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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
032026000267370-7
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. 116575016693621
43 . Año – Mes – Día
2026 – 02 – 17
44 . Documento de transporte
No. DEL8199106
45 . Año – Mes – Día
2026 – 02 – 12
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
9104147140
52 . Año – Mes – Día
2026 – 02 – 12
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.
3.665.78
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.
140.00
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
500.00
78 .Valor FOB
USD
41.403.09
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
155.926.482
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
155.926.482
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
1.40
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.132.60
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
42.535.69
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: 591355-DECL: 2003077-DO: 893103724261- 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: 3109327967. ID DELIVERY: 6087157594. 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
032026000267370
133. Feha: 202602 18
134 . Levante No. 032026000244388 135 . Fecha
2026 – 02 – 18
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 92032605604983
Fecha presentación 2026-02-18 19:29:04
Valor pagado $0.00
Fecha de Impresión: 2026-02-18 19:31:35
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000267370-7
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. 500,00 u )(
500,00 PCE ); IMEIS: 350901809151447/351461269151444. 350901809151454/351461269151451. 350901809151462/351461269151469. 350901809
151470/351461269151477. 350901809151496/351461269151493. 350901809151504/351461269151501. 350901809151520/351461269151527. 350901
809151538/351461269151535. 350901809151561/351461269151568. 350901809151579/351461269151576. 350901809151595/351461269151592. 350
901809151603/351461269151600. 350901809151629/351461269151626. 350901809151637/351461269151634. 350901809151702/351461269151709.3
50901809151819/351461269151816. 350901809151827/351461269151824. 350901809151843/351461269151840. 350901809151900/351461269151907
. 350901809152445/351461269152442. 350901809152486/351461269152483. 350901809152510/351461269152517. 350901809152882/351461269152
889. 350901809153161/351461269153168. 350901809153195/351461269153192. 350901809153237/3514 61269153234. 350901809153245/35146126
9153242. 350901809153252/351461269153259. 350901809153278/351461269153275. 350901809153294/351461269153291. 350901809153336/35146
1269153333. 350901809153377/351461269153374.350901809153401/351461269153408. 350901809153419/351461269153416. 350901809153427/351
461269153424. 350901809153831/351461269153838. 350901809153849/351461269153846. 350901809153856/351461269153853. 350901809153864/
351461269153861. 350901809153872/351461269153879. 350901809153880/351461269153887. 350901809153898/351461269153895. 3509018091539
06/351461269153903. 350901809153922/351461269153929. 350901809153948/351461269153945. 350901809153955/351461269153952. 3509018091
53971/351461269153978. 350901809153989/351461269153986. 350901809153997/351461269153994. 350901809154003/351461269154000. 3509018
09154011/351461269154018. 350901809154029/351461269154026. 350901809154037/351461269154034. 350901809154086/351461269154083. 3509
01809154128/351461269154125. 350901809154169/351461269154166. 350901809154284/351461269154281. 350901809154292/351461269154299. 3
50901809154334/351461269154331. 350901809154391/351461269154398. 350901809154409/351461269154406. 350901809154441/351461269154448
. 350901809154458/351461269154455. 350901809154466/351461269154463. 350901809154482/351461269154489. 350901809154516/351461269154
513. 350901809154532/351461269154539. 350901809154540/351461269154547. 350901809154557/351461269154554. 350901809154573/351461269
154570. 350901809154581/351461269154588. 350901809154599/351461269154596. 350901809154615/351461269154612. 350901809154631/351461
269154638. 350901809154656/351461269154653. 350901809154714/351461269154711. 350901809154730/351461269154737. 350901809154748/351
461269154745. 350901809154755/351461269154752. 350901809154789/351461269154786. 350901809154805/351461269154802. 350901809154821/
351461269154828. 350901809154839/351461269154836. 350901809154847/351461269154844. 350901809154854/351461269154851.35090180915487
0/351461269154877. 350901809154888/351461269154885. 350901809154896/351461269154893. 350901809154904/351461269154901. 35090180915
4912/351461269154919. 350901809154920/351461269154927. 350901809154938/351461269154935. 350901809154953/351461269154950. 35090180
9154961/351461269154968. 350901809154979/351461269154976. 350901809154987/351461269154984. 350901809154995/351461269154992. 35090
1809155000/351461269155007. 350901809155018/351461269155015. 350901809155026/351461269155023. 350901809155034/351461269155031. 35
0901809155042/351461269155049.350901809155059/351461269155056. 350901809155075/351461269155072. 350901809155083/351461269155080.
350901809155091/351461269155098. 350901809155109/351461269155106. 350901809155125/351461269155122. 350901809155133/35146126915513
0. 350901809155141/351461269155148. 350901809155158/351461269155155. 350901809155174/351461269155171. 350901809155182/35146126915
5189. 350901809155190/351461269155197. 350901809155208/351461269155205. 350901809155216/351461269155213. 350901809155281/35146126
9155288. 350901809155299/351461269155296. 350901809155307/351461269155304. 350901809155323/351461269155320. 350901809155331/35146
1269155338. 350901809155356/351461269155353. 350901809155364/351461269155361. 350901809155380/351461269155387. 350901809155398/35
1461269155395. 350901809155406/351461269155403. 350901809155430/351461269155437. 350901809155448/351461269155445. 350901809155505
/351461269155502. 350901809155513/351461269155510. 350901809155521/351461269155528. 350901809155539/351461269155536. 350901809155
588/351461269155585. 350901809155596/351461269155593. 350901809155604/351461269155601. 350901809155638/351461269155635. 350901809
155653/351461269155650. 350901809155661/351461269155668. 350901809155679/351461269155676. 350901809155687/351461269155684. 350901
809155695/351461269155692. 350901809155729/351461269155726. 350901809155752/351461269155759. 350901809155786/351461269155783. 350
901809155794/351461269155791. 350901809155810/351461269155817. 350901809155844/351461269155841. 350901809155851/351461269155858.
350901809155877/351461269155874. 350901809155901/351461269155908. 350901809155919/351461269155916. 350901809155927/35146126915592
4. 350901809155935/351461269155932. 350901809155943/351461269155940. 350901809155950/351461269155957.350901809155968/351461269155
965. 350901809155976/351461269155973. 350901809155992/351461269155999. 350901809156008/351461269156005. 350901809156016/351461269
156013. 350901809156024/351461269156021. 350901809156032/351461269156039. 350901809156065/351461269156062. 350901809156073/351461
269156070. 350901809156081/351461269156088. 350901809156099/351461269156096. 350901809156107/351461269156104. 350901809156115/351
461269156112. 350901809156123/351461269156120. 350901809156131/351461269156138. 350901809156149/351461269156146. 350901809156156/
351461269156153.350901809156180/351461269156187. 350901809156206/351461269156203. 350901809156214/351461269156211. 35090180915622
2/351461269156229. 350901809156230/351461269156237. 350901809156248/351461269156245. 350901809156289/351461269156286. 35090180915
6297/351461269156294. 350901809156305/351461269156302. 350901809156313/351461269156310. 350901809156321/351461269156328. 35090180
9156339/351461269156336. 350901809156370/351461269156377. 350901809156388/351461269156385. 350901809156396/351461269156393. 35090
1809156420/351461269156427. 350901809156446/351461269156443. 350901809156453/351461269156450. 350901809156495/351461269156492. 35
0901809156511/351461269156518. 350901809156545/351461269156542. 350901809156560/351461269156567. 350901809156578/351461269156575.
350901809156586/351461269156583. 350901809156602/351461269156609. 350901809156610/351461269156617. 350901809156628/3514612691566
25. 350901809156636/351461269156633. 350901809156719/351461269156716. 350901809156768/351461269156765. 350901809156776/3514612691
56773. 350901809156990/351461269156997. 350901809157006/351461269157003. 350901809157014/351461269157011. 350901809157022/3514612
69157029. 350901809157030/351461269157037. 350901809157089/351461269157086. 350901809157097/351461269157094. 350901809157105/3514
61269157102. 350901809157113/351461269157110. 350901809157121/351461269157128. 350901809157154/351461269157151. 350901809157170/3
51461269157177. 350901809157196/351461269157193. 350901809157238/351461269157235. 350901809157253/351461269157250. 35090180915727
9/351461269157276. 350901809157287/351461269157284. 350901809157295/351461269157292. 350901809157303/351461269157300. 35090180915
7311/351461269157318. 350901809157329/351461269157326. 350901809157352/351461269157359.350901809157360/351461269157367. 350901809
157386/351461269157383. 350901809157394/351461269157391. 350901809157402/351461269157409. 350901809157436/351461269157433. 350901
809157451/351461269157458. 350901809157469/351461269157466. 350901809157485/351461269157482. 350901809157493/351461269157490. 350
901809157527/351461269157524. 350901809157659/351461269157656. 350901809157667/351461269157664. 350901809157691/351461269157698.
350901809157717/351461269157714. 350901809157774/351461269157771. 350901809157808/351461269157805. 350901809158038/35146126915803
5.350901809158046/351461269158043. 350901809158053/351461269158050. 350901809158061/351461269158068. 350901809158152/351461269158
159. 350901809158160/351461269158167. 350901809158178/351461269158175. 350901809158202/351461269158209. 350901809158251/351461269
158258. 350901809158400/351461269158407. 350901809158442/351461269158449. 350901809158459/351461269158456. 350901809158475/351461
269158472. 350901809158509/351461269158506. 350901809158574/351461269158571. 350901809158657/351461269158654. 350901809158673/351
461269158670. 350901809158707/351461269158704. 350901809158822/351461269158829. 350901809158848/351461269158845. 350901809159432/
351461269159439. 350901809159440/351461269159447. 350901809159457/351461269159454. 350901809159465/351461269159462. 3509018091594
73/351461269159470. 350901809159481/351461269159488. 350901809159507/351461269159504. 350901809159515/351461269159512. 3509018091
59549/351461269159546. 350901809159556/351461269159553. 350901809159564/351461269159561. 350901809159572/351461269159579. 3509018
09159580/351461269159587. 350901809159598/351461269159595. 350901809159614/351461269159611. 350901809159622/351461269159629. 3509
01809159655/351461269159652. 350901809159663/351461269159660. 350901809159671/351461269159678. 350901809159689/351461269159686. 3
50901809159697/351461269159694. 350901809159713/351461269159710. 350901809159721/351461269159728. 350901809159762/351461269159769
. 350901809159804/351461269159801. 350901809159812/351461269159819. 350901809159903/351461269159900. 350901809159911/351461269159
032026000267370-7
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000267370-7
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
918. 350901809159945/351461269159942. 350901809159952/351461269159959. 350901809159994/351461269159991. 350901809160034/351461269
160031. 350901809160059/351461269160056. 350901809160075/351461269160072.350901809160117/351461269160114. 350901809160125/3514612
69160122. 350901809160133/351461269160130. 350901809160141/351461269160148. 350901809160174/351461269160171. 350901809160273/3514
61269160270. 350901809160356/351461269160353. 350901809160372/351461269160379. 350901809160414/351461269160411. 350901809160430/3
51461269160437. 350901809160448/351461269160445. 350901809160497/351461269160494. 350901809160513/351461269160510. 35090180916054
7/351461269160544. 350901809160562/351461269160569. 350901809160570/351461269160577. 350901809160588/351461269160585.350901809160
604/351461269160601. 350901809160612/351461269160619. 350901809160646/351461269160643. 350901809160737/351461269160734. 350901809
160752/351461269160759. 350901809160786/351461269160783. 350901809160851/351461269160858. 350901809160869/351461269160866. 350901
809160943/351461269160940. 350901809160950/351461269160957. 350901809160976/351461269160973. 350901809160984/351461269160981. 350
901809161008/351461269161005. 350901809161016/351461269161013. 350901809161032/351461269161039. 350901809161065/351461269161062.
350901809161081/351461269161088. 350901809161115/351461269161112. 350901809161164/351461269161161. 350901809161180/35146126916118
7. 350901809161206/351461269161203. 350901809161222/351461269161229. 350901809161248/351461269161245. 350901809161255/35146126916
1252. 350901809161263/351461269161260. 350901809161297/351461269161294. 350901809161321/351461269161328. 350901809161347/35146126
9161344. 350901809161396/351461269161393. 350901809161404/351461269161401. 350901809161420/351461269161427. 350901809161438/35146
1269161435. 350901809161594/351461269161591. 350901809161628/351461269161625. 350901809161701/351461269161708. 350901809161719/35
1461269161716. 350901809161750/351461269161757. 350901809161776/351461269161773. 350901809161784/351461269161781. 350901809161800
/351461269161807. 350901809161826/351461269161823. 350901809161842/351461269161849. 350901809161859/351461269161856. 350901809161
875/351461269161872. 350901809161909/351461269161906. 350901809161917/351461269161914. 350901809161966/351461269161963. 350901809
162014/351461269162011. 350901809162048/351461269162045. 350901809162055/351461269162052. 350901809162113/351461269162110. 350901
809162121/351461269162128. 350901809162162/351461269162169.350901809162170/351461269162177. 350901809162204/351461269162201. 3509
01809162220/351461269162227. 350901809162246/351461269162243. 350901809162253/351461269162250. 350901809162261/351461269162268. 3
50901809162279/351461269162276. 350901809162303/351461269162300. 350901809162329/351461269162326. 350901809162345/351461269162342
. 350901809162352/351461269162359. 350901809162360/351461269162367. 350901809162386/351461269162383. 350901809162402/351461269162
409. 350901809162428/351461269162425. 350901809162550/351461269162557. 350901809162832/351461269162839.350901809162840/3514612691
62847. 350901809162881/351461269162888. 350901809162907/351461269162904. 350901809162915/351461269162912. 350901809162980/3514612
69162987. 350901809163046/351461269163043. 350901809163103/351461269163100. 350901809163137/351461269163134. 350901809163145/3514
61269163142. 350901809163152/351461269163159. 350901809163186/351461269163183. 350901809163335/351461269163332. 350901809163343/3
51461269163340. 350901809163483/351461269163480. 350901809163517/351461269163514. 350901809163533/351461269163530. 35090180916354
1/351461269163548. 350901809163558/351461269163555. 350901809163566/351461269163563. 350901809163574/351461269163571. 35090180916
3608/351461269163605. 350901809163616/351461269163613. 350901809163640/351461269163647. 350901809163665/351461269163662. 35090180
9163673/351461269163670. 350901809163681/351461269163688. 350901809163707/351461269163704. 350901809163764/351461269163761. 35090
1809163798/351461269163795. 350901809163806/351461269163803. 350901809163814/351461269163811. 350901809163822/351461269163829. 35
0901809163848/351461269163845. 350901809163855/351461269163852. 350901809163863/351461269163860. 350901809163889/351461269163886.
350901809163897/351461269163894. 350901809163913/351461269163910. 350901809163921/351461269163928. 350901809163939/3514612691639
36. 350901809163947/351461269163944. 350901809163962/351461269163969. 350901809163970/351461269163977. 350901809163988/3514612691
63985. 350901809163996/351461269163993. 350901809164002/351461269164009. 350901809164010/351461269164017. 350901809164028/3514612
69164025. 350901809164036/351461269164033. 350901809164044/351461269164041. 350901809164085/351461269164082. 350901809164093/3514
61269164090. 350901809164101/351461269164108.350901809164119/351461269164116. 350901809164127/351461269164124. 350901809164135/35
1461269164132. 350901809164150/351461269164157. 350901809164168/351461269164165. 350901809164176/351461269164173. 350901809164184
/351461269164181. 350901809164192/351461269164199. 350901809164218/351461269164215. 350901809164226/351461269164223. 350901809164
242/351461269164249. 350901809164259/351461269164256. 350901809164267/351461269164264. 350901809164275/351461269164272. 350901809
164291/351461269164298. 350901809164309/351461269164306. 350901809164317/351461269164314.350901809164390/351461269164397. 3509018
09164416/351461269164413. 350901809164432/351461269164439. 350901809164440/351461269164447. 350901809164457/351461269164454. 3509
01809164465/351461269164462. 350901809164481/351461269164488. 350901809164556/351461269164553. 350901809164564/351461269164561. 3
50901809164572/351461269164579. 350901809164655/351461269164652. 350901809164689/351461269164686. 350901809164705/351461269164702
. 350901809164762/351461269164769. 350901809164770/351461269164777. 350901809164796/351461269164793. 350901809164887/351461269164
884. 350901809164937/351461269164934. 350901809164945/351461269164942. 350901809165009/351461269165006. 350901809165017/351461269
165014. 350901809165025/351461269165022. 350901809165033/351461269165030. 350901809165058/351461269165055. 350901809165066/351461
269165063. 350901809165074/351461269165071. 350901809165090/351461269165097. 350901809165264/351461269165261. 350901809165280/351
461269165287. 350901809165298/351461269165295. 350901809165546/351461269165543. 350901809165553/351461269165550. 350901809165629/
351461269165626. 350901809165652/351461269165659. 350901809165728/351461269165725. 350901809165876/351461269165873. 3509018091659
26/351461269165923. 350901809165959/351461269165956. 350901809165991/351461269165998. 350901809166007/351461269166004. 3509018091
66049/351461269166046. 350901809166080/351461269166087. 350901809166114/351461269166111. 350901809166148/351461269166145. 3509018
09166288/351461269166285. 350901809166296/351461269166293. 350901809166304/351461269166301. 350901809166320/351461269166327XXXXXX
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032026000267370-7
Espacio para uso exclusivo de la Entidad Recaudadora
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