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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
032026000188990-4
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. 116575016665765
43 . Año – Mes – Día
2026 – 02 – 11
44 . Documento de transporte
No. DEL8198264
45 . Año – Mes – Día
2026 – 02 – 03
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
9104118532
52 . Año – Mes – Día
2026 – 02 – 03
53 . Cod. país
procedencia
361
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.
3.661.29
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
361
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.
160.00
72 . Peso neto kgs. dcms.
146.00
73 . Código
embalaje
YY
74 . No. bultos
2
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
490.00
78 .Valor FOB
USD
40.603.52
79 . Valor fletes USD
1.131.20 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
152.807.966
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
152.807.966
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
1.38
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.132.58
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
41.736.10
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: 589736-DECL: 1999141-DO: 893102822261- 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: 3108773764. ID DELIVERY:
6086987307. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FZKFLTC, 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: Levante automático
No hay declaración posterior
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032026000188990
133. Feha: 202602 06
134 . Levante No. 032026000213223 135 . Fecha
2026 – 02 – 12
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 92032605263666
Fecha presentación 2026-02-06 13:55:50
Valor pagado $0.00
Fecha de Impresión: 2026-02-12 13:18:19
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000188990-4
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. 490,00 u )(490,00 PCE ); IMEIS:350901809002020/351461269002027; 350901809002087
/351461269002084. 350901809002111/351461269002118. 350901809002145/351461269002142. 350901809002152/351461269002159. 350901809002
160/351461269002167. 350901809002350/351461269002357. 350901809002368/351461269002365. 350901809002517/351461269002514. 350901809
002673/351461269002670. 350901809002731/351461269002738. 350901809002798/351461269002795. 350901809002822/351461269002829. 350901
809002830/351461269002837. 350901809002848/351461269002845.350901809002871/351461269002878. 350901809002905/351461269002902. 3509
01809002921/351461269002928. 350901809002947/351461269002944. 350901809002970/351461269002977. 350901809002996/351461269002993. 3
50901809003010/351461269003017. 350901809003028/351461269003025. 350901809003085/351461269003082. 350901809003150/351461269003157
. 350901809003168/351461269003165. 350901809003192/351461269003199. 350901809003200/3514612 69003207. 350901809003259/35146126900
3256. 350901809003267/351461269003264. 350901809003317/351461269003314. 350901809003333/351461269003330. 350901809003341/35146126
9003348. 350901809003358/351461269003355. 350901809003382/351461269003389. 350901809003465/351461269003462. 350901809003473/35146
1269003470. 350901809003499/351461269003496. 350901809003507/351461269003504. 350901809003523/351461269003520. 350901809003549/35
1461269003546. 350901809003556/351461269003553. 350901809003598/351461269003595. 350901809003697/351461269003694. 350901809003739
/351461269003736. 350901809003754/351461269003751. 350901809003796/351461269003793. 350901809003804/351461269003801. 350901809003
812/351461269003819. 350901809003820/351461269003827. 350901809003838/351461269003835. 350901809003853/351461269003850. 350901809
003887/351461269003884. 350901809003911/351461269003918. 350901809003937/351461269003934. 350901809003960/351461269003967. 350901
809004034/351461269004031. 350901809004059/351461269004056. 350901809004091/351461269004098. 350901809004109/351461269004106. 350
901809004117/351461269004114. 350901809004133/351461269004130. 350901809004158/351461269004155. 350901809004257/351461269004254.
350901809004273/351461269004270. 350901809004331/351461269004338. 350901809004372/351461269004379. 350901809004398/35146126900439
5.350901809004406/351461269004403. 350901809004463/351461269004460. 350901809004489/351461269004486. 350901809004513/351461269004
510. 350901809004547/351461269004544. 350901809004562/351461269004569. 350901809004638/351461269004635. 350901809004711/351461269
004718. 350901809004786/351461269004783. 350901809004992/351461269004999. 350901809005015/351461269005012. 350901809005023/351461
269005020. 350901809005056/351461269005053. 350901809005064/351461269005061. 350901809005072/351461269005079. 350901809005098/351
461269005095. 350901809005171/351461269005178.350901809005189/351461269005186. 350901809005197/351461269005194. 350901809005205/3
51461269005202. 350901809005213/351461269005210. 350901809005247/351461269005244. 350901809005270/351461269005277. 35090180900536
1/351461269005368. 350901809005387/351461269005384. 350901809005403/351461269005400. 350901809005429/351461269005426. 35090180900
5452/351461269005459. 350901809005460/351461269005467. 350901809005528/351461269005525. 350901809005577/351461269005574. 35090180
9005684/351461269005681. 350901809005700/351461269005707. 350901809005726/351461269005723. 350901809005742/351461269005749. 35090
1809005825/351461269005822. 350901809005866/351461269005863. 350901809005874/351461269005871. 350901809005890/351461269005897. 35
0901809005916/351461269005913. 350901809005924/351461269005921. 350901809005940/351461269005947. 350901809005981/351461269005988.
350901809006062/351461269006069. 350901809006088/351461269006085. 350901809006112/351461269006119. 350901809006120/3514612690061
27. 350901809006138/351461269006135. 350901809006146/351461269006143. 350901809006161/351461269006168. 350901809006179/3514612690
06176. 350901809006229/351461269006226. 350901809006237/351461269006234. 350901809006260/351461269006267. 350901809006294/3514612
69006291. 350901809006302/351461269006309. 350901809006310/351461269006317. 350901809006344/351461269006341. 350901809006385/3514
61269006382. 350901809006427/351461269006424. 350901809006450/351461269006457. 350901809006484/351461269006481. 350901809006542/3
51461269006549. 350901809006633/351461269006630. 350901809006757/351461269006754. 350901809006765/351461269006762. 35090180900685
6/351461269006853. 350901809006872/351461269006879. 350901809006906/351461269006903. 350901809006989/351461269006986.350901809007
201/351461269007208. 350901809007235/351461269007232. 350901809007243/351461269007240. 350901809007276/351461269007273. 350901809
007292/351461269007299. 350901809007300/351461269007307. 350901809007359/351461269007356. 350901809007409/351461269007406. 350901
809007425/351461269007422. 350901809007458/351461269007455. 350901809007474/351461269007471. 350901809007490/351461269007497. 350
901809007516/351461269007513. 350901809007557/351461269007554. 350901809007631/351461269007638. 350901809007714/351461269007711.
350901809007748/351461269007745.350901809007771/351461269007778. 350901809007805/351461269007802. 350901809007847/351461269007844
. 350901809007854/351461269007851. 350901809007870/351461269007877. 350901809007888/351461269007885. 350901809007920/351461269007
927. 350901809007953/351461269007950. 350901809007987/351461269007984. 350901809008019/351461269008016. 350901809008035/351461269
008032. 350901809008050/351461269008057. 350901809008076/351461269008073. 350901809008167/351461269008164. 350901809008217/351461
269008214. 350901809008290/351461269008297. 350901809008316/351461269008313. 350901809008324/351461269008321. 350901809008340/351
461269008347. 350901809008357/351461269008354. 350901809008381/351461269008388. 350901809008423/351461269008420. 350901809008597/
351461269008594. 350901809008829/351461269008826. 350901809008852/351461269008859. 350901809009033/351461269009030. 3509018090090
41/351461269009048. 350901809009231/351461269009238. 350901809009264/351461269009261. 350901809009314/351461269009311. 3509018090
09322/351461269009329. 350901809009355/351461269009352. 350901809009363/351461269009360. 350901809009371/351461269009378. 3509018
09009421/351461269009428. 350901809009439/351461269009436. 350901809009488/351461269009485. 350901809009561/351461269009568. 3509
01809009595/351461269009592. 350901809009603/351461269009600. 350901809009660/351461269009667. 350901809009678/351461269009675. 3
50901809009686/351461269009683. 350901809009694/351461269009691. 350901809009710/351461269009717. 350901809009751/351461269009758
. 350901809009892/351461269009899. 350901809010007/351461269010004. 350901809010015/351461269010012. 350901809010049/351461269010
046. 350901809010114/351461269010111. 350901809010205/351461269010202. 350901809010411/351461269010418.350901809010569/3514612690
10566. 350901809010585/351461269010582. 350901809010601/351461269010608. 350901809010627/351461269010624. 350901809010635/3514612
69010632. 350901809010825/351461269010822. 350901809010841/351461269010848. 350901809010890/351461269010897. 350901809010908/3514
61269010905. 350901809010916/351461269010913. 350901809010932/351461269010939. 350901809010973/351461269010970. 350901809010981/3
51461269010988. 350901809011013/351461269011010. 350901809011039/351461269011036. 350901809011047/351461269011044. 35090180901107
0/351461269011077.350901809011088/351461269011085. 350901809011112/351461269011119. 350901809011120/351461269011127. 350901809011
146/351461269011143. 350901809011179/351461269011176. 350901809011203/351461269011200. 350901809011245/351461269011242. 350901809
011278/351461269011275. 350901809011286/351461269011283. 350901809011344/351461269011341. 350901809011385/351461269011382. 350901
809011393/351461269011390. 350901809011443/351461269011440. 350901809011468/351461269011465. 350901809011492/351461269011499. 350
901809011500/351461269011507. 350901809011518/351461269011515. 350901809011526/351461269011523. 350901809011559/351461269011556.
350901809011609/351461269011606. 350901809011625/351461269011622. 350901809011658/351461269011655. 350901809011666/35146126901166
3. 350901809011674/351461269011671. 350901809011757/351461269011754. 350901809011773/351461269011770. 350901809011831/35146126901
1838. 350901809011849/351461269011846. 350901809011856/351461269011853. 350901809011864/351461269011861. 350901809011872/35146126
9011879. 350901809011880/351461269011887. 350901809011922/351461269011929. 350901809011971/351461269011978. 350901809011989/35146
1269011986. 350901809011997/351461269011994. 350901809012086/351461269012083. 350901809012094/351461269012091. 350901809012243/35
1461269012240. 350901809012268/351461269012265. 350901809012367/351461269012364. 350901809012425/351461269012422. 350901809012441
/351461269012448. 350901809012524/351461269012521. 350901809012573/351461269012570. 350901809012599/351461269012596. 350901809012
664/351461269012661. 350901809012680/351461269012687. 350901809012763/351461269012760. 350901809012789/351461269012786. 350901809
012797/351461269012794. 350901809012870/351461269012877. 350901809012912/351461269012919.350901809012938/351461269012935. 3509018
09013019/351461269013016. 350901809013084/351461269013081. 350901809013126/351461269013123. 350901809013134/351461269013131. 3509
01809013183/351461269013180. 350901809013209/351461269013206. 350901809013225/351461269013222. 350901809013233/351461269013230. 3
50901809013290/351461269013297. 350901809013324/351461269013321. 350901809013340/351461269013347. 350901809013399/351461269013396
032026000188990-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000188990-4
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
. 350901809013415/351461269013412. 350901809013423/351461269013420. 350901809013456/351461269013453. 350901809013464/351461269013
461.350901809013506/351461269013503. 350901809013662/351461269013669. 350901809013720/351461269013727. 350901809013738/3514612690
13735. 350901809013811/351461269013818. 350901809013852/351461269013859. 350901809013928/351461269013925. 350901809013936/3514612
69013933. 350901809013969/351461269013966. 350901809013985/351461269013982. 350901809013993/351461269013990. 350901809014009/3514
61269014006. 350901809014017/351461269014014. 350901809014082/351461269014089. 350901809014116/351461269014113. 350901809014124/3
51461269014121. 350901809014157/351461269014154. 350901809014256/351461269014253. 350901809014280/351461269014287. 35090180901429
8/351461269014295. 350901809014314/351461269014311. 350901809014330/351461269014337. 350901809014363/351461269014360. 35090180901
4413/351461269014410. 350901809014421/351461269014428. 350901809014462/351461269014469. 350901809014496/351461269014493. 35090180
9014512/351461269014519. 350901809014520/351461269014527. 350901809014538/351461269014535. 350901809014546/351461269014543. 35090
1809014678/351461269014675. 350901809014686/351461269014683. 350901809014702/351461269014709. 350901809014736/351461269014733. 35
0901809014744/351461269014741. 350901809014751/351461269014758. 350901809014843/351461269014840. 350901809014926/351461269014923.
350901809014934/351461269014931. 350901809015014/351461269015011. 350901809015022/351461269015029. 350901809015048/3514612690150
45. 350901809015055/351461269015052. 350901809015097/351461269015094. 350901809015162/351461269015169. 350901809015196/3514612690
15193. 350901809015212/351461269015219. 350901809015238/351461269015235. 350901809015261/351461269015268. 350901809015295/3514612
69015292. 350901809015352/351461269015359. 350901809015360/351461269015367.350901809015469/351461269015466. 350901809015535/35146
1269015532. 350901809015543/351461269015540. 350901809015675/351461269015672. 350901809015758/351461269015755. 350901809015899/35
1461269015896. 350901809015907/351461269015904. 350901809015931/351461269015938. 350901809015949/351461269015946. 350901809015956
/351461269015953. 350901809015998/351461269015995. 350901809016038/351461269016035. 350901809016061/351461269016068. 350901809016
079/351461269016076. 350901809016186/351461269016183. 350901809016194/351461269016191. 350901809016244/351461269016241.3509018090
16293/351461269016290. 350901809016301/351461269016308. 350901809016368/351461269016365. 350901809016384/351461269016381. 3509018
09016459/351461269016456. 350901809016467/351461269016464. 350901809016566/351461269016563. 350901809016624/351461269016621. 3509
01809016707/351461269016704. 350901809016756/351461269016753. 350901809016798/351461269016795. 350901809016863/351461269016860. 3
50901809016947/351461269016944. 350901809016996/351461269016993. 350901809017010/351461269017017. 350901809017036/351461269017033
. 350901809017101/351461269017108. 350901809017309/351461269017306. 350901809017341/351461269017348. 350901809017416/351461269017
413. 350901809017465/351461269017462. 350901809017473/351461269017470. 350901809017564/351461269017561. 350901809017697/351461269
017694. 350901809017754/351461269017751. 350901809017846/351461269017843. 350901809017887/351461269017884. 350901809018026/351461
269018023. 350901809018067/351461269018064. 350901809018075/351461269018072. 350901809018174/351461269018171. 350901809018281/351
461269018288. 350901809018299/351461269018296. 350901809018323/351461269018320. 350901809018422/351461269018429. 350901809018471/
351461269018478. 350901809018497/351461269018494. 350901809018513/351461269018510. 350901809018539/351461269018536. 3509018090185
88/351461269018585. 350901809018604/351461269018601. 350901809018612/351461269018619. 350901809018653/351461269018650. 3509018090
18752/351461269018759. 350901809018778/351461269018775. 350901809018802/351461269018809. 350901809018810/351461269018817. 3509018
09018828/351461269018825. 350901809018836/351461269018833. 350901809018877/351461269018874. 350901809018968/351461269018965. 3509
01809019008/351461269019005. 350901809019024/351461269019021.350901809019099/351461269019096. 350901809019107/351461269019104. 35
0901809019149/351461269019146. 350901809019180/351461269019187. 350901809019289/351461269019286. 350901809019347/351461269019344.
350901809019396/351461269019393. 350901809019446/351461269019443. 350901809019578/351461269019575. 350901809019628/3514612690196
25. 350901809019644/351461269019641. 350901809019669/351461269019666. 350901809019677/351461269019674. 350901809019875/3514612690
19872. 350901809019909/351461269019906. 350901809019941/351461269019948. 350901809019958/351461269019955.350901809020022/35146126
9020029. 350901809020030/351461269020037. 350901809020048/351461269020045. 350901809020063/351461269020060. 350901809020097/35146
1269020094. 350901809020121/351461269020128. 350901809020204/351461269020201. 350901809020212/351461269020219. 350901809020246/35
1461269020243. 350901809020253/351461269020250. 350901809020279/351461269020276. 350901809020311/351461269020318. 350901809020394
/351461269020391. 350901809020428/351461269020425. 350901809020469/351461269020466. 350901809020493/351461269020490. 350901809020
501/351461269020508. 350901809020519/351461269020516. 350901809020535/351461269020532. 350901809020550/351461269020557. 350901809
020568/351461269020565. 350901809020691/351461269020698. 350901809020709/351461269020706. 350901809020725/351461269020722. 350901
809020741/351461269020748. 350901809020790/351461269020797. 350901809036523/351461269036520. 350901809037331/351461269037338. 350
901809037489/351461269037486. 350901809038321/351461269038328. 350901809038511/351461269038518. 350901809038628/351461269038625.
350901809038677/351461269038674. 350901809038735/351461269038732. 350901809038750/351461269038757. 350901809039295/35146126903929
2. 350901809055754/351461269055751. 350901809055770/351461269055777. 350901809055846/351461269055843. 350901809055853/35146126905
5850. 350901809055861/351461269055868. 350901809055903/351461269055900. 350901809055911/351461269055918. 350901809055952/35146126
9055959. 350901809055986/351461269055983. 350901809055994/351461269055991. 350901809056059/351461269056056. 350901809056091/35146
1269056098. 350901809056174/351461269056171. 350901809056208/351461269056205. 350901809056216/351461269056213. 350901809056224/35
1461269056221. 350901809056257/351461269056254.350901809056273/351461269056270. 350901809056315/351461269056312.XXXXXXXXXXXXXXXXX
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032026000188990-4
Espacio para uso exclusivo de la Entidad Recaudadora
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