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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
032025000796246-1
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
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. 116575015452288
43 . Año – Mes – Día
2025 – 04 – 09
44 . Documento de transporte
No. T61725H02376
45 . Año – Mes – Día
2025 – 04 – 05
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
6900355368
52 . Año – Mes – Día
2025 – 04 – 02
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.
4.130.01
S 59 . Subpartida arancelaria
8517130000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C100
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.
217.00
72 . Peso neto kgs. dcms.
173.50
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
138.324.72
79 . Valor fletes USD
1.861.86 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
579.000.020
94
0
95
0
96
0.00
I.V.A.
97
19.00
98
579.000.020
99
110.010.000
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
110.010.000
126
0.00
80 . Valor Seguros
USD
6.79
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.868.65
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
140.193.37
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: 553710-DECL: 1903725-DO: 893108530251- DECL 1 DE 1.- //NOS ACOGEMOS AL ARTÍCULO 2.8.3.1 ORDINAL 2.8.3.1.4 DE LA RESOLUCIÓN 5
050 DEL 10DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN)//
NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA C
OD. OE0001. . PEDIDOS: 3086515355. ID DELIVERY: 6081342251. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-M556BLGMCOO, PRODUCTO: TELEFO
NO CELULAR GALAXY M55 5G DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE CLARO, MODELO: SM-M556B/DS, USO O D
ESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-M556B/DS,LIGHT GREEN,COO( QTY. 500,00 u )(500,00 PCE)(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
032025000796246
133. Feha: 202504 10
134 . Levante No. 032025000524877 135 . Fecha
2025 – 04 – 10
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 92032502820641
Fecha presentación 2025-04-10 16:00:08
Valor pagado $0.00
Fecha de Impresión: 2025-04-10 16:00:55
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000796246-1
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
; IMEIS: 351045611400730/358916251400730. 351045611400789/358916251400789. 351045611400797/358916251400797. 351045611400805/35891
6251400805. 351045611400813/358916251400813. 351045611400821/358916251400821. 351045611400847/358916251400847. 351045611400862/35
8916251400862. 351045611400888/358916251400888. 351045611400896/358916251400896. 351045611400904/358916251400904. 351045611400912
/358916251400912. 351045611400920/358916251400920.351045611400938/358916251400938. 351045611400946/358916251400946. 3510456114009
61/358916251400961. 351045611400995/358916251400995. 351045611401043/358916251401043. 351045611401084/358916251401084. 3510456114
01134/358916251401134. 351045611401142/358916251401142. 351045611401159/358916251401159. 351045611401167/358916251401167. 3510456
11401175/358916251401175. 351045611401183/358916251401183. 351045611401217/358916251401217. 351045611401258/358916251401258. 3510
45611401290/358916251401290. 351045611401308/358916251401308. 351045611401340/358916251401340 . 351045611401365/358916251401365.
351045611401381/358916251401381. 351045611401399/358916251401399. 351045611401407/358916251401407. 351045611401423/35891625140142
3. 351045611401506/358916251401506. 351045611401548/358916251401548. 351045611401589/358916251401589. 351045611401605/35891625140
1605. 351045611401613/358916251401613. 351045611401639/358916251401639. 351045611401696/358916251401696. 351045611401704/35891625
1401704. 351045611401712/358916251401712. 351045611401787/358916251401787. 351045611401795/358916251401795. 351045611401803/35891
6251401803. 351045611401829/358916251401829. 351045611401878/358916251401878. 351045611401886/358916251401886. 351045611401902/35
8916251401902. 351045611401910/358916251401910. 351045611401944/358916251401944. 351045611401951/358916251401951. 351045611401969
/358916251401969. 351045611401993/358916251401993. 351045611402009/358916251402009. 351045611402017/358916251402017. 351045611402
025/358916251402025. 351045611402033/358916251402033. 351045611402066/358916251402066. 351045611402108/358916251402108. 351045611
402157/358916251402157. 351045611402165/358916251402165. 351045611402173/358916251402173. 351045611402215/358916251402215.3510456
11402223/358916251402223. 351045611402249/358916251402249. 351045611402280/358916251402280. 351045611402306/358916251402306. 3510
45611402322/358916251402322. 351045611402363/358916251402363. 351045611402389/358916251402389. 351045611402397/358916251402397. 3
51045611402405/358916251402405. 351045611402413/358916251402413. 351045611402421/358916251402421. 351045611402439/358916251402439
. 351045611402454/358916251402454. 351045611402504/358916251402504. 351045611402553/358916251402553. 351045611402579/358916251402
579. 351045611402587/358916251402587.351045611402603/358916251402603. 351045611402611/358916251402611. 351045611402629/3589162514
02629. 351045611402637/358916251402637. 351045611402645/358916251402645. 351045611402660/358916251402660. 351045611402686/3589162
51402686. 351045611402694/358916251402694. 351045611402736/358916251402736. 351045611402744/358916251402744. 351045611402751/3589
16251402751. 351045611402769/358916251402769. 351045611402785/358916251402785. 351045611402793/358916251402793. 351045611402835/3
58916251402835. 351045611402884/358916251402884. 351045611402900/358916251402900. 351045611402926/358916251402926. 35104561140293
4/358916251402934. 351045611402942/358916251402942. 351045611402975/358916251402975. 351045611402991/358916251402991. 35104561140
3015/358916251403015. 351045611403023/358916251403023. 351045611403031/358916251403031. 351045611403049/358916251403049. 35104561
1403056/358916251403056. 351045611403072/358916251403072. 351045611403080/358916251403080. 351045611403098/358916251403098. 35104
5611403106/358916251403106. 351045611403114/358916251403114. 351045611403130/358916251403130. 351045611403148/358916251403148. 35
1045611403171/358916251403171. 351045611403189/358916251403189. 351045611403197/358916251403197. 351045611403205/358916251403205.
351045611403213/358916251403213. 351045611403221/358916251403221. 351045611403239/358916251403239. 351045611403247/3589162514032
47. 351045611403254/358916251403254. 351045611403270/358916251403270. 351045611403288/358916251403288. 351045611403304/3589162514
03304. 351045611403312/358916251403312. 351045611403320/358916251403320. 351045611403346/358916251403346. 351045611405721/3589162
51405721. 351045611405747/358916251405747. 351045611405754/358916251405754. 351045611405762/358916251405762.351045611405804/35891
6251405804. 351045611405812/358916251405812. 351045611405895/358916251405895. 351045611405952/358916251405952. 351045611405986/35
8916251405986. 351045611406026/358916251406026. 351045611406075/358916251406075. 351045611406117/358916251406117. 351045611406141
/358916251406141. 351045611406158/358916251406158. 351045611406166/358916251406166. 351045611406174/358916251406174. 351045611406
182/358916251406182. 351045611406190/358916251406190. 351045611406208/358916251406208. 351045611406216/358916251406216. 351045611
406224/358916251406224.351045611406232/358916251406232. 351045611406240/358916251406240. 351045611406257/358916251406257. 3510456
11406265/358916251406265. 351045611406273/358916251406273. 351045611406281/358916251406281. 351045611406299/358916251406299. 3510
45611406307/358916251406307. 351045611406315/358916251406315. 351045611406323/358916251406323. 351045611406331/358916251406331. 3
51045611406356/358916251406356. 351045611406364/358916251406364. 351045611406372/358916251406372. 351045611406380/358916251406380
. 351045611406398/358916251406398. 351045611406414/358916251406414. 351045611406422/358916251406422. 351045611406430/358916251406
430. 351045611406448/358916251406448. 351045611406455/358916251406455. 351045611406463/358916251406463. 351045611406471/358916251
406471. 351045611406489/358916251406489. 351045611406497/358916251406497. 351045611406505/358916251406505. 351045611406513/358916
251406513. 351045611406521/358916251406521. 351045611406539/358916251406539. 351045611406547/358916251406547. 351045611406554/358
916251406554. 351045611406562/358916251406562. 351045611406570/358916251406570. 351045611406588/358916251406588. 351045611406596/
358916251406596. 351045611406604/358916251406604. 351045611406612/358916251406612. 351045611406620/358916251406620. 3510456114066
38/358916251406638. 351045611406646/358916251406646. 351045611406653/358916251406653. 351045611406695/358916251406695. 3510456114
06703/358916251406703. 351045611406711/358916251406711. 351045611406729/358916251406729. 351045611406737/358916251406737. 3510456
11406745/358916251406745. 351045611406752/358916251406752. 351045611406760/358916251406760. 351045611406778/358916251406778. 3510
45611406786/358916251406786. 351045611406794/358916251406794. 351045611406802/358916251406802.351045611406810/358916251406810. 35
1045611406828/358916251406828. 351045611406836/358916251406836. 351045611406844/358916251406844. 351045611406851/358916251406851.
351045611406877/358916251406877. 351045611406885/358916251406885. 351045611406893/358916251406893. 351045611406901/3589162514069
01. 351045611406919/358916251406919. 351045611406927/358916251406927. 351045611406935/358916251406935. 351045611406950/3589162514
06950. 351045611406968/358916251406968. 351045611407446/358916251407446. 351045611407453/358916251407453. 351045611407461/3589162
51407461.351045611407479/358916251407479. 351045611407487/358916251407487. 351045611407495/358916251407495. 351045611407503/35891
6251407503. 351045611407511/358916251407511. 351045611407529/358916251407529. 351045611407537/358916251407537. 351045611407545/35
8916251407545. 351045611407552/358916251407552. 351045611407560/358916251407560. 351045611407578/358916251407578. 351045611407586
/358916251407586. 351045611407594/358916251407594. 351045611407602/358916251407602. 351045611407610/358916251407610. 351045611407
628/358916251407628. 351045611407644/358916251407644. 351045611407651/358916251407651. 351045611407669/358916251407669. 351045611
407677/358916251407677. 351045611407685/358916251407685. 351045611407693/358916251407693. 351045611407701/358916251407701. 351045
611407719/358916251407719. 351045611407727/358916251407727. 351045611407735/358916251407735. 351045611407750/358916251407750. 351
045611407768/358916251407768. 351045611407776/358916251407776. 351045611407784/358916251407784. 351045611407792/358916251407792.
351045611407800/358916251407800. 351045611407818/358916251407818. 351045611407826/358916251407826. 351045611407834/35891625140783
4. 351045611407842/358916251407842. 351045611407859/358916251407859. 351045611407875/358916251407875. 351045611407891/35891625140
7891. 351045611407909/358916251407909. 351045611407917/358916251407917. 351045611407941/358916251407941. 351045611407958/35891625
1407958. 351045611407982/358916251407982. 351045611408014/358916251408014. 351045611408022/358916251408022. 351045611408063/35891
6251408063. 351045611408121/358916251408121. 351045611408261/358916251408261. 351045611408295/358916251408295. 351045611408311/35
8916251408311. 351045611408329/358916251408329. 351045611408378/358916251408378.351045611408394/358916251408394. 351045611408451/
358916251408451. 351045611408485/358916251408485. 351045611408667/358916251408667. 351045611408816/358916251408816. 3510456114088
99/358916251408899. 351045611409038/358916251409038. 351045611409053/358916251409053. 351045611409061/358916251409061. 3510456114
09079/358916251409079. 351045611409103/358916251409103. 351045611409384/358916251409384. 351045611409442/358916251409442. 3510456
11409467/358916251409467. 351045611409632/358916251409632. 351045611409756/358916251409756. 351045611409780/358916251409780.35104
032025000796246-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000796246-1
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
5611409905/358916251409905. 351045611410051/358916251410051. 351045611410101/358916251410101. 351045611410135/358916251410135. 35
1045611410192/358916251410192. 351045611410226/358916251410226. 351045611410416/358916251410416. 351045611410473/358916251410473.
351045611410499/358916251410499. 351045611410564/358916251410564. 351045611410572/358916251410572. 351045611415936/3589162514159
36. 351045611417080/358916251417080. 351045611417098/358916251417098. 351045611417445/358916251417445. 351045611403353/3589162514
03353. 351045611403379/358916251403379. 351045611403387/358916251403387. 351045611403395/358916251403395. 351045611403403/3589162
51403403. 351045611403429/358916251403429. 351045611403437/358916251403437. 351045611403452/358916251403452. 351045611403460/3589
16251403460. 351045611403478/358916251403478. 351045611403486/358916251403486. 351045611403494/358916251403494. 351045611403502/3
58916251403502. 351045611403510/358916251403510. 351045611403544/358916251403544. 351045611403551/358916251403551. 35104561140358
5/358916251403585. 351045611403601/358916251403601. 351045611403619/358916251403619. 351045611403627/358916251403627. 35104561140
3635/358916251403635. 351045611403643/358916251403643. 351045611403650/358916251403650. 351045611403676/358916251403676. 35104561
1403684/358916251403684. 351045611403718/358916251403718. 351045611403742/358916251403742. 351045611403759/358916251403759. 35104
5611403767/358916251403767. 351045611403783/358916251403783. 351045611403791/358916251403791. 351045611403809/358916251403809. 35
1045611403833/358916251403833. 351045611403841/358916251403841. 351045611403858/358916251403858. 351045611403866/358916251403866.
351045611403874/358916251403874. 351045611403882/358916251403882.351045611403916/358916251403916. 351045611403932/35891625140393
2. 351045611403940/358916251403940. 351045611403965/358916251403965. 351045611403973/358916251403973. 351045611403981/35891625140
3981. 351045611419227/358916251419227. 351045611419458/358916251419458. 351045611419490/358916251419490. 351045611419581/35891625
1419581. 351045611419631/358916251419631. 351045611419656/358916251419656. 351045611419763/358916251419763. 351045611419771/35891
6251419771. 351045611419862/358916251419862. 351045611419870/358916251419870. 351045611421140/358916251421140.351045611421637/358
916251421637. 351045611421801/358916251421801. 351045611421983/358916251421983. 351045611423088/358916251423088. 351045611423278/
358916251423278. 351045611403999/358916251403999. 351045611404013/358916251404013. 351045611404021/358916251404021. 3510456114040
39/358916251404039. 351045611404047/358916251404047. 351045611404054/358916251404054. 351045611404062/358916251404062. 3510456114
04070/358916251404070. 351045611404096/358916251404096. 351045611404104/358916251404104. 351045611404112/358916251404112. 3510456
11404120/358916251404120. 351045611404138/358916251404138. 351045611404146/358916251404146. 351045611404161/358916251404161. 3510
45611404179/358916251404179. 351045611404187/358916251404187. 351045611404195/358916251404195. 351045611404203/358916251404203. 3
51045611404211/358916251404211. 351045611404229/358916251404229. 351045611404237/358916251404237. 351045611404245/358916251404245
. 351045611404252/358916251404252. 351045611404278/358916251404278. 351045611404286/358916251404286. 351045611404294/358916251404
294. 351045611404302/358916251404302. 351045611404310/358916251404310. 351045611404328/358916251404328. 351045611404336/358916251
404336. 351045611404344/358916251404344. 351045611404351/358916251404351. 351045611404369/358916251404369. 351045611404377/358916
251404377. 351045611404385/358916251404385. 351045611404393/358916251404393. 351045611404401/358916251404401. 351045611404427/358
916251404427. 351045611404435/358916251404435. 351045611404468/358916251404468. 351045611404476/358916251404476. 351045611404484/
358916251404484. 351045611404500/358916251404500. 351045611404526/358916251404526. 351045611404534/358916251404534. 3510456114045
91/358916251404591. 351045611404609/358916251404609.351045611404625/358916251404625. 351045611404633/358916251404633. 35104561140
4666/358916251404666. 351045611404906/358916251404906. 351045611404914/358916251404914. 351045611404963/358916251404963. 35104561
1405002/358916251405002. 351045611405028/358916251405028. 351045611405051/358916251405051. 351045611405069/358916251405069. 35104
5611405101/358916251405101. 351045611405150/358916251405150. 351045611405168/358916251405168. 351045611405192/358916251405192. 35
1045611405218/358916251405218. 351045611405226/358916251405226. 351045611405242/358916251405242.351045611405291/358916251405291.
351045611405317/358916251405317. 351045611405325/358916251405325. 351045611405333/358916251405333. 351045611405341/35891625140534
1. 351045611405366/358916251405366. 351045611405374/358916251405374. 351045611405416/358916251405416. 351045611405432/35891625140
5432. 351045611405473/358916251405473. 351045611405523/358916251405523. 351045611405556/358916251405556. 351045611405564/35891625
1405564. 351045611405572/358916251405572. 351045611405580/358916251405580. 351045611405606/358916251405606. 351045611405622/35891
6251405622. 351045611405630/358916251405630. 351045611405671/358916251405671. 351045611405689/358916251405689. 351045611405697/35
8916251405697. 351045611405705/358916251405705. 351045611405713/358916251405713. 351045611406976/358916251406976. 351045611406984
/358916251406984. 351045611406992/358916251406992. 351045611407008/358916251407008. 351045611407016/358916251407016. 351045611407
024/358916251407024. 351045611407032/358916251407032. 351045611407040/358916251407040. 351045611407057/358916251407057. 351045611
407065/358916251407065. 351045611407073/358916251407073. 351045611407081/358916251407081. 351045611407099/358916251407099. 351045
611407107/358916251407107. 351045611407115/358916251407115. 351045611407123/358916251407123. 351045611407131/358916251407131. 351
045611407149/358916251407149. 351045611407156/358916251407156. 351045611407172/358916251407172. 351045611407180/358916251407180.
351045611407198/358916251407198. 351045611407206/358916251407206. 351045611407214/358916251407214. 351045611407222/35891625140722
2. 351045611407248/358916251407248. 351045611407255/358916251407255. 351045611407263/358916251407263. 351045611407271/35891625140
7271. 351045611407289/358916251407289.351045611407297/358916251407297. 351045611407305/358916251407305. 351045611407313/358916251
407313. 351045611407321/358916251407321. 351045611407339/358916251407339. 351045611407347/358916251407347. 351045611407354/358916
251407354. 351045611407362/358916251407362. 351045611407370/358916251407370. 351045611407396/358916251407396. 351045611407404/358
916251407404. 351045611407412/358916251407412. 351045611407420/358916251407420. 351045611407438/358916251407438XXXXXXXXXXXXXXXXXX
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032025000796246-1
Espacio para uso exclusivo de la Entidad Recaudadora
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