Declaración de Importación 032025001500299-3

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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 032025001500299-3 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. 116575015947295 43 . Año – Mes – Día 2025 – 08 – 21 44 . Documento de transporte No. SHAN0414170 45 . Año – Mes – Día 2025 – 08 – 14 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 9103704107 52 . Año – Mes – Día 2025 – 08 – 14 53 . Cod. país procedencia 855 54 . Cod. Modo Transporte 4 55 . Código de Bandera 249 56 . Cod. Depto destino 0 57 . Empresa transportadora DHL AERO EXPRESO S A SUCURSAL COLOMBIA 58 . Tasa de cambio $ cvs. 4.049.35 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 855 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. 212.50 72 . Peso neto kgs. dcms. 196.20 73 . Código embalaje YY 74 . No. bultos 1 75 . Subpartidas 1 76 . Cod. unidad comercial U 77 . Cantidad dcms. 600.00 78 .Valor FOB USD 128.387.84 79 . Valor fletes USD 1.712.75 Concepto % Base Total Liquidado ($) Total a pagar con esta declaración ($) Total Liquidado (USD) Arancel 92 0.00 93 526.840.196 94 0 95 0 96 0.00 I.V.A. 97 0.00 98 526.840.196 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 4.29 81 . Valor Otros Gastos USD 0 82 . Sumatoria de fletes, seguros y otros gastos USD 1.717.04 83 . Ajuste valor USD 0.00 84 . Valor aduana USD 130.104.88 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: 569377-DECL: 1945314-DO: 893120461251- 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: 3096144248. ID DELIVERY: 6083914145. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A566EZAFCOM, PRODUCTO: TELEFONO CELULAR GALAXY A56 5G – DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS, MODELO: SM-A566E, 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: Después de insp.: levante No hay declaración posterior Acta de inspección No.: 032025000067384 Inició: 2025-08-22 10:57:27 Finalizó: 2025-08-22 21:11:00 131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración 032025001500299 133. Feha: 202508 15 134 . Levante No. 032025001281346 135 . Fecha 2025 – 08 – 22 Firma funcionario responsable 136 . Nombre ANDREA PAOLA GRAJALES GAVIRIA 137 . C.C. No. 52902986 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 92032506316251 Fecha presentación 2025-08-15 21:08:40 Valor pagado $0.00 Fecha de Impresión: 2025-08-22 21:21:36 Page 1 SEC REPÚBLICA DE COLOMBIA Declaración de Importación Aceptación : 032025001500299-3 Subpartida : 8517130000 Página 1 de 3 105. Continuación descripción mercancías (Incluya marcas, seriales y otros) AL DETAL/ /MOBILE,SM-A566E,GRAY,COM( QTY. 600,00 u )(600,00 PCE); IMEIS: 352010501792439/353508191792436. 352010501792462/3535081 91792469. 352010501792488/353508191792485. 352010501792496/353508191792493. 352010501792504/353508191792501. 352010501792512/3535 08191792519. 352010501792561/353508191792568. 352010501792637/353508191792634. 352010501792652/353508191792659. 352010501792678/3 53508191792675. 352010501792710/353508191792717.352010501792736/353508191792733. 352010501792744/353508191792741. 352010501792751 /353508191792758. 352010501792769/353508191792766. 352010501792777/353508191792774. 352010501792793/353508191792790. 352010501792 819/353508191792816. 352010501792835/353508191792832. 352010501792843/353508191792840. 352010501792868/353508191792865. 352010501 792884/353508191792881. 352010501792892/353508191792899. 352010501792900/353508191792907. 352010501792918/353508191792915. 352010 501792967/353508191792964. 352010501792975/353508191792972. 352010501792991/353508191792998 . 352010501793007/353508191793004. 35 2010501793023/353508191793020. 352010501793080/353508191793087. 352010501793130/353508191793137. 352010501793148/353508191793145. 352010501793163/353508191793160. 352010501793189/353508191793186. 352010501793197/353508191793194. 352010501793221/3535081917932 28. 352010501793247/353508191793244. 352010501793254/353508191793251. 352010501793262/353508191793269. 352010501793296/3535081917 93293. 352010501793304/353508191793301. 352010501793320/353508191793327. 352010501793346/353508191793343. 352010501793429/3535081 91793426. 352010501793452/353508191793459. 352010501793478/353508191793475. 352010501793502/353508191793509. 352010501793510/3535 08191793517. 352010501793536/353508191793533. 352010501793544/353508191793541. 352010501793551/353508191793558. 352010501793577/3 53508191793574. 352010501793585/353508191793582. 352010501793593/353508191793590. 352010501793601/353508191793608. 35201050179361 9/353508191793616. 352010501793635/353508191793632. 352010501793643/353508191793640. 352010501793650/353508191793657. 35201050179 3668/353508191793665. 352010501793676/353508191793673. 352010501793684/353508191793681. 352010501793692/353508191793699.352010501 793700/353508191793707. 352010501793718/353508191793715. 352010501793726/353508191793723. 352010501793742/353508191793749. 352010 501793759/353508191793756. 352010501793767/353508191793764. 352010501793775/353508191793772. 352010501793783/353508191793780. 352 010501793791/353508191793798. 352010501793833/353508191793830. 352010501793841/353508191793848. 352010501793858/353508191793855. 352010501793874/353508191793871. 352010501793882/353508191793889. 352010501793890/353508191793897. 352010501793908/35350819179390 5. 352010501793916/353508191793913.352010501793932/353508191793939. 352010501793940/353508191793947. 352010501793973/353508191793 970. 352010501793999/353508191793996. 352010501794021/353508191794028. 352010501794054/353508191794051. 352010501794062/353508191 794069. 352010501794096/353508191794093. 352010501794120/353508191794127. 352010501794179/353508191794176. 352010501794195/353508 191794192. 352010501794237/353508191794234. 352010501794252/353508191794259. 352010501794278/353508191794275. 352010501794286/353 508191794283. 352010501794328/353508191794325. 352010501794336/353508191794333. 352010501794344/353508191794341. 352010501794369/ 353508191794366. 352010501794427/353508191794424. 352010501794435/353508191794432. 352010501794476/353508191794473. 3520105017945 00/353508191794507. 352010501794534/353508191794531. 352010501794542/353508191794549. 352010501794559/353508191794556. 3520105017 94575/353508191794572. 352010501794583/353508191794580. 352010501794609/353508191794606. 352010501794674/353508191794671. 3520105 01794732/353508191794739. 352010501794757/353508191794754. 352010501794773/353508191794770. 352010501794781/353508191794788. 3520 10501794807/353508191794804. 352010501794815/353508191794812. 352010501794831/353508191794838. 352010501794856/353508191794853. 3 52010501794864/353508191794861. 352010501794906/353508191794903. 352010501794930/353508191794937. 352010501794948/353508191794945 . 352010501794963/353508191794960. 352010501794989/353508191794986. 352010501795069/353508191795066. 352010501795085/353508191795 082. 352010501795101/353508191795108. 352010501795127/353508191795124. 352010501795192/353508191795199. 352010501795234/353508191 795231. 352010501795291/353508191795298. 352010501795309/353508191795306. 352010501795325/353508191795322.352010501795341/3535081 91795348. 352010501795358/353508191795355. 352010501795382/353508191795389. 352010501795390/353508191795397. 352010501795424/3535 08191795421. 352010501795432/353508191795439. 352010501795457/353508191795454. 352010501795465/353508191795462. 352010501795549/3 53508191795546. 352010501795598/353508191795595. 352010501795606/353508191795603. 352010501795648/353508191795645. 35201050179569 7/353508191795694. 352010501795721/353508191795728. 352010501795739/353508191795736. 352010501795747/353508191795744. 35201050179 5762/353508191795769.352010501795770/353508191795777. 352010501795796/353508191795793. 352010501795846/353508191795843. 352010501 795903/353508191795900. 352010501795945/353508191795942. 352010501795986/353508191795983. 352010501796000/353508191796007. 352010 501796018/353508191796015. 352010501796034/353508191796031. 352010501796042/353508191796049. 352010501796117/353508191796114. 352 010501796133/353508191796130. 352010501796166/353508191796163. 352010501796182/353508191796189. 352010501796190/353508191796197. 352010501796224/353508191796221. 352010501796232/353508191796239. 352010501796240/353508191796247. 352010501796265/35350819179626 2. 352010501796273/353508191796270. 352010501796299/353508191796296. 352010501796315/353508191796312. 352010501796331/35350819179 6338. 352010501796356/353508191796353. 352010501796364/353508191796361. 352010501796380/353508191796387. 352010501796398/35350819 1796395. 352010501796406/353508191796403. 352010501796414/353508191796411. 352010501796448/353508191796445. 352010501796455/35350 8191796452. 352010501796554/353508191796551. 352010501796562/353508191796569. 352010501796570/353508191796577. 352010501796588/35 3508191796585. 352010501796596/353508191796593. 352010501796604/353508191796601. 352010501796620/353508191796627. 352010501796646 /353508191796643. 352010501796653/353508191796650. 352010501796661/353508191796668. 352010501796679/353508191796676. 352010501796 687/353508191796684. 352010501796695/353508191796692. 352010501796703/353508191796700. 352010501796745/353508191796742. 352010501 796752/353508191796759. 352010501796760/353508191796767. 352010501796778/353508191796775. 352010501796786/353508191796783. 352010 501796794/353508191796791. 352010501796810/353508191796817. 352010501796828/353508191796825.352010501796836/353508191796833. 3520 10501796851/353508191796858. 352010501796869/353508191796866. 352010501796877/353508191796874. 352010501796919/353508191796916. 3 52010501796943/353508191796940. 352010501796976/353508191796973. 352010501797008/353508191797005. 352010501797032/353508191797039 . 352010501797040/353508191797047. 352010501797057/353508191797054. 352010501797081/353508191797088. 352010501797123/353508191797 120. 352010501797149/353508191797146. 352010501797180/353508191797187. 352010501797222/353508191797229. 352010501797248/353508191 797245.352010501797255/353508191797252. 352010501797339/353508191797336. 352010501797362/353508191797369. 352010501797370/3535081 91797377. 352010501797404/353508191797401. 352010501797412/353508191797419. 352010501797438/353508191797435. 352010501797446/3535 08191797443. 352010501797453/353508191797450. 352010501797479/353508191797476. 352010501797487/353508191797484. 352010501797495/3 53508191797492. 352010501797503/353508191797500. 352010501797511/353508191797518. 352010501797560/353508191797567. 35201050179757 8/353508191797575. 352010501797586/353508191797583. 352010501797628/353508191797625. 352010501797636/353508191797633. 35201050179 7651/353508191797658. 352010501797685/353508191797682. 352010501797693/353508191797690. 352010501797727/353508191797724. 35201050 1797735/353508191797732. 352010501797743/353508191797740. 352010501797768/353508191797765. 352010501797776/353508191797773. 35201 0501797792/353508191797799. 352010501797800/353508191797807. 352010501797818/353508191797815. 352010501797891/353508191797898. 35 2010501797925/353508191797922. 352010501797941/353508191797948. 352010501797958/353508191797955. 352010501797974/353508191797971. 352010501798014/353508191798011. 352010501798055/353508191798052. 352010501798089/353508191798086. 352010501798105/3535081917981 02. 352010501798147/353508191798144. 352010501798154/353508191798151. 352010501798162/353508191798169. 352010501798170/3535081917 98177. 352010501798196/353508191798193. 352010501798204/353508191798201. 352010501798220/353508191798227. 352010501798246/3535081 91798243. 352010501798253/353508191798250. 352010501798261/353508191798268. 352010501798279/353508191798276. 352010501798287/3535 08191798284. 352010501798295/353508191798292. 352010501798303/353508191798300.352010501798311/353508191798318. 352010501798329/35 3508191798326. 352010501798337/353508191798334. 352010501798345/353508191798342. 352010501798352/353508191798359. 352010501798360 /353508191798367. 352010501798386/353508191798383. 352010501798394/353508191798391. 352010501798402/353508191798409. 352010501798 410/353508191798417. 352010501798436/353508191798433. 352010501798485/353508191798482. 352010501798493/353508191798490. 352010501 798501/353508191798508. 352010501798519/353508191798516. 352010501798535/353508191798532. 352010501798550/353508191798557.3520105 032025001500299-3 Espacio para uso exclusivo de la Entidad Recaudadora Page 2 REPÚBLICA DE COLOMBIA Declaración de Importación Aceptación : 032025001500299-3 Subpartida : 8517130000 Página 2 de 3 105. Continuación descripción mercancías (Incluya marcas, seriales y otros) 01798576/353508191798573. 352010501798584/353508191798581. 352010501798592/353508191798599. 352010501798634/353508191798631. 3520 10501798683/353508191798680. 352010501798717/353508191798714. 352010501798733/353508191798730. 352010501798758/353508191798755. 3 52010501798790/353508191798797. 352010501798808/353508191798805. 352010501798824/353508191798821. 352010501798832/353508191798839 . 352010501798840/353508191798847. 352010501798865/353508191798862. 352010501798881/353508191798888. 352010501798899/353508191798 896. 352010501798907/353508191798904. 352010501798915/353508191798912. 352010501798923/353508191798920. 352010501798949/353508191 798946. 352010501798956/353508191798953. 352010501798980/353508191798987. 352010501799012/353508191799019. 352010501799038/353508 191799035. 352010501799046/353508191799043. 352010501799087/353508191799084. 352010501799095/353508191799092. 352010501799103/353 508191799100. 352010501799111/353508191799118. 352010501799137/353508191799134. 352010501799152/353508191799159. 352010501799178/ 353508191799175. 352010501799186/353508191799183. 352010501799210/353508191799217. 352010501799228/353508191799225. 3520105017992 36/353508191799233. 352010501799244/353508191799241. 352010501799368/353508191799365. 352010501799376/353508191799373. 3520105017 99392/353508191799399. 352010501799400/353508191799407. 352010501799418/353508191799415. 352010501799434/353508191799431. 3520105 01799467/353508191799464. 352010501799475/353508191799472. 352010501799533/353508191799530. 352010501799558/353508191799555. 3520 10501799566/353508191799563. 352010501799574/353508191799571. 352010501799582/353508191799589. 352010501799616/353508191799613. 3 52010501799632/353508191799639. 352010501799640/353508191799647.352010501799673/353508191799670. 352010501799681/353508191799688. 352010501799715/353508191799712. 352010501799731/353508191799738. 352010501799756/353508191799753. 352010501799814/3535081917998 11. 352010501799889/353508191799886. 352010501799897/353508191799894. 352010501799913/353508191799910. 352010501799947/3535081917 99944. 352010501799996/353508191799993. 352010501800000/353508191800007. 352010501800018/353508191800015. 352010501800034/3535081 91800031. 352010501800042/353508191800049. 352010501800083/353508191800080. 352010501800091/353508191800098.352010501800117/35350 8191800114. 352010501800141/353508191800148. 352010501800158/353508191800155. 352010501800216/353508191800213. 352010501800224/35 3508191800221. 352010501800232/353508191800239. 352010501800240/353508191800247. 352010501800257/353508191800254. 352010501800265 /353508191800262. 352010501800273/353508191800270. 352010501800281/353508191800288. 352010501800307/353508191800304. 352010501800 315/353508191800312. 352010501800323/353508191800320. 352010501800356/353508191800353. 352010501800364/353508191800361. 352010501 800380/353508191800387. 352010501800398/353508191800395. 352010501800406/353508191800403. 352010501800414/353508191800411. 352010 501800455/353508191800452. 352010501800471/353508191800478. 352010501800497/353508191800494. 352010501800505/353508191800502. 352 010501800513/353508191800510. 352010501800521/353508191800528. 352010501800539/353508191800536. 352010501800547/353508191800544. 352010501800554/353508191800551. 352010501800562/353508191800569. 352010501800570/353508191800577. 352010501800588/35350819180058 5. 352010501800596/353508191800593. 352010501800604/353508191800601. 352010501800612/353508191800619. 352010501800620/35350819180 0627. 352010501800653/353508191800650. 352010501800661/353508191800668. 352010501800679/353508191800676. 352010501800687/35350819 1800684. 352010501800711/353508191800718. 352010501800729/353508191800726. 352010501800737/353508191800734. 352010501800752/35350 8191800759. 352010501800760/353508191800767. 352010501800794/353508191800791. 352010501800810/353508191800817. 352010501800836/35 3508191800833. 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352010501802451/353508191802458. 352010501802485/353508191802482.352010501802501/353508191802508. 352010501802519/ 353508191802516. 352010501802527/353508191802524. 352010501802535/353508191802532. 352010501802550/353508191802557. 3520105018025 76/353508191802573. 352010501802592/353508191802599. 352010501802618/353508191802615. 352010501802675/353508191802672. 3520105018 02691/353508191802698. 352010501802766/353508191802763. 352010501802790/353508191802797. 352010501802816/353508191802813. 3520105 01802824/353508191802821. 352010501802832/353508191802839. 352010501802840/353508191802847. 352010501802865/353508191802862. 3520 10501802881/353508191802888. 352010501802899/353508191802896. 352010501802907/353508191802904. 352010501802915/353508191802912. 3 52010501802923/353508191802920. 352010501802949/353508191802946. 352010501802956/353508191802953. 352010501802972/353508191802979 . 352010501802980/353508191802987. 352010501803012/353508191803019. 352010501803038/353508191803035. 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032025001500299-3 Subpartida : 8517130000 Página 3 de 3 105. Continuación descripción mercancías (Incluya marcas, seriales y otros) 8191804256. 352010501804291/353508191804298. 352010501804309/353508191804306. 352010501804317/353508191804314. 352010501804333/35 3508191804330. 352010501804341/353508191804348. 352010501804366/353508191804363. 352010501804374/353508191804371. 352010501804390 /353508191804397. 352010501804408/353508191804405. 352010501804424/353508191804421. 352010501908498/353508191908495. 352010501908 522/353508191908529. 352010501908530/353508191908537. 352010501908555/353508191908552. 352010501908597/353508191908594XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 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Año 2025 Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones) 4. Número de formulario 032025001502048-0 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. 116575015947295 43 . Año – Mes – Día 2025 – 08 – 21 44 . Documento de transporte No. SHAN0414172 45 . Año – Mes – Día 2025 – 08 – 14 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 9103704109 52 . Año – Mes – Día 2025 – 08 – 14 53 . Cod. país procedencia 855 54 . Cod. Modo Transporte 4 55 . Código de Bandera 249 56 . Cod. Depto destino 0 57 . Empresa transportadora DHL AERO EXPRESO S A SUCURSAL COLOMBIA 58 . Tasa de cambio $ cvs. 4.049.35 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 855 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. 162.50 72 . Peso neto kgs. dcms. 147.15 73 . Código embalaje YY 74 . No. bultos 1 75 . Subpartidas 1 76 . Cod. unidad comercial U 77 . Cantidad dcms. 450.00 78 .Valor FOB USD 96.265.69 79 . Valor fletes USD 1.309.75 Concepto % Base Total Liquidado ($) Total a pagar con esta declaración ($) Total Liquidado (USD) Arancel 92 0.00 93 395.130.147 94 0 95 0 96 0.00 I.V.A. 97 0.00 98 395.130.147 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 3.22 81 . Valor Otros Gastos USD 0 82 . Sumatoria de fletes, seguros y otros gastos USD 1.312.97 83 . Ajuste valor USD 0.00 84 . Valor aduana USD 97.578.66 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: 569422-DECL: 1945399-DO: 893120463251- 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: 3096147650. ID DELIVERY: 6083912490. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A566EZGFCOM, PRODUCTO: TELEFONO CELULAR GALAXY A56 5G – DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE, MODELO: SM-A566E, 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: Después de insp.: levante No hay declaración posterior Acta de inspección No.: 032025000067382 Inició: 2025-08-22 11:08:53 Finalizó: 2025-08-22 21:07:00 131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración 032025001502048 133. Feha: 202508 16 134 . Levante No. 032025001281344 135 . Fecha 2025 – 08 – 22 Firma funcionario responsable 136 . Nombre ANDREA PAOLA GRAJALES GAVIRIA 137 . C.C. No. 52902986 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 92032506331496 Fecha presentación 2025-08-16 12:25:06 Valor pagado $0.00 Fecha de Impresión: 2025-08-22 21:22:05 Page 1 REPÚBLICA DE COLOMBIA Declaración de Importación Aceptación : 032025001502048-0 Subpartida : 8517130000 Página 1 de 2 105. Continuación descripción mercancías (Incluya marcas, seriales y otros) AL DETAL/ /MOBILE,SM-A566E,GREEN,COM( QTY. 450,00 u )(450,00 PCE); IMEIS: 352010501783297/353508191783294. 352010501783305/35350 8191783302. 352010501783313/353508191783310. 352010501783347/353508191783344. 352010501783354/353508191783351. 352010501783362/35 3508191783369. 352010501783370/353508191783377. 352010501783388/353508191783385. 352010501783396/353508191783393. 352010501783446 /353508191783443. 352010501783479/353508191783476. 352010501783503/353508191783500. 352010501783511/353508191783518. 352010501783 560/353508191783567. 352010501783602/353508191783609. 352010501783610/353508191783617. 352010501783628/353508191783625. 352010501 783636/353508191783633. 352010501783651/353508191783658. 352010501783669/353508191783666. 352010501783693/353508191783690. 352010 501783701/353508191783708. 352010501783719/353508191783716. 352010501783735/353508191783732. 352010501783743/353508191783740. 352 010501783750/353508191783757. 352010501783776/353508191783773. 352010501783784/3535081917837 81. 352010501783792/353508191783799. 352010501783800/353508191783807.352010501783834/353508191783831. 352010501783842/353508191783849. 352010501783867/35350819178386 4. 352010501783883/353508191783880. 352010501783958/353508191783955. 352010501783982/353508191783989. 352010501784014/35350819178 4011. 352010501784022/353508191784029. 352010501784048/353508191784045. 352010501784055/353508191784052. 352010501784063/35350819 1784060. 352010501784097/353508191784094. 352010501784105/353508191784102. 352010501784139/353508191784136. 352010501784147/35350 8191784144. 352010501784154/353508191784151. 352010501784162/353508191784169.352010501784170/353508191784177. 352010501784196/353 508191784193. 352010501784220/353508191784227. 352010501784246/353508191784243. 352010501784253/353508191784250. 352010501784279/ 353508191784276. 352010501784295/353508191784292. 352010501784311/353508191784318. 352010501784329/353508191784326. 3520105017843 37/353508191784334. 352010501784352/353508191784359. 352010501784428/353508191784425. 352010501784436/353508191784433. 3520105017 84469/353508191784466. 352010501784519/353508191784516. 352010501784527/353508191784524. 352010501784535/353508191784532. 3520105 01784543/353508191784540. 352010501784550/353508191784557. 352010501784592/353508191784599. 352010501784600/353508191784607. 3520 10501784618/353508191784615. 352010501784626/353508191784623. 352010501784634/353508191784631. 352010501784642/353508191784649. 3 52010501784667/353508191784664. 352010501784683/353508191784680. 352010501784691/353508191784698. 352010501784725/353508191784722 . 352010501784741/353508191784748. 352010501784758/353508191784755. 352010501784808/353508191784805. 352010501784824/353508191784 821. 352010501784832/353508191784839. 352010501784873/353508191784870. 352010501784899/353508191784896. 352010501784915/353508191 784912. 352010501784923/353508191784920. 352010501784949/353508191784946. 352010501784956/353508191784953. 352010501784972/353508 191784979. 352010501784998/353508191784995. 352010501785003/353508191785000. 352010501785029/353508191785026. 352010501785037/353 508191785034. 352010501785060/353508191785067. 352010501785086/353508191785083. 352010501785110/353508191785117. 352010501785128/ 353508191785125. 352010501785136/353508191785133. 352010501785227/353508191785224. 352010501785292/353508191785299. 3520105017853 00/353508191785307.352010501785318/353508191785315. 352010501785326/353508191785323. 352010501785375/353508191785372. 35201050178 5383/353508191785380. 352010501785417/353508191785414. 352010501785425/353508191785422. 352010501785474/353508191785471. 35201050 1785490/353508191785497. 352010501785508/353508191785505. 352010501785524/353508191785521. 352010501785532/353508191785539. 35201 0501785573/353508191785570. 352010501785623/353508191785620. 352010501785649/353508191785646. 352010501785656/353508191785653. 35 2010501785664/353508191785661. 352010501785672/353508191785679.352010501785680/353508191785687. 352010501785698/353508191785695. 352010501785706/353508191785703. 352010501785730/353508191785737. 352010501785748/353508191785745. 352010501785755/35350819178575 2. 352010501785763/353508191785760. 352010501785797/353508191785794. 352010501785896/353508191785893. 352010501785946/35350819178 5943. 352010501785987/353508191785984. 352010501786019/353508191786016. 352010501786050/353508191786057. 352010501786068/35350819 1786065. 352010501786084/353508191786081. 352010501786118/353508191786115. 352010501786191/353508191786198. 352010501786217/35350 8191786214. 352010501786225/353508191786222. 352010501786233/353508191786230. 352010501786258/353508191786255. 352010501786274/35 3508191786271. 352010501786308/353508191786305. 352010501786316/353508191786313. 352010501786324/353508191786321. 352010501786332 /353508191786339. 352010501786340/353508191786347. 352010501786373/353508191786370. 352010501786399/353508191786396. 352010501786 449/353508191786446. 352010501786480/353508191786487. 352010501786498/353508191786495. 352010501786506/353508191786503. 352010501 786522/353508191786529. 352010501786548/353508191786545. 352010501786555/353508191786552. 352010501786563/353508191786560. 352010 501786571/353508191786578. 352010501786613/353508191786610. 352010501786647/353508191786644. 352010501786662/353508191786669. 352 010501786696/353508191786693. 352010501786746/353508191786743. 352010501786753/353508191786750. 352010501786787/353508191786784. 352010501786795/353508191786792. 352010501786845/353508191786842. 352010501786852/353508191786859. 352010501786878/35350819178687 5. 352010501786910/353508191786917. 352010501786951/353508191786958. 352010501787025/353508191787022. 352010501787033/35350819178 7030.352010501787066/353508191787063. 352010501787082/353508191787089. 352010501787090/353508191787097. 352010501787108/353508191 787105. 352010501787140/353508191787147. 352010501787157/353508191787154. 352010501787165/353508191787162. 352010501787207/353508 191787204. 352010501787215/353508191787212. 352010501787249/353508191787246. 352010501787272/353508191787279. 352010501787280/353 508191787287. 352010501787306/353508191787303. 352010501787322/353508191787329. 352010501787348/353508191787345. 352010501787355/ 353508191787352. 352010501787371/353508191787378.352010501787389/353508191787386. 352010501787397/353508191787394. 35201050178740 5/353508191787402. 352010501787413/353508191787410. 352010501787421/353508191787428. 352010501787439/353508191787436. 35201050178 7454/353508191787451. 352010501787462/353508191787469. 352010501787470/353508191787477. 352010501787504/353508191787501. 35201050 1787561/353508191787568. 352010501787579/353508191787576. 352010501787595/353508191787592. 352010501787603/353508191787600. 35201 0501787611/353508191787618. 352010501787629/353508191787626. 352010501787645/353508191787642. 352010501787652/353508191787659. 35 2010501787660/353508191787667. 352010501787678/353508191787675. 352010501787686/353508191787683. 352010501787702/353508191787709. 352010501787728/353508191787725. 352010501787751/353508191787758. 352010501787769/353508191787766. 352010501787785/3535081917877 82. 352010501787801/353508191787808. 352010501787827/353508191787824. 352010501787835/353508191787832. 352010501787843/3535081917 87840. 352010501787868/353508191787865. 352010501787900/353508191787907. 352010501787926/353508191787923. 352010501787934/3535081 91787931. 352010501787942/353508191787949. 352010501787959/353508191787956. 352010501787967/353508191787964. 352010501787975/3535 08191787972. 352010501787983/353508191787980. 352010501788023/353508191788020. 352010501788031/353508191788038. 352010501788049/3 53508191788046. 352010501788064/353508191788061. 352010501788080/353508191788087. 352010501788098/353508191788095. 35201050178810 6/353508191788103. 352010501788114/353508191788111. 352010501788122/353508191788129. 352010501788148/353508191788145. 35201050178 8171/353508191788178. 352010501788213/353508191788210. 352010501788221/353508191788228. 352010501788239/353508191788236.352010501 788247/353508191788244. 352010501788254/353508191788251. 352010501788288/353508191788285. 352010501788296/353508191788293. 352010 501788304/353508191788301. 352010501788320/353508191788327. 352010501788338/353508191788335. 352010501788346/353508191788343. 352 010501788353/353508191788350. 352010501788361/353508191788368. 352010501788379/353508191788376. 352010501788395/353508191788392. 352010501788403/353508191788400. 352010501788411/353508191788418. 352010501788429/353508191788426. 352010501788437/35350819178843 4. 352010501788452/353508191788459.352010501788460/353508191788467. 352010501788478/353508191788475. 352010501788486/353508191788 483. 352010501788494/353508191788491. 352010501788502/353508191788509. 352010501788528/353508191788525. 352010501788551/353508191 788558. 352010501788577/353508191788574. 352010501788585/353508191788582. 352010501788601/353508191788608. 352010501788627/353508 191788624. 352010501788635/353508191788632. 352010501788726/353508191788723. 352010501788742/353508191788749. 352010501788759/353 508191788756. 352010501788767/353508191788764. 352010501788775/353508191788772. 352010501788809/353508191788806. 352010501788817/ 353508191788814. 352010501788833/353508191788830. 352010501788858/353508191788855. 352010501788866/353508191788863. 3520105017888 90/353508191788897. 352010501788957/353508191788954. 352010501788981/353508191788988. 352010501789005/353508191789002. 3520105017 89039/353508191789036. 352010501789062/353508191789069. 352010501789088/353508191789085. 352010501789112/353508191789119. 3520105 01789187/353508191789184. 352010501789203/353508191789200. 352010501789229/353508191789226. 352010501789237/353508191789234. 3520 032025001502048-0 Espacio para uso exclusivo de la Entidad Recaudadora Page 2 REPÚBLICA DE COLOMBIA Declaración de Importación Aceptación : 032025001502048-0 Subpartida : 8517130000 Página 2 de 2 105. Continuación descripción mercancías (Incluya marcas, seriales y otros) 10501789245/353508191789242. 352010501789310/353508191789317. 352010501789369/353508191789366. 352010501789393/353508191789390. 3 52010501789401/353508191789408. 352010501789450/353508191789457. 352010501789500/353508191789507. 352010501789518/353508191789515 . 352010501789542/353508191789549. 352010501789559/353508191789556. 352010501789583/353508191789580. 352010501789617/353508191789 614. 352010501789641/353508191789648. 352010501789674/353508191789671. 352010501789682/353508191789689. 352010501789690/353508191 789697. 352010501789732/353508191789739. 352010501789740/353508191789747. 352010501789757/353508191789754.352010501789773/3535081 91789770. 352010501789807/353508191789804. 352010501789815/353508191789812. 352010501789823/353508191789820. 352010501789831/3535 08191789838. 352010501789849/353508191789846. 352010501789856/353508191789853. 352010501789880/353508191789887. 352010501789898/3 53508191789895. 352010501789906/353508191789903. 352010501789914/353508191789911. 352010501789922/353508191789929. 35201050178995 5/353508191789952. 352010501789963/353508191789960. 352010501789971/353508191789978. 352010501789989/353508191789986. 35201050179 0003/353508191790000.352010501790045/353508191790042. 352010501790052/353508191790059. 352010501790060/353508191790067. 352010501 790078/353508191790075. 352010501790102/353508191790109. 352010501790110/353508191790117. 352010501790201/353508191790208. 352010 501790227/353508191790224. 352010501790235/353508191790232. 352010501790243/353508191790240. 352010501790284/353508191790281. 352 010501790300/353508191790307. 352010501790326/353508191790323. 352010501790334/353508191790331. 352010501790342/353508191790349. 352010501790375/353508191790372. 352010501790383/353508191790380. 352010501790417/353508191790414. 352010501790482/35350819179048 9. 352010501790490/353508191790497. 352010501790532/353508191790539. 352010501790540/353508191790547. 352010501790557/35350819179 0554. 352010501790565/353508191790562. 352010501790573/353508191790570. 352010501790581/353508191790588. 352010501790706/35350819 1790703. 352010501790714/353508191790711. 352010501790722/353508191790729. 352010501790748/353508191790745. 352010501790755/35350 8191790752. 352010501790763/353508191790760. 352010501790789/353508191790786. 352010501790797/353508191790794. 352010501790805/35 3508191790802. 352010501790821/353508191790828. 352010501790854/353508191790851. 352010501790862/353508191790869. 352010501790870 /353508191790877. 352010501790896/353508191790893. 352010501790904/353508191790901. 352010501790912/353508191790919. 352010501790 938/353508191790935. 352010501790946/353508191790943. 352010501790961/353508191790968. 352010501790979/353508191790976. 352010501 790995/353508191790992. 352010501791001/353508191791008. 352010501791019/353508191791016. 352010501791027/353508191791024. 352010 501791050/353508191791057. 352010501791068/353508191791065. 352010501791076/353508191791073.352010501791084/353508191791081. 3520 10501791092/353508191791099. 352010501791126/353508191791123. 352010501791134/353508191791131. 352010501791159/353508191791156. 3 52010501791167/353508191791164. 352010501791175/353508191791172. 352010501791183/353508191791180. 352010501791209/353508191791206 . 352010501791217/353508191791214. 352010501791225/353508191791222. 352010501791241/353508191791248. 352010501791266/353508191791 263. 352010501791282/353508191791289. 352010501791290/353508191791297. 352010501791316/353508191791313. 352010501791324/353508191 791321.352010501791332/353508191791339. 352010501791340/353508191791347. 352010501791357/353508191791354. 352010501791373/3535081 91791370. 352010501791381/353508191791388. 352010501791399/353508191791396. 352010501791415/353508191791412. 352010501791456/3535 08191791453. 352010501791464/353508191791461. 352010501791480/353508191791487. 352010501791498/353508191791495. 352010501791506/3 53508191791503. 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