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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
032025000722139-2
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. T61725Q0498
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
6900349993
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.
173.00
72 . Peso neto kgs. dcms.
132.00
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
500.00
78 .Valor FOB
USD
47.098.45
79 . Valor fletes USD
1.477.42 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
203.431.983
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
203.431.983
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
2.35
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.479.77
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
48.578.22
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: 551983-DECL: 1899514-DO: 893107063251- 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: 3085520365. ID DELIVERY: 6081082975. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A057MLVHLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A05S DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VIOLETA (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
032025000722139
133. Feha: 202503 27
134 . Levante No. 032025000455079 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 92032502410021
Fecha presentación 2025-03-27 17:15:10
Valor pagado $0.00
Fecha de Impresión: 2025-03-27 17:15:53
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000722139-2
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
CLARO, MODELO: SM-A057M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A057M/DS,LIGHT VIOLET,LTC( QTY. 500,00 u
)(500,00 PCE); IMEIS: 351735260068248/354708260068242. 351735260068255/354708260068259. 351735260068263/354708260068267. 3517352
60068271/354708260068275. 351735260068289/354708260068283. 351735260068297/354708260068291. 351735260068305/354708260068309. 3517
35260068313/354708260068317. 351735260068321/354708260068325. 351735260068339/354708260068333. 351735260068347/354708260068341. 3
51735260068354/354708260068358. 351735260068362/354708260068366. 351735260068370/354708260068374. 351735260068388/354708260068382
.351735260068396/354708260068390. 351735260068404/354708260068408. 351735260068412/354708260068416. 351735260068420/3547082600684
24. 351735260068438/354708260068432. 351735260068446/354708260068440. 351735260068453/354708260068457. 351735260068461/3547082600
68465. 351735260068479/354708260068473. 351735260068487/354708260068481. 351735260068495/354 708260068499. 351735260068503/354708
260068507. 351735260068511/354708260068515. 351735260068529/354708260068523. 351735260068537/354708260068531. 351735260068545/354
708260068549. 351735260068552/354708260068556. 351735260068560/354708260068564. 351735260068578/354708260068572. 351735260068586/
354708260068580. 351735260068594/354708260068598. 351735260068602/354708260068606. 351735260068610/354708260068614. 3517352600686
28/354708260068622. 351735260068636/354708260068630. 351735260068644/354708260068648. 351735260068651/354708260068655. 3517352600
68669/354708260068663. 351735260068677/354708260068671. 351735260068685/354708260068689. 351735260068693/354708260068697. 3517352
60068701/354708260068705. 351735260068719/354708260068713. 351735260068727/354708260068721. 351735260068735/354708260068739. 3517
35260068743/354708260068747. 351735260068750/354708260068754. 351735260068768/354708260068762. 351735260068776/354708260068770. 3
51735260068784/354708260068788. 351735260068792/354708260068796. 351735260068800/354708260068804. 351735260068818/354708260068812
. 351735260068826/354708260068820. 351735260068834/354708260068838. 351735260068842/354708260068846. 351735260068859/354708260068
853. 351735260068867/354708260068861. 351735260068875/354708260068879. 351735260068883/354708260068887. 351735260068891/354708260
068895. 351735260068909/354708260068903. 351735260068917/354708260068911.351735260068925/354708260068929. 351735260068933/3547082
60068937. 351735260068941/354708260068945. 351735260068958/354708260068952. 351735260068966/354708260068960. 351735260068974/3547
08260068978. 351735260068982/354708260068986. 351735260068990/354708260068994. 351735260069006/354708260069000. 351735260069014/3
54708260069018. 351735260069022/354708260069026. 351735260069030/354708260069034. 351735260069048/354708260069042. 35173526006905
5/354708260069059. 351735260069063/354708260069067. 351735260069071/354708260069075. 351735260069089/354708260069083.351735260069
097/354708260069091. 351735260069105/354708260069109. 351735260069113/354708260069117. 351735260069121/354708260069125. 351735260
069139/354708260069133. 351735260069147/354708260069141. 351735260069154/354708260069158. 351735260069162/354708260069166. 351735
260069170/354708260069174. 351735260069188/354708260069182. 351735260069196/354708260069190. 351735260069204/354708260069208. 351
735260069212/354708260069216. 351735260069220/354708260069224. 351735260069238/354708260069232. 351735260069246/354708260069240.
351735260069253/354708260069257. 351735260069261/354708260069265. 351735260069279/354708260069273. 351735260069287/35470826006928
1. 351735260069295/354708260069299. 351735260069303/354708260069307. 351735260069311/354708260069315. 351735260069329/35470826006
9323. 351735260069337/354708260069331. 351735260069345/354708260069349. 351735260069352/354708260069356. 351735260069360/35470826
0069364. 351735260069378/354708260069372. 351735260069386/354708260069380. 351735260069394/354708260069398. 351735260069402/35470
8260069406. 351735260069410/354708260069414. 351735260069428/354708260069422. 351735260069436/354708260069430. 351735260069444/35
4708260069448. 351735260069451/354708260069455. 351735260069469/354708260069463. 351735260069477/354708260069471. 351735260069485
/354708260069489. 351735260069493/354708260069497. 351735260069501/354708260069505. 351735260069519/354708260069513. 351735260069
527/354708260069521. 351735260069535/354708260069539. 351735260069543/354708260069547. 351735260069550/354708260069554. 351735260
069568/354708260069562. 351735260069576/354708260069570. 351735260069584/354708260069588. 351735260069592/354708260069596. 351735
260069600/354708260069604. 351735260069618/354708260069612.351735260069626/354708260069620. 351735260069634/354708260069638. 3517
35260069642/354708260069646. 351735260069659/354708260069653. 351735260069667/354708260069661. 351735260069675/354708260069679. 3
51735260069683/354708260069687. 351735260069691/354708260069695. 351735260069709/354708260069703. 351735260069717/354708260069711
. 351735260069725/354708260069729. 351735260069733/354708260069737. 351735260069741/354708260069745. 351735260069758/354708260069
752. 351735260069766/354708260069760. 351735260069774/354708260069778. 351735260069782/354708260069786.351735260069790/3547082600
69794. 351735260069808/354708260069802. 351735260069816/354708260069810. 351735260069824/354708260069828. 351735260069832/3547082
60069836. 351735260069840/354708260069844. 351735260069857/354708260069851. 351735260069865/354708260069869. 351735260069873/3547
08260069877. 351735260069881/354708260069885. 351735260069899/354708260069893. 351735260069907/354708260069901. 351735260069915/3
54708260069919. 351735260069923/354708260069927. 351735260069931/354708260069935. 351735260069949/354708260069943. 35173526006995
6/354708260069950. 351735260069964/354708260069968. 351735260069972/354708260069976. 351735260069980/354708260069984. 35173526006
9998/354708260069992. 351735260070004/354708260070008. 351735260070012/354708260070016. 351735260070020/354708260070024. 35173526
0070038/354708260070032. 351735260070046/354708260070040. 351735260070053/354708260070057. 351735260070061/354708260070065. 35173
5260070079/354708260070073. 351735260070087/354708260070081. 351735260070095/354708260070099. 351735260070103/354708260070107. 35
1735260070111/354708260070115. 351735260070129/354708260070123. 351735260065137/354708260065131. 351735260065145/354708260065149.
351735260065152/354708260065156. 351735260065160/354708260065164. 351735260065178/354708260065172. 351735260065186/3547082600651
80. 351735260065194/354708260065198. 351735260065202/354708260065206. 351735260065210/354708260065214. 351735260065228/3547082600
65222. 351735260065236/354708260065230. 351735260065244/354708260065248. 351735260065251/354708260065255. 351735260065269/3547082
60065263. 351735260065277/354708260065271. 351735260065285/354708260065289. 351735260065293/354708260065297. 351735260065301/3547
08260065305. 351735260065319/354708260065313.351735260065327/354708260065321. 351735260065335/354708260065339. 351735260065343/35
4708260065347. 351735260065350/354708260065354. 351735260065368/354708260065362. 351735260065376/354708260065370. 351735260065384
/354708260065388. 351735260065392/354708260065396. 351735260065400/354708260065404. 351735260065418/354708260065412. 351735260065
426/354708260065420. 351735260065434/354708260065438. 351735260065442/354708260065446. 351735260065459/354708260065453. 351735260
065467/354708260065461. 351735260065475/354708260065479. 351735260065483/354708260065487.351735260065491/354708260065495. 3517352
60065509/354708260065503. 351735260065517/354708260065511. 351735260065525/354708260065529. 351735260065533/354708260065537. 3517
35260065541/354708260065545. 351735260065558/354708260065552. 351735260065566/354708260065560. 351735260065574/354708260065578. 3
51735260065582/354708260065586. 351735260065590/354708260065594. 351735260065608/354708260065602. 351735260065616/354708260065610
. 351735260065624/354708260065628. 351735260065632/354708260065636. 351735260065640/354708260065644. 351735260065657/354708260065
651. 351735260065665/354708260065669. 351735260065673/354708260065677. 351735260065681/354708260065685. 351735260065699/354708260
065693. 351735260065707/354708260065701. 351735260065715/354708260065719. 351735260065723/354708260065727. 351735260065731/354708
260065735. 351735260065749/354708260065743. 351735260065756/354708260065750. 351735260065764/354708260065768. 351735260065772/354
708260065776. 351735260065780/354708260065784. 351735260065798/354708260065792. 351735260065806/354708260065800. 351735260065814/
354708260065818. 351735260065822/354708260065826. 351735260065830/354708260065834. 351735260065848/354708260065842. 3517352600658
55/354708260065859. 351735260065863/354708260065867. 351735260065871/354708260065875. 351735260065889/354708260065883. 3517352600
65897/354708260065891. 351735260065905/354708260065909. 351735260065913/354708260065917. 351735260065921/354708260065925. 3517352
60065939/354708260065933. 351735260065947/354708260065941. 351735260065954/354708260065958. 351735260065962/354708260065966. 3517
35260065970/354708260065974. 351735260065988/354708260065982. 351735260065996/354708260065990. 351735260066002/354708260066006. 3
51735260066010/354708260066014.351735260066911/354708260066915. 351735260066929/354708260066923. 351735260066937/354708260066931.
351735260066945/354708260066949. 351735260066952/354708260066956. 351735260066960/354708260066964. 351735260066978/3547082600669
72. 351735260066986/354708260066980. 351735260066994/354708260066998. 351735260067000/354708260067004. 351735260067018/3547082600
032025000722139-2
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000722139-2
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
67012. 351735260067026/354708260067020. 351735260067034/354708260067038. 351735260067042/354708260067046. 351735260067059/3547082
60067053. 351735260067067/354708260067061. 351735260067075/354708260067079.351735260067083/354708260067087. 351735260067091/35470
8260067095. 351735260067109/354708260067103. 351735260067117/354708260067111. 351735260067125/354708260067129. 351735260067133/35
4708260067137. 351735260067141/354708260067145. 351735260067158/354708260067152. 351735260067166/354708260067160. 351735260067174
/354708260067178. 351735260067182/354708260067186. 351735260067190/354708260067194. 351735260067208/354708260067202. 351735260067
216/354708260067210. 351735260067224/354708260067228. 351735260067232/354708260067236. 351735260067240/354708260067244. 351735260
067257/354708260067251. 351735260067265/354708260067269. 351735260067273/354708260067277. 351735260067281/354708260067285. 351735
260067299/354708260067293. 351735260067307/354708260067301. 351735260067315/354708260067319. 351735260067323/354708260067327. 351
735260067331/354708260067335. 351735260067349/354708260067343. 351735260066028/354708260066022. 351735260066036/354708260066030.
351735260066044/354708260066048. 351735260066051/354708260066055. 351735260066069/354708260066063. 351735260066077/35470826006607
1. 351735260066085/354708260066089. 351735260066093/354708260066097. 351735260066101/354708260066105. 351735260066119/35470826006
6113. 351735260066127/354708260066121. 351735260066135/354708260066139. 351735260066143/354708260066147. 351735260066150/35470826
0066154. 351735260066168/354708260066162. 351735260066176/354708260066170. 351735260066184/354708260066188. 351735260066192/35470
8260066196. 351735260066200/354708260066204. 351735260066218/354708260066212. 351735260066226/354708260066220. 351735260066234/35
4708260066238. 351735260066242/354708260066246. 351735260066259/354708260066253. 351735260066267/354708260066261. 351735260066275
/354708260066279.351735260066283/354708260066287. 351735260066291/354708260066295. 351735260066309/354708260066303. 3517352600663
17/354708260066311. 351735260066325/354708260066329. 351735260066333/354708260066337. 351735260066341/354708260066345. 3517352600
66358/354708260066352. 351735260066366/354708260066360. 351735260066374/354708260066378. 351735260066382/354708260066386. 3517352
60066390/354708260066394. 351735260066408/354708260066402. 351735260066416/354708260066410. 351735260066424/354708260066428. 3517
35260066432/354708260066436. 351735260066440/354708260066444.351735260066457/354708260066451. 351735260066465/354708260066469. 35
1735260066473/354708260066477. 351735260066481/354708260066485. 351735260066499/354708260066493. 351735260066507/354708260066501.
351735260066515/354708260066519. 351735260066523/354708260066527. 351735260066531/354708260066535. 351735260066549/3547082600665
43. 351735260066556/354708260066550. 351735260066564/354708260066568. 351735260066572/354708260066576. 351735260066580/3547082600
66584. 351735260066598/354708260066592. 351735260066606/354708260066600. 351735260066614/354708260066618. 351735260066622/3547082
60066626. 351735260066630/354708260066634. 351735260066648/354708260066642. 351735260066655/354708260066659. 351735260066663/3547
08260066667. 351735260066671/354708260066675. 351735260066689/354708260066683. 351735260066697/354708260066691. 351735260066705/3
54708260066709. 351735260066713/354708260066717. 351735260066721/354708260066725. 351735260066739/354708260066733. 35173526006674
7/354708260066741. 351735260066754/354708260066758. 351735260066762/354708260066766. 351735260066770/354708260066774. 35173526006
6788/354708260066782. 351735260066796/354708260066790. 351735260066804/354708260066808. 351735260066812/354708260066816. 35173526
0066820/354708260066824. 351735260066838/354708260066832. 351735260066846/354708260066840. 351735260066853/354708260066857. 35173
5260066861/354708260066865. 351735260066879/354708260066873. 351735260066887/354708260066881. 351735260066895/354708260066899. 35
1735260066903/354708260066907. 351735260067356/354708260067350. 351735260067364/354708260067368. 351735260067372/354708260067376.
351735260067380/354708260067384. 351735260067398/354708260067392. 351735260067406/354708260067400. 351735260067414/3547082600674
18.351735260067422/354708260067426. 351735260067430/354708260067434. 351735260067448/354708260067442. 351735260067455/35470826006
7459. 351735260067463/354708260067467. 351735260067471/354708260067475. 351735260067489/354708260067483. 351735260067497/35470826
0067491. 351735260067505/354708260067509. 351735260067513/354708260067517. 351735260067521/354708260067525. 351735260067539/35470
8260067533. 351735260067547/354708260067541. 351735260067554/354708260067558. 351735260067562/354708260067566. 351735260067570/35
4708260067574. 351735260067588/354708260067582.351735260067596/354708260067590. 351735260067604/354708260067608. 351735260067612/
354708260067616. 351735260067620/354708260067624. 351735260067638/354708260067632. 351735260067646/354708260067640. 3517352600676
53/354708260067657. 351735260067661/354708260067665. 351735260067679/354708260067673. 351735260067687/354708260067681. 3517352600
67695/354708260067699. 351735260067703/354708260067707. 351735260067711/354708260067715. 351735260067729/354708260067723. 3517352
60067737/354708260067731. 351735260067745/354708260067749. 351735260067752/354708260067756. 351735260067760/354708260067764. 3517
35260067778/354708260067772. 351735260067786/354708260067780. 351735260067794/354708260067798. 351735260067802/354708260067806. 3
51735260067810/354708260067814. 351735260067828/354708260067822. 351735260067836/354708260067830. 351735260067844/354708260067848
. 351735260067851/354708260067855. 351735260067869/354708260067863. 351735260067877/354708260067871. 351735260067885/354708260067
889. 351735260067893/354708260067897. 351735260067901/354708260067905. 351735260067919/354708260067913. 351735260067927/354708260
067921. 351735260067935/354708260067939. 351735260067943/354708260067947. 351735260067950/354708260067954. 351735260067968/354708
260067962. 351735260067976/354708260067970. 351735260067984/354708260067988. 351735260067992/354708260067996. 351735260068008/354
708260068002. 351735260068016/354708260068010. 351735260068024/354708260068028. 351735260068032/354708260068036. 351735260068040/
354708260068044. 351735260068057/354708260068051. 351735260068065/354708260068069. 351735260068073/354708260068077. 3517352600680
81/354708260068085. 351735260068099/354708260068093. 351735260068107/354708260068101. 351735260068115/354708260068119.35173526006
8123/354708260068127. 351735260068131/354708260068135. 351735260068149/354708260068143. 351735260068156/354708260068150. 35173526
0068164/354708260068168. 351735260068172/354708260068176. 351735260068180/354708260068184. 351735260068198/354708260068192. 35173
5260068206/354708260068200. 351735260068214/354708260068218. 351735260068222/354708260068226. 351735260068230/354708260068234XXXX
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032025000722139-2
Espacio para uso exclusivo de la Entidad Recaudadora
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