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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
032025000856108-1
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. 116575015511539
43 . Año – Mes – Día
2025 – 04 – 27
44 . Documento de transporte
No. PVG71506098
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
6900358468
52 . Año – Mes – Día
2025 – 04 – 17
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
TAMPA CARGO S.A.S.
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
215
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.
100.00
72 . Peso neto kgs. dcms.
82.50
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
18.467.29
79 . Valor fletes USD
751.00 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
83.217.301
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
83.217.301
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
0.93
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
751.93
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
19.219.22
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: 555214-DECL: 1908409-DO: 893109940251- 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
RESOLUCIÓN 5050 DEL 10 DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOM
OLOGACIÓN) // NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION.SAMSUNG ELECTRONICS COLOMB
IA S.A. OEA COD. OE0001. . PEDIDOS: 3087437374. ID DELIVERY: 6081611900. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A065MZKGLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A06 DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MO(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
032025000856108
133. Feha: 202504 24
134 . Levante No. 032025000690197 135 . Fecha
2025 – 04 – 28
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 92032503173251
Fecha presentación 2025-04-24 14:07:51
Valor pagado $0.00
Fecha de Impresión: 2025-04-28 14:46:35
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000856108-1
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
DELO: SM-A065M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A065M/DS,BLACK,LTC( QTY. 300,00 u )(300,00 PCE);
IMEIS: 350437732886320/350933492886328. 350437732886338/350933492886336. 350437732886346/350933492886344. 350437732886353/3509334
92886351. 350437732886361/350933492886369. 350437732886379/350933492886377. 350437732886387/350933492886385.350437732886395/35093
3492886393. 350437732886403/350933492886401. 350437732886411/350933492886419. 350437732886429/350933492886427. 350437732886437/35
0933492886435. 350437732886445/350933492886443. 350437732886452/350933492886450. 350437732886460/350933492886468. 350437732886478
/350933492886476. 350437732886486/350933492886484. 350437732886494/350933492886492. 350437732886502/350933492886500. 350437732886
510/350933492886518. 350437732886528/350933492886526. 350437732886536/350933492886534. 350437732886551/350933492886559. 350437732
886569/350933492886567. 350437732886577/350933492886575. 350437732886585/350933492886583. 35 0437732886593/350933492886591. 35043
7732886601/350933492886609. 350437732886619/350933492886617. 350437732886627/350933492886625. 350437732886635/350933492886633. 35
0437732886668/350933492886666. 350437732886676/350933492886674. 350437732886684/350933492886682. 350437732886692/350933492886690.
350437732886700/350933492886708. 350437732886718/350933492886716. 350437732886726/350933492886724. 350437732886742/3509334928867
40. 350437732886767/350933492886765. 350437732886775/350933492886773. 350437732886783/350933492886781. 350437732886791/3509334928
86799. 350437732886809/350933492886807. 350437732886817/350933492886815. 350437732883947/350933492883945. 350437732883954/3509334
92883952. 350437732883962/350933492883960. 350437732883996/350933492883994. 350437732884002/350933492884000. 350437732884010/3509
33492884018. 350437732884036/350933492884034. 350437732884069/350933492884067. 350437732884093/350933492884091. 350437732884119/3
50933492884117. 350437732884135/350933492884133. 350437732884200/350933492884208. 350437732884234/350933492884232. 35043773288424
2/350933492884240. 350437732884259/350933492884257.350437732884267/350933492884265. 350437732884283/350933492884281. 350437732884
317/350933492884315. 350437732884325/350933492884323. 350437732884333/350933492884331. 350437732884358/350933492884356. 350437732
884366/350933492884364. 350437732884374/350933492884372. 350437732884382/350933492884380. 350437732884416/350933492884414. 350437
732884432/350933492884430. 350437732884531/350933492884539. 350437732884556/350933492884554. 350437732884580/350933492884588. 350
437732884606/350933492884604. 350437732884614/350933492884612. 350437732884622/350933492884620.350437732884655/350933492884653. 3
50437732884663/350933492884661. 350437732884689/350933492884687. 350437732884697/350933492884695. 350437732884705/350933492884703
. 350437732884721/350933492884729. 350437732884739/350933492884737. 350437732884747/350933492884745. 350437732884754/350933492884
752. 350437732884770/350933492884778. 350437732884796/350933492884794. 350437732884804/350933492884802. 350437732884820/350933492
884828. 350437732869961/350933492869969. 350437732869987/350933492869985. 350437732870068/350933492870066. 350437732870381/350933
492870389. 350437732870431/350933492870439. 350437732870670/350933492870678. 350437732870837/350933492870835. 350437732871066/350
933492871064. 350437732871140/350933492871148. 350437732872478/350933492872476. 350437732872643/350933492872641. 350437732872676/
350933492872674. 350437732872718/350933492872716. 350437732872783/350933492872781. 350437732872809/350933492872807. 3504377328728
17/350933492872815. 350437732872858/350933492872856. 350437732872874/350933492872872. 350437732872916/350933492872914. 3504377328
72973/350933492872971. 350437732873062/350933492873060. 350437732873344/350933492873342. 350437732878368/350933492878366. 3504377
32879259/350933492879257. 350437732879481/350933492879489. 350437732879630/350933492879638. 350437732880323/350933492880321. 3504
37732880752/350933492880750. 350437732881131/350933492881139. 350437732881776/350933492881774. 350437732881784/350933492881782. 3
50437732881826/350933492881824. 350437732882139/350933492882137. 350437732882402/350933492882400. 350437732882832/350933492882830
. 350437732882899/350933492882897. 350437732883095/350933492883093. 350437732883111/350933492883119. 350437732883509/350933492883
507. 350437732883517/350933492883515.350437732883756/350933492883754. 350437732883806/350933492883804. 350437732883897/3509334928
83895. 350437732883913/350933492883911. 350437732885801/350933492885809. 350437732885819/350933492885817. 350437732885827/3509334
92885825. 350437732885835/350933492885833. 350437732885843/350933492885841. 350437732885850/350933492885858. 350437732885868/3509
33492885866. 350437732885876/350933492885874. 350437732885884/350933492885882. 350437732885892/350933492885890. 350437732885900/3
50933492885908. 350437732885918/350933492885916. 350437732885926/350933492885924.350437732885934/350933492885932. 350437732885942
/350933492885940. 350437732885959/350933492885957. 350437732885967/350933492885965. 350437732885975/350933492885973. 350437732885
983/350933492885981. 350437732885991/350933492885999. 350437732886007/350933492886005. 350437732886015/350933492886013. 350437732
886031/350933492886039. 350437732886064/350933492886062. 350437732886072/350933492886070. 350437732886106/350933492886104. 350437
732886122/350933492886120. 350437732886130/350933492886138. 350437732886148/350933492886146. 350437732886155/350933492886153. 350
437732886163/350933492886161. 350437732886171/350933492886179. 350437732886189/350933492886187. 350437732886197/350933492886195.
350437732886205/350933492886203. 350437732886213/350933492886211. 350437732886221/350933492886229. 350437732886239/35093349288623
7. 350437732886247/350933492886245. 350437732886254/350933492886252. 350437732886270/350933492886278. 350437732886288/35093349288
6286. 350437732886296/350933492886294. 350437732886304/350933492886302. 350437732885280/350933492885288. 350437732885298/35093349
2885296. 350437732885306/350933492885304. 350437732885314/350933492885312. 350437732885322/350933492885320. 350437732885348/35093
3492885346. 350437732885355/350933492885353. 350437732885363/350933492885361. 350437732885371/350933492885379. 350437732885389/35
0933492885387. 350437732885397/350933492885395. 350437732885405/350933492885403. 350437732885413/350933492885411. 350437732885421
/350933492885429. 350437732885439/350933492885437. 350437732885454/350933492885452. 350437732885470/350933492885478. 350437732885
488/350933492885486. 350437732885496/350933492885494. 350437732885504/350933492885502. 350437732885512/350933492885510. 350437732
885520/350933492885528.350437732885538/350933492885536. 350437732885546/350933492885544. 350437732885553/350933492885551. 3504377
32885579/350933492885577. 350437732885595/350933492885593. 350437732885603/350933492885601. 350437732885611/350933492885619. 3504
37732885629/350933492885627. 350437732885637/350933492885635. 350437732885645/350933492885643. 350437732885652/350933492885650. 3
50437732885660/350933492885668. 350437732885678/350933492885676. 350437732885686/350933492885684. 350437732885694/350933492885692
. 350437732885702/350933492885700. 350437732885728/350933492885726.350437732885736/350933492885734. 350437732885744/3509334928857
42. 350437732885751/350933492885759. 350437732885769/350933492885767. 350437732885785/350933492885783. 350437732885793/3509334928
85791. 350437732886825/350933492886823. 350437732886858/350933492886856. 350437732886866/350933492886864. 350437732886874/3509334
92886872. 350437732886882/350933492886880. 350437732886890/350933492886898. 350437732886908/350933492886906. 350437732886916/3509
33492886914. 350437732886924/350933492886922. 350437732886940/350933492886948. 350437732886957/350933492886955. 350437732886965/3
50933492886963. 350437732886981/350933492886989. 350437732887005/350933492887003. 350437732887013/350933492887011. 35043773288702
1/350933492887029. 350437732887054/350933492887052. 350437732887104/350933492887102. 350437732887120/350933492887128. 35043773288
7138/350933492887136. 350437732887146/350933492887144. 350437732887161/350933492887169. 350437732887179/350933492887177. 35043773
2887237/350933492887235. 350437732887294/350933492887292. 350437732887310/350933492887318. 350437732887336/350933492887334. 35043
7732887344/350933492887342. 350437732887369/350933492887367. 350437732887377/350933492887375. 350437732887385/350933492887383. 35
0437732887393/350933492887391. 350437732887401/350933492887409. 350437732884838/350933492884836. 350437732884846/350933492884844.
350437732884853/350933492884851. 350437732884861/350933492884869. 350437732884879/350933492884877. 350437732884887/3509334928848
85. 350437732884895/350933492884893. 350437732884903/350933492884901. 350437732884911/350933492884919. 350437732884929/3509334928
84927. 350437732884937/350933492884935. 350437732884945/350933492884943. 350437732884952/350933492884950. 350437732884960/3509334
92884968.350437732884978/350933492884976. 350437732884986/350933492884984. 350437732884994/350933492884992. 350437732885009/35093
3492885007. 350437732885017/350933492885015. 350437732885025/350933492885023. 350437732885033/350933492885031. 350437732885041/35
0933492885049. 350437732885058/350933492885056. 350437732885066/350933492885064. 350437732885074/350933492885072. 350437732885082
/350933492885080. 350437732885090/350933492885098. 350437732885116/350933492885114. 350437732885124/350933492885122. 350437732885
132/350933492885130. 350437732885140/350933492885148.350437732885157/350933492885155. 350437732885165/350933492885163. 3504377328
032025000856108-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000856108-1
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
85173/350933492885171. 350437732885181/350933492885189. 350437732885199/350933492885197. 350437732885207/350933492885205. 3504377
32885215/350933492885213. 350437732885223/350933492885221. 350437732885231/350933492885239. 350437732885249/350933492885247. 3504
37732885256/350933492885254. 350437732885264/350933492885262. 350437732885272/350933492885270XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025000856108-1
Espacio para uso exclusivo de la Entidad Recaudadora
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