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REPÚBLICA DE COLOMBIA
Declaración de Importación Privada 500
1. Año 2026
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
032026000109350-3
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. 116575016570196
43 . Año – Mes – Día
2026 – 01 – 24
44 . Documento de transporte
No. PVG71673128
45 . Año – Mes – Día
2026 – 01 – 19
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
6900410958
52 . Año – Mes – Día
2026 – 01 – 16
53 . Cod. país
procedencia
215
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.
3.687.32
S 59 . Subpartida arancelaria
8517130000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C134
63 . No. cuotas
o meses
XX
64 . Valor cuota USD
XXXX
65 . Periodicidad del
pago de la cuota
XX
66 . Cod. país
de origen
215
67 . Cod. Acuerdo
XXX
68 . Forma de pago
de la importación
01
69 . Tipo de
importación
01
70 . Cod. país
compra
190
71 . Peso bruto kgs. dcms.
117.00
72 . Peso neto kgs. dcms.
85.75
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
350.00
78 .Valor FOB
USD
16.339.20
79 . Valor fletes USD
937.17 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
63.705.606
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
63.705.606
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
0.57
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
937.74
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
17.276.94
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: 588077-DECL: 1994646-DO: 893101288261- 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: 3106660067. ID DELIVERY: 6086709498. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A075MZKGLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A07 5G DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, M(continúa al respaldo)
127 . Valor pagos anteriores: 0 128 . Recibo oficial de pago anterior No.: XXXXXXXXXXXXXXX 129. Fecha: XXXX XX XX
130 . Espacio reservado DIAN – Actuación aduanera
Estado de levante: Levante automático
No hay declaración posterior
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032026000109350
133. Feha: 202601 22
134 . Levante No. 032026000123641 135 . Fecha
2026 – 01 – 26
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 92032604835935
Fecha presentación 2026-01-22 17:09:13
Valor pagado $0.00
Fecha de Impresión: 2026-01-26 10:30:57
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000109350-3
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ODELO: SM-A075M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL./ /MOBILE,SM-A075M/DS,BLACK,LTC( QTY. 350,00 u )(350,00 PCE
); IMEIS: 352169189779082/354282529779080. 352169189779090/354282529779098. 352169189779116/354282529779114. 352169189779124/3542
82529779122. 352169189779199/354282529779197. 352169189779223/354282529779221. 352169189779231/354282529779239. 352169189779249/3
54282529779247. 352169189779256/354282529779254.352169189779264/354282529779262. 352169189779280/354282529779288. 352169189779298
/354282529779296. 352169189779322/354282529779320. 352169189779355/354282529779353. 352169189779389/354282529779387. 352169189779
447/354282529779445. 352169189779470/354282529779478. 352169189779579/354282529779577. 352169189779603/354282529779601. 352169189
779637/354282529779635. 352169189779645/354282529779643. 352169189779660/354282529779668. 352169189779678/354282529779676. 352169
189779694/354282529779692. 352169189779710/354282529779718. 352169189779728/354282529779726 . 352169189779736/354282529779734. 35
2169189779744/354282529779742. 352169189779777/354282529779775. 352169189779801/354282529779809. 352169189779819/354282529779817.
352169189779827/354282529779825. 352169189779835/354282529779833. 352169189779843/354282529779841. 352169189779850/3542825297798
58. 352169189779876/354282529779874. 352169189779884/354282529779882. 352169189779900/354282529779908. 352169189779942/3542825297
79940. 352169189779975/354282529779973. 352169189780015/354282529780013. 352169189780023/354282529780021. 352169189780031/3542825
29780039. 352169189780056/354282529780054. 352169189780072/354282529780070. 352169189780098/354282529780096. 352169189780122/3542
82529780120. 352169189780312/354282529780310. 352169189780338/354282529780336. 352169189780429/354282529780427. 352169189780445/3
54282529780443. 352169189780601/354282529780609. 352169189780627/354282529780625. 352169189780635/354282529780633. 35216918978064
3/354282529780641. 352169189780650/354282529780658. 352169189780668/354282529780666. 352169189780676/354282529780674. 35216918978
0692/354282529780690. 352169189780700/354282529780708. 352169189780742/354282529780740. 352169189780767/354282529780765.352169189
780999/354282529780997. 352169189781021/354282529781029. 352169189781286/354282529781284. 352169189781534/354282529781532. 352169
189781583/354282529781581. 352169189781609/354282529781607. 352169189781641/354282529781649. 352169189781690/354282529781698. 352
169189781724/354282529781722. 352169189781732/354282529781730. 352169189781740/354282529781748. 352169189781781/354282529781789.
352169189781799/354282529781797. 352169189781815/354282529781813. 352169189781823/354282529781821. 352169189781906/35428252978190
4. 352169189781948/354282529781946.352169189781963/354282529781961. 352169189782003/354282529782001. 352169189782011/354282529782
019. 352169189782029/354282529782027. 352169189782037/354282529782035. 352169189782060/354282529782068. 352169189782078/354282529
782076. 352169189782086/354282529782084. 352169189782094/354282529782092. 352169189782102/354282529782100. 352169189782144/354282
529782142. 352169189782151/354282529782159. 352169189782185/354282529782183. 352169189782201/354282529782209. 352169189782219/354
282529782217. 352169189782227/354282529782225. 352169189782235/354282529782233. 352169189782243/354282529782241. 352169189782250/
354282529782258. 352169189782268/354282529782266. 352169189782276/354282529782274. 352169189782292/354282529782290. 3521691897823
18/354282529782316. 352169189782326/354282529782324. 352169189782334/354282529782332. 352169189782359/354282529782357. 3521691897
82367/354282529782365. 352169189782409/354282529782407. 352169189782417/354282529782415. 352169189782433/354282529782431. 3521691
89782441/354282529782449. 352169189782466/354282529782464. 352169189782474/354282529782472. 352169189782490/354282529782498. 3521
69189782508/354282529782506. 352169189782524/354282529782522. 352169189782540/354282529782548. 352169189782557/354282529782555. 3
52169189782565/354282529782563. 352169189782573/354282529782571. 352169189782581/354282529782589. 352169189782607/354282529782605
. 352169189782649/354282529782647. 352169189782656/354282529782654. 352169189782664/354282529782662. 352169189782672/354282529782
670. 352169189782680/354282529782688. 352169189782698/354282529782696. 352169189782722/354282529782720. 352169189782730/354282529
782738. 352169189782748/354282529782746. 352169189782771/354282529782779. 352169189782789/354282529782787.352169189782805/3542825
29782803. 352169189782813/354282529782811. 352169189782821/354282529782829. 352169189782839/354282529782837. 352169189782862/3542
82529782860. 352169189782870/354282529782878. 352169189782912/354282529782910. 352169189782987/354282529782985. 352169189783019/3
54282529783017. 352169189783050/354282529783058. 352169189783100/354282529783108. 352169189783191/354282529783199. 35216918978328
2/354282529783280. 352169189783290/354282529783298. 352169189783316/354282529783314. 352169189783373/354282529783371. 35216918978
3423/354282529783421.352169189783431/354282529783439. 352169189783449/354282529783447. 352169189783456/354282529783454. 352169189
783472/354282529783470. 352169189783480/354282529783488. 352169189783498/354282529783496. 352169189783506/354282529783504. 352169
189783522/354282529783520. 352169189783530/354282529783538. 352169189783563/354282529783561. 352169189783571/354282529783579. 352
169189783589/354282529783587. 352169189783597/354282529783595. 352169189783605/354282529783603. 352169189783613/354282529783611.
352169189783639/354282529783637. 352169189783647/354282529783645. 352169189783654/354282529783652. 352169189783670/35428252978367
8. 352169189783696/354282529783694. 352169189783704/354282529783702. 352169189783712/354282529783710. 352169189783720/35428252978
3728. 352169189783738/354282529783736. 352169189783746/354282529783744. 352169189783829/354282529783827. 352169189783845/35428252
9783843. 352169189783902/354282529783900. 352169189783910/354282529783918. 352169189783928/354282529783926. 352169189783944/35428
2529783942. 352169189783969/354282529783967. 352169189783985/354282529783983. 352169189784009/354282529784007. 352169189784017/35
4282529784015. 352169189784041/354282529784049. 352169189784082/354282529784080. 352169189784090/354282529784098. 352169189784116
/354282529784114. 352169189784124/354282529784122. 352169189784132/354282529784130. 352169189784140/354282529784148. 352169189784
165/354282529784163. 352169189784173/354282529784171. 352169189784231/354282529784239. 352169189784264/354282529784262. 352169189
784314/354282529784312. 352169189784603/354282529784601. 352169189784744/354282529784742. 352169189784751/354282529784759. 352169
189784975/354282529784973. 352169189785113/354282529785111. 352169189785162/354282529785160.352169189785220/354282529785228. 3521
69189785246/354282529785244. 352169189785261/354282529785269. 352169189785295/354282529785293. 352169189785303/354282529785301. 3
52169189785311/354282529785319. 352169189785337/354282529785335. 352169189785345/354282529785343. 352169189785360/354282529785368
. 352169189785378/354282529785376. 352169189785394/354282529785392. 352169189785402/354282529785400. 352169189785410/354282529785
418. 352169189785428/354282529785426. 352169189785451/354282529785459. 352169189785477/354282529785475. 352169189785493/354282529
785491.352169189785618/354282529785616. 352169189785626/354282529785624. 352169189785634/354282529785632. 352169189785667/3542825
29785665. 352169189785832/354282529785830. 352169189786202/354282529786200. 352169189786244/354282529786242. 352169189786426/3542
82529786424. 352169189786475/354282529786473. 352169189786509/354282529786507. 352169189786517/354282529786515. 352169189786525/3
54282529786523. 352169189786541/354282529786549. 352169189786558/354282529786556. 352169189786574/354282529786572. 35216918978658
2/354282529786580. 352169189786590/354282529786598. 352169189786608/354282529786606. 352169189786624/354282529786622. 35216918978
6632/354282529786630. 352169189786640/354282529786648. 352169189786657/354282529786655. 352169189786665/354282529786663. 35216918
9786673/354282529786671. 352169189786681/354282529786689. 352169189786699/354282529786697. 352169189786707/354282529786705. 35216
9189786715/354282529786713. 352169189786731/354282529786739. 352169189786756/354282529786754. 352169189786764/354282529786762. 35
2169189786772/354282529786770. 352169189786780/354282529786788. 352169189786798/354282529786796. 352169189786806/354282529786804.
352169189786814/354282529786812. 352169189786822/354282529786820. 352169189786830/354282529786838. 352169189786848/3542825297868
46. 352169189786855/354282529786853. 352169189786863/354282529786861. 352169189786871/354282529786879. 352169189786897/3542825297
86895. 352169189786905/354282529786903. 352169189786913/354282529786911. 352169189786921/354282529786929. 352169189786939/3542825
29786937. 352169189786947/354282529786945. 352169189786954/354282529786952. 352169189786962/354282529786960. 352169189786970/3542
82529786978. 352169189786988/354282529786986. 352169189787002/354282529787000.352169189787010/354282529787018. 352169189787028/35
4282529787026. 352169189787036/354282529787034. 352169189787044/354282529787042. 352169189787069/354282529787067. 352169189787077
/354282529787075. 352169189787085/354282529787083. 352169189787093/354282529787091. 352169189787101/354282529787109. 352169189787
119/354282529787117. 352169189787127/354282529787125. 352169189787135/354282529787133. 352169189787143/354282529787141. 352169189
787150/354282529787158. 352169189787168/354282529787166. 352169189787176/354282529787174. 352169189787200/354282529787208.3521691
032026000109350-3
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000109350-3
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
89787218/354282529787216. 352169189787226/354282529787224. 352169189787234/354282529787232. 352169189787242/354282529787240. 3521
69189787275/354282529787273. 352169189787283/354282529787281. 352169189787291/354282529787299. 352169189787317/354282529787315. 3
52169189787325/354282529787323. 352169189787333/354282529787331. 352169189787341/354282529787349. 352169189787358/354282529787356
. 352169189787366/354282529787364. 352169189787374/354282529787372. 352169189787382/354282529787380. 352169189787390/354282529787
398. 352169189787408/354282529787406. 352169189787416/354282529787414. 352169189787424/354282529787422. 352169189787432/354282529
787430. 352169189787440/354282529787448. 352169189787465/354282529787463. 352169189787481/354282529787489. 352169189787499/354282
529787497. 352169189787515/354282529787513. 352169189787523/354282529787521. 352169189787531/354282529787539. 352169189787549/354
282529787547. 352169189787556/354282529787554. 352169189787564/354282529787562. 352169189787572/354282529787570. 352169189787598/
354282529787596. 352169189787606/354282529787604. 352169189787614/354282529787612. 352169189787622/354282529787620. 3521691897876
30/354282529787638. 352169189787655/354282529787653. 352169189787663/354282529787661. 352169189787671/354282529787679. 3521691897
87697/354282529787695. 352169189787705/354282529787703. 352169189787721/354282529787729. 352169189787739/354282529787737. 3521691
89787754/354282529787752. 352169189787762/354282529787760. 352169189787770/354282529787778. 352169189787796/354282529787794. 3521
69189787804/354282529787802. 352169189787838/354282529787836. 352169189787846/354282529787844. 352169189787861/354282529787869. 3
52169189788182/354282529788180. 352169189788984/354282529788982.352169189789099/354282529789097. 352169189789248/354282529789246.
352169189789297/354282529789295. 352169189789354/354282529789352. 352169189789420/354282529789428. 352169189789511/3542825297895
19. 352169189789537/354282529789535. 352169189789552/354282529789550XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032026000109350-3
Espacio para uso exclusivo de la Entidad Recaudadora
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