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VER MAS
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
032025001254230-0
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. 116575015782272
43 . Año – Mes – Día
2025 – 07 – 09
44 . Documento de transporte
No. DEL8181234
45 . Año – Mes – Día
2025 – 07 – 03
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
9103598075
52 . Año – Mes – Día
2025 – 07 – 03
53 . Cod. país
procedencia
361
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.
3.974.37
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
361
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.
112.00
72 . Peso neto kgs. dcms.
105.00
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
360.00
78 .Valor FOB
USD
44.421.17
79 . Valor fletes USD
840.00 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
179.890.558
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
179.890.558
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
1.49
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
841.49
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
45.262.66
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: 564445-DECL: 1931908-DO: 893116606251- 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. (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN)/ NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANC
IA QUE NO REQUIERE REGISTRO DEIMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3093049037. ID DELIVERY:
6083017767. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A166MZKILTC, PRODUCTO: TELEFONO CELULAR GALAXY A16 5G DUOS(CON ACCESORIOS PA
RA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODELO: SM-A166M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y(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
032025001254230
133. Feha: 202507 07
134 . Levante No. 032025001041033 135 . Fecha
2025 – 07 – 10
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 92032505172892
Fecha presentación 2025-07-07 18:59:27
Valor pagado $0.00
Fecha de Impresión: 2025-07-10 12:13:17
Page 1
SE
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001254230-0
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
AL DETAL/ /MOBILE,SM-A166M/DS,BLACK,LTC( QTY. 360,00 u )(360,00 PCE); IMEIS: 354282480732359/356406900732354. 354282480732433/35
6406900732438. 354282480732458/356406900732453. 354282480749320/356406900749325. 354282480749361/356406900749366. 354282480749932
/356406900749937. 354282480749981/356406900749986. 354282480749999/356406900749994. 354282480750021/356406900750026. 354282480750
054/356406900750059. 354282480750070/356406900750075. 354282480750088/356406900750083. 354282480750104/356406900750109. 354282480
750112/356406900750117. 354282480750120/356406900750125. 354282480750179/356406900750174. 354282480750187/356406900750182. 354282
480750302/356406900750307. 354282480750336/356406900750331. 354282480750385/356406900750380. 354282480750476/356406900750471. 354
282480750658/356406900750653. 354282480750914/356406900750919. 354282480750997/356406900750992. 354282480751045/356406900751040.
354282480751102/356406900751107. 354282480751136/356406900751131. 354282480751144/356406900 751149. 354282480751185/3564069007511
80. 354282480751201/356406900751206. 354282480751219/356406900751214. 354282480751243/356406900751248.354282480751334/35640690075
1339. 354282480751359/356406900751354. 354282480751409/356406900751404. 354282480751417/356406900751412. 354282480751433/35640690
0751438. 354282480751458/356406900751453. 354282480751474/356406900751479. 354282480751516/356406900751511. 354282480751565/35640
6900751560. 354282480751581/356406900751586. 354282480751599/356406900751594. 354282480751649/356406900751644. 354282480751656/35
6406900751651. 354282480753231/356406900753236. 354282480753256/356406900753251. 354282480753264/356406900753269. 354282480753272
/356406900753277.354282480753280/356406900753285. 354282480753348/356406900753343. 354282480753389/356406900753384. 3542824807534
39/356406900753434. 354282480753447/356406900753442. 354282480753454/356406900753459. 354282480753470/356406900753475. 3542824807
53496/356406900753491. 354282480753512/356406900753517. 354282480753520/356406900753525. 354282480753538/356406900753533. 3542824
80753553/356406900753558. 354282480753587/356406900753582. 354282480753603/356406900753608. 354282480753611/356406900753616. 3542
82480753645/356406900753640. 354282480753660/356406900753665. 354282480753678/356406900753673. 354282480753686/356406900753681. 3
54282480753694/356406900753699. 354282480753702/356406900753707. 354282480753728/356406900753723. 354282480753991/356406900753996
. 354282480754015/356406900754010. 354282480754049/356406900754044. 354282480754072/356406900754077. 354282480754130/356406900754
135. 354282480754163/356406900754168. 354282480754171/356406900754176. 354282480755418/356406900755413. 354282480755939/356406900
755934. 354282480756077/356406900756072. 354282480756168/356406900756163. 354282480756200/356406900756205. 354282480756226/356406
900756221. 354282480756234/356406900756239. 354282480756242/356406900756247. 354282480756341/356406900756346. 354282480756358/356
406900756353. 354282480756390/356406900756395. 354282480756416/356406900756411. 354282480756424/356406900756429. 354282480756440/
356406900756445. 354282480756465/356406900756460. 354282480756473/356406900756478. 354282480756481/356406900756486. 3542824807568
87/356406900756882. 354282480756978/356406900756973. 354282480757059/356406900757054. 354282480757356/356406900757351. 3542824807
57430/356406900757435. 354282480757489/356406900757484. 354282480757513/356406900757518.354282480757554/356406900757559. 35428248
0757570/356406900757575. 354282480757612/356406900757617. 354282480757661/356406900757666. 354282480757687/356406900757682. 35428
2480757737/356406900757732. 354282480757810/356406900757815. 354282480757844/356406900757849. 354282480757851/356406900757856. 35
4282480757869/356406900757864. 354282480757885/356406900757880. 354282480757968/356406900757963. 354282480758008/356406900758003.
354282480758248/356406900758243. 354282480758271/356406900758276. 354282480758289/356406900758284. 354282480758313/3564069007583
18.354282480758321/356406900758326. 354282480758339/356406900758334. 354282480758347/356406900758342. 354282480758354/35640690075
8359. 354282480758362/356406900758367. 354282480758370/356406900758375. 354282480758388/356406900758383. 354282480758396/35640690
0758391. 354282480758404/356406900758409. 354282480758412/356406900758417. 354282480758420/356406900758425. 354282480758438/35640
6900758433. 354282480758446/356406900758441. 354282480758461/356406900758466. 354282480758479/356406900758474. 354282480758487/35
6406900758482. 354282480758495/356406900758490. 354282480758503/356406900758508. 354282480758511/356406900758516. 354282480758537
/356406900758532. 354282480758545/356406900758540. 354282480758552/356406900758557. 354282480758560/356406900758565. 354282480758
578/356406900758573. 354282480758586/356406900758581. 354282480758602/356406900758607. 354282480758743/356406900758748. 354282480
758750/356406900758755. 354282480759477/356406900759472. 354282480759527/356406900759522. 354282480759584/356406900759589. 354282
480759667/356406900759662. 354282480759675/356406900759670. 354282480759717/356406900759712. 354282480759824/356406900759829. 354
282480759832/356406900759837. 354282480759873/356406900759878. 354282480759881/356406900759886. 354282480759907/356406900759902.
354282480760087/356406900760082. 354282480760095/356406900760090. 354282480760111/356406900760116. 354282480760186/35640690076018
1. 354282480760350/356406900760355. 354282480760418/356406900760413. 354282480760426/356406900760421. 354282480760434/35640690076
0439. 354282480760467/356406900760462. 354282480760731/356406900760736. 354282480760830/356406900760835. 354282480761291/35640690
0761296. 354282480761309/356406900761304. 354282480761333/356406900761338.354282480761341/356406900761346. 354282480761358/356406
900761353. 354282480761440/356406900761445. 354282480761465/356406900761460. 354282480761515/356406900761510. 354282480761549/356
406900761544. 354282480761556/356406900761551. 354282480761572/356406900761577. 354282480761614/356406900761619. 354282480761663/
356406900761668. 354282480761713/356406900761718. 354282480761747/356406900761742. 354282480761762/356406900761767. 3542824807617
96/356406900761791. 354282480761804/356406900761809. 354282480761861/356406900761866. 354282480762158/356406900762153.35428248076
2166/356406900762161. 354282480762208/356406900762203. 354282480762216/356406900762211. 354282480762299/356406900762294. 35428248
0762372/356406900762377. 354282480762471/356406900762476. 354282480762497/356406900762492. 354282480762554/356406900762559. 35428
2480762562/356406900762567. 354282480762596/356406900762591. 354282480762604/356406900762609. 354282480762612/356406900762617. 35
4282480762620/356406900762625. 354282480762646/356406900762641. 354282480762661/356406900762666. 354282480762679/356406900762674.
354282480762695/356406900762690. 354282480762711/356406900762716. 354282480762729/356406900762724. 354282480762752/3564069007627
57. 354282480762760/356406900762765. 354282480762786/356406900762781. 354282480762802/356406900762807. 354282480762836/3564069007
62831. 354282480762844/356406900762849. 354282480762877/356406900762872. 354282480762950/356406900762955. 354282480762984/3564069
00762989. 354282480762992/356406900762997. 354282480798053/356406900798058. 354282480798301/356406900798306. 354282480798368/3564
06900798363. 354282480798772/356406900798777. 354282480798913/356406900798918. 354282480798939/356406900798934. 354282480798954/3
56406900798959. 354282480799002/356406900799007. 354282480799010/356406900799015. 354282480799267/356406900799262. 35428248079951
5/356406900799510. 354282480800032/356406900800037. 354282480800172/356406900800177. 354282480800727/356406900800722. 35428248080
0917/356406900800912. 354282480801071/356406900801076. 354282480801121/356406900801126. 354282480801170/356406900801175. 35428248
0801188/356406900801183. 354282480801204/356406900801209. 354282480801212/356406900801217. 354282480801220/356406900801225. 35428
2480801253/356406900801258. 354282480801287/356406900801282.354282480801303/356406900801308. 354282480801311/356406900801316. 354
282480801329/356406900801324. 354282480801337/356406900801332. 354282480801360/356406900801365. 354282480801410/356406900801415.
354282480801428/356406900801423. 354282480801436/356406900801431. 354282480801477/356406900801472. 354282480801485/35640690080148
0. 354282480801493/356406900801498. 354282480801527/356406900801522. 354282480801543/356406900801548. 354282480801550/35640690080
1555. 354282480801576/356406900801571. 354282480801584/356406900801589. 354282480801600/356406900801605.354282480801642/356406900
801647. 354282480801659/356406900801654. 354282480801691/356406900801696. 354282480801865/356406900801860. 354282480801931/356406
900801936. 354282480801949/356406900801944. 354282480801980/356406900801985. 354282480801998/356406900801993. 354282480802046/356
406900802041. 354282480802103/356406900802108. 354282480802137/356406900802132. 354282480802145/356406900802140. 354282480802178/
356406900802173. 354282480802210/356406900802215. 354282480802228/356406900802223. 354282480802277/356406900802272. 3542824808023
19/356406900802314. 354282480802442/356406900802447. 354282480802558/356406900802553. 354282480802608/356406900802603. 3542824808
02640/356406900802645. 354282480802665/356406900802660. 354282480802897/356406900802892. 354282480803713/356406900803718. 3542824
80803721/356406900803726. 354282480803739/356406900803734. 354282480803770/356406900803775. 354282480803796/356406900803791. 3542
82480803812/356406900803817. 354282480803820/356406900803825. 354282480803838/356406900803833. 354282480803846/356406900803841. 3
032025001254230-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001254230-0
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
54282480803861/356406900803866. 354282480803879/356406900803874. 354282480803887/356406900803882. 354282480803895/356406900803890
. 354282480803903/356406900803908. 354282480803960/356406900803965. 354282480803978/356406900803973. 354282480804026/356406900804
021. 354282480804042/356406900804047. 354282480804059/356406900804054. 354282480804067/356406900804062. 354282480804141/356406900
804146. 354282480804216/356406900804211. 354282480804315/356406900804310. 354282480804349/356406900804344. 354282480804372/356406
900804377. 354282480804414/356406900804419. 354282480804505/356406900804500. 354282480804547/356406900804542. 354282480804554/356
406900804559. 354282480804604/356406900804609.354282480804612/356406900804617. 354282480804729/356406900804724. 354282480804836/3
56406900804831. 354282480804869/356406900804864. 354282480804893/356406900804898. 354282480804919/356406900804914. 35428248080494
3/356406900804948. 354282480804968/356406900804963. 354282480804976/356406900804971. 354282480804984/356406900804989. 35428248080
5007/356406900805002. 354282480805056/356406900805051. 354282480805080/356406900805085. 354282480805098/356406900805093. 35428248
0805205/356406900805200. 354282480805221/356406900805226. 354282480805239/356406900805234.354282480805247/356406900805242. 354282
480805395/356406900805390. 354282480805429/356406900805424. 354282480805445/356406900805440. 354282480805502/356406900805507. 354
282480805544/356406900805549. 354282480805569/356406900805564. 354282480805601/356406900805606. 354282480805635/356406900805630.
354282480805676/356406900805671. 354282480805684/356406900805689. 354282480805692/356406900805697. 354282480805759/35640690080575
4. 354282480805775/356406900805770. 354282480806740/356406900806745. 354282480806773/356406900806778. 354282480806864/35640690080
6869. 354282480806914/356406900806919. 354282480807136/356406900807131. 354282480807417/356406900807412. 354282480807573/35640690
0807578. 354282480807581/356406900807586. 354282480807623/356406900807628. 354282480807805/356406900807800. 354282480820378/35640
6900820373. 354282480820394/356406900820399. 354282480820402/356406900820407. 354282480820444/356406900820449. 354282480820485/35
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032025001254230-0
Espacio para uso exclusivo de la Entidad Recaudadora
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