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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
032025001000583-5
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. 116575015613362
43 . Año – Mes – Día
2025 – 05 – 23
44 . Documento de transporte
No. HKG0417423
45 . Año – Mes – Día
2025 – 05 – 19
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
6900363754
52 . Año – Mes – Día
2025 – 05 – 13
53 . Cod. país
procedencia
351
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
244
56 . Cod. Depto
destino
0
57 . Empresa transportadora
EMIRATES SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.196.66
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.
117.00
72 . Peso neto kgs. dcms.
89.43
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
330.00
78 .Valor FOB
USD
18.131.38
79 . Valor fletes USD
924.30 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
79.972.854
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
79.972.854
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
0.63
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
924.93
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
19.056.31
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: 558911-DECL: 1918070-DO: 893112597251- 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: 3089258743. ID DELIVERY: 6082117592. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A055MZSDLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A05 DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: PLATA, 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
032025001000583
133. Feha: 202505 22
134 . Levante No. 032025000828732 135 . Fecha
2025 – 05 – 26
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 92032503964605
Fecha presentación 2025-05-22 13:13:41
Valor pagado $0.00
Fecha de Impresión: 2025-05-26 13:37:43
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001000583-5
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
DELO: SM-A055M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A055M/DS,SILVER,LTC( QTY. 330,00 u )(330,00 PCE);
IMEIS: 351641247720663/351847827720664. 351641247720671/351847827720672. 351641247720689/351847827720680. 351641247720697/351847
827720698. 351641247720705/351847827720706. 351641247720713/351847827720714. 351641247720721/351847827720722. 351641247720739/351
847827720730. 351641247720747/351847827720748. 351641247720754/351847827720755. 351641247720770/351847827720771. 351641247720788/
351847827720789. 351641247720796/351847827720797. 351641247720812/351847827720813. 351641247720820/351847827720821. 3516412477208
38/351847827720839. 351641247720853/351847827720854. 351641247720861/351847827720862. 351641247720879/351847827720870. 3516412477
20887/351847827720888. 351641247720903/351847827720904. 351641247720911/351847827720912. 351641247720937/351847827720938. 3516412
47720945/351847827720946. 351641247720952/351847827720953. 351641247720960/351847827720961. 3 51641247720978/351847827720979. 351
641247720986/351847827720987. 351641247720994/351847827720995. 351641247721018/351847827721019. 351641247721059/351847827721050.
351641247721125/351847827721126. 351641247721158/351847827721159. 351641247721166/351847827721167. 351641247721174/35184782772117
5. 351641247721182/351847827721183. 351641247721190/351847827721191. 351641247721208/351847827721209. 351641247721216/35184782772
1217. 351641247721232/351847827721233. 351641247721240/351847827721241. 351641247721257/351847827721258. 351641247721273/35184782
7721274.351641247721331/351847827721332. 351641247721349/351847827721340. 351641247721356/351847827721357. 351641247721380/351847
827721381. 351641247721398/351847827721399. 351641247721406/351847827721407. 351641247721430/351847827721431. 351641247721505/351
847827721506. 351641247721513/351847827721514. 351641247721547/351847827721548. 351641247721570/351847827721571. 351641247721596/
351847827721597. 351641247721604/351847827721605. 351641247721653/351847827721654. 351641247721661/351847827721662. 3516412477216
87/351847827721688. 351641247721703/351847827721704.351641247721711/351847827721712. 351641247721729/351847827721720. 35164124772
1737/351847827721738. 351641247721745/351847827721746. 351641247721752/351847827721753. 351641247721760/351847827721761. 35164124
7721778/351847827721779. 351641247721786/351847827721787. 351641247721794/351847827721795. 351641247721810/351847827721811. 35164
1247721828/351847827721829. 351641247721901/351847827721902. 351641247721919/351847827721910. 351641247721935/351847827721936. 35
1641247722214/351847827722215. 351641247722255/351847827722256. 351641247722271/351847827722272. 351641247722347/351847827722348.
351641247722420/351847827722421. 351641247722453/351847827722454. 351641247722479/351847827722470. 351641247722495/3518478277224
96. 351641247722511/351847827722512. 351641247722545/351847827722546. 351641247722552/351847827722553. 351641247722578/3518478277
22579. 351641247722586/351847827722587. 351641247722594/351847827722595. 351641247722610/351847827722611. 351641247722628/3518478
27722629. 351641247722636/351847827722637. 351641247722644/351847827722645. 351641247722651/351847827722652. 351641247722669/3518
47827722660. 351641247722693/351847827722694. 351641247722750/351847827722751. 351641247722859/351847827722850. 351641247722909/3
51847827722900. 351641247723097/351847827723098. 351641247723121/351847827723122. 351641247723238/351847827723239. 35164124772344
4/351847827723445. 351641247723709/351847827723700. 351641247723741/351847827723742. 351641247723758/351847827723759. 35164124772
3774/351847827723775. 351641247723790/351847827723791. 351641247723808/351847827723809. 351641247723816/351847827723817. 35164124
7723824/351847827723825. 351641247723840/351847827723841. 351641247723857/351847827723858. 351641247723873/351847827723874.351641
247723881/351847827723882. 351641247723949/351847827723940. 351641247724053/351847827724054. 351641247724202/351847827724203. 351
641247724244/351847827724245. 351641247724285/351847827724286. 351641247724293/351847827724294. 351641247724301/351847827724302.
351641247724327/351847827724328. 351641247724335/351847827724336. 351641247724350/351847827724351. 351641247724392/35184782772439
3. 351641247724434/351847827724435. 351641247724491/351847827724492. 351641247724509/351847827724500. 351641247724517/35184782772
4518. 351641247724525/351847827724526.351641247724533/351847827724534. 351641247724616/351847827724617. 351641247724657/351847827
724658. 351641247724681/351847827724682. 351641247724707/351847827724708. 351641247724715/351847827724716. 351641247724731/351847
827724732. 351641247724780/351847827724781. 351641247724798/351847827724799. 351641247724863/351847827724864. 351641247724889/351
847827724880. 351641247724913/351847827724914. 351641247724921/351847827724922. 351641247724939/351847827724930. 351641247724954/
351847827724955. 351641247724970/351847827724971. 351641247724988/351847827724989. 351641247724996/351847827724997. 3516412477250
01/351847827725002. 351641247725027/351847827725028. 351641247725043/351847827725044. 351641247725068/351847827725069. 3516412477
25084/351847827725085. 351641247725100/351847827725101. 351641247725126/351847827725127. 351641247725134/351847827725135. 3516412
47725191/351847827725192. 351641247725241/351847827725242. 351641247725282/351847827725283. 351641247725308/351847827725309. 3516
41247725316/351847827725317. 351641247725357/351847827725358. 351641247725365/351847827725366. 351641247725373/351847827725374. 3
51641247725381/351847827725382. 351641247725399/351847827725390. 351641247725449/351847827725440. 351641247725456/351847827725457
. 351641247725571/351847827725572. 351641247725597/351847827725598. 351641247725639/351847827725630. 351641247725647/351847827725
648. 351641247725746/351847827725747. 351641247725779/351847827725770. 351641247726116/351847827726117. 351641247726140/351847827
726141. 351641247726231/351847827726232. 351641247726439/351847827726430. 351641247726504/351847827726505. 351641247726546/351847
827726547. 351641247726678/351847827726679. 351641247726793/351847827726794. 351641247726843/351847827726844.351641247726850/3518
47827726851. 351641247726868/351847827726869. 351641247727114/351847827727115. 351641247727148/351847827727149. 351641247727254/3
51847827727255. 351641247727304/351847827727305. 351641247727312/351847827727313. 351641247727320/351847827727321. 35164124772733
8/351847827727339. 351641247727346/351847827727347. 351641247727353/351847827727354. 351641247727429/351847827727420. 35164124772
7445/351847827727446. 351641247727452/351847827727453. 351641247727460/351847827727461. 351641247727502/351847827727503. 35164124
7727528/351847827727529.351641247727544/351847827727545. 351641247727577/351847827727578. 351641247727601/351847827727602. 351641
247727627/351847827727628. 351641247727650/351847827727651. 351641247727692/351847827727693. 351641247727718/351847827727719. 351
641247727726/351847827727727. 351641247727742/351847827727743. 351641247727809/351847827727800. 351641247727825/351847827727826.
351641247727924/351847827727925. 351641247728013/351847827728014. 351641247728104/351847827728105. 351641247728237/35184782772823
8. 351641247728351/351847827728352. 351641247728385/351847827728386. 351641247728518/351847827728519. 351641247728583/35184782772
8584. 351641247728591/351847827728592. 351641247728617/351847827728618. 351641247728633/351847827728634. 351641247728658/35184782
7728659. 351641247728690/351847827728691. 351641247728716/351847827728717. 351641247728724/351847827728725. 351641247728732/35184
7827728733. 351641247728757/351847827728758. 351641247728773/351847827728774. 351641247728799/351847827728790. 351641247728807/35
1847827728808. 351641247728815/351847827728816. 351641247728831/351847827728832. 351641247728849/351847827728840. 351641247728856
/351847827728857. 351641247728864/351847827728865. 351641247728872/351847827728873. 351641247728880/351847827728881. 351641247728
898/351847827728899. 351641247728906/351847827728907. 351641247728914/351847827728915. 351641247728922/351847827728923. 351641247
728930/351847827728931. 351641247728948/351847827728949. 351641247728955/351847827728956. 351641247728963/351847827728964. 351641
247728971/351847827728972. 351641247728989/351847827728980. 351641247728997/351847827728998. 351641247729003/351847827729004. 351
641247729011/351847827729012. 351641247729029/351847827729020. 351641247729037/351847827729038.351641247729045/351847827729046. 3
51641247729052/351847827729053. 351641247729060/351847827729061. 351641247729078/351847827729079. 351641247729086/351847827729087
. 351641247729094/351847827729095. 351641247729102/351847827729103. 351641247729110/351847827729111. 351641247729128/351847827729
129. 351641247729136/351847827729137. 351641247729144/351847827729145. 351641247729151/351847827729152. 351641247729169/351847827
729160. 351641247729177/351847827729178. 351641247729185/351847827729186. 351641247729193/351847827729194. 351641247729201/351847
827729202.351641247729219/351847827729210. 351641247729227/351847827729228. 351641247729235/351847827729236. 351641247729243/3518
47827729244. 351641247729250/351847827729251. 351641247729268/351847827729269. 351641247729276/351847827729277. 351641247729284/3
51847827729285. 351641247729292/351847827729293. 351641247729300/351847827729301. 351641247729318/351847827729319. 35164124772932
6/351847827729327. 351641247729334/351847827729335. 351641247729342/351847827729343. 351641247729359/351847827729350. 35164124772
9367/351847827729368. 351641247729375/351847827729376. 351641247729383/351847827729384. 351641247729391/351847827729392. 35164124
032025001000583-5
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001000583-5
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
7729409/351847827729400. 351641247729417/351847827729418. 351641247729433/351847827729434. 351641247729441/351847827729442. 35164
1247729508/351847827729509. 351641247729516/351847827729517. 351641247729532/351847827729533. 351641247729557/351847827729558. 35
1641247729581/351847827729582. 351641247729599/351847827729590. 351641247729607/351847827729608. 351641247729656/351847827729657.
351641247729664/351847827729665. 351641247729672/351847827729673. 351641247729680/351847827729681. 351641247729698/3518478277296
99. 351641247729706/351847827729707. 351641247729714/351847827729715. 351641247729730/351847827729731. 351641247729748/3518478277
29749. 351641247729755/351847827729756. 351641247729763/351847827729764. 351641247729771/351847827729772. 351641247729789/3518478
27729780. 351641247729797/351847827729798. 351641247729805/351847827729806. 351641247729813/351847827729814. 351641247729821/3518
47827729822. 351641247729839/351847827729830. 351641247729847/351847827729848. 351641247729854/351847827729855. 351641247729862/3
51847827729863. 351641247729870/351847827729871. 351641247729888/351847827729889.351641247729896/351847827729897. 351641247729904
/351847827729905. 351641247729912/351847827729913. 351641247729920/351847827729921. 351641247729938/351847827729939. 351641247729
946/351847827729947. 351641247729953/351847827729954XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001000583-5
Espacio para uso exclusivo de la Entidad Recaudadora
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