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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
032025000855839-0
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. SHAN0387412
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
9103418728
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.
93.00
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
28.902.11
79 . Valor fletes USD
834.90 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
836.34
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: 555315-DECL: 1908615-DO: 893109735251- 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: 3087886885. ID DELIVERY: 6081582873. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A165MZAGLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A16 DUOS (CON ACCESORIOSPARA USO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS, MODELO(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
032025000855839
133. Feha: 202504 24
134 . Levante No. 032025000674441 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 92032503171628
Fecha presentación 2025-04-24 13:26:04
Valor pagado $0.00
Fecha de Impresión: 2025-04-24 13:26:14
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000855839-0
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
: SM-A165M/DS,USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A165M/DS,GRAY,LTC( QTY. 300,00 u )(300,00 PCE); IMEIS:
352042194271124/356542824271127. 352042194271389/356542824271382. 352042194271413/356542824271416. 352042194271512/3565428242715
15. 352042194271603/356542824271606.352042194271637/356542824271630. 352042194271660/356542824271663. 352042194271827/35654282427
1820. 352042194271835/356542824271838. 352042194271900/356542824271903. 352042194271926/356542824271929. 352042194271942/35654282
4271945. 352042194272148/356542824272141. 352042194272502/356542824272505. 352042194272759/356542824272752. 352042194272825/35654
2824272828. 352042194272924/356542824272927. 352042194272932/356542824272935. 352042194272957/356542824272950. 352042194273021/35
6542824273024. 352042194273112/356542824273115. 352042194273138/356542824273131. 352042194273286/356542824273289. 352042194273617
/356542824273610. 352042194273732/356542824273735. 352042194273922/356542824273925. 352042 194273930/356542824273933. 35204219427
3971/356542824273974. 352042194273989/356542824273982. 352042194274045/356542824274048. 352042194274201/356542824274204. 35204219
4274219/356542824274212. 352042194274243/356542824274246. 352042194274250/356542824274253. 352042194274268/356542824274261. 35204
2194274276/356542824274279. 352042194274292/356542824274295. 352042194274375/356542824274378. 352042194274490/356542824274493. 35
2042194274540/356542824274543. 352042194274581/356542824274584. 352042194274698/356542824274691. 352042194274706/356542824274709.
352042194274714/356542824274717. 352042194274722/356542824274725. 352042194274730/356542824274733. 352042194274755/3565428242747
58. 352042194274771/356542824274774. 352042194274789/356542824274782. 352042194274839/356542824274832. 352042194274904/3565428242
74907. 352042194274912/356542824274915. 352042194274920/356542824274923. 352042194274938/356542824274931. 352042194274946/3565428
24274949. 352042194274953/356542824274956. 352042194274961/356542824274964. 352042194275000/356542824275003.352042194275034/35654
2824275037. 352042194275109/356542824275102. 352042194275711/356542824275714. 352042194275778/356542824275771. 352042194275828/35
6542824275821. 352042194276115/356542824276118. 352042194276206/356542824276209. 352042194276214/356542824276217. 352042194276222
/356542824276225. 352042194276321/356542824276324. 352042194276370/356542824276373. 352042194276388/356542824276381. 352042194276
404/356542824276407. 352042194276438/356542824276431. 352042194276495/356542824276498. 352042194276511/356542824276514. 352042194
276552/356542824276555.352042194276560/356542824276563. 352042194276586/356542824276589. 352042194276594/356542824276597. 3520421
94276602/356542824276605. 352042194276628/356542824276621. 352042194276636/356542824276639. 352042194276743/356542824276746. 3520
42194276768/356542824276761. 352042194276842/356542824276845. 352042194276958/356542824276951. 352042194277063/356542824277066. 3
52042194324931/356542824324934. 352042194325458/356542824325451. 352042194325557/356542824325550. 352042194326068/356542824326061
. 352042194326340/356542824326343. 352042194326464/356542824326467. 352042194326480/356542824326483. 352042194326514/356542824326
517. 352042194326522/356542824326525. 352042194326530/356542824326533. 352042194326548/356542824326541. 352042194326803/356542824
326806. 352042194326829/356542824326822. 352042194326852/356542824326855. 352042194326928/356542824326921. 352042194327165/356542
824327168. 352042194327215/356542824327218. 352042194327223/356542824327226. 352042194327371/356542824327374. 352042194327405/356
542824327408. 352042194327413/356542824327416. 352042194327447/356542824327440. 352042194327538/356542824327531. 352042194327553/
356542824327556. 352042194327587/356542824327580. 352042194327629/356542824327622. 352042194327736/356542824327739. 3520421943277
44/356542824327747. 352042194327801/356542824327804. 352042194327850/356542824327853. 352042194327918/356542824327911. 3520421943
28023/356542824328026. 352042194328064/356542824328067. 352042194328163/356542824328166. 352042194328213/356542824328216. 3520421
94328270/356542824328273. 352042194328338/356542824328331. 352042194328361/356542824328364. 352042194328577/356542824328570. 3520
42194328650/356542824328653. 352042194328718/356542824328711. 352042194328791/356542824328794.352042194328833/356542824328836. 35
2042194328916/356542824328919. 352042194328924/356542824328927. 352042194329070/356542824329073. 352042194329237/356542824329230.
352042194329336/356542824329339. 352042194329351/356542824329354. 352042194329674/356542824329677. 352042194329781/3565428243297
84. 352042194329948/356542824329941. 352042194329955/356542824329958. 352042194329963/356542824329966. 352042194330037/3565428243
30030. 352042194330060/356542824330063. 352042194330078/356542824330071. 352042194330185/356542824330188. 352042194330219/3565428
24330212.352042194330235/356542824330238. 352042194330250/356542824330253. 352042194330284/356542824330287. 352042194330318/35654
2824330311. 352042194330326/356542824330329. 352042194330359/356542824330352. 352042194330375/356542824330378. 352042194330409/35
6542824330402. 352042194330441/356542824330444. 352042194330466/356542824330469. 352042194330474/356542824330477. 352042194330516
/356542824330519. 352042194330540/356542824330543. 352042194330656/356542824330659. 352042194330789/356542824330782. 352042194330
813/356542824330816. 352042194330821/356542824330824. 352042194330839/356542824330832. 352042194330847/356542824330840. 352042194
330854/356542824330857. 352042194330888/356542824330881. 352042194331050/356542824331053. 352042194331126/356542824331129. 352042
194331134/356542824331137. 352042194332280/356542824332283. 352042194332298/356542824332291. 352042194332314/356542824332317. 352
042194332371/356542824332374. 352042194332637/356542824332630. 352042194332769/356542824332762. 352042194332793/356542824332796.
352042194332801/356542824332804. 352042194332884/356542824332887. 352042194332975/356542824332978. 352042194332991/35654282433299
4. 352042194333007/356542824333000. 352042194333098/356542824333091. 352042194333130/356542824333133. 352042194333155/35654282433
3158. 352042194333189/356542824333182. 352042194333205/356542824333208. 352042194333247/356542824333240. 352042194333692/35654282
4333695. 352042194333734/356542824333737. 352042194333858/356542824333851. 352042194333932/356542824333935. 352042194333940/35654
2824333943. 352042194333957/356542824333950. 352042194334302/356542824334305. 352042194335069/356542824335062. 352042194335226/35
6542824335229. 352042194335267/356542824335260. 352042194335291/356542824335294.352042194335325/356542824335328. 352042194335374/
356542824335377. 352042194335382/356542824335385. 352042194335390/356542824335393. 352042194335515/356542824335518. 3520421943355
23/356542824335526. 352042194335903/356542824335906. 352042194336166/356542824336169. 352042194336406/356542824336409. 3520421943
36414/356542824336417. 352042194336430/356542824336433. 352042194336448/356542824336441. 352042194336497/356542824336490. 3520421
94336505/356542824336508. 352042194336554/356542824336557. 352042194336562/356542824336565. 352042194336588/356542824336581.35204
2194336596/356542824336599. 352042194336604/356542824336607. 352042194336828/356542824336821. 352042194336893/356542824336896. 35
2042194336950/356542824336953. 352042194337040/356542824337043. 352042194337297/356542824337290. 352042194337305/356542824337308.
352042194337453/356542824337456. 352042194337479/356542824337472. 352042194337529/356542824337522. 352042194337545/3565428243375
48. 352042194337560/356542824337563. 352042194337586/356542824337589. 352042194337594/356542824337597. 352042194337610/3565428243
37613. 352042194337636/356542824337639. 352042194337685/356542824337688. 352042194337743/356542824337746. 352042194337784/3565428
24337787. 352042194337792/356542824337795. 352042194337800/356542824337803. 352042194337818/356542824337811. 352042194337826/3565
42824337829. 352042194337834/356542824337837. 352042194337842/356542824337845. 352042194337859/356542824337852. 352042194337867/3
56542824337860. 352042194337909/356542824337902. 352042194337966/356542824337969. 352042194338006/356542824338009. 35204219433801
4/356542824338017. 352042194338022/356542824338025. 352042194338030/356542824338033. 352042194338048/356542824338041. 35204219433
8055/356542824338058. 352042194338063/356542824338066. 352042194338089/356542824338082. 352042194338097/356542824338090. 35204219
4338113/356542824338116. 352042194338139/356542824338132. 352042194338154/356542824338157. 352042194338170/356542824338173. 35204
2194338188/356542824338181. 352042194338204/356542824338207. 352042194338279/356542824338272. 352042194338287/356542824338280. 35
2042194338303/356542824338306. 352042194338311/356542824338314. 352042194338337/356542824338330. 352042194338345/356542824338348.
352042194338352/356542824338355. 352042194338360/356542824338363.352042194338386/356542824338389. 352042194338402/35654282433840
5. 352042194338428/356542824338421. 352042194338477/356542824338470. 352042194338501/356542824338504. 352042194338527/35654282433
8520. 352042194338550/356542824338553. 352042194338584/356542824338587. 352042194338592/356542824338595. 352042194338600/35654282
4338603. 352042194338642/356542824338645. 352042194338675/356542824338678. 352042194338683/356542824338686. 352042194338741/35654
2824338744. 352042194338873/356542824338876. 352042194338915/356542824338918. 352042194338956/356542824338959.352042194338998/356
542824338991. 352042194339004/356542824339007. 352042194339020/356542824339023. 352042194339087/356542824339080. 352042194339160/
032025000855839-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000855839-0
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
356542824339163. 352042194339277/356542824339270. 352042194339327/356542824339320. 352042194339426/356542824339429. 3520421943394
34/356542824339437. 352042194339459/356542824339452. 352042194350431/356542824350434. 352042194350449/356542824350442. 3520421943
50472/356542824350475. 352042194350530/356542824350533. 352042194350548/356542824350541XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025000855839-0
Espacio para uso exclusivo de la Entidad Recaudadora
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