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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
032026000202339-9
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. 116575016665765
43 . Año – Mes – Día
2026 – 02 – 11
44 . Documento de transporte
No. DEL8198129
45 . Año – Mes – Día
2026 – 02 – 02
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
9104114919
52 . Año – Mes – Día
2026 – 02 – 02
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.
3.691.75
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.
142.00
72 . Peso neto kgs. dcms.
135.00
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
460.00
78 .Valor FOB
USD
31.283.91
79 . Valor fletes USD
942.88 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
118.977.165
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
118.977.165
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
1.06
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
943.94
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
32.227.85
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: 590088-DECL: 1999892-DO: 893102684261- 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: 3108300418. ID DELIVERY: 6086967645. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FLBFLTC, 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
032026000202339
133. Feha: 202602 09
134 . Levante No. 032026000212263 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 92032605336541
Fecha presentación 2026-02-09 19:38:16
Valor pagado $0.00
Fecha de Impresión: 2026-02-12 11:56:06
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000202339-9
Subpartida : 8517130000
Página 1 de 2
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. 460,00 u )(
460,00 PCE ); IMEIS:350901809020816/351461269020813; 350901809020824/351461269020821. 350901809020832/351461269020839. 350901809
020840/351461269020847. 350901809020865/351461269020862. 350901809020873/351461269020870. 350901809020881/351461269020888. 350901
809020899/351461269020896. 350901809020923/351461269020920. 350901809020931/351461269020938. 350901809020949/351461269020946. 350
901809020980/351461269020987. 350901809021004/351461269021001. 350901809021012/351461269021019. 350901809021038/351461269021035.3
50901809021053/351461269021050. 350901809021061/351461269021068. 350901809021079/351461269021076. 350901809021087/351461269021084
. 350901809021095/351461269021092. 350901809021111/351461269021118. 350901809021129/351461269021126. 350901809021152/351461269021
159. 350901809021178/351461269021175. 350901809021186/351461269021183. 350901809021194/3514 61269021191. 350901809021228/35146126
9021225. 350901809021244/351461269021241. 350901809021251/351461269021258. 350901809021277/351461269021274. 350901809021285/35146
1269021282. 350901809021293/351461269021290.350901809021509/351461269021506. 350901809021574/351461269021571. 350901809021582/351
461269021589. 350901809021608/351461269021605. 350901809021616/351461269021613. 350901809021657/351461269021654. 350901809021665/
351461269021662. 350901809021673/351461269021670. 350901809021699/351461269021696. 350901809021756/351461269021753. 3509018090217
80/351461269021787. 350901809021798/351461269021795. 350901809021806/351461269021803. 350901809021814/351461269021811. 3509018090
21822/351461269021829. 350901809021889/351461269021886. 350901809021897/351461269021894. 350901809021921/351461269021928. 3509018
09021947/351461269021944. 350901809022010/351461269022017. 350901809022036/351461269022033. 350901809022069/351461269022066. 3509
01809022085/351461269022082. 350901809022101/351461269022108. 350901809022119/351461269022116. 350901809022127/351461269022124. 3
50901809022135/351461269022132. 350901809022150/351461269022157. 350901809022168/351461269022165. 350901809022184/351461269022181
. 350901809022192/351461269022199. 350901809022200/351461269022207. 350901809022218/351461269022215. 350901809022242/351461269022
249. 350901809022267/351461269022264. 350901809022275/351461269022272. 350901809022283/351461269022280. 350901809022424/351461269
022421. 350901809022440/351461269022447. 350901809022457/351461269022454. 350901809022473/351461269022470. 350901809022499/351461
269022496. 350901809022507/351461269022504. 350901809022549/351461269022546. 350901809022556/351461269022553. 350901809022598/351
461269022595. 350901809022648/351461269022645. 350901809022663/351461269022660. 350901809022689/351461269022686. 350901809022705/
351461269022702. 350901809022713/351461269022710. 350901809022721/351461269022728. 350901809022739/351461269022736.35090180902274
7/351461269022744. 350901809022762/351461269022769. 350901809022770/351461269022777. 350901809022796/351461269022793. 35090180902
2804/351461269022801. 350901809022812/351461269022819. 350901809022820/351461269022827. 350901809022846/351461269022843. 35090180
9022895/351461269022892. 350901809022903/351461269022900. 350901809022911/351461269022918. 350901809022929/351461269022926. 35090
1809022937/351461269022934. 350901809022945/351461269022942. 350901809022952/351461269022959. 350901809022960/351461269022967. 35
0901809023000/351461269023007.350901809023018/351461269023015. 350901809023042/351461269023049. 350901809023059/351461269023056.
350901809023067/351461269023064. 350901809023083/351461269023080. 350901809023125/351461269023122. 350901809023133/35146126902313
0. 350901809023158/351461269023155. 350901809023166/351461269023163. 350901809023190/351461269023197. 350901809023323/35146126902
3320. 350901809023349/351461269023346. 350901809023356/351461269023353. 350901809023380/351461269023387. 350901809023406/35146126
9023403. 350901809023414/351461269023411. 350901809023422/351461269023429. 350901809023448/351461269023445. 350901809023455/35146
1269023452. 350901809023463/351461269023460. 350901809023471/351461269023478. 350901809023489/351461269023486. 350901809023497/35
1461269023494. 350901809023513/351461269023510. 350901809023521/351461269023528. 350901809023562/351461269023569. 350901809023570
/351461269023577. 350901809023588/351461269023585. 350901809023596/351461269023593. 350901809023612/351461269023619. 350901809023
620/351461269023627. 350901809023638/351461269023635. 350901809023646/351461269023643. 350901809023653/351461269023650. 350901809
023661/351461269023668. 350901809023679/351461269023676. 350901809023711/351461269023718. 350901809023729/351461269023726. 350901
809023760/351461269023767. 350901809023778/351461269023775. 350901809023802/351461269023809. 350901809023810/351461269023817. 350
901809023844/351461269023841. 350901809023851/351461269023858. 350901809023869/351461269023866. 350901809023877/351461269023874.
350901809023885/351461269023882. 350901809023919/351461269023916. 350901809023927/351461269023924. 350901809023943/35146126902394
0. 350901809023950/351461269023957. 350901809023984/351461269023981. 350901809024057/351461269024054.350901809024081/351461269024
088. 350901809024099/351461269024096. 350901809024164/351461269024161. 350901809024214/351461269024211. 350901809024222/351461269
024229. 350901809024289/351461269024286. 350901809024305/351461269024302. 350901809024321/351461269024328. 350901809024438/351461
269024435. 350901809024453/351461269024450. 350901809024479/351461269024476. 350901809024495/351461269024492. 350901809024511/351
461269024518. 350901809024529/351461269024526. 350901809024545/351461269024542. 350901809024552/351461269024559. 350901809024560/
351461269024567.350901809024586/351461269024583. 350901809024594/351461269024591. 350901809024602/351461269024609. 35090180902462
8/351461269024625. 350901809024636/351461269024633. 350901809024644/351461269024641. 350901809024651/351461269024658. 35090180902
4685/351461269024682. 350901809024693/351461269024690. 350901809024701/351461269024708. 350901809024719/351461269024716. 35090180
9024727/351461269024724. 350901809024743/351461269024740. 350901809024768/351461269024765. 350901809024776/351461269024773. 35090
1809024784/351461269024781. 350901809024792/351461269024799. 350901809024818/351461269024815. 350901809024834/351461269024831. 35
0901809024842/351461269024849. 350901809024867/351461269024864. 350901809024891/351461269024898. 350901809024958/351461269024955.
350901809024974/351461269024971. 350901809025021/351461269025028. 350901809025062/351461269025069. 350901809025070/3514612690250
77. 350901809025153/351461269025150. 350901809025310/351461269025317. 350901809025369/351461269025366. 350901809025419/3514612690
25416. 350901809025443/351461269025440. 350901809025450/351461269025457. 350901809025476/351461269025473. 350901809025484/3514612
69025481. 350901809025492/351461269025499. 350901809025500/351461269025507. 350901809025518/351461269025515. 350901809025534/3514
61269025531. 350901809025542/351461269025549. 350901809025575/351461269025572. 350901809025583/351461269025580. 350901809025609/3
51461269025606. 350901809025633/351461269025630. 350901809025641/351461269025648. 350901809025658/351461269025655. 35090180902567
4/351461269025671. 350901809025740/351461269025747. 350901809025757/351461269025754. 350901809025765/351461269025762. 35090180902
5773/351461269025770. 350901809025807/351461269025804. 350901809025815/351461269025812.350901809025823/351461269025820. 350901809
025831/351461269025838. 350901809025989/351461269025986. 350901809026094/351461269026091. 350901809026151/351461269026158. 350901
809026177/351461269026174. 350901809026227/351461269026224. 350901809026235/351461269026232. 350901809026268/351461269026265. 350
901809026284/351461269026281. 350901809026292/351461269026299. 350901809026318/351461269026315. 350901809026359/351461269026356.
350901809026383/351461269026380. 350901809026508/351461269026505. 350901809026540/351461269026547. 350901809026656/35146126902665
3.350901809026680/351461269026687. 350901809026714/351461269026711. 350901809026805/351461269026802. 350901809026821/351461269026
828. 350901809026847/351461269026844. 350901809026854/351461269026851. 350901809026912/351461269026919. 350901809026920/351461269
026927. 350901809026938/351461269026935. 350901809026995/351461269026992. 350901809027035/351461269027032. 350901809027050/351461
269027057. 350901809027084/351461269027081. 350901809027100/351461269027107. 350901809027118/351461269027115. 350901809027126/351
461269027123. 350901809027134/351461269027131. 350901809027209/351461269027206. 350901809027217/351461269027214. 350901809027225/
351461269027222. 350901809027233/351461269027230. 350901809027258/351461269027255. 350901809027266/351461269027263. 3509018090272
74/351461269027271. 350901809027282/351461269027289. 350901809027308/351461269027305. 350901809027324/351461269027321. 3509018090
27332/351461269027339. 350901809027340/351461269027347. 350901809027381/351461269027388. 350901809027399/351461269027396. 3509018
09027407/351461269027404. 350901809027423/351461269027420. 350901809027449/351461269027446. 350901809027498/351461269027495. 3509
01809027506/351461269027503. 350901809027514/351461269027511. 350901809027548/351461269027545. 350901809027555/351461269027552. 3
50901809027605/351461269027602. 350901809027613/351461269027610. 350901809027654/351461269027651. 350901809027670/351461269027677
. 350901809027704/351461269027701. 350901809027712/351461269027719. 350901809027720/351461269027727. 350901809027738/351461269027
032026000202339-9
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000202339-9
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
735. 350901809027746/351461269027743. 350901809027761/351461269027768. 350901809027787/351461269027784. 350901809027795/351461269
027792. 350901809027811/351461269027818. 350901809027829/351461269027826.350901809027837/351461269027834. 350901809027845/3514612
69027842. 350901809027852/351461269027859. 350901809027878/351461269027875. 350901809027886/351461269027883. 350901809027894/3514
61269027891. 350901809027910/351461269027917. 350901809027969/351461269027966. 350901809027985/351461269027982. 350901809028009/3
51461269028006. 350901809028017/351461269028014. 350901809028041/351461269028048. 350901809028058/351461269028055. 35090180902806
6/351461269028063. 350901809028082/351461269028089. 350901809028165/351461269028162. 350901809028181/351461269028188.350901809028
207/351461269028204. 350901809028215/351461269028212. 350901809028256/351461269028253. 350901809028272/351461269028279. 350901809
028280/351461269028287. 350901809028314/351461269028311. 350901809028322/351461269028329. 350901809028330/351461269028337. 350901
809028363/351461269028360. 350901809028389/351461269028386. 350901809028397/351461269028394. 350901809028405/351461269028402. 350
901809028413/351461269028410. 350901809028421/351461269028428. 350901809028447/351461269028444. 350901809028496/351461269028493.
350901809028504/351461269028501. 350901809028512/351461269028519. 350901809028546/351461269028543. 350901809028561/35146126902856
8. 350901809028579/351461269028576. 350901809028587/351461269028584. 350901809028603/351461269028600. 350901809028611/35146126902
8618. 350901809028629/351461269028626. 350901809028637/351461269028634. 350901809028645/351461269028642. 350901809028652/35146126
9028659. 350901809028660/351461269028667. 350901809028678/351461269028675. 350901809028686/351461269028683. 350901809028694/35146
1269028691. 350901809028710/351461269028717. 350901809028736/351461269028733. 350901809028769/351461269028766. 350901809028777/35
1461269028774. 350901809028785/351461269028782. 350901809028793/351461269028790. 350901809028819/351461269028816. 350901809028827
/351461269028824. 350901809028843/351461269028840. 350901809028850/351461269028857. 350901809028868/351461269028865. 350901809028
876/351461269028873. 350901809028884/351461269028881. 350901809028892/351461269028899. 350901809028918/351461269028915. 350901809
028934/351461269028931. 350901809028959/351461269028956. 350901809028967/351461269028964. 350901809028975/351461269028972. 350901
809029007/351461269029004. 350901809029023/351461269029020.350901809029031/351461269029038. 350901809029049/351461269029046. 3509
01809029080/351461269029087. 350901809029106/351461269029103. 350901809029122/351461269029129. 350901809029148/351461269029145. 3
50901809029155/351461269029152. 350901809029163/351461269029160. 350901809029197/351461269029194. 350901809029205/351461269029202
. 350901809029213/351461269029210. 350901809029221/351461269029228. 350901809029247/351461269029244. 350901809029254/351461269029
251. 350901809029288/351461269029285. 350901809029296/351461269029293. 350901809029312/351461269029319.350901809029320/3514612690
29327. 350901809029338/351461269029335. 350901809029387/351461269029384. 350901809029395/351461269029392. 350901809029403/3514612
69029400. 350901809029411/351461269029418. 350901809029429/351461269029426. 350901809029437/351461269029434. 350901809029460/3514
61269029467. 350901809029478/351461269029475. 350901809029486/351461269029483. 350901809029494/351461269029491. 350901809029502/3
51461269029509. 350901809029510/351461269029517. 350901809029528/351461269029525. 350901809029536/351461269029533. 35090180902954
4/351461269029541. 350901809029551/351461269029558. 350901809029569/351461269029566. 350901809029577/351461269029574. 35090180902
9585/351461269029582. 350901809029593/351461269029590. 350901809029601/351461269029608. 350901809029619/351461269029616. 35090180
9029676/351461269029673. 350901809029684/351461269029681. 350901809029692/351461269029699. 350901809029718/351461269029715. 35090
1809029726/351461269029723. 350901809029734/351461269029731. 350901809029742/351461269029749. 350901809029759/351461269029756. 35
0901809029767/351461269029764. 350901809029775/351461269029772. 350901809029791/351461269029798. 350901809029817/351461269029814.
350901809029833/351461269029830. 350901809029841/351461269029848. 350901809029858/351461269029855. 350901809029866/3514612690298
63. 350901809029882/351461269029889. 350901809029890/351461269029897. 350901809074102/351461269074109. 350901809074110/3514612690
74117. 350901809074128/351461269074125. 350901809074136/351461269074133. 350901809074169/351461269074166. 350901809074177/3514612
69074174. 350901809074193/351461269074190. 350901809074201/351461269074208. 350901809074219/351461269074216. 350901809074227/3514
61269074224. 350901809074235/351461269074232.350901809074243/351461269074240. 350901809074268/351461269074265. 350901809074276/35
1461269074273. 350901809074284/351461269074281. 350901809074292/351461269074299. 350901809074300/351461269074307. 350901809074318
/351461269074315. 350901809074326/351461269074323. 350901809074334/351461269074331. 350901809074342/351461269074349. 350901809074
367/351461269074364. 350901809074375/351461269074372. 350901809074391/351461269074398. 350901809074417/351461269074414. 350901809
074433/351461269074430. 350901809074441/351461269074448. 350901809074458/351461269074455.350901809074474/351461269074471. 3509018
09074482/351461269074489. 350901809074490/351461269074497. 350901809074516/351461269074513. 350901809074532/351461269074539. 3509
01809074573/351461269074570. 350901809074581/351461269074588. 350901809074599/351461269074596.XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032026000202339-9
Espacio para uso exclusivo de la Entidad Recaudadora
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