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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
032026000233874-0
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. 116575016665765
43 . Año – Mes – Día
2026 – 02 – 11
44 . Documento de transporte
No. DEL8198145
45 . Año – Mes – Día
2026 – 02 – 04
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
9104122354
52 . Año – Mes – Día
2026 – 02 – 04
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.
100.00
72 . Peso neto kgs. dcms.
93.00
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
313.00
78 .Valor FOB
USD
35.132.32
79 . Valor fletes USD
707.00 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
132.314.166
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
132.314.166
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
1.18
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
708.18
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
35.840.50
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: 590561-DECL: 2000819-DO: 893102986261- 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: 3108771755. ID DELIVERY: 6087008994. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FZAHLTC, PRODU
CTO: TELEFONO CELULAR GALAXY A17 LTE DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS, 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
032026000233874
133. Feha: 202602 12
134 . Levante No. 032026000213416 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 92032605422260
Fecha presentación 2026-02-12 13:35:55
Valor pagado $0.00
Fecha de Impresión: 2026-02-12 13:36:00
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000233874-0
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
ODELO: SM-A175F/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL./ /MOBILE,SM-A175F/DS,GRAY,LTC( QTY. 313,00 u )(313,00 PCE )
; IMEIS: 354981300051979/358738120051977. 354981300052076/358738120052074. 354981300052225/358738120052223. 354981300052308/35873
8120052306. 354981300052365/358738120052363. 354981300052399/358738120052397. 354981300052456/358738120052454. 354981300052472/35
8738120052470. 354981300052522/358738120052520.354981300052530/358738120052538. 354981300052639/358738120052637. 354981300052647/
358738120052645. 354981300052720/358738120052728. 354981300053017/358738120053015. 354981300053025/358738120053023. 3549813000533
71/358738120053379. 354981300053520/358738120053528. 354981300053611/358738120053619. 354981300053801/358738120053809. 3549813000
54049/358738120054047. 354981300054080/358738120054088. 354981300054106/358738120054104. 354981300054130/358738120054138. 3549813
00054189/358738120054187. 354981300054239/358738120054237. 354981300054254/358738120054252. 354981300054411/358738120054419. 3549
81300054528/358738120054526. 354981300054692/358738120054690. 354981300056234/358738120056232. 354981300056390/358738120056398. 3
54981300056952/358738120056950. 354981300057083/358738120057081. 354981300057141/358738120057149. 354981300057448/358738120057446
. 354981300057661/358738120057669. 354981300057760/358738120057768. 354981300057810/358738120057818. 354981300057927/358738120057
925. 354981300058941/358738120058949. 354981300059592/358738120059590. 354981300059600/358738120059608. 354981300059659/358738120
059657. 354981300059766/358738120059764. 354981300059808/358738120059806. 354981300059824/358738120059822. 354981300060038/358738
120060036. 354981300060160/358738120060168. 354981300060178/358738120060176. 354981300060194/358738120060192. 354981300060202/358
738120060200. 354981300060244/358738120060242. 354981300060251/358738120060259. 354981300060343/358738120060341. 354981300060525/
358738120060523. 354981300061234/358738120061232. 354981300061275/358738120061273. 354981300061572/358738120061570. 3549813000618
95/358738120061893. 354981300062067/358738120062065. 354981300062109/358738120062107. 354981300062133/358738120062131. 3549813000
62141/358738120062149. 354981300062240/358738120062248. 354981300062257/358738120062255. 354981300062265/358738120062263. 3549813
00062273/358738120062271. 354981300062281/358738120062289. 354981300062307/358738120062305. 354981300062315/358738120062313. 3549
81300062331/358738120062339. 354981300062372/358738120062370. 354981300062380/358738120062388. 354981300062406/358738120062404. 3
54981300062414/358738120062412. 354981300062422/358738120062420. 354981300062430/358738120062438. 354981300062497/358738120062495
. 354981300062513/358738120062511.354981300062521/358738120062529. 354981300062547/358738120062545. 354981300062562/3587381200625
60. 354981300062588/358738120062586. 354981300062604/358738120062602. 354981300062638/358738120062636. 354981300062653/3587381200
62651. 354981300062661/358738120062669. 354981300062711/358738120062719. 354981300062737/358738120062735. 354981300062786/3587381
20062784. 354981300062893/358738120062891. 354981300062968/358738120062966. 354981300063057/358738120063055. 354981300063321/3587
38120063329. 354981300063636/358738120063634. 354981300110791/358738120110799.354981300110809/358738120110807. 354981300110817/35
8738120110815. 354981300110833/358738120110831. 354981300110874/358738120110872. 354981300110890/358738120110898. 354981300110981
/358738120110989. 354981300111054/358738120111052. 354981300111096/358738120111094. 354981300111120/358738120111128. 354981300111
153/358738120111151. 354981300111161/358738120111169. 354981300111179/358738120111177. 354981300111187/358738120111185. 354981300
111195/358738120111193. 354981300111211/358738120111219. 354981300111245/358738120111243. 354981300111252/358738120111250. 354981
300111260/358738120111268. 354981300111278/358738120111276. 354981300111286/358738120111284. 354981300111294/358738120111292. 354
981300111302/358738120111300. 354981300111310/358738120111318. 354981300111328/358738120111326. 354981300111336/358738120111334.
354981300111344/358738120111342. 354981300111385/358738120111383. 354981300111393/358738120111391. 354981300111419/35873812011141
7. 354981300111443/358738120111441. 354981300111476/358738120111474. 354981300111484/358738120111482. 354981300111542/35873812011
1540. 354981300111674/358738120111672. 354981300111740/358738120111748. 354981300111823/358738120111821. 354981300111849/35873812
0111847. 354981300111906/358738120111904. 354981300112011/358738120112019. 354981300112037/358738120112035. 354981300112060/35873
8120112068. 354981300112136/358738120112134. 354981300112177/358738120112175. 354981300112284/358738120112282. 354981300112326/35
8738120112324. 354981300112490/358738120112498. 354981300112516/358738120112514. 354981300112565/358738120112563. 354981300112573
/358738120112571. 354981300113035/358738120113033. 354981300113142/358738120113140. 354981300114108/358738120114106. 354981300118
992/358738120118990.354981300119024/358738120119022. 354981300119115/358738120119113. 354981300119131/358738120119139. 3549813001
19156/358738120119154. 354981300119180/358738120119188. 354981300119206/358738120119204. 354981300119214/358738120119212. 3549813
00119628/358738120119626. 354981300119727/358738120119725. 354981300119818/358738120119816. 354981300119834/358738120119832. 3549
81300119859/358738120119857. 354981300119917/358738120119915. 354981300119958/358738120119956. 354981300120188/358738120120186. 3
54981300120196/358738120120194. 354981300120204/358738120120202.354981300120295/358738120120293. 354981300120303/358738120120301.
354981300120329/358738120120327. 354981300120337/358738120120335. 354981300120519/358738120120517. 354981300120527/3587381201205
25. 354981300120659/358738120120657. 354981300121210/358738120121218. 354981300121954/358738120121952. 354981300122333/3587381201
22331. 354981300122424/358738120122422. 354981300122440/358738120122448. 354981300123463/358738120123461. 354981300123539/3587381
20123537. 354981300123554/358738120123552. 354981300123646/358738120123644. 354981300123653/358738120123651. 354981300123661/3587
38120123669. 354981300123679/358738120123677. 354981300123687/358738120123685. 354981300123703/358738120123701. 354981300123729/3
58738120123727. 354981300123737/358738120123735. 354981300123844/358738120123842. 354981300123943/358738120123941. 35498130012405
7/358738120124055. 354981300124214/358738120124212. 354981300124222/358738120124220. 354981300124230/358738120124238. 35498130013
0401/358738120130409. 354981300131201/358738120131209. 354981300131243/358738120131241. 354981300154633/358738120154631. 35498130
0154682/358738120154680. 354981300154708/358738120154706. 354981300154724/358738120154722. 354981300154799/358738120154797. 35498
1300154815/358738120154813. 354981300154823/358738120154821. 354981300154831/358738120154839. 354981300154880/358738120154888. 35
4981300154906/358738120154904. 354981300154914/358738120154912. 354981300154922/358738120154920. 354981300154930/358738120154938.
354981300154948/358738120154946. 354981300154955/358738120154953. 354981300154963/358738120154961. 354981300154989/3587381201549
87. 354981300154997/358738120154995. 354981300155002/358738120155000. 354981300155010/358738120155018. 354981300155028/3587381201
55026.354981300155044/358738120155042. 354981300155051/358738120155059. 354981300155077/358738120155075. 354981300155093/35873812
0155091. 354981300155143/358738120155141. 354981300155168/358738120155166. 354981300155176/358738120155174. 354981300155192/35873
8120155190. 354981300155275/358738120155273. 354981300155291/358738120155299. 354981300155424/358738120155422. 354981300155481/35
8738120155489. 354981300155515/358738120155513. 354981300155614/358738120155612. 354981300155655/358738120155653. 354981300155689
/358738120155687. 354981300155747/358738120155745.354981300155754/358738120155752. 354981300155788/358738120155786. 3549813001557
96/358738120155794. 354981300156836/358738120156834. 354981300156943/358738120156941. 354981300156950/358738120156958. 3549813001
56976/358738120156974. 354981300156984/358738120156982. 354981300157065/358738120157063. 354981300157313/358738120157311. 3549813
00157339/358738120157337. 354981300180190/358738120180198. 354981300180331/358738120180339. 354981300180430/358738120180438. 3549
81300180448/358738120180446. 354981300180463/358738120180461. 354981300180471/358738120180479. 354981300180489/358738120180487. 3
54981300180497/358738120180495. 354981300180521/358738120180529. 354981300180620/358738120180628. 354981300180638/358738120180636
. 354981300180679/358738120180677. 354981300180687/358738120180685. 354981300180695/358738120180693. 354981300180703/358738120180
701. 354981300180711/358738120180719. 354981300180737/358738120180735. 354981300180745/358738120180743. 354981300180752/358738120
180750. 354981300180760/358738120180768. 354981300180778/358738120180776. 354981300180786/358738120180784. 354981300180794/358738
120180792. 354981300180836/358738120180834. 354981300180844/358738120180842. 354981300180851/358738120180859. 354981300180869/358
738120180867. 354981300180885/358738120180883. 354981300180901/358738120180909. 354981300180919/358738120180917. 354981300180943/
358738120180941. 354981300180950/358738120180958. 354981300180968/358738120180966. 354981300180984/358738120180982. 3549813001809
92/358738120180990. 354981300181008/358738120181006. 354981300181016/358738120181014. 354981300181024/358738120181022. 3549813001
81065/358738120181063. 354981300181107/358738120181105. 354981300181149/358738120181147. 354981300181164/358738120181162.35498130
032026000233874-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000233874-0
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
0181172/358738120181170. 354981300181206/358738120181204. 354981300181214/358738120181212. 354981300181230/358738120181238. 35498
1300181248/358738120181246. 354981300181255/358738120181253. 354981300181263/358738120181261. 354981300181271/358738120181279. 35
4981300181313/358738120181311. 354981300181321/358738120181329. 354981300181339/358738120181337. 354981300181347/358738120181345.
354981300181362/358738120181360. 354981300181370/358738120181378. 354981300181388/358738120181386. 354981300181404/3587381201814
02. 354981300181412/358738120181410.354981300181420/358738120181428. 354981300181446/358738120181444. 354981300181453/35873812018
1451. 354981300181461/358738120181469. 354981300181479/358738120181477. 354981300181487/358738120181485. 354981300181495/35873812
0181493XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032026000233874-0
Espacio para uso exclusivo de la Entidad Recaudadora
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