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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
032025001506492-6
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. 116575015915414
43 . Año – Mes – Día
2025 – 08 – 12
44 . Documento de transporte
No. SZX71032538
45 . Año – Mes – Día
2025 – 08 – 07
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
23588
52 . Año – Mes – Día
2025 – 08 – 07
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.
4.048.74
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.
827.50
72 . Peso neto kgs. dcms.
744.75
73 . Código
embalaje
PK
74 . No. bultos
2
75 . Subpartidas
1
76 . Cod. unidad
comercialU
77 . Cantidad dcms.
1.500.00
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 202534780 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-238926 FECHA: 2025-08-13. //. FACTURA: 23588 FECHA: 2025-08-07 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 (1500) U TELEFONO CELULAR, 1066806 MOBILE PHONE Redmi 15C Midnight Black 4GB RAM 128GB ROM.// ESPECIFICAC(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.: 032025000064487
Inició: 2025-08-19 12:47:58 Finalizó: 2025-08-20 13:19:00
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032025001506492
133. Feha: 2025 08 19
134 . Levante No. 032025001261967 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 92032506358421
Fecha presentación 2025-08-19 12:46:35
Valor pagado $0.00
Fecha de Impresión: 2025-08-20 17:09:39
IM
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001506492-6
Subpartida : 8517130000
Página 1 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
IONES: PROCESADOR: Mediatek Helio G81 Ultra (12 nm), PANTALLA: 6.67 PULGADAS, MEMORIA: 4GB, ALMACENAMIENTO: 128 GB, SISTEMA OPERA
TIVO: ANDROID 15, HYPEROS 2, EAN: 6932554444853 // REDMI 15C NEGRO OCASO 4GB RAM, 128 GB ROM, ALIMENTACION: 5V-3A/3,6A-11V-3A 33
W MAX 50MP AI DUAL CAMERA SYSTEM BATERIA 6000MAH (TIP) CRAGA RAPIDA 33W PANTALLA GRANDE 6,9 PULGADAS (17,53CM) TASA DER ACTUALIZA
CION 120HZ, CONTIENE: TELEFONO CELULAR, ADAPTADOR, CABLE USB TIPO-C, LLAVE PARA SIM CARD, CARCASA, GUIA DE INICIO, TARJETA DE GAR
ANTIA//PRODUCTO TERMOSELLADO COD. 1066806; PRODUCTO: TELEFONO CELULAR, MARCA: REDMI/MI, MODELO: 25078RA3EL, REFERENCIA: 67519/MZB
0KO9US, USO O DESTINO: COMUNICACIÓN, PARA ALMACENAMIENTO Y PROCESAMIENTO DE DATOS, SERIAL: NO TIENE, IMEI NO. (CODIGO DE QUINCE –
15- DIGITOS): 67519/65UF03001//865327077885821//865327077885839, 67519/65UF03002//865327077885847//865327077885854, 67519/65UF030
04//865327077885888//865327077885896, 67519/65UF03005//865327077885904//865327077885912, 67519/65UF03006//865327077885920//865327
077885938, 67519/65UF03007//865327077885946//865327077885953, 67519/65UF03008//865327077885961//865327077885979, 67519/65UF03009/
/865327077885987//865327077885995, 67519/65UF03011//865327077886027//865327077886035, 67519/65UF03012//865327077886043//865327077
886050, 67519/65UF03013//865327077819986//865327077819994, 67519/65UF03016//865327077820042//865327077820059, 67519/65UF03017//86
5327077820067//865327077820075, 67519/65UF03021//865327077820141//865327077820158, 67519/65UF03023//865327077820182//865327077820
190, 67519/65UF03026//865327077820240//865327077820257, 67519/65UF03028//865327077820281//865327077820299, 67519/65UF03032//86532
7077820364//865327077820372, 67519/65UF03036//865327077820448//865327077820455, 67519/65UF03038//865327077820489//865327077820497
, 67519/65UF03040//865327077820521//865327077820539, 67519/65UF03041//865327077820547//865327077820554, 67519/65UF03047//86532707
7820661//865327077820679, 67519/65UF03048//865327077820687//865327077820695, 67519/65UF03049//865327077820703//865327077820711, 6
7519/65UF03059//865327077821461//865327077821479, 67519/65UF03061//865327077821503//865327077821511, 67519/65UF03062//86532707782
1529//865327077821537, 67519/65UF03064//865327077821560//865327077821578, 67519/65UF03065//865327077821586//865327077821594, 6751
9/65UF03067//865327077821628//865327077821636, 67519/65UF03068//865327077821644//865327077821651, 67519/65UF03069//86532707782166
9//865327077821677, 67519/65UF03070//865327077821685//865327077821693, 67519/65UF03071//865327077821701//865327077821719, 67519/6
5UF03073//865327077821743//865327077821750, 67519/65UF03074//865327077821768//865327077821776, 67519/65UF03076//865327077821800//
865327077821818, 67519/65UF03080//865327077821883//865327077821891, 67519/65UF03084//865327077821966//865327077821974, 67519/65UF
03088//865327077822048//865327077822055, 67519/65UF03091//865327077837947//865327077837954, 67519/65UF03092//865327077837962//865
327077837970, 67519/65UF03093//865327077822709//865327077822717, 67519/65UF03094//865327077822725//865327077822733, 67519/65UF030
95//865327077822741//865327077822758, 67519/65UF03096//865327077822766//865327077822774, 67519/65UF03099//865327077822824//865327
077822832, 67519/65UF03100//865327077822840//865327077822857, 67519/65UF03101//865327077822865//865327077822873, 67519/65UF03102/
/865327077822881//865327077822899, 67519/65UF03103//865327077822907//865327077822915, 67519/65UF03104//865327077822923//865327077
822931, 67519/65UF03105//865327077822949//865327077822956, 67519/65UF03106//865327077822964//865327077822972, 67519/65UF03107//86
5327077822980//865327077822998, 67519/65UF03108//865327077823004//865327077823012, 67519/65UF03110//865327077823046//865327077823
053, 67519/65UF03112//865327077823087//865327077823095, 67519/65UF03113//865327077823103//865327077823111, 67519/65UF03114//86532
7077823129//865327077823137, 67519/65UF03116//865327077839000//865327077839018, 67519/65UF03117//865327077839026//865327077839034
, 67519/65UF03118//865327077839042//865327077839059, 67519/65UF03120//865327077839083//865327077839091, 67519/65UF03121//86532707
7839109//865327077839117, 67519/65UF03122//865327077839125//865327077839133, 67519/65UF03124//865327077839166//865327077839174, 6
7519/65UF03125//865327077839182//865327077839190, 67519/65UF03126//865327077839208//865327077839216, 67519/65UF03128//86532707783
9240//865327077839257, 67519/65UF03129//865327077839265//865327077839273, 67519/65UF03130//865327077839281//865327077839299, 6751
9/65UF03131//865327077839307//865327077839315, 67519/65UF03132//865327077839323//865327077839331, 67519/65UF03150//86532707784024
8//865327077840255, 67519/65UF03187//865327077841303//865327077841311, 67519/65UF03201//865327077841584//865327077841592, 67519/6
5UF03203//865327077841626//865327077841634, 67519/65UF03216//865327077825801//865327077825819, 67519/65UF03234//865327077826163//
865327077826171, 67519/65UF03238//865327077826247//865327077826254, 67519/65UF03298//865327077894666//865327077894674, 67519/65UF
03299//865327077894682//865327077894690, 67519/65UF03303//865327077894765//865327077894773, 67519/65UF03313//865327077894963//865
327077894971, 67519/65UF03320//865327077827401//865327077827419, 67519/65UF03335//865327077895200//865327077895218, 67519/65UF033
36//865327077895226//865327077895234, 67519/65UF03337//865327077895242//865327077895259, 67519/65UF03384//865327077880087//865327
077880095, 67519/65UF03389//865327077880186//865327077880194, 67519/65UF03393//865327077896166//865327077896174, 67519/65UF03396/
/865327077896224//865327077896232, 67519/65UF03397//865327077896240//865327077896257, 67519/65UF03398//865327077896265//865327077
896273, 67519/65UF03399//865327077896281//865327077896299, 67519/65UF03402//865327077896349//865327077896356, 67519/65UF03403//86
5327077896364//865327077896372, 67519/65UF03450//865327077881226//865327077881234, 67519/65UF03480//865327077881580//865327077881
598, 67519/65UF03482//865327077881622//865327077881630, 67519/65UF03483//865327077881648//865327077881655, 67519/65UF03488//86532
7077881747//865327077881754, 67519/65UF03489//865327077881762//865327077881770, 67519/65UF03490//865327077881788//865327077881796
, 67519/65UF03493//865327077865708//865327077865716, 67519/65UF03494//865327077865724//865327077865732, 67519/65UF03495//86532707
7865740//865327077865757, 67519/65UF03496//865327077865765//865327077865773, 67519/65UF03497//865327077865781//865327077865799, 6
7519/65UF03498//865327077865807//865327077865815, 67519/65UF03499//865327077865823//865327077865831, 67519/65UF03500//86532707786
5849//865327077865856, 67519/65UF03501//865327077865864//865327077865872, 67519/65UF03502//865327077865880//865327077865898, 6751
9/65UF03503//865327077865906//865327077865914, 67519/65UF03504//865327077865922//865327077865930, 67519/65UF03505//86532707786594
8//865327077865955, 67519/65UF03508//865327077866003//865327077866011, 67519/65UF03509//865327077866029//865327077866037, 67519/6
5UF03510//865327077866045//865327077866052, 67519/65UF03511//865327077866060//865327077866078, 67519/65UF03512//865327077866086//
865327077866094, 67519/65UF03513//865327077866102//865327077866110, 67519/65UF03514//865327077866128//865327077866136, 67519/65UF
03516//865327077866169//865327077866177, 67519/65UF03517//865327077866185//865327077866193, 67519/65UF03518//865327077866201//865
327077866219, 67519/65UF03519//865327077866227//865327077866235, 67519/65UF03520//865327077866243//865327077866250, 67519/65UF035
21//865327077866268//865327077866276, 67519/65UF03522//865327077866284//865327077866292, 67519/65UF03524//865327077866326//865327
077866334, 67519/65UF03526//865327077866367//865327077866375, 67519/65UF03527//865327077866383//865327077866391, 67519/65UF03528/
/865327077866409//865327077866417, 67519/65UF03529//865327077866425//865327077866433, 67519/65UF03531//865327077866466//865327077
866474, 67519/65UF03532//865327077882380//865327077882398, 67519/65UF03533//865327077866680//865327077866698, 67519/65UF03534//86
5327077866706//865327077866714, 67519/65UF03535//865327077866722//865327077866730, 67519/65UF03536//865327077866748//865327077866
755, 67519/65UF03537//865327077866763//865327077866771, 67519/65UF03538//865327077866789//865327077866797, 67519/65UF03539//86532
7077866805//865327077866813, 67519/65UF03540//865327077866821//865327077866839, 67519/65UF03541//865327077866847//865327077866854
, 67519/65UF03542//865327077866862//865327077866870, 67519/65UF03543//865327077866888//865327077866896, 67519/65UF03544//86532707
7866904//865327077866912, 67519/65UF03545//865327077866920//865327077866938, 67519/65UF03546//865327077866946//865327077866953, 6
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7001//865327077867019, 67519/65UF03550//865327077867027//865327077867035, 67519/65UF03551//865327077867043//865327077867050, 6751
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0//865327077867118, 67519/65UF03555//865327077867126//865327077867134, 67519/65UF03556//865327077867142//865327077867159, 67519/6
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03567//865327077867365//865327077867373, 67519/65UF03570//865327077867423//865327077867431, 67519/65UF03571//865327077867449//865
327077867456, 67519/65UF03572//865327077867464//865327077867472, 67519/65UF03573//865327077868306//865327077868314, 67519/65UF035
032025001506492-6
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001506492-6
Subpartida : 8517130000
Página 2 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
74//865327077868322//865327077868330, 67519/65UF03576//865327077868363//865327077868371, 67519/65UF03584//865327077868520//865327
077868538, 67519/65UF03588//865327077884501//865327077884519, 67519/65UF03589//865327077884527//865327077884535, 67519/65UF03592/
/865327077884584//865327077884592, 67519/65UF03593//865327077884600//865327077884618, 67519/65UF03594//865327077884626//865327077
884634, 67519/65UF03595//865327077884642//865327077884659, 67519/65UF03596//865327077884667//865327077884675, 67519/65UF03597//86
5327077884683//865327077884691, 67519/65UF03598//865327077884709//865327077884717, 67519/65UF03600//865327077884741//865327077884
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032025001506492-6
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001506492-6
Subpartida : 8517130000
Página 3 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025001506492-6
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001506492-6
Subpartida : 8517130000
Página 6 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
9/65UF06036//865327077848704//865327077848712, 67519/65UF06037//865327077848720//865327077848738, 67519/65UF06038//86532707784874
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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865327077849397, 67519/65UF06672//865327077849421//865327077849439, 67519/65UF06673//865327077849447//865327077849454, 67519/65UF
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865327077866631, 67519/65UF06731//865327077866649//865327077866656, 67519/65UF06732//865327077866664//865327077866672, 67519/65UF
06733//865327077851641//865327077851658, 67519/65UF06734//865327077851666//865327077851674, 67519/65UF06735//865327077867548//865
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06841//865327077887447//865327077887454, 67519/65UF06843//865327077887488//865327077887496, 67519/65UF06845//865327077887520//865
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Página 8 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
7889781//865327077889799, 67519/65UF06904//865327077822121//865327077822139, 67519/65UF06905//865327077822147//865327077822154, 6
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5327078132421//865327078132439, 67519/65UH10049//865327078132447//865327078132454, 67519/65UH10050//865327078132462//865327078132
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865327078040210, PAIS ORIGEN: CHINA – 215. //XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025001506492-6
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Aceptación : 032025001506492-6
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Página 9 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025001506492-6
Espacio para uso exclusivo de la Entidad Recaudadora
