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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
032025000855731-4
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. SHAN0387409
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
9103418725
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: 555299-DECL: 1908553-DO: 893109732251- 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: 3087885364. ID DELIVERY: 6081583927. 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
032025000855731
133. Feha: 202504 24
134 . Levante No. 032025000674335 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 92032503170605
Fecha presentación 2025-04-24 13:18:01
Valor pagado $0.00
Fecha de Impresión: 2025-04-24 13:18:09
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000855731-4
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: 352042194347916/356542824347919. 352042194347924/356542824347927. 352042194347932/356542824347935. 352042194347981/35654282434
7984. 352042194347999/356542824347992. 352042194348005/356542824348008. 352042194348021/356542824348024. 352042194348039/35654282
4348032. 352042194348047/356542824348040. 352042194348054/356542824348057. 352042194348070/356542824348073. 352042194348088/35654
2824348081. 352042194348096/356542824348099. 352042194348104/356542824348107. 352042194348112/356542824348115. 352042194348120/35
6542824348123. 352042194348138/356542824348131. 352042194348146/356542824348149. 352042194348153/356542824348156. 352042194348161
/356542824348164. 352042194348179/356542824348172. 352042194348187/356542824348180. 352042194348195/356542824348198. 352042194348
203/356542824348206.352042194348237/356542824348230. 352042194348260/356542824348263. 3520 42194348278/356542824348271. 352042194
348302/356542824348305. 352042194348328/356542824348321. 352042194348344/356542824348347. 352042194348377/356542824348370. 352042
194348435/356542824348438. 352042194348674/356542824348677. 352042194348708/356542824348701. 352042194348716/356542824348719. 352
042194348724/356542824348727. 352042194348732/356542824348735. 352042194348740/356542824348743. 352042194348757/356542824348750.
352042194348815/356542824348818. 352042194348823/356542824348826.352042194348831/356542824348834. 352042194348914/356542824348917
. 352042194348930/356542824348933. 352042194349011/356542824349014. 352042194349060/356542824349063. 352042194349102/356542824349
105. 352042194349136/356542824349139. 352042194349169/356542824349162. 352042194349177/356542824349170. 352042194349201/356542824
349204. 352042194349219/356542824349212. 352042194349227/356542824349220. 352042194349268/356542824349261. 352042194349300/356542
824349303. 352042194349318/356542824349311. 352042194349326/356542824349329. 352042194349391/356542824349394. 352042194349417/356
542824349410. 352042194349425/356542824349428. 352042194349433/356542824349436. 352042194349458/356542824349451. 352042194349466/
356542824349469. 352042194349482/356542824349485. 352042194349508/356542824349501. 352042194349516/356542824349519. 3520421943495
24/356542824349527. 352042194349532/356542824349535. 352042194349599/356542824349592. 352042194349623/356542824349626. 3520421943
49631/356542824349634. 352042194349649/356542824349642. 352042194349664/356542824349667. 352042194349706/356542824349709. 3520421
94349748/356542824349741. 352042194349789/356542824349782. 352042194349813/356542824349816. 352042194349839/356542824349832. 3520
42194317323/356542824317326. 352042194317729/356542824317722. 352042194317794/356542824317797. 352042194317810/356542824317813. 3
52042194318040/356542824318043. 352042194318172/356542824318175. 352042194318867/356542824318860. 352042194318875/356542824318878
. 352042194318891/356542824318894. 352042194318909/356542824318902. 352042194318982/356542824318985. 352042194318990/356542824318
993. 352042194320210/356542824320213. 352042194320228/356542824320221. 352042194320525/356542824320528. 352042194320590/356542824
320593.352042194320996/356542824320999. 352042194321010/356542824321013. 352042194321051/356542824321054. 352042194321259/3565428
24321252. 352042194321275/356542824321278. 352042194321416/356542824321419. 352042194321465/356542824321468. 352042194321481/3565
42824321484. 352042194321515/356542824321518. 352042194321747/356542824321740. 352042194322018/356542824322011. 352042194322059/3
56542824322052. 352042194323594/356542824323597. 352042194323750/356542824323753. 352042194324709/356542824324702. 35204219433948
3/356542824339486. 352042194339517/356542824339510.352042194339525/356542824339528. 352042194340010/356542824340013. 352042194340
077/356542824340070. 352042194340085/356542824340088. 352042194340101/356542824340104. 352042194340127/356542824340120. 352042194
340150/356542824340153. 352042194340168/356542824340161. 352042194340218/356542824340211. 352042194340283/356542824340286. 352042
194340291/356542824340294. 352042194340309/356542824340302. 352042194303612/356542824303615. 352042194304222/356542824304225. 352
042194304610/356542824304613. 352042194304628/356542824304621. 352042194304701/356542824304704. 352042194304776/356542824304779.
352042194304826/356542824304829. 352042194304875/356542824304878. 352042194305633/356542824305636. 352042194306144/35654282430614
7. 352042194308173/356542824308176. 352042194309262/356542824309265. 352042194309320/356542824309323. 352042194310237/35654282431
0230. 352042194310260/356542824310263. 352042194310278/356542824310271. 352042194310724/356542824310727. 352042194310997/35654282
4310990. 352042194311029/356542824311022. 352042194311086/356542824311089. 352042194311177/356542824311170. 352042194311375/35654
2824311378. 352042194311813/356542824311816. 352042194311839/356542824311832. 352042194311904/356542824311907. 352042194311938/35
6542824311931. 352042194312035/356542824312038. 352042194312209/356542824312202. 352042194312266/356542824312269. 352042194312894
/356542824312897. 352042194312910/356542824312913. 352042194313033/356542824313036. 352042194313264/356542824313267. 352042194314
478/356542824314471. 352042194314783/356542824314786. 352042194314866/356542824314869. 352042194314874/356542824314877. 352042194
314940/356542824314943. 352042194315046/356542824315049. 352042194315210/356542824315213. 352042194315863/356542824315866.3520421
94316374/356542824316377. 352042194316861/356542824316864. 352042194317315/356542824317318. 352042194340333/356542824340336. 3520
42194340358/356542824340351. 352042194340374/356542824340377. 352042194340481/356542824340484. 352042194340531/356542824340534. 3
52042194340549/356542824340542. 352042194340556/356542824340559. 352042194340564/356542824340567. 352042194340580/356542824340583
. 352042194340622/356542824340625. 352042194340671/356542824340674. 352042194340705/356542824340708. 352042194340762/356542824340
765. 352042194340770/356542824340773.352042194340812/356542824340815. 352042194340846/356542824340849. 352042194340879/3565428243
40872. 352042194340903/356542824340906. 352042194340911/356542824340914. 352042194340929/356542824340922. 352042194340952/3565428
24340955. 352042194341000/356542824341003. 352042194341026/356542824341029. 352042194341034/356542824341037. 352042194341133/3565
42824341136. 352042194341166/356542824341169. 352042194341182/356542824341185. 352042194341190/356542824341193. 352042194341216/3
56542824341219. 352042194341224/356542824341227. 352042194341232/356542824341235. 352042194341257/356542824341250. 35204219434126
5/356542824341268. 352042194341273/356542824341276. 352042194341281/356542824341284. 352042194341299/356542824341292. 35204219434
1323/356542824341326. 352042194341331/356542824341334. 352042194341372/356542824341375. 352042194341398/356542824341391. 35204219
4341422/356542824341425. 352042194341588/356542824341581. 352042194342180/356542824342183. 352042194342206/356542824342209. 35204
2194342214/356542824342217. 352042194342230/356542824342233. 352042194342248/356542824342241. 352042194342388/356542824342381. 35
2042194342438/356542824342431. 352042194342446/356542824342449. 352042194342453/356542824342456. 352042194342461/356542824342464.
352042194342479/356542824342472. 352042194342487/356542824342480. 352042194342495/356542824342498. 352042194342503/3565428243425
06. 352042194342529/356542824342522. 352042194342537/356542824342530. 352042194342545/356542824342548. 352042194342552/3565428243
42555. 352042194342560/356542824342563. 352042194342594/356542824342597. 352042194342610/356542824342613. 352042194342628/3565428
24342621. 352042194342743/356542824342746. 352042194342958/356542824342951. 352042194343006/356542824343009.352042194343014/35654
2824343017. 352042194343063/356542824343066. 352042194343089/356542824343082. 352042194343139/356542824343132. 352042194344186/35
6542824344189. 352042194344194/356542824344197. 352042194344210/356542824344213. 352042194344228/356542824344221. 352042194344244
/356542824344247. 352042194344483/356542824344486. 352042194344491/356542824344494. 352042194344509/356542824344502. 352042194344
525/356542824344528. 352042194344558/356542824344551. 352042194344566/356542824344569. 352042194344574/356542824344577. 352042194
344590/356542824344593.352042194344608/356542824344601. 352042194344616/356542824344619. 352042194344624/356542824344627. 3520421
94344640/356542824344643. 352042194344665/356542824344668. 352042194345290/356542824345293. 352042194345357/356542824345350. 3520
42194345365/356542824345368. 352042194345373/356542824345376. 352042194346066/356542824346069. 352042194346280/356542824346283. 3
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. 352042194346389/356542824346382. 352042194346397/356542824346390. 352042194346587/356542824346580. 352042194346603/356542824346
606. 352042194346611/356542824346614. 352042194346629/356542824346622. 352042194346645/356542824346648. 352042194346678/356542824
346671. 352042194346918/356542824346911. 352042194346983/356542824346986. 352042194346991/356542824346994. 352042194347015/356542
824347018. 352042194347049/356542824347042. 352042194347056/356542824347059. 352042194347064/356542824347067. 352042194347072/356
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356542824347133. 352042194347148/356542824347141. 352042194347155/356542824347158. 352042194347163/356542824347166. 3520421943471
032025000855731-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000855731-4
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
71/356542824347174. 352042194347213/356542824347216. 352042194347221/356542824347224. 352042194347247/356542824347240. 3520421943
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032025000855731-4
Espacio para uso exclusivo de la Entidad Recaudadora
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