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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
032025000896813-5
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. 116575015534446
43 . Año – Mes – Día
2025 – 05 – 03
44 . Documento de transporte
No. T61725H02498
45 . Año – Mes – Día
2025 – 04 – 29
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
6900360574
52 . Año – Mes – Día
2025 – 04 – 26
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.
4.274.57
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.
141.00
72 . Peso neto kgs. dcms.
104.10
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
43.785.44
79 . Valor fletes USD
1.296.56 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
192.715.483
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
192.715.483
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
2.18
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.298.74
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
45.084.18
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: 556355-DECL: 1911704-DO: 893110826251- 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: 3088422272. ID DELIVERY: 6081772871. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-M556BZKMCOO, PRODU
CTO: TELEFONO CELULAR GALAXY M55 5G DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, M(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
032025000896813
133. Feha: 202505 02
134 . Levante No. 032025000720855 135 . Fecha
2025 – 05 – 05
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 92032503406071
Fecha presentación 2025-05-02 17:25:35
Valor pagado $0.00
Fecha de Impresión: 2025-05-05 15:03:27
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000896813-5
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ODELO: SM-M556B/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-M556B/DS,BLACK,COO( QTY. 300,00 u )(300,00 PCE);
IMEIS: 351045611575804/358916251575804. 351045611575838/358916251575838. 351045611575895/358916251575895. 351045611575952/358916
251575952. 351045611576117/358916251576117. 351045611576125/358916251576125. 351045611576166/358916251576166. 351045611576174/358
916251576174. 351045611576190/358916251576190. 351045611576257/358916251576257. 351045611576281/358916251576281. 351045611576398/
358916251576398. 351045611576414/358916251576414. 351045611576422/358916251576422. 351045611576430/358916251576430. 3510456115764
48/358916251576448. 351045611576455/358916251576455. 351045611576463/358916251576463. 351045611576471/358916251576471. 3510456115
76489/358916251576489. 351045611576497/358916251576497. 351045611576505/358916251576505. 351045611576513/358916251576513. 3510456
11576521/358916251576521. 351045611576539/358916251576539. 351045611576570/358916251576570. 3 51045611576596/358916251576596. 351
045611576612/358916251576612. 351045611576620/358916251576620. 351045611576638/358916251576638. 351045611576646/358916251576646.
351045611576653/358916251576653. 351045611576661/358916251576661. 351045611576687/358916251576687. 351045611576695/35891625157669
5. 351045611576703/358916251576703. 351045611576711/358916251576711. 351045611576737/358916251576737. 351045611576745/35891625157
6745. 351045611576752/358916251576752. 351045611576778/358916251576778. 351045611576786/358916251576786. 351045611576794/35891625
1576794.351045611576802/358916251576802. 351045611576828/358916251576828. 351045611576836/358916251576836. 351045611576844/358916
251576844. 351045611576851/358916251576851. 351045611576869/358916251576869. 351045611576877/358916251576877. 351045611576885/358
916251576885. 351045611576919/358916251576919. 351045611576927/358916251576927. 351045611576935/358916251576935. 351045611576943/
358916251576943. 351045611576950/358916251576950. 351045611576976/358916251576976. 351045611576984/358916251576984. 3510456115769
92/358916251576992. 351045611577065/358916251577065.351045611577073/358916251577073. 351045611577131/358916251577131. 35104561157
7149/358916251577149. 351045611577164/358916251577164. 351045611577172/358916251577172. 351045611577180/358916251577180. 35104561
1577198/358916251577198. 351045611577214/358916251577214. 351045611577222/358916251577222. 351045611577230/358916251577230. 35104
5611577248/358916251577248. 351045611577263/358916251577263. 351045611577271/358916251577271. 351045611577289/358916251577289. 35
1045611577305/358916251577305. 351045611577313/358916251577313. 351045611577321/358916251577321. 351045611577339/358916251577339.
351045611577347/358916251577347. 351045611577354/358916251577354. 351045611577362/358916251577362. 351045611577370/3589162515773
70. 351045611577388/358916251577388. 351045611577396/358916251577396. 351045611577404/358916251577404. 351045611577412/3589162515
77412. 351045611577420/358916251577420. 351045611577446/358916251577446. 351045611577461/358916251577461. 351045611577479/3589162
51577479. 351045611577495/358916251577495. 351045611577503/358916251577503. 351045611577529/358916251577529. 351045611577537/3589
16251577537. 351045611577552/358916251577552. 351045611577560/358916251577560. 351045611577578/358916251577578. 351045611577586/3
58916251577586. 351045611577594/358916251577594. 351045611577602/358916251577602. 351045611577610/358916251577610. 35104561157762
8/358916251577628. 351045611577636/358916251577636. 351045611577644/358916251577644. 351045611577651/358916251577651. 35104561157
7677/358916251577677. 351045611577685/358916251577685. 351045611577693/358916251577693. 351045611577701/358916251577701. 35104561
1577735/358916251577735. 351045611577743/358916251577743. 351045611577750/358916251577750. 351045611577768/358916251577768.351045
611577776/358916251577776. 351045611577784/358916251577784. 351045611577792/358916251577792. 351045611577826/358916251577826. 351
045611577834/358916251577834. 351045611577859/358916251577859. 351045611577867/358916251577867. 351045611577875/358916251577875.
351045611577883/358916251577883. 351045611577909/358916251577909. 351045611577925/358916251577925. 351045611577941/35891625157794
1. 351045611577958/358916251577958. 351045611577966/358916251577966. 351045611577974/358916251577974. 351045611577982/35891625157
7982. 351045611577990/358916251577990.351045611578006/358916251578006. 351045611578022/358916251578022. 351045611578030/358916251
578030. 351045611578048/358916251578048. 351045611578055/358916251578055. 351045611578071/358916251578071. 351045611578097/358916
251578097. 351045611578113/358916251578113. 351045611578121/358916251578121. 351045611578147/358916251578147. 351045611578162/358
916251578162. 351045611578170/358916251578170. 351045611578188/358916251578188. 351045611578212/358916251578212. 351045611578220/
358916251578220. 351045611578238/358916251578238. 351045611578279/358916251578279. 351045611578287/358916251578287. 3510456115783
37/358916251578337. 351045611578345/358916251578345. 351045611578352/358916251578352. 351045611578360/358916251578360. 3510456115
78378/358916251578378. 351045611578386/358916251578386. 351045611578394/358916251578394. 351045611578410/358916251578410. 3510456
11578428/358916251578428. 351045611578444/358916251578444. 351045611578469/358916251578469. 351045611578477/358916251578477. 3510
45611578519/358916251578519. 351045611578527/358916251578527. 351045611578543/358916251578543. 351045611578550/358916251578550. 3
51045611578576/358916251578576. 351045611578584/358916251578584. 351045611578592/358916251578592. 351045611578600/358916251578600
. 351045611565813/358916251565813. 351045611566043/358916251566043. 351045611566217/358916251566217. 351045611566258/358916251566
258. 351045611566837/358916251566837. 351045611566852/358916251566852. 351045611567330/358916251567330. 351045611567363/358916251
567363. 351045611567579/358916251567579. 351045611567611/358916251567611. 351045611567702/358916251567702. 351045611567793/358916
251567793. 351045611567801/358916251567801. 351045611567819/358916251567819. 351045611567868/358916251567868.351045611567876/3589
16251567876. 351045611567884/358916251567884. 351045611567892/358916251567892. 351045611567900/358916251567900. 351045611567926/3
58916251567926. 351045611567934/358916251567934. 351045611567959/358916251567959. 351045611567967/358916251567967. 35104561156798
3/358916251567983. 351045611567991/358916251567991. 351045611568007/358916251568007. 351045611568015/358916251568015. 35104561156
8023/358916251568023. 351045611568031/358916251568031. 351045611568064/358916251568064. 351045611568080/358916251568080. 35104561
1568114/358916251568114.351045611568171/358916251568171. 351045611568189/358916251568189. 351045611568205/358916251568205. 351045
611568213/358916251568213. 351045611568221/358916251568221. 351045611568239/358916251568239. 351045611568247/358916251568247. 351
045611568262/358916251568262. 351045611568270/358916251568270. 351045611568320/358916251568320. 351045611568338/358916251568338.
351045611568353/358916251568353. 351045611568395/358916251568395. 351045611568403/358916251568403. 351045611568437/35891625156843
7. 351045611568445/358916251568445. 351045611568460/358916251568460. 351045611568486/358916251568486. 351045611568510/35891625156
8510. 351045611568536/358916251568536. 351045611568551/358916251568551. 351045611568569/358916251568569. 351045611568577/35891625
1568577. 351045611568619/358916251568619. 351045611568650/358916251568650. 351045611568668/358916251568668. 351045611568684/35891
6251568684. 351045611568692/358916251568692. 351045611568734/358916251568734. 351045611568759/358916251568759. 351045611568791/35
8916251568791. 351045611568858/358916251568858. 351045611568874/358916251568874. 351045611568940/358916251568940. 351045611568957
/358916251568957. 351045611568981/358916251568981. 351045611569054/358916251569054. 351045611569062/358916251569062. 351045611570
110/358916251570110. 351045611570128/358916251570128. 351045611570300/358916251570300. 351045611570417/358916251570417. 351045611
571183/358916251571183. 351045611571555/358916251571555. 351045611572108/358916251572108. 351045611572124/358916251572124. 351045
611572132/358916251572132. 351045611572140/358916251572140. 351045611572181/358916251572181. 351045611572207/358916251572207. 351
045611572249/358916251572249. 351045611572256/358916251572256. 351045611572264/358916251572264.351045611572272/358916251572272. 3
51045611572280/358916251572280. 351045611572298/358916251572298. 351045611572314/358916251572314. 351045611572819/358916251572819
. 351045611573049/358916251573049. 351045611573072/358916251573072. 351045611573080/358916251573080. 351045611573296/358916251573
296. 351045611573502/358916251573502. 351045611573510/358916251573510. 351045611573569/358916251573569. 351045611573577/358916251
573577. 351045611573585/358916251573585. 351045611573593/358916251573593. 351045611573619/358916251573619. 351045611573627/358916
251573627.351045611573734/358916251573734. 351045611573742/358916251573742. 351045611573775/358916251573775. 351045611573783/3589
16251573783. 351045611573825/358916251573825. 351045611573833/358916251573833. 351045611573841/358916251573841. 351045611573858/3
58916251573858. 351045611573866/358916251573866. 351045611573874/358916251573874. 351045611573882/358916251573882. 35104561157400
5/358916251574005. 351045611574120/358916251574120. 351045611574260/358916251574260. 351045611574286/358916251574286. 35104561157
4385/358916251574385. 351045611574427/358916251574427. 351045611574559/358916251574559. 351045611574708/358916251574708. 35104561
032025000896813-5
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000896813-5
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
1574849/358916251574849. 351045611574880/358916251574880. 351045611574955/358916251574955. 351045611575168/358916251575168. 35104
5611575408/358916251575408. 351045611575507/358916251575507. 351045611575598/358916251575598. 351045611575689/358916251575689. 35
1045611575705/358916251575705. 351045611575754/358916251575754. 351045611575796/358916251575796XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025000896813-5
Espacio para uso exclusivo de la Entidad Recaudadora
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