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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
032025000746829-1
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
Anticipada
33 . Cod.
3
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. 116575015437321
43 . Año – Mes – Día
2025 – 04 – 05
44 . Documento de transporte
No. 45T0377701
45 . Año – Mes – Día
2025 – 03 – 29
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
9103366425
52 . Año – Mes – Día
2025 – 03 – 28
53 . Cod. país
procedencia
855
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.
4.152.59
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
855
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.
137.00
72 . Peso neto kgs. dcms.
123.30
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
73.628.16
79 . Valor fletes USD
1.389.15 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
311.531.205
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
311.531.205
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
3.63
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.392.78
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
75.020.94
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: 552615-DECL: 1900827-DO: 893107740251- 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 R
ESOLUCIÓN 5050 DEL 10DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOMOL
OGACIÓN)// NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA
S.A. OEA COD. OE0001. . PEDIDOS: 3086517121. ID DELIVERY: 6081220413. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A266MZWHLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A26 5G DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: BLANCO, (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
032025000746829
133. Feha: 202504 01
134 . Levante No. 032025000502028 135 . Fecha
2025 – 04 – 07
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 92032502552342
Fecha presentación 2025-04-01 18:41:59
Valor pagado $0.00
Fecha de Impresión: 2025-04-07 11:46:27
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000746829-1
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
MODELO: SM-A266M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL./ /MOBILE,SM-A266M/DS,WHITE,LTC( QTY. 420,00 u )(420,00 PCE
); IMEIS: 351813970749991/352975130749994. 351813970750031/352975130750034. 351813970750056/352975130750059. 351813970750072/3529
75130750075. 351813970750080/352975130750083. 351813970750098/352975130750091. 351813970750114/352975130750117. 351813970750122/3
52975130750125. 351813970750130/352975130750133.351813970750163/352975130750166. 351813970750205/352975130750208. 351813970750221
/352975130750224. 351813970750239/352975130750232. 351813970750247/352975130750240. 351813970750254/352975130750257. 351813970750
296/352975130750299. 351813970750312/352975130750315. 351813970750346/352975130750349. 351813970750361/352975130750364. 351813970
750379/352975130750372. 351813970750429/352975130750422. 351813970750445/352975130750448. 351813970750627/352975130750620. 351813
970750684/352975130750687. 351813970750692/352975130750695. 351813970750742/352975130750745. 351813970750767/352975130750760. 351
813970750809/352975130750802. 351813970750817/352975130750810. 351813970750916/352975130750919. 351813970750932/352975130750935.
351813970751047/352975130751040. 351813970751062/352975130751065. 351813970751070/352975130751073. 351813970751245/35297513075124
8. 351813970751286/352975130751289. 351813970751328/352975130751321. 351813970751336/352975130751339. 351813970751427/35297513075
1420. 351813970751435/352975130751438. 351813970751468/352975130751461. 351813970751567/352975130751560. 351813970751625/35297513
0751628. 351813970751682/352975130751685. 351813970751690/352975130751693. 351813970751716/352975130751719. 351813970751773/35297
5130751776. 351813970751781/352975130751784. 351813970751815/352975130751818. 351813970751823/352975130751826. 351813970751872/35
2975130751875. 351813970751880/352975130751883. 351813970751898/352975130751891. 351813970751906/352975130751909. 351813970751922
/352975130751925. 351813970751930/352975130751933. 351813970751948/352975130751941. 351813970751955/352975130751958. 351813970751
963/352975130751966. 351813970752920/352975130752923. 351813970684735/352975130684738. 351813970685054/352975130685057. 351813970
685062/352975130685065. 351813970685088/352975130685081. 351813970685161/352975130685164. 351813970685203/352975130685206. 351813
970685237/352975130685230. 351813970685252/352975130685255. 351813970685286/352975130685289. 351813970685328/352975130685321. 351
813970685443/352975130685446. 351813970685542/352975130685545. 351813970685922/352975130685925. 351813970686003/352975130686006.
351813970686086/352975130686089. 351813970686094/352975130686097. 351813970686144/352975130686147. 351813970686177/35297513068617
0. 351813970686219/352975130686212.351813970686227/352975130686220. 351813970686243/352975130686246. 351813970686284/352975130686
287. 351813970686300/352975130686303. 351813970686326/352975130686329. 351813970686334/352975130686337. 351813970686359/352975130
686352. 351813970686367/352975130686360. 351813970686375/352975130686378. 351813970686383/352975130686386. 351813970686391/352975
130686394. 351813970686409/352975130686402. 351813970686433/352975130686436. 351813970686441/352975130686444. 351813970686458/352
975130686451. 351813970686524/352975130686527. 351813970686573/352975130686576.351813970687118/352975130687111. 351813970687613/3
52975130687616. 351813970687621/352975130687624. 351813970687704/352975130687707. 351813970687803/352975130687806. 35181397068785
2/352975130687855. 351813970688009/352975130688002. 351813970688017/352975130688010. 351813970688033/352975130688036. 35181397068
8058/352975130688051. 351813970688074/352975130688077. 351813970688231/352975130688234. 351813970688249/352975130688242. 35181397
0688330/352975130688333. 351813970688371/352975130688374. 351813970688405/352975130688408. 351813970688413/352975130688416. 35181
3970688421/352975130688424. 351813970688439/352975130688432. 351813970688447/352975130688440. 351813970688454/352975130688457. 35
1813970688462/352975130688465. 351813970688470/352975130688473. 351813970688496/352975130688499. 351813970688504/352975130688507.
351813970688512/352975130688515. 351813970688546/352975130688549. 351813970688561/352975130688564. 351813970688587/3529751306885
80. 351813970688603/352975130688606. 351813970688611/352975130688614. 351813970688645/352975130688648. 351813970688686/3529751306
88689. 351813970688702/352975130688705. 351813970688710/352975130688713. 351813970688736/352975130688739. 351813970688744/3529751
30688747. 351813970688751/352975130688754. 351813970688777/352975130688770. 351813970688785/352975130688788. 351813970688801/3529
75130688804. 351813970688819/352975130688812. 351813970688827/352975130688820. 351813970688843/352975130688846. 351813970688934/3
52975130688937. 351813970688942/352975130688945. 351813970688959/352975130688952. 351813970688983/352975130688986. 35181397068907
2/352975130689075. 351813970689130/352975130689133. 351813970689155/352975130689158. 351813970689171/352975130689174. 35181397068
9189/352975130689182.351813970689213/352975130689216. 351813970689221/352975130689224. 351813970689254/352975130689257. 351813970
689262/352975130689265. 351813970689288/352975130689281. 351813970689320/352975130689323. 351813970689353/352975130689356. 351813
970689379/352975130689372. 351813970689395/352975130689398. 351813970689411/352975130689414. 351813970689437/352975130689430. 351
813970689502/352975130689505. 351813970689544/352975130689547. 351813970689577/352975130689570. 351813970689601/352975130689604.
351813970689643/352975130689646. 351813970690336/352975130690339.351813970690419/352975130690412. 351813970690476/352975130690479
. 351813970690682/352975130690685. 351813970690815/352975130690818. 351813970691003/352975130691006. 351813970691011/352975130691
014. 351813970691037/352975130691030. 351813970691094/352975130691097. 351813970691136/352975130691139. 351813970691185/352975130
691188. 351813970691268/352975130691261. 351813970691276/352975130691279. 351813970691284/352975130691287. 351813970691300/352975
130691303. 351813970691326/352975130691329. 351813970691334/352975130691337. 351813970691342/352975130691345. 351813970691367/352
975130691360. 351813970691375/352975130691378. 351813970691383/352975130691386. 351813970691417/352975130691410. 351813970691425/
352975130691428. 351813970691433/352975130691436. 351813970691458/352975130691451. 351813970691706/352975130691709. 3518139706917
89/352975130691782. 351813970691847/352975130691840. 351813970691862/352975130691865. 351813970692050/352975130692053. 3518139706
98198/352975130698191. 351813970698206/352975130698209. 351813970698230/352975130698233. 351813970698255/352975130698258. 3518139
70698271/352975130698274. 351813970698289/352975130698282. 351813970698297/352975130698290. 351813970698305/352975130698308. 3518
13970698313/352975130698316. 351813970698339/352975130698332. 351813970698347/352975130698340. 351813970698354/352975130698357. 3
51813970698388/352975130698381. 351813970698487/352975130698480. 351813970698503/352975130698506. 351813970698602/352975130698605
. 351813970698610/352975130698613. 351813970698685/352975130698688. 351813970698693/352975130698696. 351813970698719/352975130698
712. 351813970698743/352975130698746. 351813970698768/352975130698761. 351813970698784/352975130698787. 351813970698800/352975130
698803.351813970698818/352975130698811. 351813970698859/352975130698852. 351813970698867/352975130698860. 351813970698883/3529751
30698886. 351813970698909/352975130698902. 351813970698933/352975130698936. 351813970698974/352975130698977. 351813970699311/3529
75130699314. 351813970699758/352975130699751. 351813970699782/352975130699785. 351813970699907/352975130699900. 351813970699964/3
52975130699967. 351813970700002/352975130700005. 351813970700051/352975130700054. 351813970700069/352975130700062. 35181397070011
9/352975130700112. 351813970700135/352975130700138.351813970700150/352975130700153. 351813970700176/352975130700179. 351813970700
184/352975130700187. 351813970700200/352975130700203. 351813970692886/352975130692889. 351813970692928/352975130692921. 351813970
692944/352975130692947. 351813970692993/352975130692996. 351813970693009/352975130693002. 351813970693165/352975130693168. 351813
970693173/352975130693176. 351813970693199/352975130693192. 351813970693207/352975130693200. 351813970693223/352975130693226. 351
813970693298/352975130693291. 351813970693306/352975130693309. 351813970693348/352975130693341. 351813970693363/352975130693366.
351813970693389/352975130693382. 351813970693421/352975130693424. 351813970693488/352975130693481. 351813970693504/35297513069350
7. 351813970693553/352975130693556. 351813970693579/352975130693572. 351813970693611/352975130693614. 351813970693637/35297513069
3630. 351813970693652/352975130693655. 351813970693678/352975130693671. 351813970693710/352975130693713. 351813970693736/35297513
0693739. 351813970693793/352975130693796. 351813970693876/352975130693879. 351813970693884/352975130693887. 351813970693892/35297
5130693895. 351813970693900/352975130693903. 351813970693975/352975130693978. 351813970694619/352975130694612. 351813970694825/35
2975130694828. 351813970694924/352975130694927. 351813970695053/352975130695056. 351813970695160/352975130695163. 351813970695228
/352975130695221. 351813970695392/352975130695395. 351813970695764/352975130695767. 351813970695772/352975130695775. 351813970695
806/352975130695809. 351813970696101/352975130696104. 351813970696663/352975130696666. 351813970697059/352975130697052. 351813970
697166/352975130697169. 351813970697265/352975130697268. 351813970697315/352975130697318. 351813970697323/352975130697326.3518139
032025000746829-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000746829-1
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
70697349/352975130697342. 351813970697364/352975130697367. 351813970697372/352975130697375. 351813970697406/352975130697409. 3518
13970697414/352975130697417. 351813970697430/352975130697433. 351813970697455/352975130697458. 351813970697489/352975130697482. 3
51813970697497/352975130697490. 351813970697505/352975130697508. 351813970697562/352975130697565. 351813970697588/352975130697581
. 351813970697596/352975130697599. 351813970697604/352975130697607. 351813970697612/352975130697615. 351813970697620/352975130697
623. 351813970697638/352975130697631.351813970697653/352975130697656. 351813970697661/352975130697664. 351813970697679/3529751306
97672. 351813970697687/352975130697680. 351813970697695/352975130697698. 351813970697703/352975130697706. 351813970697711/3529751
30697714. 351813970697729/352975130697722. 351813970697737/352975130697730. 351813970697752/352975130697755. 351813970697760/3529
75130697763. 351813970697778/352975130697771. 351813970697786/352975130697789. 351813970697794/352975130697797. 351813970697802/3
52975130697805. 351813970697885/352975130697888. 351813970698099/352975130698092. 351813970698115/352975130698118. 35181397069812
3/352975130698126. 351813970698149/352975130698142. 351813970698156/352975130698159. 351813970698164/352975130698167. 35181397069
8172/352975130698175. 351813970698180/352975130698183. 351813970700242/352975130700245. 351813970700259/352975130700252. 35181397
0700291/352975130700294. 351813970700317/352975130700310. 351813970700325/352975130700328. 351813970700341/352975130700344. 35181
3970700366/352975130700369. 351813970700416/352975130700419. 351813970700432/352975130700435. 351813970700499/352975130700492. 35
1813970700572/352975130700575. 351813970700630/352975130700633. 351813970700747/352975130700740. 351813970700754/352975130700757.
351813970700804/352975130700807. 351813970700911/352975130700914. 351813970700929/352975130700922. 351813970700945/3529751307009
48. 351813970700952/352975130700955. 351813970700978/352975130700971. 351813970700986/352975130700989. 351813970701000/3529751307
01003. 351813970701075/352975130701078. 351813970701109/352975130701102. 351813970701141/352975130701144. 351813970701190/3529751
30701193. 351813970701232/352975130701235. 351813970701315/352975130701318. 351813970701323/352975130701326.351813970701349/35297
5130701342. 351813970701364/352975130701367. 351813970701471/352975130701474. 351813970701539/352975130701532. 351813970701687/35
2975130701680. 351813970701760/352975130701763. 351813970701778/352975130701771. 351813970701794/352975130701797. 351813970715554
/352975130715557. 351813970735214/352975130735217. 351813970735339/352975130735332. 351813970735354/352975130735357. 351813970735
388/352975130735381. 351813970735404/352975130735407. 351813970735412/352975130735415. 351813970735438/352975130735431. 351813970
735461/352975130735464.351813970735495/352975130735498. 351813970735537/352975130735530. 351813970735545/352975130735548. 3518139
70735560/352975130735563. 351813970735578/352975130735571. 351813970735586/352975130735589. 351813970735594/352975130735597. 3518
13970735628/352975130735621. 351813970735636/352975130735639. 351813970735651/352975130735654. 351813970735669/352975130735662. 3
51813970735677/352975130735670. 351813970735693/352975130735696. 351813970743317/352975130743310. 351813970743341/352975130743344
. 351813970743358/352975130743351. 351813970743382/352975130743385. 351813970743606/352975130743609. 351813970743648/352975130743
641. 351813970744083/352975130744086. 351813970749389/352975130749382. 351813970749439/352975130749432. 351813970749447/352975130
749440. 351813970749462/352975130749465. 351813970749488/352975130749481. 351813970749512/352975130749515. 351813970749520/352975
130749523. 351813970749561/352975130749564. 351813970749579/352975130749572. 351813970749611/352975130749614. 351813970749629/352
975130749622. 351813970749694/352975130749697. 351813970749710/352975130749713. 351813970749736/352975130749739. 351813970749769/
352975130749762. 351813970749801/352975130749804. 351813970749819/352975130749812. 351813970749827/352975130749820. 3518139707498
43/352975130749846. 351813970749876/352975130749879. 351813970749892/352975130749895. 351813970749918/352975130749911. 3518139707
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032025000746829-1
Espacio para uso exclusivo de la Entidad Recaudadora
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