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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
032025001112385-4
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. 116575015661749
43 . Año – Mes – Día
2025 – 06 – 06
44 . Documento de transporte
No. HKL044009
45 . Año – Mes – Día
2025 – 05 – 31
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
6900366229
52 . Año – Mes – Día
2025 – 05 – 21
53 . Cod. país
procedencia
351
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.
4.097.66
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.
103.00
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
19.563.13
79 . Valor fletes USD
744.69 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
83.217.287
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
83.217.287
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
0.67
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
745.36
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
20.308.49
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: 561002-DECL: 1922996-DO: 893113716251- 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: 3089260054. ID DELIVERY: 6082330978. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A065MLGGLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A06 DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE CLA(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
032025001112385
133. Feha: 202506 09
134 . Levante No. 032025000892122 135 . Fecha
2025 – 06 – 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
980 . Pago Total $
0
996 . Espacio para autoadhesivo de la entidad recaudadora
(Número del adhesivo)
SYGA
Autoadhesivo 92032504415541
Fecha presentación 2025-06-09 14:02:49
Valor pagado $0.00
Fecha de Impresión: 2025-06-09 14:02:54
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001112385-4
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
RO, MODELO: SM-A065M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A065M/DS,LIGHT GREEN,LTC( QTY. 300,00 u )(3
00,00 PCE); IMEIS: 350437734298698/350933494298696. 350437734298706/350933494298704. 350437734298714/350933494298712. 35043773429
8755/350933494298753. 350437734298862/350933494298860. 350437734298870/350933494298878. 350437734298904/350933494298902. 35043773
4299035/350933494299033. 350437734299068/350933494299066. 350437734299076/350933494299074. 350437734299084/350933494299082. 35043
7734299092/350933494299090. 350437734299118/350933494299116.350437734299126/350933494299124. 350437734299134/350933494299132. 350
437734299142/350933494299140. 350437734299159/350933494299157. 350437734299167/350933494299165. 350437734299175/350933494299173.
350437734299183/350933494299181. 350437734299217/350933494299215. 350437734299225/350933494299223. 350437734299233/35093349429923
1. 350437734299266/350933494299264. 350437734299282/350933494299280. 350437734299290/3509334 94299298. 350437734299308/3509334942
99306. 350437734299324/350933494299322. 350437734299373/350933494299371. 350437734299381/350933494299389. 350437734299399/3509334
94299397. 350437734299407/350933494299405. 350437734299415/350933494299413. 350437734299431/350933494299439. 350437734299449/3509
33494299447. 350437734299456/350933494299454. 350437734299472/350933494299470. 350437734299480/350933494299488. 350437734299498/3
50933494299496. 350437734299522/350933494299520. 350437734299530/350933494299538. 350437734299548/350933494299546. 35043773429955
5/350933494299553. 350437734299563/350933494299561. 350437734299597/350933494299595. 350437734299605/350933494299603. 35043773429
9621/350933494299629. 350437734299639/350933494299637. 350437734299647/350933494299645. 350437734299654/350933494299652. 35043773
4299662/350933494299660. 350437734299670/350933494299678. 350437734299688/350933494299686. 350437734299696/350933494299694. 35043
7734299704/350933494299702. 350437734299712/350933494299710. 350437734299720/350933494299728. 350437734299738/350933494299736. 35
0437734299746/350933494299744. 350437734299753/350933494299751. 350437734299761/350933494299769. 350437734299779/350933494299777.
350437734299787/350933494299785. 350437734299795/350933494299793. 350437734299803/350933494299801. 350437734299837/3509334942998
35.350437734299845/350933494299843. 350437734299852/350933494299850. 350437734299860/350933494299868. 350437734299878/35093349429
9876. 350437734299886/350933494299884. 350437734299894/350933494299892. 350437734299902/350933494299900. 350437734299910/35093349
4299918. 350437734299928/350933494299926. 350437734299944/350933494299942. 350437734299951/350933494299959. 350437734299969/35093
3494299967. 350437734299977/350933494299975. 350437734299985/350933494299983. 350437734299993/350933494299991. 350437734300007/35
0933494300005. 350437734300023/350933494300021.350437734300049/350933494300047. 350437734300056/350933494300054. 350437734300064/
350933494300062. 350437734300072/350933494300070. 350437734300080/350933494300088. 350437734300098/350933494300096. 3504377343001
06/350933494300104. 350437734300114/350933494300112. 350437734300122/350933494300120. 350437734300130/350933494300138. 3504377343
00148/350933494300146. 350437734300155/350933494300153. 350437734300163/350933494300161. 350437734300171/350933494300179. 3504377
34300189/350933494300187. 350437734300197/350933494300195. 350437734300205/350933494300203. 350437734300213/350933494300211. 3504
37734300221/350933494300229. 350437734300239/350933494300237. 350437734300247/350933494300245. 350437734300254/350933494300252. 3
50437734300262/350933494300260. 350437734300270/350933494300278. 350437734300288/350933494300286. 350437734300296/350933494300294
. 350437734300304/350933494300302. 350437734300312/350933494300310. 350437734300320/350933494300328. 350437734300338/350933494300
336. 350437734300346/350933494300344. 350437734300353/350933494300351. 350437734300387/350933494300385. 350437734300395/350933494
300393. 350437734300403/350933494300401. 350437734300411/350933494300419. 350437734300445/350933494300443. 350437734300452/350933
494300450. 350437734300460/350933494300468. 350437734300478/350933494300476. 350437734300486/350933494300484. 350437734300494/350
933494300492. 350437734300510/350933494300518. 350437734300528/350933494300526. 350437734300536/350933494300534. 350437734300544/
350933494300542. 350437734300551/350933494300559. 350437734300569/350933494300567. 350437734300577/350933494300575. 3504377343005
85/350933494300583. 350437734300593/350933494300591. 350437734300601/350933494300609. 350437734300619/350933494300617.35043773430
0627/350933494300625. 350437734300643/350933494300641. 350437734300668/350933494300666. 350437734300676/350933494300674. 35043773
4300684/350933494300682. 350437734300692/350933494300690. 350437734300700/350933494300708. 350437734300718/350933494300716. 35043
7734300734/350933494300732. 350437734300742/350933494300740. 350437734300759/350933494300757. 350437734300767/350933494300765. 35
0437734300775/350933494300773. 350437734300783/350933494300781. 350437734300791/350933494300799. 350437734300809/350933494300807.
350437734300817/350933494300815.350437734300825/350933494300823. 350437734300841/350933494300849. 350437734300858/35093349430085
6. 350437734300866/350933494300864. 350437734300874/350933494300872. 350437734300882/350933494300880. 350437734300916/35093349430
0914. 350437734300924/350933494300922. 350437734300932/350933494300930. 350437734300940/350933494300948. 350437734300965/35093349
4300963. 350437734300973/350933494300971. 350437734300981/350933494300989. 350437734300999/350933494300997. 350437734301005/35093
3494301003. 350437734301013/350933494301011. 350437734301021/350933494301029. 350437734301039/350933494301037. 350437734301047/35
0933494301045. 350437734301054/350933494301052. 350437734301062/350933494301060. 350437734301088/350933494301086. 350437734301096
/350933494301094. 350437734301104/350933494301102. 350437734301112/350933494301110. 350437734301120/350933494301128. 350437734301
138/350933494301136. 350437734301146/350933494301144. 350437734301153/350933494301151. 350437734301161/350933494301169. 350437734
301179/350933494301177. 350437734301187/350933494301185. 350437734301195/350933494301193. 350437734301211/350933494301219. 350437
734301229/350933494301227. 350437734301252/350933494301250. 350437734301260/350933494301268. 350437734301278/350933494301276. 350
437734301286/350933494301284. 350437734301294/350933494301292. 350437734301302/350933494301300. 350437734301310/350933494301318.
350437734301328/350933494301326. 350437734301336/350933494301334. 350437734301344/350933494301342. 350437734301351/35093349430135
9. 350437734301369/350933494301367. 350437734301377/350933494301375. 350437734301393/350933494301391. 350437734301401/35093349430
1409. 350437734301419/350933494301417. 350437734301427/350933494301425. 350437734301435/350933494301433.350437734301443/350933494
301441. 350437734301450/350933494301458. 350437734301468/350933494301466. 350437734301476/350933494301474. 350437734301484/350933
494301482. 350437734301500/350933494301508. 350437734301518/350933494301516. 350437734301526/350933494301524. 350437734301534/350
933494301532. 350437734301591/350933494301599. 350437734301625/350933494301623. 350437734301633/350933494301631. 350437734301815/
350933494301813. 350437734301864/350933494301862. 350437734301880/350933494301888. 350437734301922/350933494301920. 3504377343021
28/350933494302126.350437734302250/350933494302258. 350437734302268/350933494302266. 350437734302284/350933494302282. 35043773430
2292/350933494302290. 350437734302326/350933494302324. 350437734302367/350933494302365. 350437734302375/350933494302373. 35043773
4302409/350933494302407. 350437734302417/350933494302415. 350437734302698/350933494302696. 350437734302854/350933494302852. 35043
7734302979/350933494302977. 350437734303647/350933494303645. 350437734303670/350933494303678. 350437734303696/350933494303694. 35
0437734303704/350933494303702. 350437734303712/350933494303710. 350437734303720/350933494303728. 350437734303746/350933494303744.
350437734303753/350933494303751. 350437734303761/350933494303769. 350437734303787/350933494303785. 350437734303829/3509334943038
27. 350437734303845/350933494303843. 350437734303902/350933494303900. 350437734303944/350933494303942. 350437734303977/3509334943
03975. 350437734304066/350933494304064. 350437734304165/350933494304163. 350437734304314/350933494304312. 350437734304546/3509334
94304544. 350437734304561/350933494304569. 350437734304603/350933494304601. 350437734304611/350933494304619. 350437734305311/3509
33494305319. 350437734306509/350933494306507. 350437734306913/350933494306911. 350437734307002/350933494307000. 350437734307150/3
50933494307158. 350437734309073/350933494309071. 350437734309081/350933494309089. 350437734310311/350933494310319. 35043773431107
9/350933494311077. 350437734312242/350933494312240. 350437734314172/350933494314170. 350437734314784/350933494314782. 35043773431
6557/350933494316555. 350437734317746/350933494317744. 350437734317829/350933494317827. 350437734317837/350933494317835. 35043773
4317852/350933494317850. 350437734317878/350933494317876. 350437734317886/350933494317884.350437734317910/350933494317918. 350437
734317928/350933494317926. 350437734317936/350933494317934. 350437734317977/350933494317975. 350437734317985/350933494317983. 350
437734317993/350933494317991. 350437734318017/350933494318015. 350437734318025/350933494318023. 350437734318041/350933494318049.
350437734318058/350933494318056. 350437734318074/350933494318072. 350437734318082/350933494318080. 350437734318090/35093349431809
032025001112385-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001112385-4
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
8. 350437734318108/350933494318106. 350437734318116/350933494318114. 350437734318132/350933494318130. 350437734318140/35093349431
8148.350437734318165/350933494318163. 350437734318181/350933494318189. 350437734318199/350933494318197. 350437734318223/350933494
318221. 350437734318231/350933494318239. 350437734318306/350933494318304. 350437734318702/350933494318700XXXXXXXXXXXXXXXXXXXXXXXX
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032025001112385-4
Espacio para uso exclusivo de la Entidad Recaudadora
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