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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
032025001506097-1
5 . Número de Identificación Tributaria (NIT)
800091549
6 . DV.
2
11 . Apellidos y nombres o Razón Social
IMPRESISTEM S A S
13 . Dirección
AUT MEDELLIN CL 80 KM 2
15 . Teléfono
8766500
12 . Cód. Admón.
03
16 . Cód. Dpto
25
17 . Cód. Ciudad Municipio
214
24 . Número de Identificación Tributaria (NIT)
830122083
25 . DV.
6
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS LATINOAMERICANA DE ADUANAS SAS NIVEL 2
27 . Tipo usuario
26
28 . Cód. usuario
459
29 . Número documento de identificación
1023862658
30 . Apellidos y nombres
GONZALEZ ACERO KELLY JOHANNA
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
26924
42 . Manifiesto de carga
No. 116575015915310
43 . Año – Mes – Día
2025 – 08 – 13
44 . Documento de transporte
No. SZMI20253448
45 . Año – Mes – Día
2025 – 08 – 10
46 . Nombre exportador o proveedor en el exterior
IMC INTERNATIONAL INC
47 . Ciudad
MIAMI
48 . Cod.País Exportador
249
49 . Dirección exportador o proveedor en el exterior
7707 NW 46 STREET MIAMI, FL 33166
50 . E-mail
3059947965
51 . No. de factura
23600
52 . Año – Mes – Día
2025 – 08 – 10
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
ATLAS AIR INC SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.048.74
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
03
69 . Tipo de
importación
01
70 . Cod. país
compra
249
71 . Peso bruto kgs. dcms.
547.00
72 . Peso neto kgs. dcms.
492.30
73 . Código
embalaje
PK
74 . No. bultos
2
75 . Subpartidas
1
76 . Cod. unidad
comercialU
77 . Cantidad dcms.
960.00
78 .Valor FOB USD 79 . Valor fletes USD
Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($)
Total Liquidado
(USD)
Arancel 92
0.00
93 94
0
95
0
96
0.00
I.V.A. 97
0.00
98 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 81 . Valor Otros Gastos USD
0
82 . Sumatoria de fletes, seguros
y otros gastos USD
83 . Ajuste valor USD
0.00
84 . Valor aduana USD 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 202534776 CODIGO / RESOLUCION OEA IMPORTADOR: OE0169; DECLARACION(1-1) NOS ACOGEMOS AL ART 424 DEL ESTATUTO TRIBUTARIO MODIFIC
ADO POR LEY 1819 DE 29 DE DICIEMBRE 2016, NUEVA REFORMA TRIBUTARIA, ART 175 PARA COMPUTADORES PORTATILES, DE ESCRITORIO TABLETAS
Y CELULARES. // HOMOLOGACION DE EQUIPO MARCA REDMI MODELO: 25078RA3EL RADICACION: 2025519080 FECHA: 2025-06-20 // DOCUMENTO DE VE
RIFICACION DE IMEI: DV-238809 FECHA: 2025-08-12. //. FACTURA: 23600 FECHA: 2025-08-10 NOS ACOGEMOS AL DECRETO 1881 DEL 2021, NOS
ACOGEMOS AL DECRETO 0925 DE MAYO 9 DEL 2013, MINISTERIO DE COMERCIO EXTERIOR, IMPORTACIÓN EXENTA DE REGISTRO DE IMPORTACIÓN.. CAN
T (960) U TELEFONO CELULAR, 1066809 REDMI 15C MINT GREEN 8GB RAM 256GB ROM.// ESPECIFICACIONES: PROCESADOR:(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.: 032025000064480
Inició: 2025-08-19 12:19:29 Finalizó: 2025-08-20 13:17:00
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032025001506097
133. Feha: 2025 08 19
134 . Levante No. 032025001261960 135 . Fecha
2025 – 08 – 20
Firma funcionario responsable 136 . Nombre WILSON MURCIA ROMERO
137 . C.C. No. 79858153
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 92032506357321
Fecha presentación 2025-08-19 12:18:11
Valor pagado $0.00
Fecha de Impresión: 2025-08-20 16:27:24
IM
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001506097-1
Subpartida : 8517130000
Página 1 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
Mediatek Helio G81 Ultra (12 nm), PANTALLA: 6.9 PULGADAS, MEMORIA: GB, ALMACENAMIENTO: 256 GB, SISTEMA OPERATIVO: ANDROID 15, HY
PEROS 2 EAN: 6932554456146// REDMI 15C VERDE MENTA 8GB RAM, 256 GB ROM, ALIMENTACION: 5V-3A/3,6-11V-3A 33 W MAX 50MP AI DUAL CAME
RA SYSTEM BATERIA 6000MAH (TIP) PANTALLA DE 6,9 (17,53CM) TASA DE ACTUALIZACION 120 HZ CONTIENE: TELEFONO CELULAR, ADAPTADOR, CAB
LE USB TIPO-C, LLAVE PARA SIM CARD, CARCASA, GUIA DE INICIO, TARJETA DE GARANTIA, PRODUCTO TERMOSELLADO. COD. 1066809. PRODUCTO:
TELEFONO CELULAR, MARCA: REDMI/MI, MODELO: 25078RA3EL, REFERENCIA: 69229/MZB0LCTUS, USO O DESTINO: COMUNICACIÓN, PARA ALMACENAMIE
NTO Y PROCESAMIENTO DE DATOS, SERIAL // IMEI NO. (CODIGO DE QUINCE -15- DIGITOS): 69229/65UZ00800//866939082970841//8669390829708
58, 69229/65UZ02745//866939082994262//866939082994270, 69229/65UZ03261//866939082959364//866939082959372, 69229/65UZ03616//866939
082913122//866939082913130, 69229/65UZ05415//866501076212760//866501076212778, 69229/65UZ05416//866501076212786//866501076212794,
69229/65UZ05790//866501076201128//866501076201136, 69229/65UZ05852//866501076254309//866501076254317, 69229/65UZ05960//866501076
225648//866501076225655, 69229/65UZ05971//866501076225861//866501076225879, 69229/65UZ06356//866939083109100//866939083109118, 69
229/65UZ06611//866501076242569//866501076242577, 69229/65UZ06703//866501076230424//866501076230432, 69229/65UZ06707//866501076246
404//866501076246412, 69229/65UZ06708//866501076246420//866501076246438, 69229/65UZ06710//866501076246461//866501076246479, 69229
/65UZ06711//866501076246487//866501076246495, 69229/65UZ06712//866501076246503//866501076246511, 69229/65UZ06713//866501076246529
//866501076246537, 69229/65UZ06714//866501076246545//866501076246552, 69229/65UZ06715//866501076246560//866501076246578, 69229/65
UZ06716//866501076246586//866501076246594, 69229/65UZ06997//866501076249606//866501076249614, 69229/65UZ07154//866501076221365//8
66501076221373, 69229/65UZ07256//866501076259365//866501076259373, 69229/65UZ07317//866501076246602//866501076246610, 69229/65UZ0
7318//866501076246628//866501076246636, 69229/65UZ07319//866501076246644//866501076246651, 69229/65UZ07320//866501076246669//8665
01076246677, 69229/65UZ07321//866501076246685//866501076246693, 69229/65UZ07322//866501076246701//866501076246719, 69229/65UZ0732
3//866501076246727//866501076246735, 69229/65UZ07324//866501076246743//866501076246750, 69229/65UZ07328//866501076246826//8665010
76246834, 69229/65UZ07330//866501076246867//866501076246875, 69229/65UZ07331//866501076246883//866501076246891, 69229/65UZ07332//
866501076246909//866501076246917, 69229/65UZ07333//866501076246925//866501076246933, 69229/65UZ07334//866501076246941//8665010762
46958, 69229/65UZ07335//866501076246966//866501076246974, 69229/65UZ07336//866501076246982//866501076246990, 69229/65UZ07338//866
501076247022//866501076247030, 69229/65UZ07341//866501076247089//866501076247097, 69229/65UZ09130//866501076226844//8665010762268
51, 69229/65UZ09137//866501076226984//866501076226992, 69229/65UZ09772//866501076243583//866501076243591, 69229/65UZ09808//866501
076245786//866501076245794, 69229/65UZ09834//866501076246305//866501076246313, 69229/65UZ09867//866501076248327//866501076248335,
69229/65UZ10026//866939083056863//866939083056871, 69229/65UZ10072//866939083008286//866939083008294, 69229/65UZ10074//866939083
008328//866939083008336, 69229/65UZ10139//866939083044463//866939083044471, 69229/65UZ10154//866939083060667//866939083060675, 69
229/65UZ10193//866939082995269//866939082995277, 69229/65UZ10198//866939083062945//866939083062952, 69229/65UZ10201//866939083063
000//866939083063018, 69229/65UZ10204//866939083063067//866939083063075, 69229/65UZ10222//866939083063422//866939083063430, 69229
/65UZ10236//866939083047524//866939083047532, 69229/65UZ10252//866939083063745//866939083063752, 69229/65UZ10262//866939083063943
//866939083063950, 69229/65UZ10275//866939083048027//866939083048035, 69229/65UZ10278//866939083048084//866939083048092, 69229/65
UZ10279//866939083048100//866939083048118, 69229/65UZ10281//866939083048142//866939083048159, 69229/65UZ10283//866939083048183//8
66939083048191, 69229/65UZ10284//866939083048209//866939083048217, 69229/65UZ10285//866939083048225//866939083048233, 69229/65UZ1
0286//866939083048241//866939083048258, 69229/65UZ10287//866939083048266//866939083048274, 69229/65UZ10288//866939083048282//8669
39083048290, 69229/65UZ10290//866939083048324//866939083048332, 69229/65UZ10291//866939083048340//866939083048357, 69229/65UZ1029
2//866939083048365//866939083048373, 69229/65UZ10294//866939083048407//866939083048415, 69229/65UZ10296//866939083048449//8669390
83048456, 69229/65UZ10297//866939083048464//866939083048472, 69229/65UZ10298//866939083048480//866939083048498, 69229/65UZ10299//
866939083048506//866939083048514, 69229/65UZ10300//866939083048522//866939083048530, 69229/65UZ10301//866939083048548//8669390830
48555, 69229/65UZ10302//866939083048563//866939083048571, 69229/65UZ10303//866939083048589//866939083048597, 69229/65UZ10305//866
939083048621//866939083048639, 69229/65UZ10309//866939083048704//866939083048712, 69229/65UZ10366//866939083033342//8669390830333
59, 69229/65UZ10373//866939083033482//866939083033490, 69229/65UZ10375//866939083033524//866939083033532, 69229/65UZ10378//866939
083033581//866939083033599, 69229/65UZ10379//866939083033607//866939083033615, 69229/65UZ10380//866939083033623//866939083033631,
69229/65UZ10381//866939083033649//866939083033656, 69229/65UZ10384//866939083033706//866939083033714, 69229/65UZ10385//866939083
033722//866939083033730, 69229/65UZ10387//866939083033763//866939083033771, 69229/65UZ10388//866939083033789//866939083033797, 69
229/65UZ10390//866939083033821//866939083033839, 69229/65UZ10391//866939083033847//866939083033854, 69229/65UZ10392//866939083033
862//866939083033870, 69229/65UZ10393//866939083033888//866939083033896, 69229/65UZ10394//866939083033904//866939083033912, 69229
/65UZ10405//866939083017907//866939083017915, 69229/65UZ10408//866939083017964//866939083017972, 69229/65UZ10419//866939083034084
//866939083034092, 69229/65UZ10422//866939083034142//866939083034159, 69229/65UZ10426//866939083034225//866939083034233, 69229/65
UZ10430//866939083034308//866939083034316, 69229/65UZ10431//866939083034324//866939083034332, 69229/65UZ10436//866939083018202//8
66939083018210, 69229/65UZ10437//866939083018228//866939083018236, 69229/65UZ10438//866939083018244//866939083018251, 69229/65UZ1
0439//866939083018269//866939083018277, 69229/65UZ10440//866939083018285//866939083018293, 69229/65UZ10441//866939083018301//8669
39083018319, 69229/65UZ10442//866939083018327//866939083018335, 69229/65UZ10443//866939083018343//866939083018350, 69229/65UZ1044
5//866939083018384//866939083018392, 69229/65UZ10446//866939083018400//866939083018418, 69229/65UZ10447//866939083018426//8669390
83018434, 69229/65UZ10449//866939083018467//866939083018475, 69229/65UZ10451//866939083018509//866939083018517, 69229/65UZ10452//
866939083018525//866939083018533, 69229/65UZ10456//866939083018608//866939083018616, 69229/65UZ10457//866939083018624//8669390830
18632, 69229/65UZ10458//866939083018640//866939083018657, 69229/65UZ10459//866939083018665//866939083018673, 69229/65UZ10460//866
939083018681//866939083018699, 69229/65UZ10461//866939083018707//866939083018715, 69229/65UZ10462//866939083018723//8669390830187
31, 69229/65UZ10465//866939083018780//866939083018798, 69229/65UZ10466//866939083018806//866939083018814, 69229/65UZ10467//866939
083018822//866939083018830, 69229/65UZ10469//866939083018863//866939083018871, 69229/65UZ10470//866939083018889//866939083018897,
69229/65UZ10471//866939083018905//866939083018913, 69229/65UZ10473//866939083018947//866939083018954, 69229/65UZ10474//866939083
018962//866939083018970, 69229/65UZ10478//866939083002826//866939083002834, 69229/65UZ10479//866939083002842//866939083002859, 69
229/65UZ10480//866939083002867//866939083002875, 69229/65UZ10491//866939083003089//866939083003097, 69229/65UZ10492//866939083003
105//866939083003113, 69229/65UZ10499//866939083019143//866939083019150, 69229/65UZ10500//866939083019168//866939083019176, 69229
/65UZ10501//866939083019184//866939083019192, 69229/65UZ10502//866939083019200//866939083019218, 69229/65UZ10504//866939083019242
//866939083019259, 69229/65UZ10511//866939083019382//866939083019390, 69229/65UZ10512//866939083019408//866939083019416, 69229/65
UZ10538//866939083003709//866939083003717, 69229/65UZ10546//866939083003865//866939083003873, 69229/65UZ10584//866939083004301//8
66939083004319, 69229/65UZ10606//866939083072266//866939083072274, 69229/65UZ10628//866939083057168//866939083057176, 69229/65UZ1
0651//866939083006660//866939083006678, 69229/65UZ10666//866939083008500//866939083008518, 69229/65UZ10673//866939083024549//8669
39083024556, 69229/65UZ10684//866939083024762//866939083024770, 69229/65UZ10691//866939083024903//866939083024911, 69229/65UZ1069
5//866939083042467//866939083042475, 69229/65UZ10697//866939083042509//866939083042517, 69229/65UZ10707//866939083042707//8669390
83042715, 69229/65UZ10710//866939083042764//866939083042772, 69229/65UZ10715//866939083042863//866939083042871, 69229/65UZ10737//
866939083060824//866939083060832, 69229/65UZ10740//866939083060881//866939083060899, 69229/65UZ10748//866939083061046//8669390830
61053, 69229/65UZ10752//866939083061129//866939083061137, 69229/65UZ10755//866939083061186//866939083061194, 69229/65UZ10758//866
939083061244//866939083061251, 69229/65UZ10761//866939083061301//866939083061319, 69229/65UZ10763//866939083061343//8669390830613
50, 69229/65UZ10805//866939082996028//866939082996036, 69229/65UZ10813//866939082996184//866939082996192, 69229/65UZ10818//866939
032025001506097-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001506097-1
Subpartida : 8517130000
Página 2 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
082996283//866939082996291, 69229/65UZ10823//866939082996382//866939082996390, 69229/65UZ10824//866939082996408//866939082996416,
69229/65UZ10825//866939082996424//866939082996432, 69229/65UZ10826//866939082996440//866939082996457, 69229/65UZ10828//866939082
996481//866939082996499, 69229/65UZ10829//866939082996507//866939082996515, 69229/65UZ10830//866939082996523//866939082996531, 69
229/65UZ10875//866939083064743//866939083064750, 69229/65UZ10886//866939083064966//866939083064974, 69229/65UZ10887//866939083064
982//866939083064990, 69229/65UZ10893//866939083065104//866939083065112, 69229/65UZ10895//866939083065146//866939083065153, 69229
/65UZ10896//866939083065161//866939083065179, 69229/65UZ10897//866939083065187//866939083065195, 69229/65UZ10898//866939083065203
//866939083065211, 69229/65UZ10901//866939083065260//866939083065278, 69229/65UZ10924//866939083049587//866939083049595, 69229/65
UZ10948//866939083049868//866939083049876, 69229/65UZ10949//866939083049884//866939083049892, 69229/65UZ10954//866939083049983//8
66939083049991, 69229/65UZ10956//866939083050023//866939083050031, 69229/65UZ10960//866939083050106//866939083050114, 69229/65UZ1
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032025001506097-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
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Aceptación : 032025001506097-1
Subpartida : 8517130000
Página 3 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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Página 5 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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66939083002578, 69229/65UZ13583//866939083002586//866939083002594, 69229/65UZ13584//866939083002602//866939083002610, 69229/65UZ1
3585//866939083002628//866939083002636, 69229/65UZ13586//866939083002644//866939083002651, 69229/65UZ13588//866939083002685//8669
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69229/65UZ13615//866939083070724//866939083070732, 69229/65UZ13616//866939083070740//866939083070757, 69229/65UZ13617//866939083
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989//866939083070997, 69229/65UZ13629//866939083071003//866939083071011, 69229/65UZ13630//866939083071029//866939083071037, 69229
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3802//866939083009243//866939083009250, 69229/65UZ13804//866939083009284//866939083009292, 69229/65UZ13806//866939083009326//8669
39083009334, 69229/65UZ13807//866939083009342//866939083009359, 69229/65UZ13808//866939083009367//866939083009375, 69229/65UZ1380
032025001506097-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
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Página 6 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
9//866939083009383//866939083009391, 69229/65UZ13810//866939083009409//866939083009417, 69229/65UZ13811//866939083009425//8669390
83009433, 69229/65UZ13812//866939083009441//866939083009458, 69229/65UZ13813//866939083009466//866939083009474, 69229/65UZ13814//
866939083009482//866939083009490, 69229/65UZ13815//866939083009508//866939083009516, 69229/65UZ13816//866939083009524//8669390830
09532, 69229/65UZ13817//866939083009540//866939083009557, 69229/65UZ13818//866939083009565//866939083009573, 69229/65UZ13819//866
939083025488//866939083025496, 69229/65UZ13820//866939083025504//866939083025512, 69229/65UZ13821//866939083025520//8669390830255
38, 69229/65UZ13822//866939083025546//866939083025553, 69229/65UZ13823//866939083025561//866939083025579, 69229/65UZ13824//866939
083025587//866939083025595, 69229/65UZ13825//866939083025603//866939083025611, 69229/65UZ13826//866939083025629//866939083025637,
69229/65UZ13828//866939083025660//866939083025678, 69229/65UZ13829//866939083025686//866939083025694, 69229/65UZ13831//866939083
025728//866939083025736, 69229/65UZ13857//866939083043689//866939083043697, 69229/65UZ13885//866939083061681//866939083061699, 69
229/65UZ13886//866939083061707//866939083061715, 69229/65UZ13913//866939083062721//866939083062739, 69229/65UZ13916//866939083062
788//866939083062796, PAIS ORIGEN: CHINA – 215. //XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001506097-1
Espacio para uso exclusivo de la Entidad Recaudadora
