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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
032025000815874-8
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
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. 116575015460666
43 . Año – Mes – Día
2025 – 04 – 11
44 . Documento de transporte
No. 45T0378958
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
9103383840
52 . Año – Mes – Día
2025 – 04 – 04
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.
4.351.55
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.
105.00
72 . Peso neto kgs. dcms.
60.80
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
320.00
78 .Valor FOB
USD
49.895.43
79 . Valor fletes USD
991.20 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
221.446.420
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
221.446.420
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
2.46
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
993.66
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
50.889.09
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: 554034-DECL: 1905111-DO: 893108471251- 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: 3087060767. ID DELIVERY: 6081337101. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A266MZWHLTC, PRO
DUCTO: 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
032025000815874
133. Feha: 202504 14
134 . Levante No. 032025000544256 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 92032502936711
Fecha presentación 2025-04-14 20:19:18
Valor pagado $0.00
Fecha de Impresión: 2025-04-14 20:19:24
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000815874-8
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. 320,00 u )(320,00 P
CE); IMEIS: 351813971039046/352975131039049. 351813971074423/352975131074426. 351813971080016/352975131080019. 351813971087573/35
2975131087576. 351813971087623/352975131087626. 351813971087664/352975131087667. 351813971087755/352975131087758. 351813971087763
/352975131087766. 351813971087789/352975131087782. 351813971087839/352975131087832. 351813971087854/352975131087857. 351813971087
862/352975131087865. 351813971087912/352975131087915. 351813971087938/352975131087931. 351813971087953/352975131087956. 351813971
087961/352975131087964. 351813971087979/352975131087972. 351813971088001/352975131088004. 351813971088019/352975131088012. 351813
971088027/352975131088020. 351813971088043/352975131088046. 351813971088068/352975131088061. 351813971088084/352975131088087. 351
813971088100/352975131088103. 351813971088134/352975131088137. 351813971088233/35297513108823 6. 351813971088316/352975131088319.
351813971088340/352975131088343. 351813971088357/352975131088350. 351813971088373/352975131088376. 351813971088381/3529751310883
84. 351813971088407/352975131088400. 351813971088431/352975131088434. 351813971088571/352975131088574. 351813971088621/3529751310
88624. 351813971088712/352975131088715. 351813971088720/352975131088723. 351813971088761/352975131088764. 351813971088779/3529751
31088772. 351813971088795/352975131088798. 351813971088811/352975131088814. 351813971088837/352975131088830. 351813971088845/3529
75131088848. 351813971088860/352975131088863. 351813971088878/352975131088871.351813971088886/352975131088889. 351813971088894/35
2975131088897. 351813971088902/352975131088905. 351813971088910/352975131088913. 351813971088928/352975131088921. 351813971088936
/352975131088939. 351813971088944/352975131088947. 351813971088951/352975131088954. 351813971088969/352975131088962. 351813971088
977/352975131088970. 351813971088993/352975131088996. 351813971089009/352975131089002. 351813971089017/352975131089010. 351813971
089025/352975131089028. 351813971089041/352975131089044. 351813971089058/352975131089051. 351813971089074/352975131089077.3518139
71089082/352975131089085. 351813971089090/352975131089093. 351813971089108/352975131089101. 351813971089116/352975131089119. 3518
13971089124/352975131089127. 351813971089132/352975131089135. 351813971089157/352975131089150. 351813971089165/352975131089168. 3
51813971089173/352975131089176. 351813971089199/352975131089192. 351813971089207/352975131089200. 351813971089223/352975131089226
. 351813971089231/352975131089234. 351813971089249/352975131089242. 351813971089256/352975131089259. 351813971089280/352975131089
283. 351813971089306/352975131089309. 351813971089355/352975131089358. 351813971089389/352975131089382. 351813971089405/352975131
089408. 351813971089413/352975131089416. 351813971089439/352975131089432. 351813971089447/352975131089440. 351813971089462/352975
131089465. 351813971089488/352975131089481. 351813971089512/352975131089515. 351813971089538/352975131089531. 351813971089553/352
975131089556. 351813971089561/352975131089564. 351813971089579/352975131089572. 351813971089595/352975131089598. 351813971089629/
352975131089622. 351813971089637/352975131089630. 351813971089660/352975131089663. 351813971089686/352975131089689. 3518139710896
94/352975131089697. 351813971089736/352975131089739. 351813971089744/352975131089747. 351813971089751/352975131089754. 3518139710
89801/352975131089804. 351813971089843/352975131089846. 351813971089868/352975131089861. 351813971089884/352975131089887. 3518139
71089900/352975131089903. 351813971089918/352975131089911. 351813971090007/352975131090000. 351813971090015/352975131090018. 3518
13971090031/352975131090034. 351813971090049/352975131090042. 351813971090072/352975131090075. 351813971090080/352975131090083. 3
51813971090106/352975131090109. 351813971090122/352975131090125.351813971090130/352975131090133. 351813971090163/352975131090166.
351813971090189/352975131090182. 351813971090239/352975131090232. 351813971090262/352975131090265. 351813971090296/3529751310902
99. 351813971090312/352975131090315. 351813971090338/352975131090331. 351813971090361/352975131090364. 351813971090387/3529751310
90380. 351813971090395/352975131090398. 351813971090411/352975131090414. 351813971090429/352975131090422. 351813971090445/3529751
31090448. 351813971090452/352975131090455. 351813971090486/352975131090489. 351813971090502/352975131090505.351813971090510/35297
5131090513. 351813971090528/352975131090521. 351813971090536/352975131090539. 351813971090544/352975131090547. 351813971090585/35
2975131090588. 351813971090734/352975131090737. 351813971090767/352975131090760. 351813971090775/352975131090778. 351813971090783
/352975131090786. 351813971090825/352975131090828. 351813971090833/352975131090836. 351813971090841/352975131090844. 351813971090
866/352975131090869. 351813971090874/352975131090877. 351813971090882/352975131090885. 351813971090890/352975131090893. 351813971
090932/352975131090935. 351813971090940/352975131090943. 351813971090981/352975131090984. 351813971090999/352975131090992. 351813
971091005/352975131091008. 351813971091112/352975131091115. 351813971091120/352975131091123. 351813971091138/352975131091131. 351
813971091146/352975131091149. 351813971091161/352975131091164. 351813971091179/352975131091172. 351813971091187/352975131091180.
351813971091195/352975131091198. 351813971091203/352975131091206. 351813971091211/352975131091214. 351813971091245/35297513109124
8. 351813971091260/352975131091263. 351813971091278/352975131091271. 351813971091286/352975131091289. 351813971091294/35297513109
1297. 351813971091302/352975131091305. 351813971091310/352975131091313. 351813971091328/352975131091321. 351813971091336/35297513
1091339. 351813971091344/352975131091347. 351813971091351/352975131091354. 351813971091393/352975131091396. 351813971091435/35297
5131091438. 351813971091492/352975131091495. 351813971091658/352975131091651. 351813971091666/352975131091669. 351813971091674/35
2975131091677. 351813971091682/352975131091685. 351813971091708/352975131091701. 351813971091716/352975131091719. 351813971091724
/352975131091727. 351813971091732/352975131091735.351813971091740/352975131091743. 351813971091757/352975131091750. 3518139710917
73/352975131091776. 351813971091781/352975131091784. 351813971091799/352975131091792. 351813971091807/352975131091800. 3518139710
91815/352975131091818. 351813971091823/352975131091826. 351813971091831/352975131091834. 351813971091849/352975131091842. 3518139
71091856/352975131091859. 351813971091864/352975131091867. 351813971091872/352975131091875. 351813971091880/352975131091883. 3518
13971091906/352975131091909. 351813971091930/352975131091933. 351813971091948/352975131091941.351813971091955/352975131091958. 35
1813971091963/352975131091966. 351813971091971/352975131091974. 351813971091989/352975131091982. 351813971091997/352975131091990.
351813971092003/352975131092006. 351813971092011/352975131092014. 351813971092029/352975131092022. 351813971092037/3529751310920
30. 351813971092045/352975131092048. 351813971092052/352975131092055. 351813971092060/352975131092063. 351813971092078/3529751310
92071. 351813971092086/352975131092089. 351813971092094/352975131092097. 351813971092102/352975131092105. 351813971092110/3529751
31092113. 351813971092128/352975131092121. 351813971092136/352975131092139. 351813971092144/352975131092147. 351813971092151/3529
75131092154. 351813971092169/352975131092162. 351813971092177/352975131092170. 351813971093654/352975131093657. 351813971093662/3
52975131093665. 351813971093670/352975131093673. 351813971093688/352975131093681. 351813971093696/352975131093699. 35181397109370
4/352975131093707. 351813971093720/352975131093723. 351813971093738/352975131093731. 351813971093753/352975131093756. 35181397109
3779/352975131093772. 351813971093803/352975131093806. 351813971093837/352975131093830. 351813971093845/352975131093848. 35181397
1093852/352975131093855. 351813971093860/352975131093863. 351813971093928/352975131093921. 351813971093951/352975131093954. 35181
3971093969/352975131093962. 351813971093985/352975131093988. 351813971094017/352975131094010. 351813971094025/352975131094028. 35
1813971094033/352975131094036. 351813971094041/352975131094044. 351813971094066/352975131094069. 351813971094116/352975131094119.
351813971094124/352975131094127. 351813971094140/352975131094143. 351813971094165/352975131094168. 351813971094181/3529751310941
84. 351813971094199/352975131094192.351813971094207/352975131094200. 351813971094223/352975131094226. 351813971094280/35297513109
4283. 351813971094314/352975131094317. 351813971094322/352975131094325. 351813971094363/352975131094366. 351813971094389/35297513
1094382. 351813971094397/352975131094390. 351813971094447/352975131094440. 351813971094454/352975131094457. 351813971094462/35297
5131094465. 351813971094470/352975131094473. 351813971094488/352975131094481. 351813971094504/352975131094507. 351813971094512/35
2975131094515. 351813971092185/352975131092188. 351813971092193/352975131092196.351813971092201/352975131092204. 351813971092227/
352975131092220. 351813971092235/352975131092238. 351813971092243/352975131092246. 351813971092250/352975131092253. 3518139710922
68/352975131092261. 351813971092276/352975131092279. 351813971092284/352975131092287. 351813971092292/352975131092295. 3518139710
92300/352975131092303. 351813971092318/352975131092311. 351813971092326/352975131092329. 351813971092342/352975131092345. 3518139
71092417/352975131092410. 351813971092516/352975131092519. 351813971092540/352975131092543. 351813971092557/352975131092550. 3518
032025000815874-8
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000815874-8
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
13971092573/352975131092576. 351813971092771/352975131092774. 351813971092805/352975131092808. 351813971092854/352975131092857. 3
51813971092862/352975131092865. 351813971092912/352975131092915. 351813971092961/352975131092964. 351813971093019/352975131093012
. 351813971093084/352975131093087. 351813971093100/352975131093103. 351813971093126/352975131093129. 351813971093167/352975131093
160. 351813971093191/352975131093194. 351813971093225/352975131093228. 351813971093258/352975131093251. 351813971093266/352975131
093269. 351813971093274/352975131093277. 351813971093282/352975131093285. 351813971093308/352975131093301. 351813971093324/352975
131093327. 351813971093407/352975131093400. 351813971093472/352975131093475. 351813971093480/352975131093483. 351813971093597/352
975131093590. 351813971093621/352975131093624. 351813971093639/352975131093632. 351813971094520/352975131094523. 351813971094538/
352975131094531. 351813971094546/352975131094549. 351813971094553/352975131094556. 351813971138368/352975131138361XXXXXXXXXXXXXXX
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032025000815874-8
Espacio para uso exclusivo de la Entidad Recaudadora
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