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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
032025001834850-6
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. 116575016148957
43 . Año – Mes – Día
2025 – 10 – 12
44 . Documento de transporte
No. SZMI20254431
45 . Año – Mes – Día
2025 – 10 – 09
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
23866
52 . Año – Mes – Día
2025 – 10 – 04
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.
3.894.99
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.
458.88
72 . Peso neto kgs. dcms.
412.99
73 . Código
embalaje
PK
74 . No. bultos
5
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
1.000.00
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 202535522 CODIGO / RESOLUCION OEA IMPORTADOR: OE0169; DECLARACION(2-3) 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// HOMOLOGACIÓN DEL EQUIPO MARCA: REDMI, MODELO: 25028RN03L, RADICACION: 2025503668, FECHA: 2025-02-05// DOCUMENTO DE
VERIFICACION DE IMEI: DV-243402 FECHA: 2025-10-11//. FACTURA: 23866 FECHA: 2025-10-04 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 (1000) UND TELEFONO CELULAR, 1065967 REDMI A5 MIDNIGHT BLACK 4GB RAM 128GB ROM // ESPECIFICACIONES PROCES(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
032025001834850
133. Feha: 2025 10 17
134 . Levante No. 032025001560042 135 . Fecha
2025 – 10 – 17
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 92032508129966
Fecha presentación 2025-10-17 10:20:10
Valor pagado $0.00
Fecha de Impresión: 2025-10-17 10:28:04
Kelly Johanna Gonzalez Acero
C.C 1.023.862.658
IM
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001834850-6
Subpartida : 8517130000
Página 1 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ADOR: UNISOC T7250 (12NM), PANTALLA/DISPLAY: 6.88 PULGADAS (17.47 CM), MEMORIA 8GB, ALMACENAMIENTO: 128GB, SISTEMA OPERATIVO: AND
ROID 15 (GO EDITION), UP TO 2 MAJOR ANDROID UPGRADES, HYPEROS // REDMI A5 NEGRO OCASO 4 GB RAM 128 GB ROM, ALIMENTACION: 5V-3A, 3
2 MP AL DUAL CAMERA, MASSIVE 5200 MAH (TYP) BATTERY 125 GB DE ROM 8 GB DE RAM, EN LA CAJA: TELEFONO CELULAR, CABLE USB TIPO-C, AD
APTADOR DE CORRIENTE, LLAVE PARA SIM CARD, CARCASA PROTECTORA, GUIA DE INICIO RAPIDO, TARJETA DE GARANTIA//EAN: 6932554425135//PR
ODUCTO CON EMPAQUE TERMOSELLADO// COD.: 1065967. PRODUCTO: TELEFONO CELULAR, MARCA: REDMI/MI, MODELO: 25028RN03L, REFERENCIA: 642
67/MZB0JSHUS, USO O DESTINO: COMUNICACIÓN, PARA ALMACENAMIENTO Y PROCESAMIENTO DE DATOS., SERIAL// IMEI NO. (CODIGO DE QUINCE -15
– DIGITOS): 64267/W5WD02476//861345079002868//861345079002876, 64267/W5WD02477//861345079001860//861345079001878, 64267/W5WD02478
//861345079003643//861345079003650, 64267/W5WD02480//861345078986228//861345078986236, 64267/W5WD02481//861345078981104//86134507
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64267/W5WD02503//861345078987168//861345078987176, 64267/W5WD02509//861345078997787//861345078997795, 64267/W5WD02520//8613450789
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64267/W5WD02621//861345079004021//861345079004039, 64267/W5WD02626//861345078682488//861345078682496, 64267/W5WD02630//8613450786
87883//861345078687891, 64267/W5WD02646//861345076770665//861345076770673, 64267/W5WD02651//861345076812020//861345076812038, 642
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//861345079032345//861345079032352, 64267/W5WD02753//861345079022866//861345079022874, 64267/W5WD02755//861345079039068//86134507
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032025001834850-6
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001834850-6
Subpartida : 8517130000
Página 2 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
//861345077453865//861345077453873, 64267/W5WD03622//861345077452685//861345077452693, 64267/W5WD03623//861345077453162//86134507
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032025001834850-6
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001834850-6
Subpartida : 8517130000
Página 3 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025001834850-6
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Página 4 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025001834850-6
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Aceptación : 032025001834850-6
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Página 5 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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1345076845277, 64267/W5WD04440//861345077745682//861345077745690, 64267/W5WD04441//861345076846382//861345076846390, 64267/W5WD04
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76809489//861345076809497, 64267/W5WD04628//861345076864120//861345076864138, 64267/W5WD04629//861345076876280//861345076876298,
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16948//861345076816955, 64267/W5WD04633//861345076880449//861345076880456, 64267/W5WD04634//861345076889549//861345076889556, 642
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032025001834850-6
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001834850-6
Subpartida : 8517130000
Página 6 de 6
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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9659, 64267/W5WD04670//861345076877460//861345076877478, 64267/W5WD04671//861345076884862//861345076884870, 64267/W5WD04672//8613
45076871760//861345076871778, 64267/W5WD04677//861345076809729//861345076809737, 64267/W5WD04678//861345076873089//86134507687309
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76865689//861345076865697, 64267/W5WD04684//861345076872909//861345076872917, 64267/W5WD04685//861345076879326//861345076879334,
64267/W5WD04686//861345076878104//861345076878112, 64267/W5WD04687//861345075407582//861345075407590, 64267/W5WD04689//8613450768
82148//861345076882155, 64267/W5WD04690//861345076890380//861345076890398, 64267/W5WD04691//861345076847166//861345076847174, 642
67/W5WD04692//861345076870366//861345076870374, 64267/W5WD04694//861345076866448//861345076866455, 64267/W5WD04695//8613450768849
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/861345076874111, 64267/W5WD05419//861345076872024//861345076872032, 64267/W5WD05497//861345076879508//861345076879516, 64267/W5W
D05502//861345076879581//861345076879599, 64267/W5WD05508//861345076879284//861345076879292, 64267/W5WD05509//861345076869541//86
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513//861345076881801//861345076881819, 64267/W5WD05515//861345076862942//861345076862959, 64267/W5WD05516//861345076876660//86134
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//861345076866661//861345076866679, 64267/W5WD05520//861345076874467//861345076874475, 64267/W5WD05521//861345076879466//86134507
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61345076875522//861345076875530, 64267/W5WD05784//861345076877841//861345076877858, 64267/W5WD05788//861345076864104//86134507686
4112, 64267/W5WD05800//861345076881728//861345076881736, PAIS ORIGEN: CHINA – 215. //XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001834850-6
Espacio para uso exclusivo de la Entidad Recaudadora
