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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
032025000855855-9
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. SHAN0387415
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
9103418731
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.
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: 555319-DECL: 1908618-DO: 893109738251- 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: 3087887095. ID DELIVERY: 6081582962. 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
032025000855855
133. Feha: 202504 24
134 . Levante No. 032025000674501 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 92032503171707
Fecha presentación 2025-04-24 13:30:59
Valor pagado $0.00
Fecha de Impresión: 2025-04-24 13:31:04
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000855855-9
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: 352042194303646/356542824303649. 352042194303679/356542824303672. 352042194303695/356542824303698. 352042194303927/35654282430
3920. 352042194304016/356542824304019. 352042194304230/356542824304233. 352042194304248/356542824304241. 352042194304503/35654282
4304506. 352042194305765/356542824305768. 352042194305849/356542824305842. 352042194305856/356542824305859. 352042194305922/35654
2824305925. 352042194306136/356542824306139. 352042194306219/356542824306212. 352042194306250/356542824306253. 352042194306284/35
6542824306287. 352042194306292/356542824306295. 352042194306318/356542824306311. 352042194306367/356542824306360. 352042194306383
/356542824306386. 352042194306391/356542824306394. 352042194306417/356542824306410. 352042194306524/356542824306527. 352042194306
532/356542824306535.352042194306565/356542824306568. 352042194306664/356542824306667. 3520 42194306706/356542824306709. 352042194
306730/356542824306733. 352042194306896/356542824306899. 352042194307183/356542824307186. 352042194307225/356542824307228. 352042
194307241/356542824307244. 352042194307290/356542824307293. 352042194307308/356542824307301. 352042194307324/356542824307327. 352
042194307332/356542824307335. 352042194307407/356542824307400. 352042194307464/356542824307467. 352042194307555/356542824307558.
352042194307605/356542824307608. 352042194307647/356542824307640.352042194307704/356542824307707. 352042194307712/356542824307715
. 352042194307753/356542824307756. 352042194307829/356542824307822. 352042194307852/356542824307855. 352042194307894/356542824307
897. 352042194307902/356542824307905. 352042194307928/356542824307921. 352042194307977/356542824307970. 352042194307993/356542824
307996. 352042194308009/356542824308002. 352042194308132/356542824308135. 352042194308199/356542824308192. 352042194308314/356542
824308317. 352042194309064/356542824309067. 352042194309080/356542824309083. 352042194309270/356542824309273. 352042194309833/356
542824309836. 352042194309858/356542824309851. 352042194310161/356542824310164. 352042194310450/356542824310453. 352042194310476/
356542824310479. 352042194310757/356542824310750. 352042194310781/356542824310784. 352042194311078/356542824311071. 3520421943112
84/356542824311287. 352042194311292/356542824311295. 352042194311342/356542824311345. 352042194311391/356542824311394. 3520421943
11433/356542824311436. 352042194311441/356542824311444. 352042194311482/356542824311485. 352042194311516/356542824311519. 3520421
94311557/356542824311550. 352042194311888/356542824311881. 352042194311995/356542824311998. 352042194312001/356542824312004. 3520
42194312183/356542824312186. 352042194312365/356542824312368. 352042194312373/356542824312376. 352042194312555/356542824312558. 3
52042194312688/356542824312681. 352042194312753/356542824312756. 352042194313330/356542824313333. 352042194313926/356542824313929
. 352042194313959/356542824313952. 352042194313967/356542824313960. 352042194313975/356542824313978. 352042194314007/356542824314
000. 352042194314049/356542824314042. 352042194314098/356542824314091. 352042194314106/356542824314109. 352042194314171/356542824
314174.352042194314254/356542824314257. 352042194314262/356542824314265. 352042194314353/356542824314356. 352042194314403/3565428
24314406. 352042194314460/356542824314463. 352042194314635/356542824314638. 352042194314676/356542824314679. 352042194314718/3565
42824314711. 352042194314726/356542824314729. 352042194314759/356542824314752. 352042194314809/356542824314802. 352042194314817/3
56542824314810. 352042194314858/356542824314851. 352042194314908/356542824314901. 352042194314965/356542824314968. 35204219431510
3/356542824315106. 352042194315319/356542824315312.352042194315335/356542824315338. 352042194315442/356542824315445. 352042194315
681/356542824315684. 352042194315798/356542824315791. 352042194315848/356542824315841. 352042194315889/356542824315882. 352042194
316218/356542824316211. 352042194316275/356542824316278. 352042194316358/356542824316351. 352042194316432/356542824316435. 352042
194316549/356542824316542. 352042194316598/356542824316591. 352042194316606/356542824316609. 352042194316648/356542824316641. 352
042194316713/356542824316716. 352042194316721/356542824316724. 352042194316754/356542824316757. 352042194316820/356542824316823.
352042194316903/356542824316906. 352042194316937/356542824316930. 352042194316978/356542824316971. 352042194317109/35654282431710
2. 352042194317349/356542824317342. 352042194317380/356542824317383. 352042194317604/356542824317607. 352042194317620/35654282431
7623. 352042194317877/356542824317870. 352042194317976/356542824317979. 352042194318032/356542824318035. 352042194318057/35654282
4318050. 352042194318099/356542824318092. 352042194318214/356542824318217. 352042194318388/356542824318381. 352042194318404/35654
2824318407. 352042194318560/356542824318563. 352042194318610/356542824318613. 352042194318628/356542824318621. 352042194318636/35
6542824318639. 352042194318644/356542824318647. 352042194318677/356542824318670. 352042194318693/356542824318696. 352042194318800
/356542824318803. 352042194318859/356542824318852. 352042194319014/356542824319017. 352042194319089/356542824319082. 352042194319
238/356542824319231. 352042194319345/356542824319348. 352042194319352/356542824319355. 352042194319386/356542824319389. 352042194
319600/356542824319603. 352042194319683/356542824319686. 352042194319857/356542824319850. 352042194320194/356542824320197.3520421
94320335/356542824320338. 352042194320343/356542824320346. 352042194320368/356542824320361. 352042194320384/356542824320387. 3520
42194320467/356542824320460. 352042194320509/356542824320502. 352042194320517/356542824320510. 352042194320608/356542824320601. 3
52042194320616/356542824320619. 352042194320681/356542824320684. 352042194321036/356542824321039. 352042194321101/356542824321104
. 352042194321168/356542824321161. 352042194321382/356542824321385. 352042194321796/356542824321799. 352042194322000/356542824322
003. 352042194322117/356542824322110.352042194322133/356542824322136. 352042194322299/356542824322292. 352042194322398/3565428243
22391. 352042194322521/356542824322524. 352042194322570/356542824322573. 352042194322620/356542824322623. 352042194322711/3565428
24322714. 352042194322745/356542824322748. 352042194322802/356542824322805. 352042194322844/356542824322847. 352042194322851/3565
42824322854. 352042194322943/356542824322946. 352042194322984/356542824322987. 352042194323008/356542824323001. 352042194323040/3
56542824323043. 352042194323073/356542824323076. 352042194323115/356542824323118. 352042194323180/356542824323183. 35204219432319
8/356542824323191. 352042194323206/356542824323209. 352042194323214/356542824323217. 352042194323222/356542824323225. 35204219432
3248/356542824323241. 352042194323255/356542824323258. 352042194323297/356542824323290. 352042194323313/356542824323316. 35204219
4323321/356542824323324. 352042194323347/356542824323340. 352042194323354/356542824323357. 352042194323495/356542824323498. 35204
2194324097/356542824324090. 352042194324170/356542824324173. 352042194324428/356542824324421. 352042194324477/356542824324470. 35
2042194339723/356542824339726. 352042194339756/356542824339759. 352042194339764/356542824339767. 352042194339780/356542824339783.
352042194339806/356542824339809. 352042194339822/356542824339825. 352042194339830/356542824339833. 352042194339848/3565428243398
41. 352042194339871/356542824339874. 352042194339947/356542824339940. 352042194339996/356542824339999. 352042194340002/3565428243
40005. 352042194340028/356542824340021. 352042194340234/356542824340237. 352042194340390/356542824340393. 352042194340507/3565428
24340500. 352042194340515/356542824340518. 352042194340739/356542824340732. 352042194340754/356542824340757.352042194340788/35654
2824340781. 352042194340853/356542824340856. 352042194340937/356542824340930. 352042194340945/356542824340948. 352042194340960/35
6542824340963. 352042194341018/356542824341011. 352042194341075/356542824341078. 352042194341208/356542824341201. 352042194341828
/356542824341821. 352042194341836/356542824341839. 352042194341935/356542824341938. 352042194341950/356542824341953. 352042194341
984/356542824341987. 352042194342016/356542824342019. 352042194342123/356542824342126. 352042194342156/356542824342159. 352042194
343105/356542824343108.352042194343147/356542824343140. 352042194343352/356542824343355. 352042194343360/356542824343363. 3520421
94343394/356542824343397. 352042194343436/356542824343439. 352042194343451/356542824343454. 352042194343519/356542824343512. 3520
42194343550/356542824343553. 352042194343733/356542824343736. 352042194343741/356542824343744. 352042194343832/356542824343835. 3
52042194343881/356542824343884. 352042194344541/356542824344544. 352042194344632/356542824344635. 352042194344673/356542824344676
. 352042194344988/356542824344981. 352042194345027/356542824345020. 352042194345068/356542824345061. 352042194345084/356542824345
087. 352042194345142/356542824345145. 352042194345159/356542824345152. 352042194345183/356542824345186. 352042194345191/356542824
345194. 352042194345266/356542824345269. 352042194345381/356542824345384. 352042194345423/356542824345426. 352042194345449/356542
824345442. 352042194345589/356542824345582. 352042194345951/356542824345954. 352042194346447/356542824346440. 352042194346843/356
542824346846. 352042194346892/356542824346895. 352042194346959/356542824346952. 352042194347189/356542824347182. 352042194347205/
356542824347208. 352042194347791/356542824347794. 352042194348062/356542824348065. 352042194348955/356542824348958. 3520421943490
032025000855855-9
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000855855-9
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
37/356542824349030. 352042194349052/356542824349055. 352042194349110/356542824349113. 352042194349128/356542824349121. 3520421943
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032025000855855-9
Espacio para uso exclusivo de la Entidad Recaudadora
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