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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
032025000798407-8
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. 116575015467031
43 . Año – Mes – Día
2025 – 04 – 13
44 . Documento de transporte
No. 45T0378985
45 . Año – Mes – Día
2025 – 04 – 06
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
9103386110
52 . Año – Mes – Día
2025 – 04 – 05
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
244
56 . Cod. Depto
destino
0
57 . Empresa transportadora
EMIRATES 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
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.
156.50
72 . Peso neto kgs. dcms.
140.85
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
82.298.04
79 . Valor fletes USD
1.477.37 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
346.010.008
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
346.010.008
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
4.05
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.481.42
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
83.779.46
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: 553810-DECL: 1904337-DO: 893108497251- 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: 3086984145. ID DELIVERY: 6081343612. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A266MZKHLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A26 5G 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
032025000798407
133. Feha: 202504 10
134 . Levante No. 032025000543255 135 . Fecha
2025 – 04 – 14
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 92032502834411
Fecha presentación 2025-04-10 20:13:36
Valor pagado $0.00
Fecha de Impresión: 2025-04-14 18:11:17
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000798407-8
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ODELO: SM-A266M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL./ /MOBILE,SM-A266M/DS,BLACK,LTC( QTY. 500,00 u )(500,00 PCE)
; IMEIS: 351813971361507/352975131361500. 351813971361523/352975131361526. 351813971361531/352975131361534. 351813971361549/35297
5131361542. 351813971361556/352975131361559. 351813971361564/352975131361567. 351813971361572/352975131361575. 351813971361598/35
2975131361591. 351813971361606/352975131361609. 351813971361630/352975131361633. 351813971361655/352975131361658. 351813971361663
/352975131361666. 351813971361671/352975131361674. 351813971361713/352975131361716. 351813971361747/352975131361740. 351813971361
804/352975131361807. 351813971361812/352975131361815. 351813971361820/352975131361823. 351813971361838/352975131361831. 351813971
361846/352975131361849. 351813971361853/352975131361856. 351813971361861/352975131361864. 351813971361887/352975131361880. 351813
971361895/352975131361898. 351813971361903/352975131361906. 351813971361911/352975131361914. 351813971361929/352975131361922. 351
813971361978/352975131361971. 351813971361994/352975131361997. 351813971362000/352975131362003. 351813971362026/352975131362029.
351813971362042/352975131362045. 351813971362059/352975131362052. 351813971362067/352975131362060. 351813971362083/35297513136208
6. 351813971362091/352975131362094. 351813971362109/352975131362102. 351813971362117/352975131362110. 351813971362133/35297513136
2136. 351813971362166/352975131362169. 351813971362174/352975131362177. 351813971362182/352975131362185. 351813971362208/35297513
1362201.351813971362232/352975131362235. 351813971362240/352975131362243. 351813971362257/352975131362250. 351813971362265/352975
131362268. 351813971362281/352975131362284. 351813971362299/352975131362292. 351813971362307/352975131362300. 351813971362315/352
975131362318. 351813971362331/352975131362334. 351813971362349/352975131362342. 351813971362356/352975131362359. 351813971362364/
352975131362367. 351813971362372/352975131362375. 351813971362380/352975131362383. 351813971362398/352975131362391. 3518139713624
14/352975131362417. 351813971362422/352975131362425. 351813971362448/352975131362441. 351813971362463/352975131362466. 3518139713
62471/352975131362474. 351813971362489/352975131362482. 351813971362497/352975131362490. 351813971362505/352975131362508. 3518139
71362513/352975131362516. 351813971362521/352975131362524. 351813971362539/352975131362532. 351813971362547/352975131362540. 3518
13971362562/352975131362565. 351813971362604/352975131362607. 351813971362620/352975131362623. 351813971362638/352975131362631. 3
51813971362653/352975131362656. 351813971362661/352975131362664. 351813971362679/352975131362672. 351813971362687/352975131362680
. 351813971362695/352975131362698. 351813971362703/352975131362706. 351813971362711/352975131362714. 351813971362745/352975131362
748. 351813971362752/352975131362755. 351813971362760/352975131362763. 351813971362794/352975131362797. 351813971362810/352975131
362813. 351813971362901/352975131362904. 351813971363008/352975131363001. 351813971363081/352975131363084. 351813971363115/352975
131363118. 351813971360640/352975131360643. 351813971360723/352975131360726. 351813971360731/352975131360734. 351813971360749/352
975131360742. 351813971360764/352975131360767. 351813971360772/352975131360775.351813971360798/352975131360791. 351813971360806/3
52975131360809. 351813971360814/352975131360817. 351813971360848/352975131360841. 351813971360855/352975131360858. 35181397136086
3/352975131360866. 351813971360871/352975131360874. 351813971360897/352975131360890. 351813971360905/352975131360908. 35181397136
0921/352975131360924. 351813971360939/352975131360932. 351813971360947/352975131360940. 351813971360954/352975131360957. 35181397
1360962/352975131360965. 351813971361010/352975131361013. 351813971361044/352975131361047. 351813971361051/352975131361054.351813
971361069/352975131361062. 351813971361085/352975131361088. 351813971361119/352975131361112. 351813971361127/352975131361120. 351
813971361135/352975131361138. 351813971361176/352975131361179. 351813971361184/352975131361187. 351813971361192/352975131361195.
351813971361218/352975131361211. 351813971361234/352975131361237. 351813971361242/352975131361245. 351813971361267/35297513136126
0. 351813971361366/352975131361369. 351813971361382/352975131361385. 351813971361408/352975131361401. 351813971361416/35297513136
1419. 351813971361424/352975131361427. 351813971361440/352975131361443. 351813971361457/352975131361450. 351813971361465/35297513
1361468. 351813971361473/352975131361476. 351813971361481/352975131361484. 351813971350351/352975131350354. 351813971350369/35297
5131350362. 351813971350377/352975131350370. 351813971350385/352975131350388. 351813971350393/352975131350396. 351813971350401/35
2975131350404. 351813971350419/352975131350412. 351813971350427/352975131350420. 351813971350435/352975131350438. 351813971350443
/352975131350446. 351813971350450/352975131350453. 351813971350468/352975131350461. 351813971350476/352975131350479. 351813971350
492/352975131350495. 351813971350500/352975131350503. 351813971350526/352975131350529. 351813971350534/352975131350537. 351813971
350542/352975131350545. 351813971350559/352975131350552. 351813971350567/352975131350560. 351813971350575/352975131350578. 351813
971350583/352975131350586. 351813971350591/352975131350594. 351813971350609/352975131350602. 351813971350617/352975131350610. 351
813971350625/352975131350628. 351813971350633/352975131350636. 351813971350641/352975131350644. 351813971350658/352975131350651.
351813971350666/352975131350669. 351813971350674/352975131350677.351813971350682/352975131350685. 351813971350690/352975131350693
. 351813971350708/352975131350701. 351813971350716/352975131350719. 351813971350724/352975131350727. 351813971350732/352975131350
735. 351813971350740/352975131350743. 351813971350757/352975131350750. 351813971350773/352975131350776. 351813971350781/352975131
350784. 351813971350807/352975131350800. 351813971350823/352975131350826. 351813971350831/352975131350834. 351813971350849/352975
131350842. 351813971350856/352975131350859. 351813971350864/352975131350867. 351813971350872/352975131350875.351813971350880/3529
75131350883. 351813971350898/352975131350891. 351813971350906/352975131350909. 351813971350914/352975131350917. 351813971350922/3
52975131350925. 351813971350948/352975131350941. 351813971350955/352975131350958. 351813971350963/352975131350966. 35181397135097
1/352975131350974. 351813971351003/352975131351006. 351813971351011/352975131351014. 351813971351037/352975131351030. 35181397135
1052/352975131351055. 351813971351060/352975131351063. 351813971351086/352975131351089. 351813971351094/352975131351097. 35181397
1351102/352975131351105. 351813971351110/352975131351113. 351813971351136/352975131351139. 351813971351144/352975131351147. 35181
3971351151/352975131351154. 351813971351169/352975131351162. 351813971351177/352975131351170. 351813971351185/352975131351188. 35
1813971351193/352975131351196. 351813971351201/352975131351204. 351813971351219/352975131351212. 351813971351235/352975131351238.
351813971351243/352975131351246. 351813971351250/352975131351253. 351813971351268/352975131351261. 351813971351284/3529751313512
87. 351813971351292/352975131351295. 351813971351318/352975131351311. 351813971351334/352975131351337. 351813971351359/3529751313
51352. 351813971351367/352975131351360. 351813971351375/352975131351378. 351813971351383/352975131351386. 351813971351391/3529751
31351394. 351813971351409/352975131351402. 351813971351417/352975131351410. 351813971352233/352975131352236. 351813971352258/3529
75131352251. 351813971352274/352975131352277. 351813971352282/352975131352285. 351813971352290/352975131352293. 351813971352308/3
52975131352301. 351813971352316/352975131352319. 351813971352324/352975131352327. 351813971352340/352975131352343. 35181397135235
7/352975131352350. 351813971352365/352975131352368.351813971352373/352975131352376. 351813971352985/352975131352988. 351813971356
986/352975131356989. 351813971357299/352975131357292. 351813971357380/352975131357383. 351813971357406/352975131357409. 351813971
357422/352975131357425. 351813971357448/352975131357441. 351813971357455/352975131357458. 351813971357463/352975131357466. 351813
971357471/352975131357474. 351813971357497/352975131357490. 351813971357505/352975131357508. 351813971357513/352975131357516. 351
813971357562/352975131357565. 351813971357588/352975131357581. 351813971357646/352975131357649.351813971357653/352975131357656. 3
51813971357661/352975131357664. 351813971357687/352975131357680. 351813971357794/352975131357797. 351813971357802/352975131357805
. 351813971357828/352975131357821. 351813971357836/352975131357839. 351813971357869/352975131357862. 351813971357877/352975131357
870. 351813971358552/352975131358555. 351813971359196/352975131359199. 351813971359816/352975131359819. 351813971359865/352975131
359868. 351813971360129/352975131360122. 351813971360269/352975131360262. 351813971360327/352975131360320. 351813971360624/352975
131360627. 351813971363156/352975131363159. 351813971363172/352975131363175. 351813971363180/352975131363183. 351813971363289/352
975131363282. 351813971363321/352975131363324. 351813971363370/352975131363373. 351813971363388/352975131363381. 351813971363396/
352975131363399. 351813971363412/352975131363415. 351813971363420/352975131363423. 351813971363438/352975131363431. 3518139713634
53/352975131363456. 351813971363461/352975131363464. 351813971363495/352975131363498. 351813971363529/352975131363522. 3518139713
63545/352975131363548. 351813971363552/352975131363555. 351813971363578/352975131363571. 351813971363602/352975131363605. 3518139
032025000798407-8
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000798407-8
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
71363636/352975131363639. 351813971363644/352975131363647. 351813971363669/352975131363662. 351813971363677/352975131363670. 3518
13971363685/352975131363688. 351813971363693/352975131363696. 351813971363719/352975131363712. 351813971363727/352975131363720. 3
51813971363750/352975131363753. 351813971363784/352975131363787. 351813971363792/352975131363795. 351813971363826/352975131363829
. 351813971363982/352975131363985. 351813971364295/352975131364298. 351813971364329/352975131364322. 351813971364345/352975131364
348. 351813971364352/352975131364355.351813971364360/352975131364363. 351813971364378/352975131364371. 351813971364428/3529751313
64421. 351813971364436/352975131364439. 351813971364451/352975131364454. 351813971364485/352975131364488. 351813971364493/3529751
31364496. 351813971364501/352975131364504. 351813971364543/352975131364546. 351813971364550/352975131364553. 351813971364568/3529
75131364561. 351813971364576/352975131364579. 351813971364584/352975131364587. 351813971364592/352975131364595. 351813971364600/3
52975131364603. 351813971364618/352975131364611. 351813971364626/352975131364629.351813971364634/352975131364637. 351813971364667
/352975131364660. 351813971364675/352975131364678. 351813971364691/352975131364694. 351813971364717/352975131364710. 351813971364
725/352975131364728. 351813971364733/352975131364736. 351813971364741/352975131364744. 351813971364758/352975131364751. 351813971
364766/352975131364769. 351813971364774/352975131364777. 351813971364782/352975131364785. 351813971364790/352975131364793. 351813
971364808/352975131364801. 351813971364816/352975131364819. 351813971364832/352975131364835. 351813971364840/352975131364843. 351
813971364857/352975131364850. 351813971364865/352975131364868. 351813971364873/352975131364876. 351813971364881/352975131364884.
351813971364899/352975131364892. 351813971364907/352975131364900. 351813971364915/352975131364918. 351813971364923/35297513136492
6. 351813971364931/352975131364934. 351813971364949/352975131364942. 351813971364956/352975131364959. 351813971364964/35297513136
4967. 351813971364972/352975131364975. 351813971364980/352975131364983. 351813971365029/352975131365022. 351813971365037/35297513
1365030. 351813971365060/352975131365063. 351813971365078/352975131365071. 351813971365102/352975131365105. 351813971365169/35297
5131365162. 351813971216800/352975131216803. 351813971221800/352975131221803. 351813971226890/352975131226893. 351813971308789/35
2975131308782. 351813971309621/352975131309624. 351813971320578/352975131320571. 351813971345856/352975131345859. 351813971345989
/352975131345982. 351813971346045/352975131346048. 351813971346516/352975131346519. 351813971346557/352975131346550. 351813971347
423/352975131347426. 351813971347456/352975131347459. 351813971347522/352975131347525. 351813971348348/352975131348341. 351813971
348892/352975131348895.351813971349379/352975131349372. 351813971349908/352975131349901. 351813971349916/352975131349919. 3518139
71349924/352975131349927. 351813971349940/352975131349943. 351813971349957/352975131349950. 351813971349965/352975131349968. 3518
13971349973/352975131349976. 351813971350070/352975131350073. 351813971350088/352975131350081. 351813971350096/352975131350099. 3
51813971350104/352975131350107. 351813971350112/352975131350115. 351813971350146/352975131350149. 351813971350153/352975131350156
. 351813971350187/352975131350180. 351813971350195/352975131350198.351813971350203/352975131350206. 351813971350211/3529751313502
14. 351813971350245/352975131350248. 351813971350252/352975131350255. 351813971350260/352975131350263. 351813971350278/3529751313
50271. 351813971350286/352975131350289. 351813971350294/352975131350297. 351813971350302/352975131350305. 351813971350310/3529751
31350313. 351813971350336/352975131350339. 351813971350344/352975131350347. 351813971365235/352975131365238. 351813971365342/3529
75131365345. 351813971365375/352975131365378. 351813971365383/352975131365386. 351813971365409/352975131365402. 351813971365417/3
52975131365410. 351813971365433/352975131365436. 351813971365441/352975131365444. 351813971365482/352975131365485. 35181397136552
4/352975131365527. 351813971365540/352975131365543. 351813971365573/352975131365576. 351813971365581/352975131365584. 35181397136
5599/352975131365592. 351813971365615/352975131365618. 351813971365623/352975131365626. 351813971365631/352975131365634. 35181397
1365672/352975131365675. 351813971365680/352975131365683. 351813971365714/352975131365717. 351813971365722/352975131365725. 35181
3971365730/352975131365733. 351813971365748/352975131365741. 351813971365771/352975131365774. 351813971365789/352975131365782. 35
1813971365797/352975131365790. 351813971365839/352975131365832. 351813971365870/352975131365873. 351813971365888/352975131365881.
351813971365904/352975131365907. 351813971365938/352975131365931. 351813971365946/352975131365949. 351813971365987/3529751313659
80. 351813971366019/352975131366012. 351813971366043/352975131366046. 351813971366068/352975131366061. 351813971366134/3529751313
66137. 351813971366142/352975131366145. 351813971366159/352975131366152. 351813971366233/352975131366236. 351813971440848/3529751
31440841.351813971440855/352975131440858. 351813971440863/352975131440866. 351813971440871/352975131440874. 351813971440889/35297
5131440882. 351813971440897/352975131440890. 351813971440905/352975131440908. 351813971440913/352975131440916. 351813971440921/35
2975131440924. 351813971440939/352975131440932. 351813971351425/352975131351428. 351813971351433/352975131351436. 351813971351441
/352975131351444. 351813971351458/352975131351451. 351813971351466/352975131351469. 351813971351474/352975131351477. 351813971351
482/352975131351485. 351813971351490/352975131351493.351813971351508/352975131351501. 351813971351524/352975131351527. 3518139713
51540/352975131351543. 351813971351557/352975131351550. 351813971351565/352975131351568. 351813971351607/352975131351600. 3518139
71351615/352975131351618. 351813971351623/352975131351626. 351813971351649/352975131351642. 351813971351664/352975131351667. 3518
13971351680/352975131351683. 351813971351698/352975131351691. 351813971351714/352975131351717. 351813971351722/352975131351725. 3
51813971351755/352975131351758. 351813971351789/352975131351782. 351813971351805/352975131351808. 351813971351813/352975131351816
. 351813971351821/352975131351824. 351813971351839/352975131351832. 351813971351847/352975131351840. 351813971351854/352975131351
857. 351813971351938/352975131351931. 351813971352084/352975131352087. 351813971352092/352975131352095. 351813971352100/352975131
352103. 351813971352118/352975131352111. 351813971352126/352975131352129. 351813971352134/352975131352137. 351813971352142/352975
131352145. 351813971352159/352975131352152. 351813971352167/352975131352160. 351813971352175/352975131352178. 351813971352183/352
975131352186. 351813971352209/352975131352202. 351813971352217/352975131352210. 351813971352225/352975131352228XXXXXXXXXXXXXXXXXX
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032025000798407-8
Espacio para uso exclusivo de la Entidad Recaudadora
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