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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
032025001878133-2
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. 116575016213568
43 . Año – Mes – Día
2025 – 10 – 26
44 . Documento de transporte
No. SHAN0434023
45 . Año – Mes – Día
2025 – 10 – 21
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
9103869797
52 . Año – Mes – Día
2025 – 10 – 21
53 . Cod. país
procedencia
855
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.
3.877.07
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.
151.50
72 . Peso neto kgs. dcms.
127.37
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
470.00
78 .Valor FOB
USD
67.471.36
79 . Valor fletes USD
1.301.39 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
266.645.567
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
266.645.567
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
2.27
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.303.66
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
68.775.02
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: 578072-DECL: 1966642-DO: 893126500251- 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. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOMOL
OGACIÓN) // NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION.SAMSUNG ELECTRONICS COLOMBIA
S.A. OEA COD. OE0001. . PEDIDOS: 3102007334. ID DELIVERY: 6085216969. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A266MLGHLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A26 5G DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE CL(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
032025001878133
133. Feha: 202510 24
134 . Levante No. 032025001615325 135 . Fecha
2025 – 10 – 28
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 92032508359671
Fecha presentación 2025-10-24 13:04:08
Valor pagado $0.00
Fecha de Impresión: 2025-10-28 08:52:16
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001878133-2
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ARO, MODELO: SM-A266M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL./ /MOBILE,SM-A266M/DS,LIGHT GREEN,LTC( QTY. 470,00 u )
(470,00 PCE ); IMEIS: 357617701031783/359489751031784. 357617701031841/359489751031842. 357617701032286/359489751032287. 35761770
1032302/359489751032303. 357617701032344/359489751032345. 357617701032351/359489751032352. 357617701032377/359489751032378. 35761
7701032393/359489751032394. 357617701032401/359489751032402. 357617701032435/359489751032436. 357617701032450/359489751032451. 35
7617701032476/359489751032477. 357617701032484/359489751032485. 357617701032500/359489751032501. 357617701032559/359489751032550.
357617701032567/359489751032568. 357617701032609/359489751032600. 357617701032633/359489751032634. 357617701032666/35948975103266
7. 357617701032690/359489751032691. 357617701032708/359489751032709. 357617701032716/359489751032717. 357617701032724/35948975103
2725. 357617701032732/359489751032733. 357617701032740/359489751032741. 357617701032757/359 489751032758. 357617701032765/3594897
51032766. 357617701032799/359489751032790. 357617701032807/359489751032808. 357617701032815/359489751032816. 357617701032823/3594
89751032824. 357617701032831/359489751032832. 357617701032849/359489751032840. 357617701032872/359489751032873. 357617701032930/3
59489751032931. 357617701032948/359489751032949. 357617701032963/359489751032964. 357617701032971/359489751032972. 35761770103298
9/359489751032980. 357617701032997/359489751032998. 357617701033045/359489751033046. 357617701033094/359489751033095. 35761770103
3102/359489751033103. 357617701033128/359489751033129. 357617701033144/359489751033145. 357617701033151/359489751033152. 35761770
1033193/359489751033194. 357617701033227/359489751033228. 357617701033250/359489751033251. 357617701033268/359489751033269. 35761
7701033276/359489751033277. 357617701033292/359489751033293. 357617701033359/359489751033350. 357617701033367/359489751033368. 35
7617701033375/359489751033376. 357617701033417/359489751033418. 357617701033425/359489751033426. 357617701033557/359489751033558.
357617701033607/359489751033608. 357617701033649/359489751033640. 357617701033664/359489751033665. 357617701033706/3594897510337
07. 357617701033730/359489751033731. 357617701033748/359489751033749. 357617701033763/359489751033764. 357617701033771/3594897510
33772. 357617701033862/359489751033863. 357617701033870/359489751033871.357617701033938/359489751033939. 357617701033987/35948975
1033988. 357617701033995/359489751033996. 357617701034001/359489751034002. 357617701034019/359489751034010. 357617701034050/35948
9751034051. 357617701034068/359489751034069. 357617701034100/359489751034101. 357617701034126/359489751034127. 357617701034159/35
9489751034150. 357617701034191/359489751034192. 357617701034209/359489751034200. 357617701034233/359489751034234. 357617701034274
/359489751034275. 357617701034282/359489751034283. 357617701034290/359489751034291. 357617701034308/359489751034309.3576177010343
24/359489751034325. 357617701034332/359489751034333. 357617701034365/359489751034366. 357617701034373/359489751034374. 3576177010
34381/359489751034382. 357617701034407/359489751034408. 357617701034415/359489751034416. 357617701034449/359489751034440. 3576177
01034456/359489751034457. 357617701034472/359489751034473. 357617701034498/359489751034499. 357617701034506/359489751034507. 3576
17701034522/359489751034523. 357617701034555/359489751034556. 357617701034605/359489751034606. 357617701034613/359489751034614. 3
57617701034654/359489751034655. 357617701034688/359489751034689. 357617701034696/359489751034697. 357617701034704/359489751034705
. 357617701034712/359489751034713. 357617701034738/359489751034739. 357617701034746/359489751034747. 357617701034761/359489751034
762. 357617701034803/359489751034804. 357617701034811/359489751034812. 357617701034829/359489751034820. 357617701034845/359489751
034846. 357617701034878/359489751034879. 357617701034944/359489751034945. 357617701035065/359489751035066. 357617701035081/359489
751035082. 357617701035099/359489751035090. 357617701035172/359489751035173. 357617701035180/359489751035181. 357617701035206/359
489751035207. 357617701035222/359489751035223. 357617701035230/359489751035231. 357617701035255/359489751035256. 357617701035321/
359489751035322. 357617701035495/359489751035496. 357617701035511/359489751035512. 357617701035552/359489751035553. 3576177010355
60/359489751035561. 357617701035586/359489751035587. 357617701035594/359489751035595. 357617701035602/359489751035603. 3576177010
35610/359489751035611. 357617701035701/359489751035702. 357617701035735/359489751035736. 357617701035925/359489751035926. 3576177
01035974/359489751035975. 357617701035990/359489751035991.357617701036022/359489751036023. 357617701036030/359489751036031. 35761
7701036170/359489751036171. 357617701036212/359489751036213. 357617701036303/359489751036304. 357617701036311/359489751036312. 35
7617701036410/359489751036411. 357617701036451/359489751036452. 357617701036477/359489751036478. 357617701036568/359489751036569.
357617701036576/359489751036577. 357617701036667/359489751036668. 357617701036683/359489751036684. 357617701036691/3594897510366
92. 357617701036733/359489751036734. 357617701036758/359489751036759. 357617701036766/359489751036767.357617701036774/35948975103
6775. 357617701036790/359489751036791. 357617701036816/359489751036817. 357617701036881/359489751036882. 357617701036907/35948975
1036908. 357617701036915/359489751036916. 357617701036931/359489751036932. 357617701036964/359489751036965. 357617701036980/35948
9751036981. 357617701036998/359489751036999. 357617701037012/359489751037013. 357617701037046/359489751037047. 357617701037087/35
9489751037088. 357617701037103/359489751037104. 357617701037111/359489751037112. 357617701037129/359489751037120. 357617701037137
/359489751037138. 357617701037152/359489751037153. 357617701037160/359489751037161. 357617701037178/359489751037179. 357617701037
293/359489751037294. 357617701037319/359489751037310. 357617701037327/359489751037328. 357617701037350/359489751037351. 357617701
037376/359489751037377. 357617701037384/359489751037385. 357617701037400/359489751037401. 357617701037418/359489751037419. 357617
701037426/359489751037427. 357617701037442/359489751037443. 357617701037475/359489751037476. 357617701037517/359489751037518. 357
617701037558/359489751037559. 357617701037566/359489751037567. 357617701037574/359489751037575. 357617701037590/359489751037591.
357617701037699/359489751037690. 357617701037731/359489751037732. 357617701037780/359489751037781. 357617701037798/35948975103779
9. 357617701037806/359489751037807. 357617701037814/359489751037815. 357617701037822/359489751037823. 357617701037855/35948975103
7856. 357617701037913/359489751037914. 357617701037939/359489751037930. 357617701037954/359489751037955. 357617701037970/35948975
1037971. 357617701038002/359489751038003. 357617701038010/359489751038011. 357617701038093/359489751038094. 357617701038119/35948
9751038110. 357617701038168/359489751038169.357617701038184/359489751038185. 357617701038218/359489751038219. 357617701038226/359
489751038227. 357617701038234/359489751038235. 357617701038242/359489751038243. 357617701038275/359489751038276. 357617701038283/
359489751038284. 357617701038291/359489751038292. 357617701038309/359489751038300. 357617701038317/359489751038318. 3576177010383
33/359489751038334. 357617701038341/359489751038342. 357617701038358/359489751038359. 357617701038382/359489751038383. 3576177010
38408/359489751038409. 357617701038416/359489751038417. 357617701038432/359489751038433.357617701038440/359489751038441. 35761770
1038465/359489751038466. 357617701038507/359489751038508. 357617701038556/359489751038557. 357617701038580/359489751038581. 35761
7701038598/359489751038599. 357617701038614/359489751038615. 357617701038630/359489751038631. 357617701038663/359489751038664. 35
7617701038689/359489751038680. 357617701038770/359489751038771. 357617701038788/359489751038789. 357617701038812/359489751038813.
357617701038820/359489751038821. 357617701038846/359489751038847. 357617701038861/359489751038862. 357617701038879/3594897510388
70. 357617701038887/359489751038888. 357617701038895/359489751038896. 357617701038911/359489751038912. 357617701038945/3594897510
38946. 357617701038994/359489751038995. 357617701039000/359489751039001. 357617701039026/359489751039027. 357617701039042/3594897
51039043. 357617701039059/359489751039050. 357617701039083/359489751039084. 357617701039091/359489751039092. 357617701039125/3594
89751039126. 357617701039158/359489751039159. 357617701039166/359489751039167. 357617701039190/359489751039191. 357617701039273/3
59489751039274. 357617701039372/359489751039373. 357617701039414/359489751039415. 357617701039448/359489751039449. 35761770103946
3/359489751039464. 357617701039521/359489751039522. 357617701039547/359489751039548. 357617701039554/359489751039555. 35761770103
9893/359489751039894. 357617701039919/359489751039910. 357617701039943/359489751039944. 357617701040040/359489751040041. 35761770
1040115/359489751040116. 357617701040131/359489751040132. 357617701040172/359489751040173. 357617701040180/359489751040181. 35761
7701040198/359489751040199. 357617701040214/359489751040215. 357617701040230/359489751040231. 357617701040255/359489751040256. 35
7617701040289/359489751040280.357617701040347/359489751040348. 357617701040354/359489751040355. 357617701040396/359489751040397.
357617701040453/359489751040454. 357617701040487/359489751040488. 357617701040503/359489751040504. 357617701040511/35948975104051
2. 357617701040545/359489751040546. 357617701040552/359489751040553. 357617701040578/359489751040579. 357617701040594/35948975104
032025001878133-2
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001878133-2
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
0595. 357617701040602/359489751040603. 357617701040610/359489751040611. 357617701040628/359489751040629. 357617701040651/35948975
1040652. 357617701040669/359489751040660. 357617701040701/359489751040702.357617701040750/359489751040751. 357617701040768/359489
751040769. 357617701040859/359489751040850. 357617701040867/359489751040868. 357617701040875/359489751040876. 357617701040917/359
489751040918. 357617701040974/359489751040975. 357617701041006/359489751041007. 357617701041014/359489751041015. 357617701041048/
359489751041049. 357617701041121/359489751041122. 357617701041196/359489751041197. 357617701041204/359489751041205. 3576177010412
12/359489751041213. 357617701041220/359489751041221. 357617701041279/359489751041270. 357617701041295/359489751041296. 3576177010
41329/359489751041320. 357617701041337/359489751041338. 357617701041394/359489751041395. 357617701041444/359489751041445. 3576177
01041519/359489751041510. 357617701041535/359489751041536. 357617701041543/359489751041544. 357617701041550/359489751041551. 3576
17701041576/359489751041577. 357617701041618/359489751041619. 357617701041634/359489751041635. 357617701041659/359489751041650. 3
57617701041683/359489751041684. 357617701041691/359489751041692. 357617701041725/359489751041726. 357617701041766/359489751041767
. 357617701041782/359489751041783. 357617701041790/359489751041791. 357617701041824/359489751041825. 357617701041857/359489751041
858. 357617701041873/359489751041874. 357617701041881/359489751041882. 357617701041907/359489751041908. 357617701041915/359489751
041916. 357617701041923/359489751041924. 357617701041931/359489751041932. 357617701041980/359489751041981. 357617701041998/359489
751041999. 357617701042038/359489751042039. 357617701042053/359489751042054. 357617701042079/359489751042070. 357617701042087/359
489751042088. 357617701042145/359489751042146. 357617701042152/359489751042153. 357617701042160/359489751042161. 357617701042228/
359489751042229.357617701042251/359489751042252. 357617701042277/359489751042278. 357617701042285/359489751042286. 35761770104229
3/359489751042294. 357617701042301/359489751042302. 357617701042327/359489751042328. 357617701042335/359489751042336. 35761770104
2343/359489751042344. 357617701042350/359489751042351. 357617701042368/359489751042369. 357617701042384/359489751042385. 35761770
1042392/359489751042393. 357617701042400/359489751042401. 357617701042418/359489751042419. 357617701042434/359489751042435. 35761
7701042467/359489751042468. 357617701042475/359489751042476.357617701042483/359489751042484. 357617701042541/359489751042542. 357
617701042558/359489751042559. 357617701042582/359489751042583. 357617701042624/359489751042625. 357617701042632/359489751042633.
357617701042640/359489751042641. 357617701042657/359489751042658. 357617701042665/359489751042666. 357617701042699/35948975104269
0. 357617701042723/359489751042724. 357617701042731/359489751042732. 357617701042756/359489751042757. 357617701042764/35948975104
2765. 357617701042772/359489751042773. 357617701042830/359489751042831. 357617701042863/359489751042864. 357617701042905/35948975
1042906. 357617701042954/359489751042955. 357617701042962/359489751042963. 357617701042988/359489751042989. 357617701043028/35948
9751043029. 357617701043044/359489751043045. 357617701043069/359489751043060. 357617701043077/359489751043078. 357617701043176/35
9489751043177. 357617701043226/359489751043227. 357617701043242/359489751043243. 357617701043259/359489751043250. 357617701043267
/359489751043268. 357617701043283/359489751043284. 357617701043291/359489751043292. 357617701043309/359489751043300. 357617701043
325/359489751043326. 357617701043358/359489751043359. 357617701043374/359489751043375. 357617701043382/359489751043383. 357617701
043408/359489751043409. 357617701043432/359489751043433. 357617701043473/359489751043474. 357617701043499/359489751043490. 357617
701043507/359489751043508. 357617701043531/359489751043532. 357617701043549/359489751043540. 357617701043564/359489751043565. 357
617701043606/359489751043607. 357617701043689/359489751043680. 357617701043770/359489751043771. 357617701043796/359489751043797.
357617701043812/359489751043813. 357617701043861/359489751043862. 357617701043937/359489751043938. 357617701043952/35948975104395
3.357617701043978/359489751043979. 357617701043986/359489751043987. 357617701043994/359489751043995. 357617701044034/359489751044
035. 357617701044042/359489751044043. 357617701044067/359489751044068. 357617701044083/359489751044084. 357617701044117/359489751
044118. 357617701044158/359489751044159. 357617701044216/359489751044217. 357617701044232/359489751044233. 357617701044422/359489
751044423. 357617701044430/359489751044431. 357617701044448/359489751044449. 357617701044463/359489751044464. 357617701044489/359
489751044480. 357617701044497/359489751044498.357617701044505/359489751044506. 357617701044547/359489751044548. 357617701044554/3
59489751044555. 357617701044679/359489751044670. 357617701044877/359489751044878. 357617701044919/359489751044910. 35761770104499
2/359489751044993. 357617701045007/359489751045008. 357617701045015/359489751045016. 357617701045049/359489751045040. 35761770104
5056/359489751045057. 357617701045098/359489751045099. 357617701045114/359489751045115. 357617701045155/359489751045156. 35761770
1045171/359489751045172. 357617701045189/359489751045180. 357617701045197/359489751045198. 357617701045221/359489751045222. 35761
7701045239/359489751045230. 357617701045247/359489751045248. 357617701045254/359489751045255. 357617701045320/359489751045321. 35
7617701045346/359489751045347. 357617701045361/359489751045362. 357617701045379/359489751045370. 357617701045395/359489751045396.
357617701045429/359489751045420. 357617701045452/359489751045453. 357617701045478/359489751045479. 357617701045510/3594897510455
11. 357617701045544/359489751045545. 357617701045569/359489751045560. 357617701045718/359489751045719. 357617701075384/3594897510
75385. 357617701075517/359489751075518XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032025001878133-2
Espacio para uso exclusivo de la Entidad Recaudadora
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