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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
032025001883288-5
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. SHAN0433130
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
9103871635
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.
178.00
72 . Peso neto kgs. dcms.
163.76
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
580.00
78 .Valor FOB
USD
63.997.46
79 . Valor fletes USD
1.529.02 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
254.059.124
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
254.059.124
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
2.16
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.531.18
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
65.528.64
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: 578232-DECL: 1966872-DO: 893126474251- 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: 3102008089. ID DELIVERY: 6085217472. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FLBHLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A17 LTE DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL 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
032025001883288
133. Feha: 202510 25
134 . Levante No. 032025001615404 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 92032508386441
Fecha presentación 2025-10-25 09:48:43
Valor pagado $0.00
Fecha de Impresión: 2025-10-28 09:06:21
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001883288-5
Subpartida : 8517130000
Página 1 de 3
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ARO, MODELO: SM-A175F/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A175F/DS,LIGHT BLUE,LTC( QTY. 580,00 u )(5
80,00 PCE ); IMEIS: 356487400743430/359371300743434. 356487400743539/359371300743533. 356487400743547/359371300743541. 3564874007
43588/359371300743582. 356487400743653/359371300743657. 356487400743679/359371300743673. 356487400743695/359371300743699. 3564874
00743703/359371300743707. 356487400743729/359371300743723. 356487400743752/359371300743756. 356487400743760/359371300743764. 3564
87400743778/359371300743772. 356487400743786/359371300743780. 356487400743794/359371300743798. 356487400743802/359371300743806. 3
56487400743810/359371300743814. 356487400743836/359371300743830. 356487400743869/359371300743863. 356487400743919/359371300743913
. 356487400743927/359371300743921. 356487400743935/359371300743939. 356487400743943/359371300743947. 356487400743968/359371300743
962. 356487400743976/359371300743970. 356487400743984/359371300743988. 356487400743992/35937 1300743996. 356487400744016/35937130
0744010. 356487400744032/359371300744036. 356487400744040/359371300744044. 356487400744073/359371300744077. 356487400744131/35937
1300744135. 356487400744206/359371300744200.356487400744354/359371300744358. 356487400744404/359371300744408. 356487400744420/359
371300744424. 356487400744453/359371300744457. 356487400744461/359371300744465. 356487400744479/359371300744473. 356487400744503/
359371300744507. 356487400744511/359371300744515. 356487400744529/359371300744523. 356487400744537/359371300744531. 3564874007445
45/359371300744549. 356487400744560/359371300744564. 356487400744578/359371300744572. 356487400744586/359371300744580. 3564874007
44594/359371300744598. 356487400744602/359371300744606. 356487400744610/359371300744614.356487400744636/359371300744630. 35648740
0744644/359371300744648. 356487400744669/359371300744663. 356487400744677/359371300744671. 356487400744685/359371300744689. 35648
7400744693/359371300744697. 356487400744701/359371300744705. 356487400744719/359371300744713. 356487400744727/359371300744721. 35
6487400744735/359371300744739. 356487400744743/359371300744747. 356487400744768/359371300744762. 356487400744776/359371300744770.
356487400744784/359371300744788. 356487400744792/359371300744796. 356487400744826/359371300744820. 356487400744834/3593713007448
38. 356487400744842/359371300744846. 356487400744883/359371300744887. 356487400744909/359371300744903. 356487400744917/3593713007
44911. 356487400744933/359371300744937. 356487400745005/359371300745009. 356487400745070/359371300745074. 356487400745104/3593713
00745108. 356487400745112/359371300745116. 356487400745120/359371300745124. 356487400745138/359371300745132. 356487400745245/3593
71300745249. 356487400745617/359371300745611. 356487400745658/359371300745652. 356487400745864/359371300745868. 356487400745914/3
59371300745918. 356487400745922/359371300745926. 356487400746151/359371300746155. 356487400746367/359371300746361. 35648740074647
4/359371300746478. 356487400746508/359371300746502. 356487400746524/359371300746528. 356487400746557/359371300746551. 35648740074
6573/359371300746577. 356487400746581/359371300746585. 356487400746615/359371300746619. 356487400746631/359371300746635. 35648740
0746649/359371300746643. 356487400746656/359371300746650. 356487400746706/359371300746700. 356487400746730/359371300746734. 35648
7400746797/359371300746791. 356487400746847/359371300746841. 356487400747225/359371300747229. 356487400747423/359371300747427. 35
6487400747456/359371300747450.356487400747548/359371300747542. 356487400747613/359371300747617. 356487400747639/359371300747633.
356487400747696/359371300747690. 356487400747704/359371300747708. 356487400747712/359371300747716. 356487400747761/35937130074776
5. 356487400747787/359371300747781. 356487400747795/359371300747799. 356487400747803/359371300747807. 356487400747894/35937130074
7898. 356487400747936/359371300747930. 356487400747944/359371300747948. 356487400747977/359371300747971. 356487400748009/35937130
0748003. 356487400748025/359371300748029. 356487400748033/359371300748037.356487400748108/359371300748102. 356487400748157/359371
300748151. 356487400748165/359371300748169. 356487400748249/359371300748243. 356487400748264/359371300748268. 356487400748314/359
371300748318. 356487400748322/359371300748326. 356487400748348/359371300748342. 356487400748371/359371300748375. 356487400748397/
359371300748391. 356487400748405/359371300748409. 356487400748421/359371300748425. 356487400748454/359371300748458. 3564874007484
70/359371300748474. 356487400748579/359371300748573. 356487400748645/359371300748649. 356487400749007/359371300749001. 3564874007
49064/359371300749068. 356487400749114/359371300749118. 356487400749122/359371300749126. 356487400749130/359371300749134. 3564874
00749163/359371300749167. 356487400749205/359371300749209. 356487400749213/359371300749217. 356487400749387/359371300749381. 3564
87400749411/359371300749415. 356487400749460/359371300749464. 356487400749478/359371300749472. 356487400749502/359371300749506. 3
56487400749551/359371300749555. 356487400749627/359371300749621. 356487400749676/359371300749670. 356487400749684/359371300749688
. 356487400749700/359371300749704. 356487400749718/359371300749712. 356487400749734/359371300749738. 356487400749767/359371300749
761. 356487400749775/359371300749779. 356487400749817/359371300749811. 356487400749825/359371300749829. 356487400749858/359371300
749852. 356487400749866/359371300749860. 356487400749890/359371300749894. 356487400749965/359371300749969. 356487400750252/359371
300750256. 356487400750260/359371300750264. 356487400750369/359371300750363. 356487400750401/359371300750405. 356487400750435/359
371300750439. 356487400750443/359371300750447. 356487400750450/359371300750454. 356487400750492/359371300750496. 356487400750500/
359371300750504.356487400751748/359371300751742. 356487400752498/359371300752492. 356487400752696/359371300752690. 35648740075285
2/359371300752856. 356487400752860/359371300752864. 356487400753090/359371300753094. 356487400753207/359371300753201. 35648740075
3215/359371300753219. 356487400753264/359371300753268. 356487400753280/359371300753284. 356487400753306/359371300753300. 35648740
0753421/359371300753425. 356487400753454/359371300753458. 356487400753470/359371300753474. 356487400753504/359371300753508. 35648
7400753520/359371300753524. 356487400753546/359371300753540.356487400753553/359371300753557. 356487400753561/359371300753565. 356
487400753579/359371300753573. 356487400753637/359371300753631. 356487400753645/359371300753649. 356487400753702/359371300753706.
356487400753710/359371300753714. 356487400753728/359371300753722. 356487400753744/359371300753748. 356487400753751/35937130075375
5. 356487400753777/359371300753771. 356487400753785/359371300753789. 356487400753793/359371300753797. 356487400753801/35937130075
3805. 356487400753819/359371300753813. 356487400753827/359371300753821. 356487400753835/359371300753839. 356487400753843/35937130
0753847. 356487400753868/359371300753862. 356487400753876/359371300753870. 356487400753884/359371300753888. 356487400753892/35937
1300753896. 356487400753900/359371300753904. 356487400753918/359371300753912. 356487400753926/359371300753920. 356487400753934/35
9371300753938. 356487400753942/359371300753946. 356487400753959/359371300753953. 356487400753967/359371300753961. 356487400753975
/359371300753979. 356487400753983/359371300753987. 356487400753991/359371300753995. 356487400754007/359371300754001. 356487400754
015/359371300754019. 356487400754031/359371300754035. 356487400754049/359371300754043. 356487400754056/359371300754050. 356487400
754064/359371300754068. 356487400754072/359371300754076. 356487400754080/359371300754084. 356487400754098/359371300754092. 356487
400754106/359371300754100. 356487400754122/359371300754126. 356487400754130/359371300754134. 356487400754163/359371300754167. 356
487400754189/359371300754183. 356487400754205/359371300754209. 356487400754239/359371300754233. 356487400754262/359371300754266.
356487400754288/359371300754282. 356487400754320/359371300754324. 356487400754346/359371300754340. 356487400754353/35937130075435
7.356487400754379/359371300754373. 356487400754387/359371300754381. 356487400754395/359371300754399. 356487400754411/359371300754
415. 356487400754429/359371300754423. 356487400754452/359371300754456. 356487400754460/359371300754464. 356487400754478/359371300
754472. 356487400754486/359371300754480. 356487400754494/359371300754498. 356487400754502/359371300754506. 356487400754510/359371
300754514. 356487400754536/359371300754530. 356487400754544/359371300754548. 356487400754577/359371300754571. 356487400754593/359
371300754597. 356487400754601/359371300754605.356487400754627/359371300754621. 356487400754635/359371300754639. 356487400754643/3
59371300754647. 356487400754718/359371300754712. 356487400754726/359371300754720. 356487400754874/359371300754878. 35648740075500
4/359371300755008. 356487400755012/359371300755016. 356487400755020/359371300755024. 356487400755079/359371300755073. 35648740075
5087/359371300755081. 356487400755095/359371300755099. 356487400755103/359371300755107. 356487400755137/359371300755131. 35648740
0755194/359371300755198. 356487400755210/359371300755214. 356487400755277/359371300755271. 356487400755681/359371300755685. 35648
7400755954/359371300755958. 356487400755988/359371300755982. 356487400756028/359371300756022. 356487400756127/359371300756121. 35
6487400756176/359371300756170. 356487400756200/359371300756204. 356487400756218/359371300756212. 356487400756259/359371300756253.
356487400756267/359371300756261. 356487400756291/359371300756295. 356487400756333/359371300756337. 356487400756366/3593713007563
032025001883288-5
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001883288-5
Subpartida : 8517130000
Página 2 de 3
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
60. 356487400756374/359371300756378. 356487400756390/359371300756394. 356487400756408/359371300756402. 356487400756424/3593713007
56428. 356487400756598/359371300756592. 356487400756622/359371300756626. 356487400756630/359371300756634. 356487400756663/3593713
00756667. 356487400756671/359371300756675. 356487400756689/359371300756683. 356487400756705/359371300756709. 356487400756747/3593
71300756741. 356487400756754/359371300756758. 356487400756770/359371300756774. 356487400756788/359371300756782. 356487400756796/3
59371300756790. 356487400756804/359371300756808. 356487400756812/359371300756816. 356487400756820/359371300756824. 35648740075683
8/359371300756832. 356487400756846/359371300756840. 356487400756853/359371300756857. 356487400756861/359371300756865.356487400756
879/359371300756873. 356487400756887/359371300756881. 356487400756895/359371300756899. 356487400756903/359371300756907. 356487400
756937/359371300756931. 356487400756952/359371300756956. 356487400756960/359371300756964. 356487400756978/359371300756972. 356487
400756994/359371300756998. 356487400757042/359371300757046. 356487400757059/359371300757053. 356487400757091/359371300757095. 356
487400757109/359371300757103. 356487400757117/359371300757111. 356487400757125/359371300757129. 356487400757158/359371300757152.
356487400757166/359371300757160.356487400757190/359371300757194. 356487400757208/359371300757202. 356487400757232/359371300757236
. 356487400757240/359371300757244. 356487400757257/359371300757251. 356487400757265/359371300757269. 356487400757281/359371300757
285. 356487400757299/359371300757293. 356487400757307/359371300757301. 356487400757315/359371300757319. 356487400757323/359371300
757327. 356487400757331/359371300757335. 356487400757356/359371300757350. 356487400757364/359371300757368. 356487400757372/359371
300757376. 356487400757380/359371300757384. 356487400757398/359371300757392. 356487400757406/359371300757400. 356487400757414/359
371300757418. 356487400757422/359371300757426. 356487400757430/359371300757434. 356487400757448/359371300757442. 356487400757463/
359371300757467. 356487400757471/359371300757475. 356487400757489/359371300757483. 356487400757497/359371300757491. 3564874007575
05/359371300757509. 356487400757513/359371300757517. 356487400757539/359371300757533. 356487400757547/359371300757541. 3564874007
57554/359371300757558. 356487400757562/359371300757566. 356487400757570/359371300757574. 356487400757588/359371300757582. 3564874
00757596/359371300757590. 356487400757604/359371300757608. 356487400757612/359371300757616. 356487400757620/359371300757624. 3564
87400757638/359371300757632. 356487400757646/359371300757640. 356487400757653/359371300757657. 356487400757661/359371300757665. 3
56487400757687/359371300757681. 356487400757711/359371300757715. 356487400757794/359371300757798. 356487400757877/359371300757871
. 356487400757901/359371300757905. 356487400757927/359371300757921. 356487400758024/359371300758028. 356487400758032/359371300758
036. 356487400758073/359371300758077. 356487400758081/359371300758085. 356487400758099/359371300758093.356487400758123/3593713007
58127. 356487400758164/359371300758168. 356487400758172/359371300758176. 356487400758198/359371300758192. 356487400758206/3593713
00758200. 356487400758214/359371300758218. 356487400758255/359371300758259. 356487400758263/359371300758267. 356487400758347/3593
71300758341. 356487400758370/359371300758374. 356487400758404/359371300758408. 356487400758503/359371300758507. 356487400758537/3
59371300758531. 356487400758545/359371300758549. 356487400758552/359371300758556. 356487400758578/359371300758572. 35648740075858
6/359371300758580.356487400758594/359371300758598. 356487400758677/359371300758671. 356487400758735/359371300758739. 356487400758
768/359371300758762. 356487400758800/359371300758804. 356487400758818/359371300758812. 356487400758826/359371300758820. 356487400
758859/359371300758853. 356487400758867/359371300758861. 356487400758875/359371300758879. 356487400758883/359371300758887. 356487
400758891/359371300758895. 356487400758925/359371300758929. 356487400758974/359371300758978. 356487400758990/359371300758994. 356
487400759204/359371300759208. 356487400759212/359371300759216. 356487400759238/359371300759232. 356487400759246/359371300759240.
356487400759253/359371300759257. 356487400759261/359371300759265. 356487400759279/359371300759273. 356487400759287/35937130075928
1. 356487400759295/359371300759299. 356487400759329/359371300759323. 356487400759386/359371300759380. 356487400759402/35937130075
9406. 356487400759428/359371300759422. 356487400759469/359371300759463. 356487400759493/359371300759497. 356487400759527/35937130
0759521. 356487400759535/359371300759539. 356487400759543/359371300759547. 356487400759576/359371300759570. 356487400759592/35937
1300759596. 356487400759600/359371300759604. 356487400759626/359371300759620. 356487400759691/359371300759695. 356487400759840/35
9371300759844. 356487400759923/359371300759927. 356487400759956/359371300759950. 356487400760046/359371300760040. 356487400760095
/359371300760099. 356487400760129/359371300760123. 356487400760152/359371300760156. 356487400760293/359371300760297. 356487400760
509/359371300760503. 356487400760517/359371300760511. 356487400760756/359371300760750. 356487400760780/359371300760784. 356487400
760962/359371300760966. 356487400761010/359371300761014. 356487400761044/359371300761048.356487400761077/359371300761071. 3564874
00761085/359371300761089. 356487400761143/359371300761147. 356487400761168/359371300761162. 356487400761176/359371300761170. 3564
87400761267/359371300761261. 356487400761283/359371300761287. 356487400761291/359371300761295. 356487400761317/359371300761311. 3
56487400761333/359371300761337. 356487400761374/359371300761378. 356487400761382/359371300761386. 356487400761424/359371300761428
. 356487400761440/359371300761444. 356487400761457/359371300761451. 356487400761523/359371300761527. 356487400761531/359371300761
535.356487400761549/359371300761543. 356487400761622/359371300761626. 356487400761663/359371300761667. 356487400761705/3593713007
61709. 356487400761713/359371300761717. 356487400761903/359371300761907. 356487400762042/359371300762046. 356487400762240/3593713
00762244. 356487400762950/359371300762954. 356487400763008/359371300763002. 356487400763263/359371300763267. 356487400763289/3593
71300763283. 356487400763305/359371300763309. 356487400763347/359371300763341. 356487400763354/359371300763358. 356487400763362/3
59371300763366. 356487400763370/359371300763374. 356487400763388/359371300763382. 356487400763396/359371300763390. 35648740076341
2/359371300763416. 356487400763420/359371300763424. 356487400763446/359371300763440. 356487400763453/359371300763457. 35648740076
3727/359371300763721. 356487400764196/359371300764190. 356487400764303/359371300764307. 356487400764469/359371300764463. 35648740
0764477/359371300764471. 356487400764493/359371300764497. 356487400764584/359371300764588. 356487400764592/359371300764596. 35648
7400764717/359371300764711. 356487400764840/359371300764844. 356487400764857/359371300764851. 356487400764931/359371300764935. 35
6487400764972/359371300764976. 356487400764980/359371300764984. 356487400764998/359371300764992. 356487400765029/359371300765023.
356487400765052/359371300765056. 356487400765086/359371300765080. 356487400765185/359371300765189. 356487400765193/3593713007651
97. 356487400765201/359371300765205. 356487400765227/359371300765221. 356487400765235/359371300765239. 356487400765243/3593713007
65247. 356487400765250/359371300765254. 356487400765284/359371300765288. 356487400765326/359371300765320. 356487400765334/3593713
00765338. 356487400765409/359371300765403. 356487400765524/359371300765528.356487400765573/359371300765577. 356487400765581/35937
1300765585. 356487400765599/359371300765593. 356487400765631/359371300765635. 356487400765664/359371300765668. 356487400765680/35
9371300765684. 356487400765706/359371300765700. 356487400765722/359371300765726. 356487400765730/359371300765734. 356487400765748
/359371300765742. 356487400765755/359371300765759. 356487400766191/359371300766195. 356487400766225/359371300766229. 356487400766
233/359371300766237. 356487400766258/359371300766252. 356487400766266/359371300766260. 356487400766647/359371300766641.3564874007
66688/359371300766682. 356487400766704/359371300766708. 356487400766738/359371300766732. 356487400766761/359371300766765. 3564874
00766779/359371300766773. 356487400766845/359371300766849. 356487400766852/359371300766856. 356487400766894/359371300766898. 3564
87400766902/359371300766906. 356487400767165/359371300767169. 356487400767249/359371300767243. 356487400767272/359371300767276. 3
56487400767298/359371300767292. 356487400767306/359371300767300. 356487400767397/359371300767391. 356487400767488/359371300767482
. 356487400767702/359371300767706. 356487400768239/359371300768233. 356487400768379/359371300768373. 356487400768452/359371300768
456. 356487400768486/359371300768480. 356487400777800/359371300777804. 356487400777818/359371300777812. 356487400777925/359371300
777929. 356487400777933/359371300777937. 356487400777941/359371300777945. 356487400777982/359371300777986. 356487400777990/359371
300777994. 356487400778006/359371300778000. 356487400778022/359371300778026. 356487400778030/359371300778034. 356487400778055/359
371300778059. 356487400778063/359371300778067. 356487400778097/359371300778091. 356487400778105/359371300778109. 356487400778121/
359371300778125. 356487400778139/359371300778133. 356487400778147/359371300778141. 356487400778162/359371300778166. 3564874007781
88/359371300778182. 356487400778196/359371300778190XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025001883288-5
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001883288-5
Subpartida : 8517130000
Página 3 de 3
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025001883288-5
Espacio para uso exclusivo de la Entidad Recaudadora
Page 4
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
032025001881989-0
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. SHAN0433136
45 . Año – Mes – Día
2025 – 10 – 22
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
9103873618
52 . Año – Mes – Día
2025 – 10 – 22
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.
169.00
72 . Peso neto kgs. dcms.
155.48
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
550.00
78 .Valor FOB
USD
60.685.47
79 . Valor fletes USD
1.451.71 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
240.918.144
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
240.918.144
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
2.05
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.453.76
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
62.139.23
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: 578165-DECL: 1966808-DO: 893126480251- 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. (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN)/ NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANC
IA QUE NO REQUIERE REGISTRO DEIMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3102008095. ID DELIVERY:
6085217866. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FZKHLTC, PRODUCTO: TELEFONO CELULAR GALAXY A17 LTE DUOS (CON ACCESORIOS
PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODELO: SM-A175F/DS, USO O DESTINO: PARA LA VENTA AL MAYOR(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.: 032025000109583
Inició: 2025-10-28 08:43:01 Finalizó: 2025-10-28 21:28:00
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032025001881989
133. Feha: 202510 24
134 . Levante No. 032025001621048 135 . Fecha
2025 – 10 – 28
Firma funcionario responsable 136 . Nombre MORALES FUENTES ELIECER DAVID
137 . C.C. No. 1017234312
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 92032508379086
Fecha presentación 2025-10-24 18:43:58
Valor pagado $0.00
Fecha de Impresión: 2025-10-28 21:49:46
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001881989-0
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
Y AL DETAL./ /MOBILE,SM-A175F/DS,BLACK,LTC( QTY. 550,00 u )(550,00 PCE ); IMEIS: 356487400774476/359371300774470. 35648740077857
6/359371300778570. 356487400778873/359371300778877. 356487400778923/359371300778927. 356487400778956/359371300778950. 35648740077
9061/359371300779065. 356487400779434/359371300779438. 356487400779459/359371300779453. 356487400779558/359371300779552. 35648740
0779608/359371300779602. 356487400779764/359371300779768. 356487400779939/359371300779933. 356487400779996/359371300779990. 35648
7400780093/359371300780097. 356487400780101/359371300780105. 356487400780135/359371300780139. 356487400780150/359371300780154. 35
6487400780184/359371300780188. 356487400780275/359371300780279. 356487400780283/359371300780287. 356487400780317/359371300780311.
356487400780408/359371300780402. 356487400780457/359371300780451. 356487400780465/359371300780469. 356487400780473/3593713007804
77. 356487400780507/359371300780501. 356487400780523/359371300780527. 356487400780531/359371 300780535. 356487400780549/359371300
780543. 356487400780564/359371300780568. 356487400780580/359371300780584. 356487400780606/359371300780600. 356487400780671/359371
300780675. 356487400780689/359371300780683. 356487400780796/359371300780790. 356487400781356/359371300781350. 356487400782420/359
371300782424. 356487400782446/359371300782440. 356487400782461/359371300782465. 356487400782479/359371300782473. 356487400783337/
359371300783331. 356487400783428/359371300783422. 356487400783485/359371300783489. 356487400783527/359371300783521. 3564874007835
43/359371300783547. 356487400783626/359371300783620. 356487400783790/359371300783794. 356487400784145/359371300784149. 3564874007
84210/359371300784214. 356487400784251/359371300784255. 356487400784301/359371300784305.356487400785258/359371300785252. 35648740
0785274/359371300785278. 356487400785332/359371300785336. 356487400785449/359371300785443. 356487400785571/359371300785575. 35648
7400785753/359371300785757. 356487400785779/359371300785773. 356487400785787/359371300785781. 356487400785811/359371300785815. 35
6487400785910/359371300785914. 356487400786041/359371300786045. 356487400786371/359371300786375. 356487400786389/359371300786383.
356487400786629/359371300786623. 356487400786736/359371300786730. 356487400787403/359371300787407. 356487400788260/3593713007882
64.356487400788302/359371300788306. 356487400788344/359371300788348. 356487400788401/359371300788405. 356487400788419/35937130078
8413. 356487400788443/359371300788447. 356487400788450/359371300788454. 356487400788468/359371300788462. 356487400788484/35937130
0788488. 356487400788500/359371300788504. 356487400788518/359371300788512. 356487400788526/359371300788520. 356487400788542/35937
1300788546. 356487400788575/359371300788579. 356487400788609/359371300788603. 356487400788617/359371300788611. 356487400788625/35
9371300788629. 356487400788633/359371300788637. 356487400788641/359371300788645. 356487400788666/359371300788660. 356487400788716
/359371300788710. 356487400788724/359371300788728. 356487400788757/359371300788751. 356487400788799/359371300788793. 356487400788
815/359371300788819. 356487400788849/359371300788843. 356487400788856/359371300788850. 356487400788898/359371300788892. 356487400
788906/359371300788900. 356487400788914/359371300788918. 356487400788930/359371300788934. 356487400788955/359371300788959. 356487
400788963/359371300788967. 356487400788971/359371300788975. 356487400788997/359371300788991. 356487400789003/359371300789007. 356
487400789029/359371300789023. 356487400789037/359371300789031. 356487400789078/359371300789072. 356487400789086/359371300789080.
356487400789094/359371300789098. 356487400789110/359371300789114. 356487400789136/359371300789130. 356487400789151/35937130078915
5. 356487400789219/359371300789213. 356487400789227/359371300789221. 356487400789235/359371300789239. 356487400789243/35937130078
9247. 356487400789292/359371300789296. 356487400789409/359371300789403. 356487400789417/359371300789411. 356487400789508/35937130
0789502. 356487400789532/359371300789536. 356487400789664/359371300789668.356487400789904/359371300789908. 356487400789920/359371
300789924. 356487400789938/359371300789932. 356487400790027/359371300790021. 356487400790043/359371300790047. 356487400790068/359
371300790062. 356487400790118/359371300790112. 356487400790225/359371300790229. 356487400790951/359371300790955. 356487400791058/
359371300791052. 356487400791074/359371300791078. 356487400791199/359371300791193. 356487400791447/359371300791441. 3564874007914
70/359371300791474. 356487400791504/359371300791508. 356487400791629/359371300791623. 356487400791637/359371300791631.35648740079
5299/359371300795293. 356487400795331/359371300795335. 356487400817036/359371300817030. 356487400817051/359371300817055. 35648740
0817077/359371300817071. 356487400817101/359371300817105. 356487400817234/359371300817238. 356487400817366/359371300817360. 35648
7400817390/359371300817394. 356487400817515/359371300817519. 356487400818497/359371300818491. 356487400818521/359371300818525. 35
6487400818604/359371300818608. 356487400818646/359371300818640. 356487400818661/359371300818665. 356487400818737/359371300818731.
356487400818760/359371300818764. 356487400818828/359371300818822. 356487400818893/359371300818897. 356487400818935/3593713008189
39. 356487400818950/359371300818954. 356487400819032/359371300819036. 356487400820097/359371300820091. 356487400820170/3593713008
20174. 356487400820410/359371300820414. 356487400820469/359371300820463. 356487400820477/359371300820471. 356487400820501/3593713
00820505. 356487400820527/359371300820521. 356487400820568/359371300820562. 356487400820584/359371300820588. 356487400820592/3593
71300820596. 356487400820600/359371300820604. 356487400820659/359371300820653. 356487400820675/359371300820679. 356487400820709/3
59371300820703. 356487400820972/359371300820976. 356487400821194/359371300821198. 356487400821400/359371300821404. 35648740082146
7/359371300821461. 356487400821558/359371300821552. 356487400821566/359371300821560. 356487400821574/359371300821578. 35648740082
1608/359371300821602. 356487400821624/359371300821628. 356487400821632/359371300821636. 356487400821640/359371300821644. 35648740
0821665/359371300821669. 356487400821731/359371300821735. 356487400821772/359371300821776. 356487400821830/359371300821834. 35648
7400822036/359371300822030. 356487400822044/359371300822048.356487400822051/359371300822055. 356487400822069/359371300822063. 356
487400822077/359371300822071. 356487400822093/359371300822097. 356487400822101/359371300822105. 356487400822143/359371300822147.
356487400822150/359371300822154. 356487400822168/359371300822162. 356487400822283/359371300822287. 356487400822390/35937130082239
4. 356487400822432/359371300822436. 356487400822440/359371300822444. 356487400822465/359371300822469. 356487400822499/35937130082
2493. 356487400822523/359371300822527. 356487400822549/359371300822543. 356487400822556/359371300822550.356487400822606/359371300
822600. 356487400822622/359371300822626. 356487400822630/359371300822634. 356487400822648/359371300822642. 356487400822655/359371
300822659. 356487400822713/359371300822717. 356487400822770/359371300822774. 356487400822788/359371300822782. 356487400823075/359
371300823079. 356487400823323/359371300823327. 356487400823752/359371300823756. 356487400823760/359371300823764. 356487400823851/
359371300823855. 356487400823919/359371300823913. 356487400824107/359371300824101. 356487400824156/359371300824150. 3564874008241
64/359371300824168. 356487400824214/359371300824218. 356487400824222/359371300824226. 356487400824271/359371300824275. 3564874008
24404/359371300824408. 356487400824412/359371300824416. 356487400824438/359371300824432. 356487400824503/359371300824507. 3564874
00824511/359371300824515. 356487400824537/359371300824531. 356487400824545/359371300824549. 356487400824578/359371300824572. 3564
87400824636/359371300824630. 356487400824644/359371300824648. 356487400824651/359371300824655. 356487400824669/359371300824663. 3
56487400824685/359371300824689. 356487400824693/359371300824697. 356487400824719/359371300824713. 356487400824727/359371300824721
. 356487400824743/359371300824747. 356487400824792/359371300824796. 356487400824826/359371300824820. 356487400824834/359371300824
838. 356487400824859/359371300824853. 356487400824875/359371300824879. 356487400824883/359371300824887. 356487400824891/359371300
824895. 356487400824909/359371300824903. 356487400824925/359371300824929. 356487400824933/359371300824937. 356487400824941/359371
300824945. 356487400824974/359371300824978. 356487400825013/359371300825017. 356487400825021/359371300825025. 356487400825062/359
371300825066. 356487400825088/359371300825082.356487400825104/359371300825108. 356487400825112/359371300825116. 356487400825120/3
59371300825124. 356487400825138/359371300825132. 356487400825146/359371300825140. 356487400825161/359371300825165. 35648740082517
9/359371300825173. 356487400825187/359371300825181. 356487400825195/359371300825199. 356487400825203/359371300825207. 35648740082
5211/359371300825215. 356487400825229/359371300825223. 356487400825237/359371300825231. 356487400825245/359371300825249. 35648740
0825252/359371300825256. 356487400825260/359371300825264. 356487400825278/359371300825272.356487400825286/359371300825280. 356487
400825294/359371300825298. 356487400825302/359371300825306. 356487400825336/359371300825330. 356487400825344/359371300825348. 356
487400825351/359371300825355. 356487400825369/359371300825363. 356487400825377/359371300825371. 356487400825385/359371300825389.
356487400825401/359371300825405. 356487400825419/359371300825413. 356487400825427/359371300825421. 356487400825435/35937130082543
032025001881989-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001881989-0
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
9. 356487400825450/359371300825454. 356487400825468/359371300825462. 356487400825484/359371300825488. 356487400825500/35937130082
5504. 356487400825518/359371300825512. 356487400825526/359371300825520. 356487400825542/359371300825546. 356487400825559/35937130
0825553. 356487400825724/359371300825728. 356487400825740/359371300825744. 356487400825823/359371300825827. 356487400826029/35937
1300826023. 356487400826144/359371300826148. 356487400826243/359371300826247. 356487400826284/359371300826288. 356487400826425/35
9371300826429. 356487400826516/359371300826510. 356487400826532/359371300826536. 356487400826540/359371300826544. 356487400826680
/359371300826684. 356487400826839/359371300826833. 356487400826987/359371300826981. 356487400827050/359371300827054. 356487400827
795/359371300827799. 356487400828173/359371300828177. 356487400828207/359371300828201. 356487400828272/359371300828276. 356487400
828314/359371300828318. 356487400828496/359371300828490. 356487400828504/359371300828508. 356487400828546/359371300828540. 356487
400828553/359371300828557. 356487400828579/359371300828573. 356487400828645/359371300828649. 356487400828660/359371300828664. 356
487400828785/359371300828789. 356487400828793/359371300828797. 356487400828801/359371300828805. 356487400828835/359371300828839.
356487400828843/359371300828847.356487400828868/359371300828862. 356487400828876/359371300828870. 356487400828900/359371300828904
. 356487400828926/359371300828920. 356487400828934/359371300828938. 356487400828942/359371300828946. 356487400828975/359371300828
979. 356487400829023/359371300829027. 356487400829122/359371300829126. 356487400829148/359371300829142. 356487400829155/359371300
829159. 356487400829163/359371300829167. 356487400829197/359371300829191. 356487400829270/359371300829274. 356487400829296/359371
300829290. 356487400829320/359371300829324. 356487400829338/359371300829332.356487400829353/359371300829357. 356487400829395/3593
71300829399. 356487400829650/359371300829654. 356487400829692/359371300829696. 356487400829965/359371300829969. 356487400830013/3
59371300830017. 356487400830088/359371300830082. 356487400830104/359371300830108. 356487400830161/359371300830165. 35648740083022
9/359371300830223. 356487400830328/359371300830322. 356487400830377/359371300830371. 356487400830385/359371300830389. 35648740083
0468/359371300830462. 356487400830872/359371300830876. 356487400830906/359371300830900. 356487400830930/359371300830934. 35648740
0830948/359371300830942. 356487400831003/359371300831007. 356487400831094/359371300831098. 356487400831151/359371300831155. 35648
7400831185/359371300831189. 356487400831201/359371300831205. 356487400831219/359371300831213. 356487400831300/359371300831304. 35
6487400831318/359371300831312. 356487400831326/359371300831320. 356487400831367/359371300831361. 356487400831383/359371300831387.
356487400831391/359371300831395. 356487400831409/359371300831403. 356487400831425/359371300831429. 356487400831466/3593713008314
60. 356487400831474/359371300831478. 356487400831482/359371300831486. 356487400831490/359371300831494. 356487400831524/3593713008
31528. 356487400831532/359371300831536. 356487400831698/359371300831692. 356487400831706/359371300831700. 356487400831730/3593713
00831734. 356487400831771/359371300831775. 356487400831854/359371300831858. 356487400831862/359371300831866. 356487400831870/3593
71300831874. 356487400831888/359371300831882. 356487400831896/359371300831890. 356487400831912/359371300831916. 356487400831920/3
59371300831924. 356487400831938/359371300831932. 356487400831953/359371300831957. 356487400831961/359371300831965. 35648740083198
7/359371300831981.356487400831995/359371300831999. 356487400832001/359371300832005. 356487400832035/359371300832039. 356487400832
043/359371300832047. 356487400832050/359371300832054. 356487400832068/359371300832062. 356487400832134/359371300832138. 356487400
832142/359371300832146. 356487400832167/359371300832161. 356487400832191/359371300832195. 356487400832217/359371300832211. 356487
400832233/359371300832237. 356487400832241/359371300832245. 356487400832258/359371300832252. 356487400832308/359371300832302. 356
487400832522/359371300832526. 356487400833165/359371300833169.356487400835517/359371300835511. 356487400835616/359371300835610. 3
56487400835798/359371300835792. 356487400835855/359371300835859. 356487400835905/359371300835909. 356487400835913/359371300835917
. 356487400835921/359371300835925. 356487400835939/359371300835933. 356487400836077/359371300836071. 356487400836143/359371300836
147. 356487400836267/359371300836261. 356487400836341/359371300836345. 356487400836382/359371300836386. 356487400836416/359371300
836410. 356487400836424/359371300836428. 356487400836473/359371300836477. 356487400836481/359371300836485. 356487400836549/359371
300836543. 356487400836564/359371300836568. 356487400836572/359371300836576. 356487400836580/359371300836584. 356487400836598/359
371300836592. 356487400836606/359371300836600. 356487400836614/359371300836618. 356487400836630/359371300836634. 356487400836648/
359371300836642. 356487400837182/359371300837186. 356487400838560/359371300838564. 356487400840707/359371300840701. 3564874008408
63/359371300840867. 356487400840871/359371300840875. 356487400840913/359371300840917. 356487400840947/359371300840941. 3564874008
40954/359371300840958. 356487400840970/359371300840974. 356487400840996/359371300840990. 356487400841002/359371300841006. 3564874
00841010/359371300841014. 356487400841036/359371300841030. 356487400841069/359371300841063. 356487400841101/359371300841105. 3564
87400841127/359371300841121. 356487400841135/359371300841139. 356487400841143/359371300841147. 356487400841200/359371300841204. 3
56487400841218/359371300841212. 356487400841291/359371300841295. 356487400841309/359371300841303. 356487400845789/359371300845783
. 356487400846274/359371300846278. 356487400846290/359371300846294. 356487400846548/359371300846542. 356487400846597/359371300846
591.356487400846803/359371300846807. 356487400846878/359371300846872. 356487400846944/359371300846948. 356487400847009/3593713008
47003. 356487400847868/359371300847862. 356487400847876/359371300847870. 356487400847892/359371300847896. 356487400847918/3593713
00847912. 356487400847926/359371300847920. 356487400847934/359371300847938. 356487400847975/359371300847979. 356487400847991/3593
71300847995. 356487400848023/359371300848027. 356487400848064/359371300848068. 356487400848072/359371300848076. 356487400848080/3
59371300848084. 356487400848114/359371300848118.356487400848122/359371300848126. 356487400848130/359371300848134. 356487400848171
/359371300848175. 356487400848189/359371300848183. 356487400848197/359371300848191. 356487400848247/359371300848241. 356487400848
254/359371300848258. 356487400848270/359371300848274. 356487400848304/359371300848308. 356487400848320/359371300848324. 356487400
848346/359371300848340. 356487400848353/359371300848357. 356487400848460/359371300848464. 356487400848569/359371300848563. 356487
400848593/359371300848597. 356487400848601/359371300848605. 356487400848619/359371300848613. 356487400848635/359371300848639. 356
487400848643/359371300848647. 356487400848650/359371300848654. 356487400848981/359371300848985. 356487400849021/359371300849025.
356487400849039/359371300849033. 356487400849047/359371300849041. 356487400849062/359371300849066. 356487400849088/35937130084908
2. 356487400849096/359371300849090. 356487400849104/359371300849108. 356487400849120/359371300849124. 356487400849146/35937130084
9140. 356487400849187/359371300849181. 356487400849211/359371300849215. 356487400849229/359371300849223. 356487400849278/35937130
0849272. 356487400849302/359371300849306. 356487400849344/359371300849348. 356487400849369/359371300849363. 356487400849377/35937
1300849371. 356487400849385/359371300849389. 356487400849435/359371300849439. 356487400849450/359371300849454. 356487400849484/35
9371300849488. 356487400849641/359371300849645. 356487400850011/359371300850015. 356487400850037/359371300850031. 356487400850045
/359371300850049. 356487400850102/359371300850106. 356487400850128/359371300850122. 356487400850151/359371300850155. 356487400850
169/359371300850163. 356487400850177/359371300850171. 356487400850185/359371300850189. 356487400850201/359371300850205.3564874008
50219/359371300850213. 356487400850243/359371300850247. 356487400850250/359371300850254. 356487400850268/359371300850262. 3564874
00850284/359371300850288. 356487400850292/359371300850296. 356487400850300/359371300850304. 356487400850474/359371300850478. 3564
87400851217/359371300851211XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
032025001881989-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 3
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
032025001883665-9
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. SHAN0433149
45 . Año – Mes – Día
2025 – 10 – 22
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
9103873632
52 . Año – Mes – Día
2025 – 10 – 22
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.
214.50
72 . Peso neto kgs. dcms.
197.34
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
710.00
78 .Valor FOB
USD
78.370.89
79 . Valor fletes USD
1.842.56 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
311.003.435
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
311.003.435
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
2.65
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.845.21
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
80.216.10
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: 578280-DECL: 1966915-DO: 893126493251- 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. (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN)/ NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANC
IA QUE NO REQUIERE REGISTRO DEIMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3102008633. ID DELIVERY:
6085217965. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FLBHLTC, PRODUCTO: TELEFONO CELULAR GALAXY A17 LTE DUOS (CON ACCESORIOS
PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL CLARO, MODELO: SM-A175F/DS, USO O DESTINO: PARA LA VENTA AL (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.: 032025000109589
Inició: 2025-10-28 08:48:52 Finalizó: 2025-10-28 21:36:00
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032025001883665
133. Feha: 202510 25
134 . Levante No. 032025001621055 135 . Fecha
2025 – 10 – 28
Firma funcionario responsable 136 . Nombre MORALES FUENTES ELIECER DAVID
137 . C.C. No. 1017234312
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 92032508388661
Fecha presentación 2025-10-25 11:58:34
Valor pagado $0.00
Fecha de Impresión: 2025-10-28 21:51:07
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001883665-9
Subpartida : 8517130000
Página 1 de 3
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
MAYOR Y AL DETAL/ /MOBILE,SM-A175F/DS,LIGHT BLUE,LTC( QTY. 710,00 u )(710,00 PCE ); IMEIS: 356487400743505/359371300743509. 35648
7400743513/359371300743517. 356487400743521/359371300743525. 356487400743562/359371300743566. 356487400743570/359371300743574. 35
6487400743737/359371300743731. 356487400743828/359371300743822. 356487400743844/359371300743848. 356487400743851/359371300743855.
356487400743877/359371300743871. 356487400743885/359371300743889. 356487400743893/359371300743897. 356487400743901/3593713007439
05. 356487400743950/359371300743954. 356487400744008/359371300744002. 356487400744024/359371300744028. 356487400744057/3593713007
44051. 356487400744065/359371300744069. 356487400744081/359371300744085. 356487400744099/359371300744093. 356487400744107/3593713
00744101. 356487400744115/359371300744119. 356487400744123/359371300744127. 356487400744149/359371300744143. 356487400744156/3593
71300744150. 356487400744164/359371300744168. 356487400744172/359371300744176. 3564874007441 80/359371300744184. 356487400744198/
359371300744192. 356487400744214/359371300744218. 356487400744222/359371300744226. 356487400744230/359371300744234. 3564874007442
48/359371300744242. 356487400744255/359371300744259. 356487400744271/359371300744275. 356487400744289/359371300744283. 3564874007
44297/359371300744291. 356487400744305/359371300744309.356487400744313/359371300744317. 356487400744321/359371300744325. 35648740
0744339/359371300744333. 356487400744347/359371300744341. 356487400744362/359371300744366. 356487400744370/359371300744374. 35648
7400744396/359371300744390. 356487400744438/359371300744432. 356487400744446/359371300744440. 356487400744487/359371300744481. 35
6487400744495/359371300744499. 356487400744552/359371300744556. 356487400744750/359371300744754. 356487400744800/359371300744804.
356487400744891/359371300744895. 356487400744925/359371300744929. 356487400744966/359371300744960.356487400744974/35937130074497
8. 356487400744982/359371300744986. 356487400744990/359371300744994. 356487400745013/359371300745017. 356487400745021/35937130074
5025. 356487400745039/359371300745033. 356487400745047/359371300745041. 356487400745054/359371300745058. 356487400745062/35937130
0745066. 356487400745088/359371300745082. 356487400745096/359371300745090. 356487400745146/359371300745140. 356487400745153/35937
1300745157. 356487400745187/359371300745181. 356487400745195/359371300745199. 356487400745211/359371300745215. 356487400745260/35
9371300745264. 356487400745278/359371300745272. 356487400745286/359371300745280. 356487400745294/359371300745298. 356487400745302
/359371300745306. 356487400745351/359371300745355. 356487400745369/359371300745363. 356487400745377/359371300745371. 356487400745
385/359371300745389. 356487400745427/359371300745421. 356487400745443/359371300745447. 356487400745450/359371300745454. 356487400
745468/359371300745462. 356487400745476/359371300745470. 356487400745484/359371300745488. 356487400745492/359371300745496. 356487
400745500/359371300745504. 356487400745518/359371300745512. 356487400745526/359371300745520. 356487400745583/359371300745587. 356
487400745765/359371300745769. 356487400745955/359371300745959. 356487400745963/359371300745967. 356487400745989/359371300745983.
356487400746003/359371300746007. 356487400746011/359371300746015. 356487400746037/359371300746031. 356487400746086/35937130074608
0. 356487400746094/359371300746098. 356487400746334/359371300746338. 356487400746375/359371300746379. 356487400746391/35937130074
6395. 356487400746417/359371300746411. 356487400746425/359371300746429. 356487400747415/359371300747419. 356487400747662/35937130
0747666. 356487400748082/359371300748086.356487400748298/359371300748292. 356487400750005/359371300750009. 356487400750013/359371
300750017. 356487400750054/359371300750058. 356487400750062/359371300750066. 356487400750088/359371300750082. 356487400750096/359
371300750090. 356487400750138/359371300750132. 356487400750146/359371300750140. 356487400750161/359371300750165. 356487400750179/
359371300750173. 356487400750187/359371300750181. 356487400750211/359371300750215. 356487400750229/359371300750223. 3564874007502
45/359371300750249. 356487400750278/359371300750272. 356487400750286/359371300750280.356487400750468/359371300750462. 35648740075
0526/359371300750520. 356487400750542/359371300750546. 356487400750658/359371300750652. 356487400750666/359371300750660. 35648740
0750674/359371300750678. 356487400750708/359371300750702. 356487400750724/359371300750728. 356487400750732/359371300750736. 35648
7400750740/359371300750744. 356487400750765/359371300750769. 356487400750773/359371300750777. 356487400750799/359371300750793. 35
6487400750807/359371300750801. 356487400750815/359371300750819. 356487400750823/359371300750827. 356487400750831/359371300750835.
356487400750849/359371300750843. 356487400750864/359371300750868. 356487400750880/359371300750884. 356487400750898/3593713007508
92. 356487400750914/359371300750918. 356487400750922/359371300750926. 356487400750930/359371300750934. 356487400750948/3593713007
50942. 356487400750955/359371300750959. 356487400750989/359371300750983. 356487400751037/359371300751031. 356487400751052/3593713
00751056. 356487400751060/359371300751064. 356487400751078/359371300751072. 356487400751094/359371300751098. 356487400751102/3593
71300751106. 356487400751110/359371300751114. 356487400751128/359371300751122. 356487400751136/359371300751130. 356487400751144/3
59371300751148. 356487400751151/359371300751155. 356487400751169/359371300751163. 356487400751185/359371300751189. 35648740075119
3/359371300751197. 356487400751201/359371300751205. 356487400751219/359371300751213. 356487400751227/359371300751221. 35648740075
1235/359371300751239. 356487400751243/359371300751247. 356487400751250/359371300751254. 356487400751268/359371300751262. 35648740
0751284/359371300751288. 356487400751318/359371300751312. 356487400751326/359371300751320. 356487400751383/359371300751387. 35648
7400751417/359371300751411.356487400751441/359371300751445. 356487400751458/359371300751452. 356487400751466/359371300751460. 356
487400751474/359371300751478. 356487400751482/359371300751486. 356487400751508/359371300751502. 356487400751532/359371300751536.
356487400751540/359371300751544. 356487400751557/359371300751551. 356487400751565/359371300751569. 356487400751607/35937130075160
1. 356487400751623/359371300751627. 356487400751631/359371300751635. 356487400751656/359371300751650. 356487400751672/35937130075
1676. 356487400751706/359371300751700. 356487400751714/359371300751718.356487400751763/359371300751767. 356487400751789/359371300
751783. 356487400751797/359371300751791. 356487400751805/359371300751809. 356487400751821/359371300751825. 356487400751847/359371
300751841. 356487400751854/359371300751858. 356487400751870/359371300751874. 356487400751888/359371300751882. 356487400751896/359
371300751890. 356487400751912/359371300751916. 356487400751920/359371300751924. 356487400751938/359371300751932. 356487400751979/
359371300751973. 356487400751987/359371300751981. 356487400751995/359371300751999. 356487400752001/359371300752005. 3564874007520
19/359371300752013. 356487400752035/359371300752039. 356487400752043/359371300752047. 356487400752068/359371300752062. 3564874007
52076/359371300752070. 356487400752084/359371300752088. 356487400752092/359371300752096. 356487400752118/359371300752112. 3564874
00752126/359371300752120. 356487400752159/359371300752153. 356487400752167/359371300752161. 356487400752175/359371300752179. 3564
87400752183/359371300752187. 356487400752191/359371300752195. 356487400752209/359371300752203. 356487400752225/359371300752229. 3
56487400752464/359371300752468. 356487400752472/359371300752476. 356487400752514/359371300752518. 356487400752530/359371300752534
. 356487400752555/359371300752559. 356487400752563/359371300752567. 356487400752605/359371300752609. 356487400752639/359371300752
633. 356487400752647/359371300752641. 356487400752654/359371300752658. 356487400752662/359371300752666. 356487400752670/359371300
752674. 356487400752688/359371300752682. 356487400752704/359371300752708. 356487400752712/359371300752716. 356487400752787/359371
300752781. 356487400752795/359371300752799. 356487400752829/359371300752823. 356487400752845/359371300752849. 356487400752878/359
371300752872.356487400752910/359371300752914. 356487400752936/359371300752930. 356487400752951/359371300752955. 356487400752977/3
59371300752971. 356487400753009/359371300753003. 356487400753017/359371300753011. 356487400753074/359371300753078. 35648740075311
6/359371300753110. 356487400753256/359371300753250. 356487400753298/359371300753292. 356487400753330/359371300753334. 35648740075
3371/359371300753375. 356487400753389/359371300753383. 356487400753405/359371300753409. 356487400753496/359371300753490. 35648740
0753512/359371300753516. 356487400753538/359371300753532.356487400753595/359371300753599. 356487400753611/359371300753615. 356487
400753629/359371300753623. 356487400753652/359371300753656. 356487400753660/359371300753664. 356487400753678/359371300753672. 356
487400753686/359371300753680. 356487400753736/359371300753730. 356487400754148/359371300754142. 356487400754171/359371300754175.
356487400754445/359371300754449. 356487400754569/359371300754563. 356487400754619/359371300754613. 356487400754668/35937130075466
2. 356487400754676/359371300754670. 356487400754684/359371300754688. 356487400754742/359371300754746. 356487400754759/35937130075
4753. 356487400754767/359371300754761. 356487400754775/359371300754779. 356487400754783/359371300754787. 356487400754791/35937130
0754795. 356487400754833/359371300754837. 356487400754841/359371300754845. 356487400754916/359371300754910. 356487400754924/35937
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
1300754928. 356487400754965/359371300754969. 356487400754973/359371300754977. 356487400755129/359371300755123. 356487400755145/35
9371300755149. 356487400755186/359371300755180. 356487400755202/359371300755206. 356487400755236/359371300755230. 356487400755285
/359371300755289. 356487400755293/359371300755297. 356487400755301/359371300755305. 356487400755319/359371300755313. 356487400755
327/359371300755321. 356487400755475/359371300755479. 356487400755525/359371300755529. 356487400755533/359371300755537. 356487400
755640/359371300755644. 356487400755673/359371300755677. 356487400755798/359371300755792. 356487400755848/359371300755842. 356487
400755863/359371300755867. 356487400755871/359371300755875. 356487400755897/359371300755891. 356487400755947/359371300755941. 356
487400755962/359371300755966. 356487400755970/359371300755974. 356487400755996/359371300755990. 356487400756036/359371300756030.3
56487400756044/359371300756048. 356487400756069/359371300756063. 356487400756077/359371300756071. 356487400756085/359371300756089
. 356487400756093/359371300756097. 356487400756101/359371300756105. 356487400756135/359371300756139. 356487400756150/359371300756
154. 356487400756168/359371300756162. 356487400756184/359371300756188. 356487400756192/359371300756196. 356487400756234/359371300
756238. 356487400756242/359371300756246. 356487400756275/359371300756279. 356487400756283/359371300756287. 356487400756309/359371
300756303. 356487400756416/359371300756410.356487400756432/359371300756436. 356487400756440/359371300756444. 356487400756473/3593
71300756477. 356487400756481/359371300756485. 356487400756499/359371300756493. 356487400756507/359371300756501. 356487400756515/3
59371300756519. 356487400756523/359371300756527. 356487400756549/359371300756543. 356487400756564/359371300756568. 35648740075657
2/359371300756576. 356487400756648/359371300756642. 356487400756713/359371300756717. 356487400756721/359371300756725. 35648740075
6762/359371300756766. 356487400756911/359371300756915. 356487400756945/359371300756949. 356487400757018/359371300757012. 35648740
0757026/359371300757020. 356487400757067/359371300757061. 356487400757075/359371300757079. 356487400757083/359371300757087. 35648
7400757133/359371300757137. 356487400757141/359371300757145. 356487400757182/359371300757186. 356487400757703/359371300757707. 35
6487400757729/359371300757723. 356487400757745/359371300757749. 356487400757752/359371300757756. 356487400757760/359371300757764.
356487400757786/359371300757780. 356487400757802/359371300757806. 356487400757828/359371300757822. 356487400757836/3593713007578
30. 356487400757844/359371300757848. 356487400757851/359371300757855. 356487400757869/359371300757863. 356487400757885/3593713007
57889. 356487400757893/359371300757897. 356487400757935/359371300757939. 356487400757943/359371300757947. 356487400757950/3593713
00757954. 356487400757968/359371300757962. 356487400757976/359371300757970. 356487400757992/359371300757996. 356487400758016/3593
71300758010. 356487400758040/359371300758044. 356487400758156/359371300758150. 356487400758222/359371300758226. 356487400758305/3
59371300758309. 356487400758321/359371300758325. 356487400758339/359371300758333. 356487400758420/359371300758424.356487400758453
/359371300758457. 356487400758461/359371300758465. 356487400758487/359371300758481. 356487400758495/359371300758499. 356487400758
602/359371300758606. 356487400758651/359371300758655. 356487400758701/359371300758705. 356487400758719/359371300758713. 356487400
758727/359371300758721. 356487400758743/359371300758747. 356487400758776/359371300758770. 356487400758792/359371300758796. 356487
400759071/359371300759075. 356487400759105/359371300759109. 356487400759352/359371300759356. 356487400759394/359371300759398. 356
487400759550/359371300759554.356487400759568/359371300759562. 356487400759618/359371300759612. 356487400759642/359371300759646. 3
56487400759659/359371300759653. 356487400759667/359371300759661. 356487400759675/359371300759679. 356487400759709/359371300759703
. 356487400759774/359371300759778. 356487400759824/359371300759828. 356487400759832/359371300759836. 356487400759857/359371300759
851. 356487400759873/359371300759877. 356487400759899/359371300759893. 356487400759915/359371300759919. 356487400759931/359371300
759935. 356487400759964/359371300759968. 356487400759972/359371300759976. 356487400760004/359371300760008. 356487400760020/359371
300760024. 356487400760053/359371300760057. 356487400760061/359371300760065. 356487400760079/359371300760073. 356487400760137/359
371300760131. 356487400760145/359371300760149. 356487400760160/359371300760164. 356487400760186/359371300760180. 356487400760202/
359371300760206. 356487400760210/359371300760214. 356487400760228/359371300760222. 356487400760269/359371300760263. 3564874007602
77/359371300760271. 356487400760285/359371300760289. 356487400760301/359371300760305. 356487400760319/359371300760313. 3564874007
60327/359371300760321. 356487400760335/359371300760339. 356487400760350/359371300760354. 356487400760368/359371300760362. 3564874
00760376/359371300760370. 356487400760384/359371300760388. 356487400760418/359371300760412. 356487400760434/359371300760438. 3564
87400760442/359371300760446. 356487400760467/359371300760461. 356487400760475/359371300760479. 356487400760483/359371300760487. 3
56487400760491/359371300760495. 356487400760525/359371300760529. 356487400760558/359371300760552. 356487400760566/359371300760560
. 356487400760574/359371300760578. 356487400760582/359371300760586. 356487400760590/359371300760594.356487400760608/3593713007606
02. 356487400760616/359371300760610. 356487400760624/359371300760628. 356487400760640/359371300760644. 356487400760665/3593713007
60669. 356487400760673/359371300760677. 356487400760681/359371300760685. 356487400760699/359371300760693. 356487400760707/3593713
00760701. 356487400760715/359371300760719. 356487400760731/359371300760735. 356487400760749/359371300760743. 356487400760764/3593
71300760768. 356487400760772/359371300760776. 356487400760798/359371300760792. 356487400760806/359371300760800. 356487400760814/3
59371300760818.356487400760822/359371300760826. 356487400760830/359371300760834. 356487400760848/359371300760842. 356487400760863
/359371300760867. 356487400760871/359371300760875. 356487400760889/359371300760883. 356487400760897/359371300760891. 356487400760
939/359371300760933. 356487400760947/359371300760941. 356487400760970/359371300760974. 356487400760988/359371300760982. 356487400
761002/359371300761006. 356487400761036/359371300761030. 356487400761051/359371300761055. 356487400761119/359371300761113. 356487
400761127/359371300761121. 356487400761135/359371300761139. 356487400761341/359371300761345. 356487400761390/359371300761394. 356
487400761465/359371300761469. 356487400761507/359371300761501. 356487400761606/359371300761600. 356487400761614/359371300761618.
356487400761655/359371300761659. 356487400761689/359371300761683. 356487400761697/359371300761691. 356487400761754/35937130076175
8. 356487400761788/359371300761782. 356487400761820/359371300761824. 356487400761879/359371300761873. 356487400761945/35937130076
1949. 356487400761960/359371300761964. 356487400761978/359371300761972. 356487400761986/359371300761980. 356487400762000/35937130
0762004. 356487400762018/359371300762012. 356487400762026/359371300762020. 356487400762059/359371300762053. 356487400762067/35937
1300762061. 356487400762075/359371300762079. 356487400762083/359371300762087. 356487400762091/359371300762095. 356487400762109/35
9371300762103. 356487400762117/359371300762111. 356487400762125/359371300762129. 356487400762133/359371300762137. 356487400762141
/359371300762145. 356487400762158/359371300762152. 356487400762166/359371300762160. 356487400762174/359371300762178. 356487400762
182/359371300762186. 356487400762224/359371300762228. 356487400762232/359371300762236.356487400762265/359371300762269. 3564874007
62281/359371300762285. 356487400762331/359371300762335. 356487400762349/359371300762343. 356487400762356/359371300762350. 3564874
00762364/359371300762368. 356487400762380/359371300762384. 356487400762406/359371300762400. 356487400762430/359371300762434. 3564
87400762448/359371300762442. 356487400762455/359371300762459. 356487400762463/359371300762467. 356487400762471/359371300762475. 3
56487400762489/359371300762483. 356487400762539/359371300762533. 356487400762547/359371300762541. 356487400762588/359371300762582
.356487400762596/359371300762590. 356487400762604/359371300762608. 356487400762612/359371300762616. 356487400762646/3593713007626
40. 356487400762711/359371300762715. 356487400762752/359371300762756. 356487400762760/359371300762764. 356487400762794/3593713007
62798. 356487400762810/359371300762814. 356487400763081/359371300763085. 356487400763313/359371300763317. 356487400763487/3593713
00763481. 356487400763560/359371300763564. 356487400763602/359371300763606. 356487400763610/359371300763614. 356487400763685/3593
71300763689. 356487400763776/359371300763770. 356487400763792/359371300763796. 356487400763891/359371300763895. 356487400763933/3
59371300763937. 356487400763966/359371300763960. 356487400764048/359371300764042. 356487400764097/359371300764091. 35648740076410
5/359371300764109. 356487400764162/359371300764166. 356487400764188/359371300764182. 356487400764279/359371300764273. 35648740076
4295/359371300764299. 356487400764311/359371300764315. 356487400764345/359371300764349. 356487400764378/359371300764372. 35648740
0764386/359371300764380. 356487400764444/359371300764448. 356487400764501/359371300764505. 356487400764550/359371300764554. 35648
7400764618/359371300764612. 356487400764659/359371300764653. 356487400764758/359371300764752. 356487400765060/359371300765064. 35
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
6487400765110/359371300765114. 356487400765151/359371300765155. 356487400765169/359371300765163. 356487400765367/359371300765361.
356487400765714/359371300765718. 356487400765839/359371300765833. 356487400765987/359371300765981. 356487400766019/3593713007660
13. 356487400766068/359371300766062. 356487400766084/359371300766088. 356487400766118/359371300766112. 356487400766134/3593713007
66138. 356487400766142/359371300766146. 356487400766175/359371300766179.356487400766217/359371300766211. 356487400766282/35937130
0766286. 356487400766290/359371300766294. 356487400766316/359371300766310. 356487400766340/359371300766344. 356487400766357/35937
1300766351. 356487400766407/359371300766401. 356487400766415/359371300766419. 356487400766431/359371300766435. 356487400766449/35
9371300766443. 356487400766472/359371300766476. 356487400766480/359371300766484. 356487400766548/359371300766542. 356487400766555
/359371300766559. 356487400766563/359371300766567. 356487400766589/359371300766583. 356487400766639/359371300766633.3564874007666
62/359371300766666. 356487400766670/359371300766674. 356487400766720/359371300766724. 356487400766753/359371300766757. 3564874007
66787/359371300766781. 356487400766795/359371300766799. 356487400766803/359371300766807. 356487400766811/359371300766815. 3564874
00766860/359371300766864. 356487400766886/359371300766880. 356487400766928/359371300766922. 356487400767025/359371300767029. 3564
87400767041/359371300767045. 356487400767058/359371300767052. 356487400767074/359371300767078. 356487400767082/359371300767086. 3
56487400767090/359371300767094. 356487400767108/359371300767102. 356487400767157/359371300767151. 356487400767181/359371300767185
. 356487400767199/359371300767193. 356487400767215/359371300767219. 356487400767256/359371300767250. 356487400767264/359371300767
268. 356487400767322/359371300767326. 356487400767371/359371300767375. 356487400767405/359371300767409. 356487400767421/359371300
767425. 356487400767439/359371300767433. 356487400767447/359371300767441. 356487400767454/359371300767458. 356487400767462/359371
300767466. 356487400767496/359371300767490. 356487400767504/359371300767508. 356487400767512/359371300767516. 356487400767561/359
371300767565. 356487400767587/359371300767581. 356487400767595/359371300767599. 356487400767603/359371300767607. 356487400767637/
359371300767631. 356487400767678/359371300767672. 356487400767686/359371300767680. 356487400767736/359371300767730. 3564874007677
51/359371300767755. 356487400767769/359371300767763. 356487400767777/359371300767771. 356487400767785/359371300767789. 3564874007
67819/359371300767813. 356487400767868/359371300767862. 356487400767876/359371300767870. 356487400767918/359371300767912. 3564874
00767934/359371300767938. 356487400767942/359371300767946.356487400767959/359371300767953. 356487400767967/359371300767961. 35648
7400767975/359371300767979. 356487400767983/359371300767987. 356487400767991/359371300767995. 356487400768007/359371300768001. 35
6487400768015/359371300768019. 356487400768023/359371300768027. 356487400768031/359371300768035. 356487400768049/359371300768043.
356487400768056/359371300768050. 356487400768064/359371300768068. 356487400768072/359371300768076. 356487400768080/3593713007680
84. 356487400768098/359371300768092. 356487400768106/359371300768100. 356487400768114/359371300768118.356487400768122/35937130076
8126. 356487400768130/359371300768134. 356487400768148/359371300768142. 356487400768155/359371300768159. 356487400768163/35937130
0768167. 356487400768171/359371300768175. 356487400768189/359371300768183. 356487400768197/359371300768191. 356487400768213/35937
1300768217. 356487400768221/359371300768225. 356487400768247/359371300768241. 356487400768262/359371300768266. 356487400768288/35
9371300768282. 356487400768296/359371300768290. 356487400768312/359371300768316. 356487400768320/359371300768324. 356487400768338
/359371300768332. 356487400768346/359371300768340. 356487400768353/359371300768357. 356487400768361/359371300768365. 356487400768
395/359371300768399. 356487400768403/359371300768407. 356487400768411/359371300768415. 356487400768502/359371300768506. 356487400
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032025001883665-9
Espacio para uso exclusivo de la Entidad Recaudadora
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