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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
032025001880623-6
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. SHAN0434033
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
9103872107
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.
159.50
72 . Peso neto kgs. dcms.
135.50
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
500.00
78 .Valor FOB
USD
71.792.40
79 . Valor fletes USD
1.370.11 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
283.665.516
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
283.665.516
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
2.41
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.372.52
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
73.164.92
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: 578130-DECL: 1966763-DO: 893126510251- 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: 3102005493. ID DELIVERY: 6085218219. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A266MZKHLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A26 5G DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, M(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
032025001880623
133. Feha: 202510 24
134 . Levante No. 032025001614947 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 92032508372168
Fecha presentación 2025-10-24 16:36:15
Valor pagado $0.00
Fecha de Impresión: 2025-10-28 08:16:19
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001880623-6
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ODELO: SM-A266M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL./ /MOBILE,SM-A266M/DS,BLACK,LTC( QTY. 500,00 u )(500,00 PCE
); IMEIS: 357617701046948/359489751046949. 357617701046955/359489751046956. 357617701047011/359489751047012. 357617701047185/3594
89751047186. 357617701047193/359489751047194. 357617701047201/359489751047202. 357617701047235/359489751047236. 357617701047243/3
59489751047244. 357617701047326/359489751047327.357617701047359/359489751047350. 357617701047367/359489751047368. 357617701047383
/359489751047384. 357617701047409/359489751047400. 357617701047417/359489751047418. 357617701047433/359489751047434. 357617701047
557/359489751047558. 357617701047565/359489751047566. 357617701047573/359489751047574. 357617701047581/359489751047582. 357617701
047599/359489751047590. 357617701047607/359489751047608. 357617701047615/359489751047616. 357617701047623/359489751047624. 357617
701047631/359489751047632. 357617701047664/359489751047665. 357617701047714/359489751047715 . 357617701047722/359489751047723. 35
7617701047870/359489751047871. 357617701047896/359489751047897. 357617701048043/359489751048044. 357617701048068/359489751048069.
357617701048118/359489751048119. 357617701048159/359489751048150. 357617701048183/359489751048184. 357617701048191/3594897510481
92. 357617701048258/359489751048259. 357617701048332/359489751048333. 357617701048449/359489751048440. 357617701048613/3594897510
48614. 357617701049058/359489751049059. 357617701049314/359489751049315. 357617701049454/359489751049455. 357617701049579/3594897
51049570. 357617701049652/359489751049653. 357617701049876/359489751049877. 357617701050007/359489751050008. 357617701050155/3594
89751050156. 357617701050189/359489751050180. 357617701050288/359489751050289. 357617701050296/359489751050297. 357617701050346/3
59489751050347. 357617701050353/359489751050354. 357617701050361/359489751050362. 357617701050379/359489751050370. 35761770105043
7/359489751050438. 357617701050460/359489751050461. 357617701050551/359489751050552. 357617701050577/359489751050578. 35761770105
0593/359489751050594. 357617701050601/359489751050602. 357617701050619/359489751050610. 357617701050627/359489751050628.357617701
050635/359489751050636. 357617701051013/359489751051014. 357617701051120/359489751051121. 357617701051211/359489751051212. 357617
701051245/359489751051246. 357617701051377/359489751051378. 357617701051401/359489751051402. 357617701051427/359489751051428. 357
617701051435/359489751051436. 357617701051476/359489751051477. 357617701051526/359489751051527. 357617701051567/359489751051568.
357617701051773/359489751051774. 357617701051799/359489751051790. 357617701051823/359489751051824. 357617701051831/35948975105183
2. 357617701051880/359489751051881.357617701052276/359489751052277. 357617701052391/359489751052392. 357617701052706/359489751052
707. 357617701053548/359489751053549. 357617701053589/359489751053580. 357617701053639/359489751053630. 357617701053753/359489751
053754. 357617701053845/359489751053846. 357617701053944/359489751053945. 357617701053969/359489751053960. 357617701053977/359489
751053978. 357617701053985/359489751053986. 357617701053993/359489751053994. 357617701054025/359489751054026. 357617701054041/359
489751054042. 357617701054066/359489751054067. 357617701054090/359489751054091. 357617701054124/359489751054125. 357617701054132/
359489751054133. 357617701054140/359489751054141. 357617701054231/359489751054232. 357617701054249/359489751054240. 3576177010542
64/359489751054265. 357617701054272/359489751054273. 357617701054306/359489751054307. 357617701054314/359489751054315. 3576177010
54322/359489751054323. 357617701054330/359489751054331. 357617701054348/359489751054349. 357617701054355/359489751054356. 3576177
01054363/359489751054364. 357617701054371/359489751054372. 357617701054397/359489751054398. 357617701054405/359489751054406. 3576
17701054421/359489751054422. 357617701054439/359489751054430. 357617701054454/359489751054455. 357617701054488/359489751054489. 3
57617701054504/359489751054505. 357617701054512/359489751054513. 357617701054520/359489751054521. 357617701054538/359489751054539
. 357617701054553/359489751054554. 357617701054983/359489751054984. 357617701055022/359489751055023. 357617701055196/359489751055
197. 357617701055279/359489751055270. 357617701055386/359489751055387. 357617701055436/359489751055437. 357617701055543/359489751
055544. 357617701055626/359489751055627. 357617701055642/359489751055643. 357617701055659/359489751055650.357617701055683/3594897
51055684. 357617701055691/359489751055692. 357617701055717/359489751055718. 357617701055725/359489751055726. 357617701055949/3594
89751055940. 357617701055956/359489751055957. 357617701055998/359489751055999. 357617701056038/359489751056039. 357617701056061/3
59489751056062. 357617701056079/359489751056070. 357617701056103/359489751056104. 357617701056129/359489751056120. 35761770105613
7/359489751056138. 357617701056178/359489751056179. 357617701056186/359489751056187. 357617701056194/359489751056195. 35761770105
6202/359489751056203.357617701056236/359489751056237. 357617701056244/359489751056245. 357617701056251/359489751056252. 357617701
056269/359489751056260. 357617701056277/359489751056278. 357617701056293/359489751056294. 357617701056301/359489751056302. 357617
701056319/359489751056310. 357617701056327/359489751056328. 357617701056335/359489751056336. 357617701056343/359489751056344. 357
617701056350/359489751056351. 357617701056418/359489751056419. 357617701056459/359489751056450. 357617701056509/359489751056500.
357617701056525/359489751056526. 357617701056608/359489751056609. 357617701056657/359489751056658. 357617701056707/35948975105670
8. 357617701056756/359489751056757. 357617701056814/359489751056815. 357617701056905/359489751056906. 357617701056996/35948975105
6997. 357617701057044/359489751057045. 357617701057069/359489751057060. 357617701057119/359489751057110. 357617701057135/35948975
1057136. 357617701057150/359489751057151. 357617701057176/359489751057177. 357617701057192/359489751057193. 357617701057226/35948
9751057227. 357617701057275/359489751057276. 357617701057283/359489751057284. 357617701057309/359489751057300. 357617701057317/35
9489751057318. 357617701057333/359489751057334. 357617701057374/359489751057375. 357617701057382/359489751057383. 357617701057440
/359489751057441. 357617701057473/359489751057474. 357617701057515/359489751057516. 357617701057523/359489751057524. 357617701057
549/359489751057540. 357617701057556/359489751057557. 357617701057598/359489751057599. 357617701057606/359489751057607. 357617701
057614/359489751057615. 357617701057648/359489751057649. 357617701057671/359489751057672. 357617701057689/359489751057680. 357617
701057705/359489751057706. 357617701057713/359489751057714. 357617701057796/359489751057797.357617701057804/359489751057805. 3576
17701057812/359489751057813. 357617701057846/359489751057847. 357617701057853/359489751057854. 357617701057887/359489751057888. 3
57617701057895/359489751057896. 357617701057903/359489751057904. 357617701057929/359489751057920. 357617701057945/359489751057946
. 357617701057986/359489751057987. 357617701058075/359489751058076. 357617701058083/359489751058084. 357617701058091/359489751058
092. 357617701058109/359489751058100. 357617701058190/359489751058191. 357617701058208/359489751058209. 357617701058216/359489751
058217.357617701058307/359489751058308. 357617701058315/359489751058316. 357617701058323/359489751058324. 357617701058364/3594897
51058365. 357617701058372/359489751058373. 357617701058414/359489751058415. 357617701058463/359489751058464. 357617701058505/3594
89751058506. 357617701058570/359489751058571. 357617701058653/359489751058654. 357617701058745/359489751058746. 357617701058802/3
59489751058803. 357617701058877/359489751058878. 357617701059016/359489751059017. 357617701059024/359489751059025. 35761770105907
3/359489751059074. 357617701059099/359489751059090. 357617701059107/359489751059108. 357617701059115/359489751059116. 35761770105
9230/359489751059231. 357617701059248/359489751059249. 357617701059313/359489751059314. 357617701059347/359489751059348. 35761770
1059438/359489751059439. 357617701059446/359489751059447. 357617701059461/359489751059462. 357617701059479/359489751059470. 35761
7701059487/359489751059488. 357617701059529/359489751059520. 357617701059537/359489751059538. 357617701059552/359489751059553. 35
7617701059586/359489751059587. 357617701059677/359489751059678. 357617701059685/359489751059686. 357617701059701/359489751059702.
357617701059719/359489751059710. 357617701059735/359489751059736. 357617701059750/359489751059751. 357617701059776/3594897510597
77. 357617701059818/359489751059819. 357617701059826/359489751059827. 357617701059867/359489751059868. 357617701059925/3594897510
59926. 357617701060188/359489751060189. 357617701060220/359489751060221. 357617701060246/359489751060247. 357617701060295/3594897
51060296. 357617701060329/359489751060320. 357617701060352/359489751060353. 357617701060360/359489751060361. 357617701060378/3594
89751060379. 357617701060386/359489751060387. 357617701060410/359489751060411.357617701061160/359489751061161. 357617701061327/35
9489751061328. 357617701061335/359489751061336. 357617701061350/359489751061351. 357617701061384/359489751061385. 357617701061632
/359489751061633. 357617701061640/359489751061641. 357617701061657/359489751061658. 357617701061665/359489751061666. 357617701061
764/359489751061765. 357617701061806/359489751061807. 357617701061814/359489751061815. 357617701061822/359489751061823. 357617701
061830/359489751061831. 357617701061897/359489751061898. 357617701062119/359489751062110. 357617701062176/359489751062177.3576177
032025001880623-6
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001880623-6
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
01062358/359489751062359. 357617701062366/359489751062367. 357617701062408/359489751062409. 357617701062416/359489751062417. 3576
17701062424/359489751062425. 357617701062499/359489751062490. 357617701062515/359489751062516. 357617701062648/359489751062649. 3
57617701062903/359489751062904. 357617701062929/359489751062920. 357617701062937/359489751062938. 357617701062986/359489751062987
. 357617701062994/359489751062995. 357617701063000/359489751063001. 357617701063026/359489751063027. 357617701063034/359489751063
035. 357617701063042/359489751063043. 357617701063067/359489751063068. 357617701063083/359489751063084. 357617701063109/359489751
063100. 357617701063208/359489751063209. 357617701063216/359489751063217. 357617701063232/359489751063233. 357617701063307/359489
751063308. 357617701063372/359489751063373. 357617701063448/359489751063449. 357617701063497/359489751063498. 357617701063521/359
489751063522. 357617701063554/359489751063555. 357617701063570/359489751063571. 357617701063588/359489751063589. 357617701063612/
359489751063613. 357617701063679/359489751063670. 357617701063828/359489751063829. 357617701063844/359489751063845. 3576177010638
51/359489751063852. 357617701063869/359489751063860. 357617701063901/359489751063902. 357617701063943/359489751063944. 3576177010
63968/359489751063969. 357617701063984/359489751063985. 357617701064008/359489751064009. 357617701064099/359489751064090. 3576177
01064149/359489751064140. 357617701064172/359489751064173. 357617701064230/359489751064231. 357617701064339/359489751064330. 3576
17701064891/359489751064892. 357617701064974/359489751064975. 357617701065005/359489751065006. 357617701065096/359489751065097. 3
57617701065161/359489751065162. 357617701065526/359489751065527.357617701065534/359489751065535. 357617701065567/359489751065568.
357617701065583/359489751065584. 357617701065609/359489751065600. 357617701065617/359489751065618. 357617701065658/3594897510656
59. 357617701065666/359489751065667. 357617701065682/359489751065683. 357617701065708/359489751065709. 357617701065732/3594897510
65733. 357617701065757/359489751065758. 357617701065773/359489751065774. 357617701065781/359489751065782. 357617701065807/3594897
51065808. 357617701065823/359489751065824. 357617701065831/359489751065832. 357617701065849/359489751065840.357617701065864/35948
9751065865. 357617701066037/359489751066038. 357617701066078/359489751066079. 357617701066102/359489751066103. 357617701066110/35
9489751066111. 357617701066128/359489751066129. 357617701066151/359489751066152. 357617701066177/359489751066178. 357617701066235
/359489751066236. 357617701066284/359489751066285. 357617701066318/359489751066319. 357617701066334/359489751066335. 357617701066
433/359489751066434. 357617701066953/359489751066954. 357617701066979/359489751066970. 357617701066987/359489751066988. 357617701
067084/359489751067085. 357617701067134/359489751067135. 357617701067159/359489751067150. 357617701067167/359489751067168. 357617
701067191/359489751067192. 357617701067290/359489751067291. 357617701067308/359489751067309. 357617701067324/359489751067325. 357
617701067365/359489751067366. 357617701067373/359489751067374. 357617701067399/359489751067390. 357617701067415/359489751067416.
357617701067423/359489751067424. 357617701067472/359489751067473. 357617701067498/359489751067499. 357617701067530/35948975106753
1. 357617701067548/359489751067549. 357617701067563/359489751067564. 357617701067571/359489751067572. 357617701067589/35948975106
7580. 357617701067605/359489751067606. 357617701067613/359489751067614. 357617701067621/359489751067622. 357617701067647/35948975
1067648. 357617701067654/359489751067655. 357617701067662/359489751067663. 357617701067688/359489751067689. 357617701067696/35948
9751067697. 357617701067704/359489751067705. 357617701067720/359489751067721. 357617701067753/359489751067754. 357617701067787/35
9489751067788. 357617701068025/359489751068026. 357617701068041/359489751068042. 357617701068066/359489751068067. 357617701068132
/359489751068133. 357617701068140/359489751068141.357617701068181/359489751068182. 357617701068215/359489751068216. 3576177010682
49/359489751068240. 357617701068264/359489751068265. 357617701068280/359489751068281. 357617701068306/359489751068307. 3576177010
68371/359489751068372. 357617701068389/359489751068380. 357617701068397/359489751068398. 357617701068413/359489751068414. 3576177
01068462/359489751068463. 357617701068470/359489751068471. 357617701068488/359489751068489. 357617701068520/359489751068521. 3576
17701068546/359489751068547. 357617701068561/359489751068562. 357617701068595/359489751068596.357617701068603/359489751068604. 35
7617701068611/359489751068612. 357617701068629/359489751068620. 357617701068645/359489751068646. 357617701068652/359489751068653.
357617701068660/359489751068661. 357617701068983/359489751068984. 357617701069007/359489751069008. 357617701069205/3594897510692
06. 357617701069213/359489751069214. 357617701069288/359489751069289. 357617701069296/359489751069297. 357617701069320/3594897510
69321. 357617701069510/359489751069511. 357617701069627/359489751069628. 357617701070039/359489751070030. 357617701070260/3594897
51070261. 357617701070831/359489751070832. 357617701070864/359489751070865. 357617701070880/359489751070881. 357617701070906/3594
89751070907. 357617701070922/359489751070923. 357617701070948/359489751070949. 357617701070955/359489751070956. 357617701070963/3
59489751070964. 357617701071052/359489751071053. 357617701071326/359489751071327. 357617701071375/359489751071376. 35761770107139
1/359489751071392. 357617701071425/359489751071426. 357617701071433/359489751071434. 357617701071474/359489751071475. 35761770107
1482/359489751071483. 357617701071490/359489751071491. 357617701071508/359489751071509. 357617701071516/359489751071517. 35761770
1071557/359489751071558. 357617701071565/359489751071566. 357617701071649/359489751071640. 357617701071656/359489751071657. 35761
7701071755/359489751071756. 357617701071771/359489751071772. 357617701071797/359489751071798. 357617701071813/359489751071814. 35
7617701071938/359489751071939. 357617701071946/359489751071947. 357617701072084/359489751072085. 357617701072225/359489751072226.
357617701072241/359489751072242. 357617701072951/359489751072952. 357617701074023/359489751074024. 357617701074643/3594897510746
44. 357617701074734/359489751074735.357617701074932/359489751074933. 357617701074965/359489751074966. 357617701074973/35948975107
4974. 357617701074999/359489751074990. 357617701075053/359489751075054. 357617701075079/359489751075070. 357617701075244/35948975
1075245. 357617701075558/359489751075559. 357617701075640/359489751075641. 357617701075681/359489751075682. 357617701075699/35948
9751075690. 357617701075707/359489751075708. 357617701075731/359489751075732. 357617701075756/359489751075757. 357617701075764/35
9489751075765. 357617701075798/359489751075799. 357617701075806/359489751075807.357617701075814/359489751075815XXXXXXXXXXXXXXXXXX
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032025001880623-6
Espacio para uso exclusivo de la Entidad Recaudadora
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