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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
032025000721978-0
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
1022943854
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. 116575015401398
43 . Año – Mes – Día
2025 – 03 – 26
44 . Documento de transporte
No. T61725Q0501
45 . Año – Mes – Día
2025 – 03 – 21
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
6900350588
52 . Año – Mes – Día
2025 – 03 – 17
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
580
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.187.72
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.
111.00
72 . Peso neto kgs. dcms.
79.20
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
300.00
78 .Valor FOB
USD
28.197.58
79 . Valor fletes USD
947.94 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
122.059.182
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
122.059.182
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
1.41
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
949.35
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
29.146.93
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: 551987-DECL: 1899517-DO: 893107064251- 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: 3085520196. ID DELIVERY: 6081082199. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A057MZKHLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A05S DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, M(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
032025000721978
133. Feha: 202503 27
134 . Levante No. 032025000454810 135 . Fecha
2025 – 03 – 27
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 92032502409043
Fecha presentación 2025-03-27 17:02:05
Valor pagado $0.00
Fecha de Impresión: 2025-03-27 17:02:15
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000721978-0
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ODELO: SM-A057M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A057M/DS,BLACK,LTC( QTY. 300,00 u )(300,00 PCE);
IMEIS: 351735260070137/354708260070131. 351735260070152/354708260070156. 351735260070202/354708260070206. 351735260070244/354708
260070248. 351735260070277/354708260070271. 351735260070293/354708260070297. 351735260070319/354708260070313. 351735260070335/354
708260070339. 351735260070343/354708260070347. 351735260070368/354708260070362. 351735260070376/354708260070370. 351735260070483/
354708260070487. 351735260070491/354708260070495. 351735260070517/354708260070511. 351735260070574/354708260070578. 3517352600705
82/354708260070586. 351735260070590/354708260070594. 351735260070608/354708260070602. 351735260070624/354708260070628. 3517352600
70640/354708260070644. 351735260070657/354708260070651. 351735260070681/354708260070685. 351735260070699/354708260070693. 3517352
60070756/354708260070750. 351735260070764/354708260070768. 351735260070780/354708260070784. 3 51735260070798/354708260070792. 351
735260070814/354708260070818. 351735260070848/354708260070842. 351735260070855/354708260070859. 351735260070863/354708260070867.
351735260070889/354708260070883. 351735260070897/354708260070891. 351735260070905/354708260070909. 351735260070939/35470826007093
3. 351735260070954/354708260070958. 351735260070970/354708260070974. 351735260070988/354708260070982. 351735260071051/35470826007
1055. 351735260071069/354708260071063. 351735260071093/354708260071097. 351735260071135/354708260071139. 351735260071218/35470826
0071212.351735260071267/354708260071261. 351735260075433/354708260075437. 351735260075458/354708260075452. 351735260075490/354708
260075494. 351735260075516/354708260075510. 351735260075573/354708260075577. 351735260075581/354708260075585. 351735260075599/354
708260075593. 351735260075607/354708260075601. 351735260075615/354708260075619. 351735260075649/354708260075643. 351735260075664/
354708260075668. 351735260075680/354708260075684. 351735260075698/354708260075692. 351735260075706/354708260075700. 3517352600757
22/354708260075726. 351735260075755/354708260075759.351735260075789/354708260075783. 351735260075797/354708260075791. 35173526007
5813/354708260075817. 351735260075821/354708260075825. 351735260075862/354708260075866. 351735260075888/354708260075882. 35173526
0075896/354708260075890. 351735260075912/354708260075916. 351735260075938/354708260075932. 351735260075946/354708260075940. 35173
5260075953/354708260075957. 351735260075961/354708260075965. 351735260075987/354708260075981. 351735260076001/354708260076005. 35
1735260076019/354708260076013. 351735260076027/354708260076021. 351735260076035/354708260076039. 351735260076068/354708260076062.
351735260076092/354708260076096. 351735260076100/354708260076104. 351735260076126/354708260076120. 351735260076167/3547082600761
61. 351735260076191/354708260076195. 351735260076241/354708260076245. 351735260076258/354708260076252. 351735260076274/3547082600
76278. 351735260076407/354708260076401. 351735260076480/354708260076484. 351735260078239/354708260078233. 351735260078247/3547082
60078241. 351735260078411/354708260078415. 351735260078429/354708260078423. 351735260078460/354708260078464. 351735260078478/3547
08260078472. 351735260078528/354708260078522. 351735260078536/354708260078530. 351735260078544/354708260078548. 351735260078551/3
54708260078555. 351735260078569/354708260078563. 351735260078684/354708260078688. 351735260078726/354708260078720. 35173526007882
5/354708260078829. 351735260078858/354708260078852. 351735260078866/354708260078860. 351735260078882/354708260078886. 35173526007
8932/354708260078936. 351735260078940/354708260078944. 351735260079013/354708260079017. 351735260079054/354708260079058. 35173526
0079096/354708260079090. 351735260079195/354708260079199. 351735260079260/354708260079264. 351735260079286/354708260079280.351735
260079310/354708260079314. 351735260079328/354708260079322. 351735260079393/354708260079397. 351735260079443/354708260079447. 351
735260079609/354708260079603. 351735260079781/354708260079785. 351735260079898/354708260079892. 351735260079914/354708260079918.
351735260080235/354708260080239. 351735260080334/354708260080338. 351735260080417/354708260080411. 351735260080441/35470826008044
5. 351735260080490/354708260080494. 351735260080706/354708260080700. 351735260080722/354708260080726. 351735260080755/35470826008
0759. 351735260080805/354708260080809.351735260080862/354708260080866. 351735260080995/354708260080999. 351735260081183/354708260
081187. 351735260077561/354708260077565. 351735260077579/354708260077573. 351735260077587/354708260077581. 351735260077595/354708
260077599. 351735260077603/354708260077607. 351735260077611/354708260077615. 351735260077629/354708260077623. 351735260077637/354
708260077631. 351735260077645/354708260077649. 351735260077652/354708260077656. 351735260077660/354708260077664. 351735260077678/
354708260077672. 351735260077686/354708260077680. 351735260077694/354708260077698. 351735260077702/354708260077706. 3517352600777
10/354708260077714. 351735260077728/354708260077722. 351735260077736/354708260077730. 351735260077744/354708260077748. 3517352600
77751/354708260077755. 351735260077769/354708260077763. 351735260077777/354708260077771. 351735260077785/354708260077789. 3517352
60077793/354708260077797. 351735260077801/354708260077805. 351735260077819/354708260077813. 351735260077827/354708260077821. 3517
35260077835/354708260077839. 351735260077843/354708260077847. 351735260077850/354708260077854. 351735260077868/354708260077862. 3
51735260077876/354708260077870. 351735260077884/354708260077888. 351735260077892/354708260077896. 351735260078064/354708260078068
. 351735260078072/354708260078076. 351735260078106/354708260078100. 351735260078114/354708260078118. 351735260078122/354708260078
126. 351735260078155/354708260078159. 351735260078189/354708260078183. 351735260078205/354708260078209. 351735260078213/354708260
078217. 351735260078221/354708260078225. 351735260071275/354708260071279. 351735260071382/354708260071386. 351735260071465/354708
260071469. 351735260071473/354708260071477. 351735260071820/354708260071824. 351735260071903/354708260071907.351735260071911/3547
08260071915. 351735260072117/354708260072111. 351735260072265/354708260072269. 351735260072489/354708260072483. 351735260072513/3
54708260072517. 351735260072927/354708260072921. 351735260072992/354708260072996. 351735260073032/354708260073036. 35173526007316
4/354708260073168. 351735260073271/354708260073275. 351735260073701/354708260073705. 351735260073859/354708260073853. 35173526007
3990/354708260073994. 351735260074048/354708260074042. 351735260074071/354708260074075. 351735260074097/354708260074091. 35173526
0074147/354708260074141.351735260074170/354708260074174. 351735260074444/354708260074448. 351735260074725/354708260074729. 351735
260074733/354708260074737. 351735260074790/354708260074794. 351735260074956/354708260074950. 351735260074998/354708260074992. 351
735260075110/354708260075114. 351735260075185/354708260075189. 351735260075201/354708260075205. 351735260075235/354708260075239.
351735260075250/354708260075254. 351735260075268/354708260075262. 351735260075318/354708260075312. 351735260075326/35470826007532
0. 351735260075334/354708260075338. 351735260075342/354708260075346. 351735260075359/354708260075353. 351735260075367/35470826007
5361. 351735260075375/354708260075379. 351735260075391/354708260075395. 351735260075409/354708260075403. 351735260076506/35470826
0076500. 351735260076571/354708260076575. 351735260076605/354708260076609. 351735260076670/354708260076674. 351735260076696/35470
8260076690. 351735260076720/354708260076724. 351735260077165/354708260077169. 351735260077173/354708260077177. 351735260077199/35
4708260077193. 351735260077207/354708260077201. 351735260077215/354708260077219. 351735260077223/354708260077227. 351735260077231
/354708260077235. 351735260077249/354708260077243. 351735260077256/354708260077250. 351735260077264/354708260077268. 351735260077
272/354708260077276. 351735260077280/354708260077284. 351735260077298/354708260077292. 351735260077306/354708260077300. 351735260
077314/354708260077318. 351735260077322/354708260077326. 351735260077330/354708260077334. 351735260077348/354708260077342. 351735
260077355/354708260077359. 351735260077363/354708260077367. 351735260077371/354708260077375. 351735260077389/354708260077383. 351
735260077397/354708260077391. 351735260077405/354708260077409. 351735260077413/354708260077417.351735260077421/354708260077425. 3
51735260077439/354708260077433. 351735260077447/354708260077441. 351735260077454/354708260077458. 351735260077462/354708260077466
. 351735260077470/354708260077474. 351735260077488/354708260077482. 351735260077496/354708260077490. 351735260077504/354708260077
508. 351735260077512/354708260077516. 351735260077520/354708260077524. 351735260077538/354708260077532. 351735260077546/354708260
077540. 351735260077553/354708260077557. 351735260081241/354708260081245. 351735260081282/354708260081286. 351735260081365/354708
260081369.351735260081837/354708260081831. 351735260082017/354708260082011. 351735260082025/354708260082029. 351735260082058/3547
08260082052. 351735260082140/354708260082144. 351735260082165/354708260082169. 351735260082173/354708260082177. 351735260082199/3
54708260082193. 351735260082207/354708260082201. 351735260082231/354708260082235. 351735260082256/354708260082250. 35173526008230
6/354708260082300. 351735260082330/354708260082334. 351735260082553/354708260082557. 351735260082587/354708260082581. 35173526008
2769/354708260082763. 351735260082801/354708260082805. 351735260082819/354708260082813. 351735260082900/354708260082904. 35173526
032025000721978-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000721978-0
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
0083031/354708260083035. 351735260083163/354708260083167. 351735260083221/354708260083225. 351735260083247/354708260083241. 35173
5260083254/354708260083258. 351735260083262/354708260083266. 351735260083270/354708260083274. 351735260083288/354708260083282. 35
1735260083304/354708260083308. 351735260083312/354708260083316. 351735260083320/354708260083324XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025000721978-0
Espacio para uso exclusivo de la Entidad Recaudadora
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