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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
032025000930068-1
5 . Número de Identificación Tributaria (NIT)
901775310
6 . DV.
2
11 . Apellidos y nombres o Razón Social
ARKA EXPRESS S.A.S.
13 . Dirección
CL 3 4 19 OF 110
15 . Teléfono
3169289138
12 . Cód. Admón.
03
16 . Cód. Dpto
76
17 . Cód. Ciudad Municipio
001
24 . Número de Identificación Tributaria (NIT)
860053082
25 . DV.
1
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS UNION ADUANERA INTERNACIONAL SAS NIVEL 2
27 . Tipo usuario
26
28 . Cód. usuario
0039
29 . Número documento de identificación
1030547434
30 . Apellidos y nombres
HERNANDEZ BOLAÑOS DAVID FELIPE
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
4801
42 . Manifiesto de carga
No. 116575015549878
43 . Año – Mes – Día
2025 – 05 – 08
44 . Documento de transporte
No. HAWB-05072025
45 . Año – Mes – Día
2025 – 05 – 07
46 . Nombre exportador o proveedor en el exterior
TD MOBILE INTERNATIONAL TRADING CORP
47 . Ciudad
MIAMI
48 . Cod.País Exportador
249
49 . Dirección exportador o proveedor en el exterior
1950 NW 87TH AVE STE 10 MIAMI, FL33172
50 . E-mail
BRUCE.TDMOBILE@GMAIL.COM
51 . No. de factura
TD7438
52 . Año – Mes – Día
2025 – 05 – 05
53 . Cod. país
procedencia
249
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
249
56 . Cod. Depto
destino
11
57 . Empresa transportadora
ATLAS AIR INC SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.222.25
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
05
69 . Tipo de
importación
01
70 . Cod. país
compra
249
71 . Peso bruto kgs. dcms.
261.00
72 . Peso neto kgs. dcms.
247.95
73 . Código
embalaje
BT
74 . No.
bultos
5
75 . Subpartidas
2
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
500.00
78 .Valor FOB USD
78.200.00
79 . Valor fletes USD
39.15 Concepto % Base Total Liquidado ($)
Total a pagar con esta
declaración ($)
Total Liquidado
(USD)
Arancel
92
0.00
93
330.429.696
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
330.429.696
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
20.00
81 . Valor Otros Gastos USD
0
82 . Sumatoria de fletes, seguros
y otros gastos USD
59.15
83 . Ajuste valor USD
0.00
84 . Valor aduana USD
78.259.15
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)
DO 25000574-001 DECLARACION(2-2) MERCANCIA NUEVA, NO REQUIERE REGISTRO DE IMPORTACION SEGUN DECRETO 925 DE MAYO 9 DE 2013, MERCAN
CIA EXCLUIDA DE IVA DE ACUERDO CON EL NUMERAL 06 DEL ARTICULO 424 DEL ESTATUTO TRIBUTARIO // DOCUMENTO DE VERIFICACION IMEI Nú DV
-231576 DECRETO 2025 DE OCTUBRE 16 DE 2015/ DECRETO 2142 DE DOCIEMBRE 23 DE 2016, FECHA DE EMISION 2025-05-08, REFERENCIA DE PROC
ESO IME-125.1_448777, CARTAS DE HOMOLOGACION Nú CRC2024534575 DE FECHA 2024-11-07, CRC2024530646 DE FECHA 2024-10-01,. (ITEM 2) P
RODUCTO: TELEFONO INTELIGENTE, MARCA: MEIZU, MODELO: M416L, REFERENCIA: MEIZU MLU 4GB+64GB BLACK/BLUE/WHITE, USO O DESTINO: COMUN
ICACION TELEFONICA MOVIL, IMEI Nos: 868890070019984,868890070109983/ 868890070020008,868890070110007/ 8688(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
032025000930068
133. Feha: 2025 05 09
134 . Levante No. 032025000744996 135 . Fecha
2025 – 05 – 09
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
996 . Espacio para autoadhesivo de la entidad recaudadora
(Número del adhesivo)
SYGA
Autoadhesivo 92032503589303
Fecha presentación 2025-05-09 08:35:47
Valor pagado $0.00
980 . Pago Total $
0
Fecha de Impresión: 2025-05-09 12:33:59
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000930068-1
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
90070020362,868890070110361/ 868890070025411,868890070115410/ 868890070025437,868890070115436/ 868890070041277,868890070131276/ 8
68890070046672,868890070136671/ 868890070048108,868890070138107/ 868890070052852,868890070142851/ 868890070053694,868890070143693
/ 868890070058230,868890070148239/ 868890070069260,868890070159269/ 868890070074740,868890070164749/ 868890070080234,868890070170
233/ 868890070081745,868890070171744/ 868890070085878,868890070175877/ 868890070092916,868890070182915/ 868890070093070,868890070
183079/ 868890070097246,868890070187245/ 868890070097899,868890070187898/ 868890070015172,868890070105171/ 868890070015214,868890
070105213/ 868890070015230,868890070105239/ 868890070015446,868890070105445/ 868890070020768,868890070110767/ 868890070020776,868
890070110775/ 868890070020834,868890070110833/ 868890070020875,868890070110874/ 868890070020917,868890070110916/ 868890070020982,
868890070110981/ 868890070026468,868890070116467/ 868890070026518,868890070116517/ 868890070037762,868890070127761/ 8688900700434
63,868890070133462/ 868890070048744,868890070138743/ 868890070048793,868890070138792/ 868890070048801,868890070138800/ 8688900700
48850,868890070138859/ 868890070048868,868890070138867/ 868890070048884,868890070138883/ 868890070193607,868890070233619/ 8688900
70193623,868890070233635/ 868890070200766,868890070240770/ 868890070200824,868890070240838/ 868890070206466,868890070246470/ 8688
90070206839,868890070246843/ 868890070206847,868890070246850/ 868890070212449,868890070252452/ 868890070212548,868890070252551/ 8
68890070212589,868890070252593/ 868890070212662,868890070252676/ 868890070212688,868890070252692/ 868890070212696,868890070252700
/ 868890070212704,868890070252718/ 868890070212738,868890070252742/ 868890070217307,868890070257311/ 868890070218313,868890070258
327/ 868890070218339,868890070258343/ 868890070218446,868890070258459/ 868890070227520,868890070267534/ 868890070188052,868890070
228064/ 868890070188243,868890070228254/ 868890070188771,868890070228783/ 868890070188813,868890070228825/ 868890070188870,868890
070228882/ 868890070189407,868890070229419/ 868890070193672,868890070233684/ 868890070194456,868890070234468/ 868890070194621,868
890070234633/ 868890070195313,868890070235325/ 868890070205716,868890070245720/ 868890070206748,868890070246751/ 868890070212811,
868890070252825/ 868890070218370,868890070258384/ 868890070218495,868890070258509/ 868890070218677,868890070258681/ 8688900702187
19,868890070258723/ 868890070218735,868890070258749/ 868890070223750,868890070263764/ 868890070224402,868890070264416/ 8688900702
70678,868890070295683/ 868890070270769,868890070295774/ 868890070270777,868890070295782/ 868890070270801,868890070295816/ 8688900
70270900,868890070295915/ 868890070270926,868890070295931/ 868890070270934,868890070295949/ 868890070276386,868890070301390/ 8688
90070276576,868890070301580/ 868890070276600,868890070301614/ 868890070281824,868890070306837/ 868890070281931,868890070306944/ 8
68890070281972,868890070306985/ 868890070282095,868890070307108/ 868890070287433,868890070312447/ 868890070287458,868890070312462
/ 868890070287672,868890070312686/ 868890070292235,868890070317248/ 868890070292631,868890070317644/ 868890070292870,868890070317
883/, CANT (100) U // (ITEM 3) PRODUCTO: TELEFONO INTELIGENTE, MARCA: MEIZU, MODELO: M416L, REFERENCIA: MEIZU MLU 6GB+128GB BLACK
/BLUE/WHITE, USO O DESTINO: COMUNICACION TELEFONICA MOVIL, IMEI Nos: 868890070478081,868890070503094/ 868890070478198,86889007050
3201/ 868890070478271,868890070503284/ 868890070483644,868890070508655/ 868890070483743,868890070508754/ 868890070483818,86889007
0508820/ 868890070489153,868890070514166/ 868890070489179,868890070514182/ 868890070494633,868890070519645/ 868890070494872,86889
0070519884/ 868890070494880,868890070519892/ 868890070494948,868890070519959/ 868890070495028,868890070520031/ 868890070500330,86
8890070525345/ 868890070500371,868890070525386/ 868890070500405,868890070525410/ 868890070500488,868890070525493/ 868890070500785
,868890070525790/ 868890070500801,868890070525816/ 868890070500868,868890070525873/ 868890070531459,868890070551465/ 868890070531
632,868890070551648/ 868890070537233,868890070557249/ 868890070537241,868890070557256/ 868890070537258,868890070557264/ 868890070
537274,868890070557280/ 868890070537282,868890070557298/ 868890070537290,868890070557306/ 868890070537324,868890070557330/ 868890
070537332,868890070557348/ 868890070537365,868890070557371/ 868890070537415,868890070557421/ 868890070537423,868890070557439/ 868
890070542563,868890070562579/ 868890070542589,868890070562595/ 868890070542613,868890070562629/ 868890070542761,868890070562777/
868890070542787,868890070562793/ 868890070542845,868890070562850/ 868890070543215,868890070563221/ 868890070528067,86889007054807
3/ 868890070532440,868890070552455/ 868890070532564,868890070552570/ 868890070532762,868890070552778/ 868890070532994,86889007055
3008/ 868890070533034,868890070553040/ 868890070533547,868890070553552/ 868890070533588,868890070553594/ 868890070533919,86889007
0553925/ 868890070537894,868890070557900/ 868890070537910,868890070557926/ 868890070538009,868890070558015/ 868890070538025,86889
0070558031/ 868890070538066,868890070558072/ 868890070538280,868890070558296/ 868890070538975,868890070558981/ 868890070543314,86
8890070563320/ 868890070543371,868890070563387/ 868890070543405,868890070563411/ 868890070543520,868890070563536/ 868890070604561
,868890070604579/ 868890070605766,868890070605774/ 868890070606103,868890070606111/ 868890070606343,868890070606350/ 868890070607
788,868890070607796/ 868890070607820,868890070607838/ 868890070607903,868890070607911/ 868890070608026,868890070608034/ 868890070
608109,868890070608117/ 868890070609206,868890070609214/ 868890070609768,868890070609776/ 868890070610121,868890070610139/ 868890
070610568,868890070610576/ 868890070610766,868890070610774/ 868890070610808,868890070610816/ 868890070610980,868890070610998/ 868
890070611269,868890070611277/ 868890070611285,868890070611293/ 868890070611400,868890070611418/ 868890070622704,868890070622712/
868890070600445,868890070600452/ 868890070601542,868890070601559/ 868890070602128,868890070602136/ 868890070608240,86889007060825
7/ 868890070609081,868890070609099/ 868890070610188,868890070610196/ 868890070612846,868890070612853/ 868890070612945,86889007061
2952/ 868890070613562,868890070613570/ 868890070613729,868890070613737/ 868890070614024,868890070614032/ 868890070614727,86889007
0614735/ 868890070617167,868890070617175/ 868890070618884,868890070618892/ 868890070619544,868890070619551/ 868890070619726,86889
0070619734/ 868890070620187,868890070620195/ 868890070620880,868890070620898/ 868890070620948,868890070620955/ 868890070621425,86
8890070621433/, CANT (100) U // (ITEM 4) PRODUCTO: TELEFONO INTELIGENTE, MARCA: REDMI, MODELO: 24090RA29G, REFERENCIA: REDMI NOTE
14 PRO 5G 8GB+256GB MIDNIGHT BLACK/ LAVENDER PURPLE/ CORAL GREEN, USO O DESTINO: COMUNICACION TELEFONICA MOVIL, IMEI Nos: 865590
076727324,865590076727332/ 865590076727423,865590076727431/ 865590076727720,865590076727738/ 865590076727944,865590076727951/ 865
590076728587,865590076728595/ 865590076735046,865590076735053/ 865590076735129,865590076735137/ 865590076735624,865590076735632/
865590076736622,865590076736630/ 865590076736705,865590076736713/ 865590076736861,865590076736879/ 865590076736887,86559007673689
5/ 865590076736929,865590076736937/ 865590076736960,865590076736978/ 865590076737141,865590076737158/ 865590076737265,86559007673
7273/ 865590076737323,865590076737331/ 865590076737463,865590076737471/ 865590076737703,865590076737711/ 865590076737729,86559007
6737737/ 865590076726482,865590076726490/ 865590076728728,865590076728736/ 865590076730682,865590076730690/ 865590076733660,86559
0076733678/ 865590076734049,865590076734056/ 865590076734106,865590076734114/ 865590076734387,865590076734395/ 865590076734445,86
5590076734452/ 865590076734460,865590076734478/ 865590076734486,865590076734494/ 865590076734528,865590076734536/ 865590076734569
,865590076734577/ 865590076734601,865590076734619/ 865590076734627,865590076734635/ 865590076734643,865590076734650/ 865590076734
668,865590076734676/ 865590076734700,865590076734718/ 865590076734767,865590076734775/ 865590076734783,865590076734791/ 865590076
734908,865590076734916/ 865590076726821,865590076726839/ 865590076727522,865590076727530/ 865590076727985,865590076727993/ 865590
076729247,865590076729254/ 865590076730047,865590076730054/ 865590076733686,865590076733694/ 865590076734825,865590076734833/ 865
590076734866,865590076734874/ 865590076734924,865590076734932/ 865590076735160,865590076735178/ 865590076735400,865590076735418/
865590076735723,865590076735731/ 865590076735863,865590076735871/ 865590076735889,865590076735897/ 865590076736168,86559007673617
6/ 865590076736309,865590076736317/ 865590076736986,865590076736994/ 865590076737042,865590076737059/ 865590076737281,86559007673
7299/ 865590076737687,865590076737695/ 865590076727548,865590076727555/ 865590076730443,865590076730450/ 865590076730542,86559007
6730559/ 865590076730641,865590076730658/ 865590076730724,865590076730732/ 865590076730765,865590076730773/ 865590076730849,86559
0076730856/ 865590076730880,865590076730898/ 865590076732647,865590076732654/ 865590076733009,865590076733017/ 865590076735103,86
5590076735111/ 865590076735285,865590076735293/ 865590076735681,865590076735699/ 865590076735806,865590076735814/ 865590076736689
,865590076736697/ 865590076737745,865590076737752/ 865590076738008,865590076738016/ 865590076738123,865590076738131/ 865590076738
263,865590076738271/ 865590076739824,865590076739832/ 865590076630049,865590076630056/ 865590076635022,865590076635030/ 865590076
032025000930068-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025000930068-1
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
636061,865590076636079/ 865590076636327,865590076636335/ 865590076636467,865590076636475/ 865590076637127,865590076637135/ 865590
076637341,865590076637358/ 865590076637564,865590076637572/ 865590076637606,865590076637614/ 865590076637689,865590076637697/ 865
590076637721,865590076637739/ 865590076637747,865590076637754/ 865590076637788,865590076637796/ 865590076637820,865590076637838/
865590076637861,865590076637879/ 865590076637887,865590076637895/ 865590076637903,865590076637911/ 865590076637945,86559007663795
2/ 865590076637960,865590076637978/ 865590076638026,865590076638034/ 866745077231465,866745077231473/ 866745077231747,86674507723
1754/ 866745077232125,866745077232133/ 866745077232208,866745077232216/ 866745077232984,866745077232992/ 866745077234923,86674507
7234931/ 866745077238288,866745077238296/ 866745077239948,866745077239955/ 866745077240441,866745077240458/ 866745077240722,86674
5077240730/ 866745077242447,866745077242454/ 866745077244906,866745077244914/ 866745077246745,866745077246752/ 866745077248501,86
6745077248519/ 866745077248527,866745077248535/ 866745077248840,866745077248857/ 866745077249244,866745077249251/ 866745077261009
,866745077261017/ 866745077263864,866745077263872/ 866745077267824,866745077267832/ 866745072766267,866745072766275/ 866745072766
408,866745072766416/ 866745072766440,866745072766457/ 866745072766523,866745072766531/ 866745072766564,866745072766572/ 866745072
766580,866745072766598/ 866745072766606,866745072766614/ 866745072766648,866745072766655/ 866745072771622,866745072771630/ 866745
072771747,866745072771754/ 866745072771762,866745072771770/ 866745072772067,866745072772075/ 866745072772208,866745072772216/ 866
745072772265,866745072772273/ 866745072772406,866745072772414/ 866745072775268,866745072775276/ 866745072777389,866745072777397/
866745072778627,866745072778635/ 866745072778643,866745072778650/ 866745072779021,866745072779039/ 866745077181066,86674507718107
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032025000930068-1
Espacio para uso exclusivo de la Entidad Recaudadora
