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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
032025000855598-0
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. 116575015497373
43 . Año – Mes – Día
2025 – 04 – 23
44 . Documento de transporte
No. SHAN0387405
45 . Año – Mes – Día
2025 – 04 – 18
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
9103418721
52 . Año – Mes – Día
2025 – 04 – 18
53 . Cod. país
procedencia
855
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.
4.329.90
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.
100.50
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: 555294-DECL: 1908549-DO: 893109728251- 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: 3087509883. ID DELIVERY: 6081582297. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A165MZKGLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A16 DUOS (CON ACCESORIOSPARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODEL(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
032025000855598
133. Feha: 202504 24
134 . Levante No. 032025000674276 135 . Fecha
2025 – 04 – 24
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 92032503170185
Fecha presentación 2025-04-24 13:06:39
Valor pagado $0.00
Fecha de Impresión: 2025-04-24 13:06:44
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000855598-0
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
O: SM-A165M/DS,USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A165M/DS,BLACK,LTC( QTY. 300,00 u )(300,00 PCE); IMEI
S: 352042194303653/356542824303656. 352042194303810/356542824303813. 352042194303901/356542824303904. 352042194303919/35654282430
3912. 352042194303943/356542824303946. 352042194303984/356542824303987. 352042194304081/356542824304084. 352042194304131/35654282
4304134. 352042194304305/356542824304308. 352042194304321/356542824304324. 352042194304362/356542824304365. 352042194304388/35654
2824304381. 352042194304412/356542824304415. 352042194304420/356542824304423. 352042194304438/356542824304431. 352042194304479/35
6542824304472. 352042194304511/356542824304514. 352042194304529/356542824304522. 352042194304537/356542824304530. 352042194304578
/356542824304571. 352042194304636/356542824304639. 352042194304693/356542824304696. 352042194304719/356542824304712. 352042194304
727/356542824304720.352042194304743/356542824304746. 352042194304792/356542824304795. 3520 42194304800/356542824304803. 352042194
304818/356542824304811. 352042194304859/356542824304852. 352042194304883/356542824304886. 352042194304933/356542824304936. 352042
194304966/356542824304969. 352042194304990/356542824304993. 352042194305005/356542824305008. 352042194305096/356542824305099. 352
042194305120/356542824305123. 352042194305138/356542824305131. 352042194305146/356542824305149. 352042194305344/356542824305347.
352042194305351/356542824305354. 352042194305401/356542824305404.352042194305419/356542824305412. 352042194305443/356542824305446
. 352042194305450/356542824305453. 352042194305518/356542824305511. 352042194305583/356542824305586. 352042194305658/356542824305
651. 352042194305682/356542824305685. 352042194305740/356542824305743. 352042194305831/356542824305834. 352042194305898/356542824
305891. 352042194306375/356542824306378. 352042194306805/356542824306808. 352042194306904/356542824306907. 352042194306912/356542
824306915. 352042194307134/356542824307137. 352042194307191/356542824307194. 352042194307316/356542824307319. 352042194307415/356
542824307418. 352042194307530/356542824307533. 352042194307787/356542824307780. 352042194307886/356542824307889. 352042194308025/
356542824308028. 352042194308041/356542824308044. 352042194308066/356542824308069. 352042194308074/356542824308077. 3520421943081
08/356542824308101. 352042194308116/356542824308119. 352042194308546/356542824308549. 352042194308561/356542824308564. 3520421943
08603/356542824308606. 352042194308611/356542824308614. 352042194308744/356542824308747. 352042194308777/356542824308770. 3520421
94308876/356542824308879. 352042194309031/356542824309034. 352042194309056/356542824309059. 352042194309114/356542824309117. 3520
42194309148/356542824309141. 352042194309155/356542824309158. 352042194309254/356542824309257. 352042194309288/356542824309281. 3
52042194309338/356542824309331. 352042194309411/356542824309414. 352042194309429/356542824309422. 352042194309445/356542824309448
. 352042194309452/356542824309455. 352042194309478/356542824309471. 352042194309486/356542824309489. 352042194309536/356542824309
539. 352042194309577/356542824309570. 352042194309593/356542824309596. 352042194309601/356542824309604. 352042194309627/356542824
309620.352042194309643/356542824309646. 352042194309882/356542824309885. 352042194310005/356542824310008. 352042194310013/3565428
24310016. 352042194310039/356542824310032. 352042194310047/356542824310040. 352042194310054/356542824310057. 352042194310062/3565
42824310065. 352042194310096/356542824310099. 352042194310153/356542824310156. 352042194310179/356542824310172. 352042194310294/3
56542824310297. 352042194310351/356542824310354. 352042194310823/356542824310826. 352042194311037/356542824311030. 35204219431105
2/356542824311055. 352042194311144/356542824311147.352042194311185/356542824311188. 352042194311235/356542824311238. 352042194311
243/356542824311246. 352042194311334/356542824311337. 352042194311409/356542824311402. 352042194311458/356542824311451. 352042194
311748/356542824311741. 352042194311805/356542824311808. 352042194312068/356542824312061. 352042194312126/356542824312129. 352042
194312134/356542824312137. 352042194312142/356542824312145. 352042194312282/356542824312285. 352042194312449/356542824312442. 352
042194312522/356542824312525. 352042194312746/356542824312749. 352042194312811/356542824312814. 352042194312837/356542824312830.
352042194312852/356542824312855. 352042194312878/356542824312871. 352042194312886/356542824312889. 352042194312902/35654282431290
5. 352042194313124/356542824313127. 352042194313272/356542824313275. 352042194313280/356542824313283. 352042194313413/35654282431
3416. 352042194313520/356542824313523. 352042194313553/356542824313556. 352042194313561/356542824313564. 352042194313728/35654282
4313721. 352042194313751/356542824313754. 352042194313777/356542824313770. 352042194313793/356542824313796. 352042194313819/35654
2824313812. 352042194313835/356542824313838. 352042194313843/356542824313846. 352042194313884/356542824313887. 352042194313892/35
6542824313895. 352042194313934/356542824313937. 352042194314288/356542824314281. 352042194314304/356542824314307. 352042194314411
/356542824314414. 352042194314601/356542824314604. 352042194314619/356542824314612. 352042194314643/356542824314646. 352042194314
668/356542824314661. 352042194314999/356542824314992. 352042194315004/356542824315007. 352042194315038/356542824315031. 352042194
315053/356542824315056. 352042194315137/356542824315130. 352042194315293/356542824315296. 352042194315400/356542824315403.3520421
94315509/356542824315502. 352042194315558/356542824315551. 352042194315608/356542824315601. 352042194315616/356542824315619. 3520
42194315632/356542824315635. 352042194315640/356542824315643. 352042194315657/356542824315650. 352042194315665/356542824315668. 3
52042194315673/356542824315676. 352042194315699/356542824315692. 352042194315707/356542824315700. 352042194315715/356542824315718
. 352042194315749/356542824315742. 352042194315756/356542824315759. 352042194315764/356542824315767. 352042194315772/356542824315
775. 352042194315780/356542824315783.352042194315806/356542824315809. 352042194315814/356542824315817. 352042194315822/3565428243
15825. 352042194315905/356542824315908. 352042194315921/356542824315924. 352042194315939/356542824315932. 352042194315954/3565428
24315957. 352042194315970/356542824315973. 352042194316028/356542824316021. 352042194316036/356542824316039. 352042194316135/3565
42824316138. 352042194316200/356542824316203. 352042194316465/356542824316468. 352042194316564/356542824316567. 352042194316622/3
56542824316625. 352042194316630/356542824316633. 352042194316655/356542824316658. 352042194316671/356542824316674. 35204219431668
9/356542824316682. 352042194316697/356542824316690. 352042194316705/356542824316708. 352042194316770/356542824316773. 35204219431
6788/356542824316781. 352042194316796/356542824316799. 352042194316804/356542824316807. 352042194316812/356542824316815. 35204219
4316879/356542824316872. 352042194316895/356542824316898. 352042194316911/356542824316914. 352042194316960/356542824316963. 35204
2194317158/356542824317151. 352042194317398/356542824317391. 352042194317406/356542824317409. 352042194317760/356542824317763. 35
2042194317851/356542824317854. 352042194317901/356542824317904. 352042194317935/356542824317938. 352042194317968/356542824317961.
352042194317984/356542824317987. 352042194318206/356542824318209. 352042194318222/356542824318225. 352042194318321/3565428243183
24. 352042194318347/356542824318340. 352042194318412/356542824318415. 352042194318438/356542824318431. 352042194318479/3565428243
18472. 352042194318503/356542824318506. 352042194318552/356542824318555. 352042194318578/356542824318571. 352042194318602/3565428
24318605. 352042194318685/356542824318688. 352042194318701/356542824318704. 352042194318776/356542824318779.352042194319097/35654
2824319090. 352042194319303/356542824319306. 352042194319485/356542824319488. 352042194319550/356542824319553. 352042194319592/35
6542824319595. 352042194319881/356542824319884. 352042194319923/356542824319926. 352042194320020/356542824320023. 352042194320129
/356542824320122. 352042194320145/356542824320148. 352042194320301/356542824320304. 352042194320673/356542824320676. 352042194320
715/356542824320718. 352042194320871/356542824320874. 352042194320988/356542824320981. 352042194321325/356542824321328. 352042194
321754/356542824321757.352042194322190/356542824322193. 352042194322786/356542824322789. 352042194322828/356542824322821. 3520421
94322950/356542824322953. 352042194323065/356542824323068. 352042194323123/356542824323126. 352042194323602/356542824323605. 3520
42194323685/356542824323688. 352042194323859/356542824323852. 352042194324196/356542824324199. 352042194324394/356542824324397. 3
52042194324501/356542824324504. 352042194324626/356542824324629. 352042194324659/356542824324652. 352042194324667/356542824324660
. 352042194324832/356542824324835. 352042194341596/356542824341599. 352042194341661/356542824341664. 352042194342321/356542824342
324. 352042194342669/356542824342662. 352042194342776/356542824342779. 352042194342792/356542824342795. 352042194342826/356542824
342829. 352042194342834/356542824342837. 352042194342842/356542824342845. 352042194342859/356542824342852. 352042194342867/356542
824342860. 352042194343279/356542824343272. 352042194344152/356542824344155. 352042194344285/356542824344288. 352042194344400/356
542824344403. 352042194345498/356542824345491. 352042194345605/356542824345608. 352042194345738/356542824345731. 352042194345811/
356542824345814. 352042194345944/356542824345947. 352042194346033/356542824346036. 352042194346074/356542824346077. 3520421943460
032025000855598-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000855598-0
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
90/356542824346093. 352042194346116/356542824346119. 352042194346538/356542824346531. 352042194347304/356542824347307. 3520421943
47338/356542824347331. 352042194347510/356542824347513. 352042194348369/356542824348362. 352042194348419/356542824348412. 3520421
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032025000855598-0
Espacio para uso exclusivo de la Entidad Recaudadora
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