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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
032025000852217-6
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. 116575015500812
43 . Año – Mes – Día
2025 – 04 – 24
44 . Documento de transporte
No. SHAN0387358
45 . Año – Mes – Día
2025 – 04 – 17
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
9103414271
52 . Año – Mes – Día
2025 – 04 – 17
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
249
56 . Cod. Depto
destino
0
57 . Empresa transportadora
DHL AERO EXPRESO S A SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.329.90
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.
101.00
72 . Peso neto kgs. dcms.
57.00
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
300.00
78 .Valor FOB
USD
28.715.87
79 . Valor fletes USD
1.021.14 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
128.764.515
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
128.764.515
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
1.44
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.022.58
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
29.738.45
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: 555196-DECL: 1908363-DO: 893109960251- 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. (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN)/ NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANC
IA QUE NO REQUIERE REGISTRO DEIMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3087887964. ID DELIVERY:
6081548618. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A165MZAGLTC, PRODUCTO: TELEFONO CELULAR GALAXY A16 DUOS (CON ACCESORIOS PARA
USO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS, MODELO:SM-A165M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL (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
032025000852217
133. Feha: 202504 23
134 . Levante No. 032025000679950 135 . Fecha
2025 – 04 – 25
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 92032503150835
Fecha presentación 2025-04-23 21:07:38
Valor pagado $0.00
Fecha de Impresión: 2025-04-25 10:08:18
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000852217-6
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
DETAL/ /MOBILE,SM-A165M/DS,GRAY,LTC( QTY. 300,00 u )(300,00 PCE); IMEIS: 352042194271090/356542824271093. 352042194271108/3565428
24271101. 352042194271116/356542824271119. 352042194271348/356542824271341. 352042194271371/356542824271374. 352042194271421/3565
42824271424. 352042194271462/356542824271465. 352042194271470/356542824271473. 352042194271488/356542824271481. 352042194271496/3
56542824271499. 352042194271504/356542824271507. 352042194271520/356542824271523. 352042194271538/356542824271531. 35204219427154
6/356542824271549. 352042194271553/356542824271556. 352042194271561/356542824271564. 352042194271629/356542824271622. 35204219427
1645/356542824271648. 352042194271686/356542824271689. 352042194271744/356542824271747. 352042194271801/356542824271804. 35204219
4271819/356542824271812. 352042194271850/356542824271853. 352042194271868/356542824271861. 352042194271884/356542824271887. 35204
2194271959/356542824271952. 352042194271967/356542824271960. 352042194271991/35654282427199 4. 352042194272031/356542824272034. 3
52042194272098/356542824272091. 352042194272130/356542824272133. 352042194272155/356542824272158. 352042194272189/356542824272182
. 352042194272197/356542824272190. 352042194272221/356542824272224. 352042194272338/356542824272331. 352042194272387/356542824272
380. 352042194272403/356542824272406. 352042194272429/356542824272422. 352042194272569/356542824272562. 352042194272619/356542824
272612. 352042194272668/356542824272661. 352042194272700/356542824272703. 352042194272734/356542824272737. 352042194325847/356542
824325840. 352042194325946/356542824325949. 352042194326100/356542824326103.352042194326118/356542824326111. 352042194326175/3565
42824326178. 352042194326282/356542824326285. 352042194326290/356542824326293. 352042194326399/356542824326392. 352042194326415/3
56542824326418. 352042194326456/356542824326459. 352042194326654/356542824326657. 352042194326688/356542824326681. 35204219432681
1/356542824326814. 352042194327157/356542824327150. 352042194327298/356542824327291. 352042194327306/356542824327309. 35204219432
7603/356542824327606. 352042194327611/356542824327614. 352042194327645/356542824327648. 352042194327694/356542824327697.352042194
327710/356542824327713. 352042194327751/356542824327754. 352042194327769/356542824327762. 352042194327777/356542824327770. 352042
194327835/356542824327838. 352042194327843/356542824327846. 352042194327868/356542824327861. 352042194327900/356542824327903. 352
042194327934/356542824327937. 352042194327942/356542824327945. 352042194327959/356542824327952. 352042194328106/356542824328109.
352042194328254/356542824328257. 352042194328262/356542824328265. 352042194328296/356542824328299. 352042194328320/35654282432832
3. 352042194328346/356542824328349. 352042194328395/356542824328398. 352042194328411/356542824328414. 352042194328429/35654282432
8422. 352042194328445/356542824328448. 352042194328452/356542824328455. 352042194328486/356542824328489. 352042194328502/35654282
4328505. 352042194272783/356542824272786. 352042194273377/356542824273370. 352042194273419/356542824273412. 352042194273815/35654
2824273818. 352042194273849/356542824273842. 352042194274151/356542824274154. 352042194274524/356542824274527. 352042194274557/35
6542824274550. 352042194274573/356542824274576. 352042194274649/356542824274642. 352042194274995/356542824274998. 352042194275018
/356542824275011. 352042194275059/356542824275052. 352042194275075/356542824275078. 352042194275414/356542824275417. 352042194275
422/356542824275425. 352042194275448/356542824275441. 352042194275455/356542824275458. 352042194275513/356542824275516. 352042194
275562/356542824275565. 352042194275570/356542824275573. 352042194275646/356542824275649. 352042194275810/356542824275813. 352042
194275836/356542824275839. 352042194276123/356542824276126. 352042194276453/356542824276456. 352042194276479/356542824276472. 352
042194276529/356542824276522. 352042194276545/356542824276548.352042194276776/356542824276779. 352042194276784/356542824276787. 3
52042194276859/356542824276852. 352042194276883/356542824276886. 352042194276891/356542824276894. 352042194276909/356542824276902
. 352042194276982/356542824276985. 352042194277014/356542824277017. 352042194277030/356542824277033. 352042194277055/356542824277
058. 352042194277071/356542824277074. 352042194277089/356542824277082. 352042194277121/356542824277124. 352042194281099/356542824
281092. 352042194325425/356542824325428. 352042194325466/356542824325469. 352042194328627/356542824328620.352042194328635/3565428
24328638. 352042194328668/356542824328661. 352042194328908/356542824328901. 352042194328940/356542824328943. 352042194328965/3565
42824328968. 352042194328981/356542824328984. 352042194328999/356542824328992. 352042194329021/356542824329024. 352042194329047/3
56542824329040. 352042194329054/356542824329057. 352042194329062/356542824329065. 352042194329096/356542824329099. 35204219432913
8/356542824329131. 352042194329153/356542824329156. 352042194329161/356542824329164. 352042194329179/356542824329172. 35204219432
9187/356542824329180. 352042194329195/356542824329198. 352042194329203/356542824329206. 352042194329229/356542824329222. 35204219
4329260/356542824329263. 352042194329278/356542824329271. 352042194329377/356542824329370. 352042194329385/356542824329388. 35204
2194329393/356542824329396. 352042194329419/356542824329412. 352042194329443/356542824329446. 352042194329500/356542824329503. 35
2042194329534/356542824329537. 352042194329559/356542824329552. 352042194329583/356542824329586. 352042194329591/356542824329594.
352042194329609/356542824329602. 352042194329617/356542824329610. 352042194330169/356542824330162. 352042194330276/3565428243302
79. 352042194330292/356542824330295. 352042194330383/356542824330386. 352042194330391/356542824330394. 352042194330573/3565428243
30576. 352042194330581/356542824330584. 352042194330615/356542824330618. 352042194330631/356542824330634. 352042194330649/3565428
24330642. 352042194330680/356542824330683. 352042194330706/356542824330709. 352042194330714/356542824330717. 352042194330920/3565
42824330923. 352042194330979/356542824330972. 352042194330987/356542824330980. 352042194330995/356542824330998. 352042194331019/3
56542824331012. 352042194331241/356542824331244.352042194331274/356542824331277. 352042194331381/356542824331384. 352042194331415
/356542824331418. 352042194331506/356542824331509. 352042194331530/356542824331533. 352042194331597/356542824331590. 352042194331
605/356542824331608. 352042194331613/356542824331616. 352042194331647/356542824331640. 352042194331654/356542824331657. 352042194
331738/356542824331731. 352042194331761/356542824331764. 352042194331779/356542824331772. 352042194331902/356542824331905. 352042
194331928/356542824331921. 352042194331936/356542824331939. 352042194331969/356542824331962.352042194331985/356542824331988. 3520
42194332041/356542824332044. 352042194332132/356542824332135. 352042194332165/356542824332168. 352042194332173/356542824332176. 3
52042194332181/356542824332184. 352042194332249/356542824332242. 352042194332272/356542824332275. 352042194332348/356542824332341
. 352042194332397/356542824332390. 352042194332405/356542824332408. 352042194332413/356542824332416. 352042194332421/356542824332
424. 352042194332462/356542824332465. 352042194332595/356542824332598. 352042194332660/356542824332663. 352042194332819/356542824
332812. 352042194332835/356542824332838. 352042194332934/356542824332937. 352042194332942/356542824332945. 352042194332967/356542
824332960. 352042194332983/356542824332986. 352042194333023/356542824333026. 352042194333049/356542824333042. 352042194333056/356
542824333059. 352042194333064/356542824333067. 352042194333072/356542824333075. 352042194333106/356542824333109. 352042194333148/
356542824333141. 352042194333304/356542824333307. 352042194333312/356542824333315. 352042194333320/356542824333323. 3520421943333
79/356542824333372. 352042194333387/356542824333380. 352042194333395/356542824333398. 352042194333429/356542824333422. 3520421943
33437/356542824333430. 352042194333445/356542824333448. 352042194333486/356542824333489. 352042194333494/356542824333497. 3520421
94333536/356542824333539. 352042194333544/356542824333547. 352042194333569/356542824333562. 352042194334039/356542824334032. 3520
42194334062/356542824334065. 352042194334088/356542824334081. 352042194334120/356542824334123. 352042194334146/356542824334149. 3
52042194334179/356542824334172. 352042194334203/356542824334206. 352042194334260/356542824334263. 352042194334278/356542824334271
. 352042194334294/356542824334297.352042194334617/356542824334610. 352042194334641/356542824334644. 352042194334658/3565428243346
51. 352042194334690/356542824334693. 352042194334716/356542824334719. 352042194334740/356542824334743. 352042194334807/3565428243
34800. 352042194334823/356542824334826. 352042194334831/356542824334834. 352042194334849/356542824334842. 352042194334906/3565428
24334909. 352042194334922/356542824334925. 352042194334955/356542824334958. 352042194335275/356542824335278. 352042194335614/3565
42824335617. 352042194335622/356542824335625. 352042194335747/356542824335740.352042194335788/356542824335781. 352042194336018/35
6542824336011. 352042194336091/356542824336094. 352042194336117/356542824336110. 352042194336125/356542824336128. 352042194336802
/356542824336805. 352042194336844/356542824336847. 352042194336851/356542824336854. 352042194336869/356542824336862. 352042194336
877/356542824336870. 352042194336919/356542824336912. 352042194337073/356542824337076. 352042194337156/356542824337159. 352042194
337164/356542824337167. 352042194337461/356542824337464. 352042194337552/356542824337555. 352042194337875/356542824337878. 352042
032025000852217-6
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000852217-6
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
194337883/356542824337886. 352042194337925/356542824337928. 352042194338691/356542824338694. 352042194338949/356542824338942. 352
042194338964/356542824338967. 352042194339012/356542824339015. 352042194339111/356542824339114. 352042194350456/356542824350459.
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032025000852217-6
Espacio para uso exclusivo de la Entidad Recaudadora
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