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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
032026000158560-2
5 . Número de Identificación Tributaria (NIT)
800091549
6 . DV.
2
11 . Apellidos y nombres o Razón Social
IMPRESISTEM S A S
13 . Dirección
AUT MEDELLIN CL 80 KM 2
15 . Teléfono
8766500
12 . Cód. Admón.
03
16 . Cód. Dpto
25
17 . Cód. Ciudad Municipio
214
24 . Número de Identificación Tributaria (NIT)
830122083
25 . DV.
6
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS LATINOAMERICANA DE ADUANAS SAS NIVEL 2
27 . Tipo usuario
26
28 . Cód. usuario
459
29 . Número documento de identificación
1015440967
30 . Apellidos y nombres
CUELLAR MORENO PAULA GYSSEL
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
26924
42 . Manifiesto de carga
No. 116575016583733
43 . Año – Mes – Día
2026 – 01 – 28
44 . Documento de transporte
No. SZMI20260264
45 . Año – Mes – Día
2026 – 01 – 25
46 . Nombre exportador o proveedor en el exterior
IMC INTERNATIONAL INC
47 . Ciudad
MIAMI
48 . Cod.País Exportador
249
49 . Dirección exportador o proveedor en el exterior
7707 NW 46 STREET MIAMI, FL 33166
50 . E-mail
3059947965
51 . No. de factura
24179
52 . Año – Mes – Día
2026 – 01 – 22
53 . Cod. país
procedencia
215
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
ATLAS AIR INC SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
3.661.29
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
03
69 . Tipo de
importación
01
70 . Cod. país
compra
249
71 . Peso bruto kgs. dcms.
793.77
72 . Peso neto kgs. dcms.
714.39
73 . Código
embalaje
PK
74 . No. bultos
4
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
1.500.00
78 .Valor FOB USD 79 . Valor fletes USD
Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($)
Total Liquidado
(USD)
Arancel 92
0.00
93 94
0
95
0
96
0.00
I.V.A. 97
0.00
98 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 81 . Valor Otros Gastos USD
0
82 . Sumatoria de fletes, seguros
y otros gastos USD
83 . Ajuste valor USD
0.00
84 . Valor aduana USD 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)
DO 202636919 CODIGO / RESOLUCION OEA IMPORTADOR: OE0169; DECLARACION(1-2) NOS ACOGEMOS AL ART 424 DEL ESTATUTO TRIBUTARIO MODIFIC
ADO POR LEY 1819 DE 29 DE DICIEMBRE 2016, NUEVA REFORMA TRIBUTARIA, ART 175 PARA COMPUTADORES PORTATILES, DE ESCRITORIO TABLETAS
Y CELULARES. // HOMOLOGACIÓN DEL EQUIPO MARCA REDMI MODELO 25078RA3EL, RADICACION: 2025519080, FECHA: 2025-06-20 // DOCUMENTO DE
VERIFICACION DE IMEI: DV-251396 FECHA: 2026-01-27. FACTURA: 24179 FECHA: 2026-01-22 NOS ACOGEMOS AL DECRETO 1881 DEL 2021, NOS AC
OGEMOS AL DECRETO 0925 DE MAYO 9 DEL 2013, MINISTERIO DE COMERCIO EXTERIOR, IMPORTACIÓN EXENTA DE REGISTRO DE IMPORTACIÓN.. CANT
(1500) U TELEFONO CELULAR, 1066806 MOBILE PHONE Redmi 15C Midnight Black 4GB RAM 128GB ROM // ESPECIFICACIO(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
032026000158560
133. Feha: 2026 02 02
134 . Levante No. 032026000157525 135 . Fecha
2026 – 02 – 02
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 92032605097889
Fecha presentación 2026-02-02 11:22:11
Valor pagado $0.00
Fecha de Impresión: 2026-02-02 11:40:49
KELLY JOHANNA GONZALES
1023862658
IM
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000158560-2
Subpartida : 8517130000
Página 1 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
NES: PROCESADOR: Mediatek Helio G81 Ultra (12 nm), PANTALLA: 6.9 (17.53CM) PULGADAS, MEMORIA: 4GB, ALMACENAMIENTO: 128 GB, SISTEM
A OPERATIVO: ANDROID 15, HYPEROS 2 // EAN: 6932554444853 // TELEFONO CELULAR REDMI 15 C NEGRO OCASO 4GB RAM 128 GB ROM ALIMENTACI
ON: 5V = 3A / 3.6 – 11 V = 3A 33W MAX50 MP AI DUAL CAMERA SYSTEM POWERFUL OCTA-CORE, PROCESSOR 4+4GB CON EXTENCION 8 GB RAM 256 G
B ROM BATTERY 6000 MAH (TIP) CARGA RAPIDA 33W, TASA DE ACTUALIZACION 120 HZ EN LA CAJA: TELEFONO CELULAR, ADAPTADOR DE CORRIENTE,
CABLE USB TIPO-C, LLAVE PARA SIM CARD, CARCASA PROTECTORA, GUIA DE INICIO RAPIDO, Y TARJETA DE GARANTIA PRODUCTO TERMOSELLADO CO
D.: 1066806. PRODUCTO: TELEFONO CELULAR, MARCA: REDMI/MI, MODELO: 25078RA3EL, REFERENCIA: 67519/MZB0KO9US, USO O DESTINO: COMUNIC
ACIÓN, PARA ALMACENAMIENTO Y PROCESAMIENTO DE DATOS, SERIAL//IMEI NO. (CODIGO DE QUINCE -15- DIGITOS): 67519/65YE00031//865477083
535348//865477083535355, 67519/65YE00039//865477083535504//865477083535512, 67519/65YE00040//865477083535520//865477083535538, 67
519/65YE00041//865477083535546//865477083535553, 67519/65YE00042//865477083535561//865477083535579, 67519/65YE00046//865477083535
645//865477083535652, 67519/65YE00047//865477083535660//865477083535678, 67519/65YE00135//865477083569941//865477083569958, 67519
/65YE00438//865477083595326//865477083595334, 67519/65YE00475//865477083595607//865477083595615, 67519/65YE00483//865477083595763
//865477083595771, 67519/65YE00502//865477083579924//865477083579932, 67519/65YE00510//865477083580088//865477083580096, 67519/65
YE00518//865477083580245//865477083580252, 67519/65YE00520//865477083580286//865477083580294, 67519/65YE00526//865477083580401//8
65477083580419, 67519/65YE00527//865477083580427//865477083580435, 67519/65YE00529//865477083580468//865477083580476, 67519/65YE0
0532//865477083580526//865477083580534, 67519/65YE00534//865477083580567//865477083580575, 67519/65YE00535//865477083580583//8654
77083580591, 67519/65YE00536//865477083580609//865477083580617, 67519/65YE00537//865477083565048//865477083565055, 67519/65YE0053
8//865477083565063//865477083565071, 67519/65YE00540//865477083565105//865477083565113, 67519/65YE00541//865477083565121//8654770
83565139, 67519/65YE00542//865477083565147//865477083565154, 67519/65YE00546//865477083565220//865477083565238, 67519/65YE00549//
865477083565287//865477083565295, 67519/65YE00554//865477083565386//865477083565394, 67519/65YE00556//865477083565428//8654770835
65436, 67519/65YE00558//865477083565469//865477083565477, 67519/65YE00560//865477083565501//865477083565519, 67519/65YE00562//865
477083565543//865477083565550, 67519/65YE00566//865477083565626//865477083565634, 67519/65YE00567//865477083565642//8654770835656
59, 67519/65YE00568//865477083565667//865477083565675, 67519/65YE00569//865477083565683//865477083565691, 67519/65YE00573//865477
083580963//865477083580971, 67519/65YE00577//865477083550164//865477083550172, 67519/65YE00579//865477083550206//865477083550214,
67519/65YE00581//865477083550248//865477083550255, 67519/65YE00582//865477083550263//865477083550271, 67519/65YE00584//865477083
550305//865477083550313, 67519/65YE00588//865477083550388//865477083550396, 67519/65YE00590//865477083550420//865477083550438, 67
519/65YE00593//865477083550487//865477083550495, 67519/65YE00595//865477083550529//865477083550537, 67519/65YE00598//865477083550
586//865477083550594, 67519/65YE00600//865477083550628//865477083550636, 67519/65YE00601//865477083565725//865477083565733, 67519
/65YE00602//865477083565741//865477083565758, 67519/65YE00603//865477083565766//865477083565774, 67519/65YE00604//865477083565782
//865477083565790, 67519/65YE00605//865477083565808//865477083565816, 67519/65YE00606//865477083565824//865477083565832, 67519/65
YE00607//865477083565840//865477083565857, 67519/65YE00608//865477083565865//865477083565873, 67519/65YE00609//865477083565881//8
65477083565899, 67519/65YE00610//865477083565907//865477083565915, 67519/65YE00611//865477083565923//865477083565931, 67519/65YE0
0612//865477083565949//865477083565956, 67519/65YE00613//865477083565964//865477083565972, 67519/65YE00614//865477083565980//8654
77083565998, 67519/65YE00615//865477083566004//865477083566012, 67519/65YE00616//865477083566020//865477083566038, 67519/65YE0061
8//865477083534903//865477083534911, 67519/65YE00621//865477083534960//865477083534978, 67519/65YE00622//865477083534986//8654770
83534994, 67519/65YE00624//865477083535025//865477083535033, 67519/65YE00625//865477083535041//865477083535058, 67519/65YE00626//
865477083535066//865477083535074, 67519/65YE00628//865477083535108//865477083535116, 67519/65YE00629//865477083535124//8654770835
35132, 67519/65YE00630//865477083550644//865477083550651, 67519/65YE00631//865477083550669//865477083550677, 67519/65YE00633//865
477083550701//865477083550719, 67519/65YE00635//865477083550743//865477083550750, 67519/65YE00636//865477083550768//8654770835507
76, 67519/65YE00637//865477083550784//865477083550792, 67519/65YE00638//865477083550800//865477083550818, 67519/65YE00639//865477
083550826//865477083550834, 67519/65YE00640//865477083550842//865477083550859, 67519/65YE00641//865477083550867//865477083550875,
67519/65YE00644//865477083550925//865477083550933, 67519/65YE00645//865477083550941//865477083550958, 67519/65YE00646//865477083
550966//865477083550974, 67519/65YE00648//865477083551006//865477083551014, 67519/65YE00649//865477083551022//865477083551030, 67
519/65YE00650//865477083551048//865477083551055, 67519/65YE00651//865477083551063//865477083551071, 67519/65YE00652//865477083551
089//865477083551097, 67519/65YE00653//865477083551105//865477083551113, 67519/65YE00654//865477083551121//865477083551139, 67519
/65YE00655//865477083551147//865477083551154, 67519/65YE00656//865477083551162//865477083551170, 67519/65YE00677//865477083551782
//865477083551790, 67519/65YE00747//865477083570188//865477083570196, 67519/65YE01004//865477083622005//865477083622013, 67519/65
YE01137//865477083580625//865477083580633, 67519/65YE01138//865477083580641//865477083580658, 67519/65YE01141//865477083580708//8
65477083580716, 67519/65YE01142//865477083580724//865477083580732, 67519/65YE01143//865477083580740//865477083580757, 67519/65YE0
1147//865477083580823//865477083580831, 67519/65YE01148//865477083580849//865477083580856, 67519/65YE01151//865477083580906//8654
77083580914, 67519/65YE01155//865477083596480//865477083596498, 67519/65YE01157//865477083596522//865477083596530, 67519/65YE0115
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083581326//865477083581334, 67519/65YE01192//865477083581342//865477083581359, 67519/65YE01193//865477083581367//865477083581375,
67519/65YE01194//865477083581383//865477083581391, 67519/65YE01195//865477083581409//865477083581417, 67519/65YE01199//865477083
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/65YE01207//865477083581649//865477083581656, 67519/65YE01208//865477083581664//865477083581672, 67519/65YE01209//865477083581680
//865477083581698, 67519/65YE01210//865477083581706//865477083581714, 67519/65YE01211//865477083581722//865477083581730, 67519/65
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1218//865477083566061//865477083566079, 67519/65YE01219//865477083566087//865477083566095, 67519/65YE01220//865477083566103//8654
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032026000158560-2
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000158560-2
Subpartida : 8517130000
Página 2 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
566582//865477083566590, 67519/65YE01247//865477083566640//865477083566657, 67519/65YE01248//865477083566665//865477083566673, 67
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032026000158560-2
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
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Aceptación : 032026000158560-2
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Página 3 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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Página 7 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032026000158560-2
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000158560-2
Subpartida : 8517130000
Página 8 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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865477083706543//865477083706550, 67519/65YJ04049//865477083706568//865477083706576, 67519/65YJ04050//865477083706584//8654770837
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083706766//865477083706774, 67519/65YJ04060//865477083706782//865477083706790, 67519/65YJ04061//865477083706808//865477083706816,
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706865//865477083706873, 67519/65YJ04065//865477083707442//865477083707459, 67519/65YJ04066//865477083707467//865477083707475, 67
519/65YJ04067//865477083707483//865477083707491, 67519/65YJ04068//865477083707509//865477083707517, 67519/65YJ04069//865477083707
525//865477083707533, 67519/65YJ04070//865477083707541//865477083707558, 67519/65YJ04071//865477083707566//865477083707574, 67519
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//865477083707632, 67519/65YJ04075//865477083707640//865477083707657, 67519/65YJ04076//865477083707665//865477083707673, 67519/65
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65477083707731, 67519/65YJ04080//865477083707749//865477083707756, 67519/65YJ04081//865477083707764//865477083707772, 67519/65YJ0
4082//865477083707780//865477083707798, 67519/65YJ04083//865477083707806//865477083707814, 67519/65YJ04084//865477083707822//8654
77083707830, 67519/65YJ04085//865477083707848//865477083707855, 67519/65YJ04086//865477083707863//865477083707871, 67519/65YJ0408
8//865477083707905//865477083707913, 67519/65YJ04089//865477083707921//865477083707939, 67519/65YJ04090//865477083707947//8654770
83707954, 67519/65YJ04091//865477083640122//865477083640130, 67519/65YJ04092//865477083640148//865477083640155, 67519/65YJ04093//
865477083640163//865477083640171, 67519/65YJ04094//865477083640189//865477083640197, 67519/65YJ04095//865477083640205//8654770836
40213, 67519/65YJ04096//865477083640221//865477083640239, 67519/65YJ04098//865477083640262//865477083640270, 67519/65YJ04099//865
477083640288//865477083640296, 67519/65YJ04101//865477083640320//865477083640338, 67519/65YJ04102//865477083640346//8654770836403
53, 67519/65YJ04103//865477083640361//865477083640379, 67519/65YJ04104//865477083640387//865477083640395, PAIS ORIGEN: CHINA – 21
032026000158560-2
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000158560-2
Subpartida : 8517130000
Página 9 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032026000158560-2
Espacio para uso exclusivo de la Entidad Recaudadora
