Ir al contenido
VER MAS
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
032025000722268-4
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. T61725Q0497
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
6900350193
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.
142.00
72 . Peso neto kgs. dcms.
110.88
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
420.00
78 .Valor FOB
USD
39.591.06
79 . Valor fletes USD
1.212.68 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
170.882.888
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
170.882.888
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
1.97
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.214.65
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
40.805.71
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: 551991-DECL: 1899542-DO: 893107062251- 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: 3085519935. ID DELIVERY: 6081082191. 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
032025000722268
133. Feha: 202503 27
134 . Levante No. 032025000455190 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 92032502410574
Fecha presentación 2025-03-27 17:23:43
Valor pagado $0.00
Fecha de Impresión: 2025-03-27 17:23:51
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000722268-4
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. 420,00 u )(420,00 PCE);
IMEIS: 351735260082389/354708260082383. 351735260082397/354708260082391. 351735260082405/354708260082409. 351735260082413/354708
260082417. 351735260082421/354708260082425. 351735260082439/354708260082433. 351735260082447/354708260082441. 351735260082462/354
708260082466. 351735260082470/354708260082474. 351735260082488/354708260082482. 351735260082496/354708260082490. 351735260082512/
354708260082516. 351735260082538/354708260082532. 351735260082546/354708260082540. 351735260082561/354708260082565. 3517352600825
79/354708260082573. 351735260082595/354708260082599. 351735260082603/354708260082607. 351735260082611/354708260082615. 3517352600
82629/354708260082623. 351735260082645/354708260082649. 351735260082652/354708260082656. 351735260082678/354708260082672. 3517352
60082686/354708260082680. 351735260082694/354708260082698. 351735260082702/354708260082706. 3 51735260082710/354708260082714. 351
735260082736/354708260082730. 351735260082751/354708260082755. 351735260082777/354708260082771. 351735260082785/354708260082789.
351735260082793/354708260082797. 351735260082827/354708260082821. 351735260082835/354708260082839. 351735260082843/35470826008284
7. 351735260082850/354708260082854. 351735260082868/354708260082862. 351735260082876/354708260082870. 351735260082884/35470826008
2888. 351735260082892/354708260082896. 351735260082918/354708260082912. 351735260082926/354708260082920. 351735260082934/35470826
0082938.351735260082959/354708260082953. 351735260082967/354708260082961. 351735260082975/354708260082979. 351735260082983/354708
260082987. 351735260083015/354708260083019. 351735260083023/354708260083027. 351735260083049/354708260083043. 351735260083056/354
708260083050. 351735260083064/354708260083068. 351735260083072/354708260083076. 351735260083080/354708260083084. 351735260083098/
354708260083092. 351735260083106/354708260083100. 351735260083122/354708260083126. 351735260083130/354708260083134. 3517352600831
48/354708260083142. 351735260083155/354708260083159.351735260083171/354708260083175. 351735260083189/354708260083183. 35173526008
3239/354708260083233. 351735260083296/354708260083290. 351735260070186/354708260070180. 351735260070384/354708260070388. 35173526
0070418/354708260070412. 351735260070442/354708260070446. 351735260070459/354708260070453. 351735260070541/354708260070545. 35173
5260070665/354708260070669. 351735260070673/354708260070677. 351735260070913/354708260070917. 351735260070947/354708260070941. 35
1735260070962/354708260070966. 351735260070996/354708260070990. 351735260071002/354708260071006. 351735260071028/354708260071022.
351735260071036/354708260071030. 351735260071077/354708260071071. 351735260071101/354708260071105. 351735260071119/3547082600711
13. 351735260071127/354708260071121. 351735260071150/354708260071154. 351735260071226/354708260071220. 351735260071291/3547082600
71295. 351735260071325/354708260071329. 351735260071341/354708260071345. 351735260071366/354708260071360. 351735260071374/3547082
60071378. 351735260071523/354708260071527. 351735260072000/354708260072004. 351735260072034/354708260072038. 351735260072539/3547
08260072533. 351735260072604/354708260072608. 351735260072612/354708260072616. 351735260072638/354708260072632. 351735260072646/3
54708260072640. 351735260072653/354708260072657. 351735260072661/354708260072665. 351735260072687/354708260072681. 35173526007273
7/354708260072731. 351735260072752/354708260072756. 351735260072786/354708260072780. 351735260072828/354708260072822. 35173526007
2836/354708260072830. 351735260072844/354708260072848. 351735260072851/354708260072855. 351735260072869/354708260072863. 35173526
0072877/354708260072871. 351735260072885/354708260072889. 351735260072893/354708260072897. 351735260072901/354708260072905.351735
260072919/354708260072913. 351735260072935/354708260072939. 351735260072943/354708260072947. 351735260072968/354708260072962. 351
735260073040/354708260073044. 351735260073057/354708260073051. 351735260073065/354708260073069. 351735260073081/354708260073085.
351735260073099/354708260073093. 351735260073107/354708260073101. 351735260073115/354708260073119. 351735260073123/35470826007312
7. 351735260073131/354708260073135. 351735260073149/354708260073143. 351735260073156/354708260073150. 351735260073172/35470826007
3176. 351735260073206/354708260073200.351735260073222/354708260073226. 351735260073289/354708260073283. 351735260073297/354708260
073291. 351735260073305/354708260073309. 351735260073313/354708260073317. 351735260073339/354708260073333. 351735260073347/354708
260073341. 351735260073354/354708260073358. 351735260073362/354708260073366. 351735260073370/354708260073374. 351735260073388/354
708260073382. 351735260073461/354708260073465. 351735260073651/354708260073655. 351735260073669/354708260073663. 351735260073677/
354708260073671. 351735260073685/354708260073689. 351735260073693/354708260073697. 351735260073719/354708260073713. 3517352600737
35/354708260073739. 351735260073743/354708260073747. 351735260073750/354708260073754. 351735260073776/354708260073770. 3517352600
73784/354708260073788. 351735260073792/354708260073796. 351735260073800/354708260073804. 351735260073818/354708260073812. 3517352
60073826/354708260073820. 351735260073834/354708260073838. 351735260073842/354708260073846. 351735260073875/354708260073879. 3517
35260073891/354708260073895. 351735260073909/354708260073903. 351735260073917/354708260073911. 351735260073925/354708260073929. 3
51735260073933/354708260073937. 351735260073941/354708260073945. 351735260073958/354708260073952. 351735260073974/354708260073978
. 351735260073982/354708260073986. 351735260074006/354708260074000. 351735260074014/354708260074018. 351735260074030/354708260074
034. 351735260074063/354708260074067. 351735260074105/354708260074109. 351735260074121/354708260074125. 351735260074139/354708260
074133. 351735260074188/354708260074182. 351735260074204/354708260074208. 351735260074246/354708260074240. 351735260074279/354708
260074273. 351735260074303/354708260074307. 351735260074352/354708260074356. 351735260074386/354708260074380.351735260074428/3547
08260074422. 351735260074451/354708260074455. 351735260074469/354708260074463. 351735260074477/354708260074471. 351735260074485/3
54708260074489. 351735260074501/354708260074505. 351735260074535/354708260074539. 351735260074543/354708260074547. 35173526007455
0/354708260074554. 351735260074568/354708260074562. 351735260074576/354708260074570. 351735260074584/354708260074588. 35173526007
4592/354708260074596. 351735260074600/354708260074604. 351735260077181/354708260077185. 351735260077991/354708260077995. 35173526
0078254/354708260078258.351735260078486/354708260078480. 351735260078585/354708260078589. 351735260078635/354708260078639. 351735
260078643/354708260078647. 351735260078767/354708260078761. 351735260078775/354708260078779. 351735260078783/354708260078787. 351
735260078791/354708260078795. 351735260078833/354708260078837. 351735260078874/354708260078878. 351735260078908/354708260078902.
351735260078916/354708260078910. 351735260078973/354708260078977. 351735260078999/354708260078993. 351735260079039/35470826007903
3. 351735260079047/354708260079041. 351735260079088/354708260079082. 351735260079104/354708260079108. 351735260079112/35470826007
9116. 351735260079146/354708260079140. 351735260079153/354708260079157. 351735260079161/354708260079165. 351735260079179/35470826
0079173. 351735260079229/354708260079223. 351735260079245/354708260079249. 351735260079252/354708260079256. 351735260079336/35470
8260079330. 351735260079351/354708260079355. 351735260079369/354708260079363. 351735260079377/354708260079371. 351735260079385/35
4708260079389. 351735260079419/354708260079413. 351735260079427/354708260079421. 351735260079435/354708260079439. 351735260079450
/354708260079454. 351735260079468/354708260079462. 351735260079476/354708260079470. 351735260079484/354708260079488. 351735260079
500/354708260079504. 351735260079591/354708260079595. 351735260079617/354708260079611. 351735260079625/354708260079629. 351735260
074618/354708260074612. 351735260074626/354708260074620. 351735260074659/354708260074653. 351735260074675/354708260074679. 351735
260074683/354708260074687. 351735260074691/354708260074695. 351735260074717/354708260074711. 351735260074741/354708260074745. 351
735260074758/354708260074752. 351735260074766/354708260074760. 351735260074782/354708260074786.351735260074808/354708260074802. 3
51735260074816/354708260074810. 351735260074824/354708260074828. 351735260074832/354708260074836. 351735260074865/354708260074869
. 351735260074899/354708260074893. 351735260074907/354708260074901. 351735260074915/354708260074919. 351735260074923/354708260074
927. 351735260074931/354708260074935. 351735260074949/354708260074943. 351735260074964/354708260074968. 351735260074972/354708260
074976. 351735260074980/354708260074984. 351735260075003/354708260075007. 351735260075011/354708260075015. 351735260075029/354708
260075023.351735260075037/354708260075031. 351735260075045/354708260075049. 351735260075078/354708260075072. 351735260075086/3547
08260075080. 351735260075094/354708260075098. 351735260075128/354708260075122. 351735260075136/354708260075130. 351735260075243/3
54708260075247. 351735260075300/354708260075304. 351735260075417/354708260075411. 351735260075441/354708260075445. 35173526007548
2/354708260075486. 351735260075540/354708260075544. 351735260075623/354708260075627. 351735260075656/354708260075650. 35173526007
5748/354708260075742. 351735260075771/354708260075775. 351735260075979/354708260075973. 351735260075995/354708260075999. 35173526
032025000722268-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000722268-4
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
0076043/354708260076047. 351735260076118/354708260076112. 351735260076159/354708260076153. 351735260076225/354708260076229. 35173
5260076373/354708260076377. 351735260076381/354708260076385. 351735260076423/354708260076427. 351735260076472/354708260076476. 35
1735260076498/354708260076492. 351735260076514/354708260076518. 351735260076530/354708260076534. 351735260076548/354708260076542.
351735260076555/354708260076559. 351735260076613/354708260076617. 351735260076621/354708260076625. 351735260076654/3547082600766
58. 351735260076688/354708260076682. 351735260076746/354708260076740. 351735260076753/354708260076757. 351735260076787/3547082600
76781. 351735260076795/354708260076799. 351735260076811/354708260076815. 351735260076837/354708260076831. 351735260076845/3547082
60076849. 351735260076852/354708260076856. 351735260076860/354708260076864. 351735260076878/354708260076872. 351735260076886/3547
08260076880. 351735260076894/354708260076898. 351735260076910/354708260076914. 351735260076928/354708260076922. 351735260076951/3
54708260076955. 351735260076985/354708260076989. 351735260077009/354708260077003.351735260077025/354708260077029. 351735260077033
/354708260077037. 351735260077041/354708260077045. 351735260077058/354708260077052. 351735260077066/354708260077060. 351735260077
124/354708260077128. 351735260077132/354708260077136. 351735260077140/354708260077144. 351735260079641/354708260079645. 351735260
079674/354708260079678. 351735260079682/354708260079686. 351735260079716/354708260079710. 351735260079799/354708260079793. 351735
260079807/354708260079801. 351735260079823/354708260079827. 351735260079831/354708260079835. 351735260079922/354708260079926.3517
35260080029/354708260080023. 351735260080060/354708260080064. 351735260080110/354708260080114. 351735260080185/354708260080189. 3
51735260080193/354708260080197. 351735260080201/354708260080205. 351735260080227/354708260080221. 351735260080250/354708260080254
. 351735260080664/354708260080668. 351735260080672/354708260080676. 351735260080680/354708260080684. 351735260080698/354708260080
692. 351735260080714/354708260080718. 351735260080748/354708260080742. 351735260080763/354708260080767. 351735260080847/354708260
080841. 351735260080854/354708260080858. 351735260080961/354708260080965. 351735260080987/354708260080981. 351735260081001/354708
260081005. 351735260081084/354708260081088. 351735260081092/354708260081096. 351735260081118/354708260081112. 351735260081134/354
708260081138. 351735260081159/354708260081153. 351735260081175/354708260081179. 351735260081191/354708260081195. 351735260081225/
354708260081229. 351735260081233/354708260081237. 351735260081258/354708260081252. 351735260081266/354708260081260. 3517352600812
90/354708260081294. 351735260081308/354708260081302. 351735260081316/354708260081310. 351735260081324/354708260081328. 3517352600
81332/354708260081336. 351735260081340/354708260081344. 351735260081357/354708260081351. 351735260081373/354708260081377. 3517352
60081415/354708260081419. 351735260081423/354708260081427. 351735260081431/354708260081435. 351735260081449/354708260081443. 3517
35260081456/354708260081450. 351735260081472/354708260081476. 351735260081480/354708260081484. 351735260081506/354708260081500. 3
51735260081589/354708260081583. 351735260081605/354708260081609. 351735260081613/354708260081617. 351735260081621/354708260081625
. 351735260081688/354708260081682. 351735260081746/354708260081740.351735260081753/354708260081757. 351735260081795/3547082600817
99. 351735260081803/354708260081807. 351735260081811/354708260081815. 351735260081845/354708260081849. 351735260081852/3547082600
81856. 351735260081860/354708260081864. 351735260081878/354708260081872. 351735260081886/354708260081880. 351735260081894/3547082
60081898. 351735260081910/354708260081914. 351735260081951/354708260081955. 351735260081977/354708260081971. 351735260081985/3547
08260081989. 351735260081993/354708260081997. 351735260082009/354708260082003. 351735260082033/354708260082037.351735260082066/35
4708260082060. 351735260082082/354708260082086. 351735260082215/354708260082219. 351735260082223/354708260082227. 351735260082249
/354708260082243. 351735260082264/354708260082268. 351735260082272/354708260082276. 351735260082298/354708260082292. 351735260082
322/354708260082326. 351735260082348/354708260082342XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025000722268-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3
