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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
032025001897039-9
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
Inicial
33 . Cod.
1
34 .No.Formulario Anterior
XXXXXXXXXXXXXX
35 . Año – Mes – Día
XXXX – XX – XX
36 . Cod. Admón.
XX
37 . Declaración de Exportación
No. XXXXXXXXXXXXXXX
38 . Año – Mes – Día
XXXX – XX – XX
39 . Cod. Admón.
XX
40 . Cod. lugar ingreso
de las mercancías
BOG
41 . Cod. Depósito
99900
42 . Manifiesto de carga
No. 116575016213568
43 . Año – Mes – Día
2025 – 10 – 26
44 . Documento de transporte
No. SHAN0434021
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
9103869795
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.
3.888.76
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.
130.00
72 . Peso neto kgs. dcms.
108.40
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
400.00
78 .Valor FOB
USD
57.237.35
79 . Valor fletes USD
1.116.70 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
226.932.401
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
226.932.401
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
1.93
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.118.63
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
58.355.98
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: 578585-DECL: 1967669-DO: 893126498251- 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: 3102008484. ID DELIVERY:
6085217543. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A266MLGHLTC, PRODUCTO: TELEFONO CELULAR GALAXY A26 5G DUOS(CON ACCESORIOS PA
RA USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE CLARO, MODELO: SM-A266M/DS, USO O DESTINO: PARA LA VENTA AL 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: Después de insp.: levante
No hay declaración posterior
Acta de inspección No.: 032025000109566
Inició: 2025-10-28 13:05:25 Finalizó: 2025-10-28 20:46:00
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032025001897039
133. Feha: 202510 28
134 . Levante No. 032025001620931 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 92032508453177
Fecha presentación 2025-10-28 13:05:24
Valor pagado $0.00
Fecha de Impresión: 2025-10-28 20:50:04
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001897039-9
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
AYOR Y AL DETAL./ /MOBILE,SM-A266M/DS,LIGHT GREEN,LTC( QTY. 400,00 u )(400,00 PCE );IMEIS: 357617701031791/359489751031792. 35761
7701031833/359489751031834. 357617701031866/359489751031867. 357617701031874/359489751031875.357617701031890/359489751031891. 357
617701031908/359489751031909. 357617701031916/359489751031917. 357617701031924/359489751031925. 357617701031932/359489751031933.
357617701031940/359489751031941. 357617701031957/359489751031958. 357617701031981/359489751031982. 357617701031999/35948975103199
0. 357617701032005/359489751032006. 357617701032021/359489751032022. 357617701032039/359489751032030. 357617701032047/35948975103
2048. 357617701032054/359489751032055. 357617701032062/359489751032063. 357617701032070/359489751032071. 357617701032088/35948975
1032089.357617701032096/359489751032097. 357617701032104/359489751032105. 357617701032112/359489751032113. 357617701032120/359489
751032121. 357617701032138/359489751032139. 357617701032146/359489751032147. 35761770103 2153/359489751032154. 357617701032161/35
9489751032162. 357617701032179/359489751032170. 357617701032187/359489751032188. 357617701032195/359489751032196. 357617701032203
/359489751032204. 357617701032211/359489751032212. 357617701032229/359489751032220. 357617701032237/359489751032238. 357617701032
245/359489751032246. 357617701032252/359489751032253. 357617701032260/359489751032261. 357617701032278/359489751032279. 357617701
032310/359489751032311. 357617701032328/359489751032329. 357617701032518/359489751032519. 357617701032542/359489751032543. 357617
701032575/359489751032576. 357617701032583/359489751032584. 357617701032591/359489751032592. 357617701032617/359489751032618. 357
617701032658/359489751032659. 357617701032773/359489751032774. 357617701032781/359489751032782. 357617701032864/359489751032865.
357617701032955/359489751032956. 357617701033284/359489751033285. 357617701033300/359489751033301. 357617701033318/35948975103331
9. 357617701033326/359489751033327. 357617701033342/359489751033343. 357617701033391/359489751033392. 357617701033409/35948975103
3400. 357617701033441/359489751033442. 357617701033458/359489751033459. 357617701033474/359489751033475. 357617701033490/35948975
1033491. 357617701033508/359489751033509. 357617701033524/359489751033525. 357617701033540/359489751033541. 357617701033623/35948
9751033624. 357617701033656/359489751033657. 357617701033797/359489751033798. 357617701033805/359489751033806. 357617701034258/35
9489751034259. 357617701034787/359489751034788. 357617701034852/359489751034853.357617701034860/359489751034861. 357617701034886/
359489751034887. 357617701034894/359489751034895. 357617701034928/359489751034929. 357617701034977/359489751034978. 3576177010350
08/359489751035009. 357617701035057/359489751035058. 357617701035073/359489751035074. 357617701035115/359489751035116. 3576177010
35123/359489751035124. 357617701035131/359489751035132. 357617701035156/359489751035157. 357617701035164/359489751035165. 3576177
01035198/359489751035199. 357617701035214/359489751035215. 357617701035248/359489751035249. 357617701035263/359489751035264.35761
7701035289/359489751035280. 357617701035297/359489751035298. 357617701035305/359489751035306. 357617701035313/359489751035314. 35
7617701035339/359489751035330. 357617701035347/359489751035348. 357617701035354/359489751035355. 357617701035362/359489751035363.
357617701035370/359489751035371. 357617701035388/359489751035389. 357617701035412/359489751035413. 357617701035420/3594897510354
21. 357617701035438/359489751035439. 357617701035446/359489751035447. 357617701035461/359489751035462. 357617701035479/3594897510
35470. 357617701035503/359489751035504. 357617701035529/359489751035520. 357617701035545/359489751035546. 357617701035578/3594897
51035579. 357617701035628/359489751035629. 357617701035636/359489751035637. 357617701035644/359489751035645. 357617701035651/3594
89751035652. 357617701035669/359489751035660. 357617701035677/359489751035678. 357617701035685/359489751035686. 357617701035693/3
59489751035694. 357617701035719/359489751035710. 357617701035727/359489751035728. 357617701035743/359489751035744. 35761770103575
0/359489751035751. 357617701035768/359489751035769. 357617701035776/359489751035777. 357617701035784/359489751035785. 35761770103
5792/359489751035793. 357617701035800/359489751035801. 357617701035818/359489751035819. 357617701035826/359489751035827. 35761770
1035834/359489751035835. 357617701035842/359489751035843. 357617701035859/359489751035850. 357617701035867/359489751035868. 35761
7701035875/359489751035876. 357617701035883/359489751035884. 357617701035891/359489751035892. 357617701035917/359489751035918. 35
7617701035933/359489751035934. 357617701035941/359489751035942. 357617701035958/359489751035959. 357617701035966/359489751035967.
357617701036006/359489751036007. 357617701036014/359489751036015.357617701036055/359489751036056. 357617701036063/35948975103606
4. 357617701036071/359489751036072. 357617701036089/359489751036080. 357617701036097/359489751036098. 357617701036105/35948975103
6106. 357617701036113/359489751036114. 357617701036121/359489751036122. 357617701036139/359489751036130. 357617701036147/35948975
1036148. 357617701036154/359489751036155. 357617701036162/359489751036163. 357617701036188/359489751036189. 357617701036196/35948
9751036197. 357617701036204/359489751036205. 357617701036220/359489751036221. 357617701036238/359489751036239.357617701036246/359
489751036247. 357617701036253/359489751036254. 357617701036261/359489751036262. 357617701036279/359489751036270. 357617701036287/
359489751036288. 357617701036295/359489751036296. 357617701036337/359489751036338. 357617701036345/359489751036346. 3576177010363
52/359489751036353. 357617701036360/359489751036361. 357617701036378/359489751036379. 357617701036394/359489751036395. 3576177010
36469/359489751036460. 357617701036501/359489751036502. 357617701036535/359489751036536. 357617701036592/359489751036593. 3576177
01036600/359489751036601. 357617701036626/359489751036627. 357617701036675/359489751036676. 357617701036709/359489751036700. 3576
17701036717/359489751036718. 357617701036725/359489751036726. 357617701036741/359489751036742. 357617701036782/359489751036783. 3
57617701036808/359489751036809. 357617701036824/359489751036825. 357617701036832/359489751036833. 357617701036840/359489751036841
. 357617701036857/359489751036858. 357617701036865/359489751036866. 357617701036873/359489751036874. 357617701036899/359489751036
890. 357617701036949/359489751036940. 357617701036972/359489751036973. 357617701037004/359489751037005. 357617701037038/359489751
037039. 357617701037061/359489751037062. 357617701037079/359489751037070. 357617701037095/359489751037096. 357617701037145/359489
751037146. 357617701037194/359489751037195. 357617701037202/359489751037203. 357617701037210/359489751037211. 357617701037228/359
489751037229. 357617701037277/359489751037278. 357617701037368/359489751037369. 357617701037459/359489751037450. 357617701037483/
359489751037484. 357617701037509/359489751037500. 357617701037525/359489751037526. 357617701037608/359489751037609. 3576177010376
16/359489751037617. 357617701037640/359489751037641.357617701037657/359489751037658. 357617701037665/359489751037666. 35761770103
7681/359489751037682. 357617701037707/359489751037708. 357617701037715/359489751037716. 357617701037947/359489751037948. 35761770
1038069/359489751038060. 357617701038085/359489751038086. 357617701038127/359489751038128. 357617701038143/359489751038144. 35761
7701038150/359489751038151. 357617701038176/359489751038177. 357617701038259/359489751038250. 357617701038267/359489751038268. 35
7617701038325/359489751038326. 357617701038366/359489751038367. 357617701038390/359489751038391.357617701038523/359489751038524.
357617701038549/359489751038540. 357617701038622/359489751038623. 357617701038671/359489751038672. 357617701038705/35948975103870
6. 357617701038838/359489751038839. 357617701038853/359489751038854. 357617701039067/359489751039068. 357617701039075/35948975103
9076. 357617701039133/359489751039134. 357617701039182/359489751039183. 357617701039224/359489751039225. 357617701039240/35948975
1039241. 357617701039265/359489751039266. 357617701039315/359489751039316. 357617701039489/359489751039480. 357617701039497/35948
9751039498. 357617701039505/359489751039506. 357617701039513/359489751039514. 357617701039539/359489751039530. 357617701039562/35
9489751039563. 357617701039570/359489751039571. 357617701039588/359489751039589. 357617701039596/359489751039597. 357617701039604
/359489751039605. 357617701039612/359489751039613. 357617701039620/359489751039621. 357617701039638/359489751039639. 357617701039
646/359489751039647. 357617701039653/359489751039654. 357617701039661/359489751039662. 357617701039679/359489751039670. 357617701
039687/359489751039688. 357617701039695/359489751039696. 357617701039703/359489751039704. 357617701039711/359489751039712. 357617
701039729/359489751039720. 357617701039737/359489751039738. 357617701039745/359489751039746. 357617701039752/359489751039753. 357
617701039760/359489751039761. 357617701039778/359489751039779. 357617701039786/359489751039787. 357617701039794/359489751039795.
357617701039802/359489751039803. 357617701039810/359489751039811. 357617701039828/359489751039829. 357617701039836/35948975103983
7. 357617701039844/359489751039845. 357617701039851/359489751039852. 357617701039869/359489751039860. 357617701039877/35948975103
9878. 357617701039885/359489751039886.357617701039950/359489751039951. 357617701039968/359489751039969. 357617701039976/359489751
039977. 357617701040073/359489751040074. 357617701040156/359489751040157. 357617701040206/359489751040207. 357617701040248/359489
032025001897039-9
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032025001897039-9
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
751040249. 357617701040321/359489751040322. 357617701040446/359489751040447. 357617701040479/359489751040470. 357617701040529/359
489751040520. 357617701040560/359489751040561. 357617701040719/359489751040710. 357617701040735/359489751040736. 357617701040743/
359489751040744. 357617701040883/359489751040884. 357617701041030/359489751041031.357617701041055/359489751041056. 35761770104123
8/359489751041239. 357617701041246/359489751041247. 357617701041261/359489751041262. 357617701041303/359489751041304. 35761770104
1378/359489751041379. 357617701041485/359489751041486. 357617701041527/359489751041528. 357617701041568/359489751041569. 35761770
1041592/359489751041593. 357617701041600/359489751041601. 357617701041675/359489751041676. 357617701041816/359489751041817. 35761
7701041949/359489751041940. 357617701042004/359489751042005. 357617701042012/359489751042013. 357617701042129/359489751042120. 35
7617701042178/359489751042179. 357617701042186/359489751042187. 357617701042202/359489751042203. 357617701042210/359489751042211.
357617701042244/359489751042245. 357617701042269/359489751042260. 357617701042319/359489751042310. 357617701042491/3594897510424
92. 357617701042525/359489751042526. 357617701042533/359489751042534. 357617701042574/359489751042575. 357617701042608/3594897510
42609. 357617701042616/359489751042617. 357617701042681/359489751042682. 357617701042707/359489751042708. 357617701042749/3594897
51042740. 357617701042889/359489751042880. 357617701042921/359489751042922. 357617701042939/359489751042930. 357617701042970/3594
89751042971. 357617701043036/359489751043037. 357617701043051/359489751043052. 357617701043101/359489751043102. 357617701043119/3
59489751043110. 357617701043168/359489751043169. 357617701043184/359489751043185. 357617701043366/359489751043367. 35761770104342
4/359489751043425. 357617701043556/359489751043557. 357617701043630/359489751043631. 357617701043648/359489751043649. 35761770104
3705/359489751043706. 357617701043739/359489751043730. 357617701043754/359489751043755. 357617701043820/359489751043821. 35761770
1043903/359489751043904.357617701044059/359489751044050. 357617701044174/359489751044175. 357617701044182/359489751044183. 357617
701044190/359489751044191. 357617701044208/359489751044209. 357617701044224/359489751044225. 357617701044281/359489751044282. 357
617701044307/359489751044308. 357617701044356/359489751044357. 357617701044406/359489751044407. 357617701044414/359489751044415.
357617701044455/359489751044456. 357617701044513/359489751044514. 357617701044562/359489751044563. 357617701044620/35948975104462
1. 357617701044646/359489751044647. 357617701044711/359489751044712.357617701044729/359489751044720. 357617701044778/359489751044
779. 357617701044828/359489751044829. 357617701044836/359489751044837. 357617701044893/359489751044894. 357617701044950/359489751
044951. 357617701044968/359489751044969. 357617701044976/359489751044977. 357617701044984/359489751044985. 357617701045023/359489
751045024. 357617701045064/359489751045065. 357617701045072/359489751045073. 357617701045080/359489751045081. 357617701045122/359
489751045123. 357617701045148/359489751045149. 357617701045163/359489751045164. 357617701045205/359489751045206. 357617701045296/
359489751045297. 357617701045312/359489751045313. 357617701045338/359489751045339. 357617701045387/359489751045388. 3576177010454
03/359489751045404. 357617701045437/359489751045438. 357617701045445/359489751045446. 357617701045627/359489751045628. 3576177010
45643/359489751045644. 357617701045692/359489751045693. 357617701075376/359489751075377. 357617701075442/359489751075443XXXXXXXXX
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032025001897039-9
Espacio para uso exclusivo de la Entidad Recaudadora
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