733-001 DECLARACION(2-2) DOCUMENTO DE VERIFICACIÓN NO. DV-226602 DE 2025-03-06. FACTURA: RY3IM2025030300083 FECHA: 202
5-03-03 PRODUCTO: TELEFONO INTELIGENTE (CELULAR), MARCA: HONOR, MODELO: JDY-LX3P, REFERENCIA: 5109BHPX, USO O DESTINO: EQUIPO TER
MINAL MOVIL PARA TELECOMUNICACION, DESCARGA DE APLICACIONES, NAVEGACION EN INTERNET Y TOMA DE FOTOGRAFIAS ENTRE OTROS, IMEI NO. (
CODIGO DE QUINCE -15- DIGITOS): 865630079363790/865630079713796 865630079357420/865630079707426 865630079357750/865630079707756 8
65630079357578/865630079707574 865630079360622/865630079710628 865630079360309/865630079710305 865630079352165/865630079702161 86
5630079352223/865630079702229 865630079360580/865630079710586 865630079360390/865630079710396 8656300793605(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
032025000633271
133. Feha: 2025 03 11
134 . Levante No. 032025000370726 135 . Fecha
2025 – 03 – 11
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 92032501944346
Fecha presentación 2025-03-11 10:30:04
Valor pagado $0.00
Fecha de Impresión: 2025-03-11 10:42:16
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000633271-5
Subpartida : 8517130000
Página 2 de 3
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
9709034 865630079363972/865630079713978 865630079356810/865630079706816 865630079359665/865630079709661
865630079361745/865630079 711741 865630079359244/865630079709240 865630079364129/865630079714125 865630079362784/865630079712780
865630079356406/8656300797 06402 865630079362396/865630079712392 865630079359756/865630079709752 865630079361828/865630079711824
865630079353502/86563007970 3508 865630079362529/865630079712525 865630079353619/865630079703615 865630079354062/865630079704068
865630079353643/865630079703 649 865630079353908/865630079703904 865630079362420/865630079712426 865630079353510/865630079703516
865630079362578/8656300797125 74 865630079359863/865630079709869 865630079363261/865630079713267 865630079363071/865630079713077
865630079362271/86563007971227 7 865630079360069/865630079710065 865630079363691/865630079713697 865630079353577/865630079703573
865630079353759/865630079703755 865630079359202/865630079709208 865630079353924/865630079703920 865630079351985/865630079701981
865630079365589/865630079715585 865630079361976/865630079711972 865630079353957/865630079703953 865630079362859/865630079712855
865630079362040/865630079712046 8 65630079362537/865630079712533 865630079354617/865630079704613 865630079353726/865630079703722
865630079359236/865630079709232 86 5630079353684/865630079703680 865630079360242/865630079710248 865630079353841/865630079703847
865630079362180/865630079712186 865 630079355465/865630079705461 865630079353809/865630079703805 865630079362453/865630079712459
865630079354039/865630079704035 8656 30079358972/865630079708978 865630079360226/865630079710222 865630079353700/865630079703706
865630079362313/865630079712319 86563 0079353569/865630079703565 865630079363220/865630079713226 865630079354971/865630079704977
865630079363782/865630079713788 865630 079363378/865630079713374 865630079355234/865630079705230 865630079355572/865630079705578
865630079363733/865630079713739 8656300 79355341/865630079705347 865630079354955/865630079704951 865630079355184/865630079705180
865630079363568/865630079713564 86563007 9320303/865630079670301 865630079363543/865630079713549 865630079354187/865630079704183
865630079362644/865630079712640 865630079 353049/865630079703045 865630079353981/865630079703987 865630079355135/865630079705131
865630079363709/865630079713705 8656300793 62321/865630079712327 865630079361885/865630079711881 865630079353585/865630079703581
865630079363162/865630079713168 86563007936 2214/865630079712210 865630079357214/865630079707210 865630079362099/865630079712095
865630079353940/865630079703946 865630079357 701/865630079707707 865630079354146/865630079704142 865630079359673/865630079709679
865630079364434/865630079714430 8656300793553 74/865630079705370 865630079353445/865630079703441 865630079357255/865630079707251
865630079352108/865630079702104 86563007935229 8/865630079702294 865630079354864/865630079704860 865630079356505/865630079706501
865630079356521/865630079706527 865630079354963 /865630079704969 865630079355499/865630079705495 865630079356489/865630079706485
865630079364152/865630079714158 865630079356356/ 865630079706352 865630079365324/865630079715320 865630079356687/865630079706683
865630079362834/865630079712830 865630079356497/8 65630079706493 865630079364574/865630079714570 865630079355069/865630079705065
865630079355143/865630079705149 865630079364475/86 5630079714471 865630079356034/865630079706030 865630079363303/865630079713309
865630079354856/865630079704852 865630079364491/865 630079714497 865630079364368/865630079714364 865630079363238/865630079713234
865630079363642/865630079713648 865630079364657/8656 30079714653 865630079364483/865630079714489 865630079355051/865630079705057
865630079355036/865630079705032 865630079362867/86563 0079712863 865630079364020/865630079714026 865630079356240/865630079706246
865630079355937/865630079705933 865630079364442/865630 079714448 865630079356133/865630079706139 865630079364871/865630079714877
865630079362511/865630079712517 865630079357362/8656300 79707368 865630079359608/865630079709604 865630079360531/865630079710537
865630079361943/865630079711949 865630079360721/86563007 9710727 865630079353007/865630079703003 865630079355655/865630079705651
865630079362255/865630079712251 865630079356414/865630079 706410 865630079364061/865630079714067 865630079352322/865630079702328
865630079362222/865630079712228 865630079357693/8656300797 07699 865630079357297/865630079707293 865630079365381/865630079715387
865630079361950/865630079711956 865630079353098/86563007970 3094 865630079363865/865630079713861 865630079361927/865630079711923
865630079363659/865630079713655 865630079359517/865630079709 513 865630079364772/865630079714778 865630079356596/865630079706592
865630079364590/865630079714596 865630079365126/8656300797151 22 865630079357982/865630079707988 865630079364681/865630079714687
865630079356646/865630079706642 865630079356877/86563007970687 3 865630079357016/865630079707012 865630079355085/865630079705081
865630079365340/865630079715346 865630079365480/865630079715486 865630079357313/865630079707319 865630079353130/865630079703136
865630079356158/865630079706154 865630079358261/865630079708267 865630079356315/865630079706311 865630079358196/865630079708192
865630079355853/865630079705859 865630079359459/865630079709455 8 65630079354161/865630079704167 865630079362545/865630079712541
865630079355358/865630079705354 865630079364640/865630079714646 86 5630079364764/865630079714760 865630079364244/865630079714240
865630079364350/865630079714356 865630079355044/865630079705040 865 630079356190/865630079706196 865630079356182/865630079706188
865630079355861/865630079705867 865630079356067/865630079706063 8656 30079356661/865630079706667 865630079356372/865630079706378
865630079364228/865630079714224 865630079364459/865630079714455 86563 0079355846/865630079705842 865630079364632/865630079714638
865630079356026/865630079706022 865630079355929/865630079705925 865630 079364509/865630079714505 865630079356059/865630079706055
865630079364665/865630079714661 865630079364194/865630079714190 8656300 79365282/865630079715288 865630079360754/865630079710750
865630079363287/865630079713283 865630079361869/865630079711865 86563007 9362586/865630079712582 865630079361968/865630079711964
865630079356950/865630079706956 865630079363410/865630079713416 865630079 362594/865630079712590 865630079362107/865630079712103
865630079353734/865630079703730 865630079360382/865630079710388 8656300793 53692/865630079703698 865630079362917/865630079712913
865630079355192/865630079705198 865630079360200/865630079710206 86563007936 4756/865630079714752 865630079362370/865630079712376
865630079362008/865630079712004 865630079352876/865630079702872 865630079353 536/865630079703532 865630079354484/865630079704480
865630079365332/865630079715338 865630079354138/865630079704134 8656300793589 31/865630079708937 865630079353122/865630079703128
865630079359731/865630079709737 865630079354096/865630079704092 86563007936025 9/865630079710255 865630079361851/865630079711857
865630079359228/865630079709224 865630079364277/865630079714273 865630079359798 /865630079709794 865630079360317/865630079710313
865630079356539/865630079706535 865630079364095/865630079714091 865630079356836/ 865630079706832 865630079355333/865630079705339
865630079364822/865630079714828 865630079359053/865630079709059 865630079364137/8 65630079714133 865630079362610/865630079712616
865630079365498/865630079715494 865630079358840/865630079708846 865630079364814/86 5630079714810 865630079364103/865630079714109
865630079363832/865630079713838 865630079364392/865630079714398 865630079353874/865 630079703870 865630079354070/865630079704076
865630079362628/865630079712624 865630079362677/865630079712673 865630079353551/8656 30079703557 865630079354229/865630079704225
865630079358956/865630079708952 865630079354997/865630079704993 865630079362081/86563 0079712087 865630079357073/865630079707079
865630079360101/865630079710107 865630079352025/865630079702021 865630079360465/865630 079710461 865630079360853/865630079710859
865630079359004/865630079709000 865630079359277/865630079709273 865630079360481/8656300 79710487 865630079359525/865630079709521
865630079359343/865630079709349 865630079365688/865630079715684 865630079362719/86563007 9712715 865630079359814/865630079709810
865630079360085/865630079710081 865630079362024/865630079712020 865630079360127/865630079 710123 865630079354203/865630079704209
865630079356422/865630079706428 865630079363717/865630079713713 865630079356778/8656300797 06774 865630079355614/865630079705610
865630079365464/865630079715460 865630079360515/865630079710511 865630079354781/86563007970 4787 865630079363436/865630079713432
865630079359970/865630079709976 865630079357347/865630079707343 865630079359566/865630079709 562 865630079359624/865630079709620
865630079353254/865630079703250 865630079357388/865630079707384 865630079362743/8656300797127 49 865630079358154/865630079708150
865630079361919/865630079711915 865630079360473/865630079710479 865630079361786/86563007971178 2 865630079357370/865630079707376
865630079359723/865630079709729 865630079359640/865630079709646 865630079365852/865630079715858 865630079359418/865630079709414,
SERIAL: NO APLICA, PART NO. 5109BHPX LTE Cellular Phone,Judy-L43D,LTE TDD/FDD-LTE/WCDMA/GSM,USB Cable/TPU Case/QSG/Warranty
Card/TP selling point film,Internal Lithium Ion Battery*1/US Travel Charger*1,Bar,Forest Green,Chann el CARTA DE HOMOLOGACION
DEL EQUIPO TRAMITADA CON EL RADICADO CRC 2024519037. CODIGO DE HOMOLOGACION: TM-24-0463, FECHA DE HOMOLO GACION: 24/06/2024.
CANT (600) PCS (ITEM 2).XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025000633271-5
Espacio para uso exclusivo de la Entidad Recaudadora
