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VER MAS
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
032026000374677-0
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
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. 116575016792807
43 . Año – Mes – Día
2026 – 03 – 12
44 . Documento de transporte
No. SHAN0471984
45 . Año – Mes – Día
2026 – 03 – 07
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
9104194987
52 . Año – Mes – Día
2026 – 03 – 07
53 . Cod. país
procedencia
855
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.
3.767.94
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
855
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.
186.00
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
112.520.11
79 . Valor fletes USD
1.512.18 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
429.680.994
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
429.680.994
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
3.76
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.515.94
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
114.036.05
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: 593636-DECL: 2009475-DO: 893105809261- 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: 3110498057. ID DELIVERY:
6087478566. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A376BZWKLTC, PRODUCTO: TELEFONO CELULAR GALAXY A37 5G DUOS(CON ACCESORIOS PA
RA USO Y NORMAL FUNCIONAMIENTO), COLOR: BLANCO,MODELO: SM-A376B/DS,USO O DESTINO: PARA LA VENTA AL MAYOR Y (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
032026000374677
133. Feha: 202603 10
134 . Levante No. 032026000361967 135 . Fecha
2026 – 03 – 13
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 92032606167411
Fecha presentación 2026-03-10 20:25:21
Valor pagado $0.00
Fecha de Impresión: 2026-03-13 18:21:14
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000374677-0
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
AL DETAL./ /MOBILE,SM-A376B/DS,WHITE,LTC( QTY. 500,00 u )(500,00 PCE ); IMEIS: 356599700283196/356975820283193. 356599700283204/3
56975820283201. 356599700283675/356975820283672. 356599700283683/356975820283680. 356599700283766/356975820283763. 35659970028386
5/356975820283862. 356599700283899/356975820283896. 356599700283931/356975820283938. 356599700283956/356975820283953. 35659970028
4020/356975820284027. 356599700284053/356975820284050. 356599700284129/356975820284126. 356599700284145/356975820284142. 35659970
0284160/356975820284167. 356599700284178/356975820284175.356599700284210/356975820284217. 356599700284285/356975820284282. 356599
700284400/356975820284407. 356599700284632/356975820284639. 356599700284640/356975820284647. 356599700284657/356975820284654. 356
599700284665/356975820284662. 356599700284673/356975820284670. 356599700284681/356975820284688. 356599700284699/356975820284696.
356599700284707/356975820284704. 356599700284715/356975820284712. 356599700284723/35697582 0284720. 356599700284731/3569758202847
38. 356599700284749/356975820284746. 356599700284756/356975820284753. 356599700284764/356975820284761.356599700284772/35697582028
4779. 356599700284780/356975820284787. 356599700284798/356975820284795. 356599700284806/356975820284803. 356599700284814/35697582
0284811. 356599700284822/356975820284829. 356599700284855/356975820284852. 356599700284889/356975820284886. 356599700284962/35697
5820284969. 356599700285001/356975820285008. 356599700285043/356975820285040. 356599700285084/356975820285081. 356599700285142/35
6975820285149. 356599700285183/356975820285180. 356599700285258/356975820285255. 356599700285266/356975820285263. 356599700285274
/356975820285271. 356599700285324/356975820285321. 356599700285340/356975820285347. 356599700285373/356975820285370. 356599700285
449/356975820285446. 356599700285456/356975820285453. 356599700285472/356975820285479. 356599700285480/356975820285487. 356599700
285514/356975820285511. 356599700285522/356975820285529. 356599700285530/356975820285537. 356599700285555/356975820285552. 356599
700285563/356975820285560. 356599700285571/356975820285578. 356599700285589/356975820285586. 356599700285597/356975820285594. 356
599700285605/356975820285602. 356599700285639/356975820285636. 356599700285647/356975820285644. 356599700285654/356975820285651.
356599700285670/356975820285677. 356599700285688/356975820285685. 356599700285704/356975820285701. 356599700285712/35697582028571
9. 356599700285720/356975820285727. 356599700285738/356975820285735. 356599700285746/356975820285743. 356599700285753/35697582028
5750. 356599700285779/356975820285776. 356599700285787/356975820285784. 356599700285803/356975820285800. 356599700285811/35697582
0285818. 356599700285829/356975820285826. 356599700285837/356975820285834. 356599700285860/356975820285867. 356599700285878/35697
5820285875. 356599700285894/356975820285891.356599700285902/356975820285909. 356599700285928/356975820285925. 356599700285936/356
975820285933. 356599700285969/356975820285966. 356599700285977/356975820285974. 356599700286009/356975820286006. 356599700286017/
356975820286014. 356599700286033/356975820286030. 356599700286066/356975820286063. 356599700286116/356975820286113. 3565997002861
24/356975820286121. 356599700286132/356975820286139. 356599700286140/356975820286147. 356599700286157/356975820286154. 3565997002
86165/356975820286162. 356599700286173/356975820286170. 356599700286199/356975820286196.356599700286207/356975820286204. 35659970
0286215/356975820286212. 356599700286249/356975820286246. 356599700286256/356975820286253. 356599700286264/356975820286261. 35659
9700286272/356975820286279. 356599700286280/356975820286287. 356599700286298/356975820286295. 356599700286306/356975820286303. 35
6599700286314/356975820286311. 356599700286322/356975820286329. 356599700286355/356975820286352. 356599700286363/356975820286360.
356599700286371/356975820286378. 356599700286389/356975820286386. 356599700286397/356975820286394. 356599700286405/3569758202864
02. 356599700286413/356975820286410. 356599700286421/356975820286428. 356599700286439/356975820286436. 356599700286454/3569758202
86451. 356599700286488/356975820286485. 356599700286496/356975820286493. 356599700286520/356975820286527. 356599700286546/3569758
20286543. 356599700286553/356975820286550. 356599700286561/356975820286568. 356599700286587/356975820286584. 356599700286603/3569
75820286600. 356599700286611/356975820286618. 356599700286637/356975820286634. 356599700286645/356975820286642. 356599700286652/3
56975820286659. 356599700286660/356975820286667. 356599700286678/356975820286675. 356599700286686/356975820286683. 35659970028669
4/356975820286691. 356599700286710/356975820286717. 356599700286728/356975820286725. 356599700286736/356975820286733. 35659970028
6744/356975820286741. 356599700286751/356975820286758. 356599700286769/356975820286766. 356599700286777/356975820286774. 35659970
0286785/356975820286782. 356599700286793/356975820286790. 356599700286801/356975820286808. 356599700286827/356975820286824. 35659
9700286843/356975820286840. 356599700286850/356975820286857. 356599700286892/356975820286899. 356599700286900/356975820286907. 35
6599700286926/356975820286923.356599700287031/356975820287038. 356599700287064/356975820287061. 356599700287072/356975820287079.
356599700287098/356975820287095. 356599700287957/356975820287954. 356599700288062/356975820288069. 356599700288070/35697582028807
7. 356599700288088/356975820288085. 356599700288096/356975820288093. 356599700288104/356975820288101. 356599700288112/35697582028
8119. 356599700288153/356975820288150. 356599700288161/356975820288168. 356599700288211/356975820288218. 356599700288229/35697582
0288226. 356599700288286/356975820288283. 356599700288435/356975820288432.356599700288518/356975820288515. 356599700288542/356975
820288549. 356599700288559/356975820288556. 356599700288567/356975820288564. 356599700288575/356975820288572. 356599700288583/356
975820288580. 356599700288591/356975820288598. 356599700288609/356975820288606. 356599700288633/356975820288630. 356599700288641/
356975820288648. 356599700288658/356975820288655. 356599700288666/356975820288663. 356599700288674/356975820288671. 3565997002887
16/356975820288713. 356599700288732/356975820288739. 356599700288740/356975820288747. 356599700288757/356975820288754. 3565997002
88765/356975820288762. 356599700288773/356975820288770. 356599700288781/356975820288788. 356599700288799/356975820288796. 3565997
00288807/356975820288804. 356599700288823/356975820288820. 356599700288831/356975820288838. 356599700288849/356975820288846. 3565
99700288856/356975820288853. 356599700288864/356975820288861. 356599700288880/356975820288887. 356599700288898/356975820288895. 3
56599700288906/356975820288903. 356599700288922/356975820288929. 356599700288930/356975820288937. 356599700288948/356975820288945
. 356599700288955/356975820288952. 356599700288971/356975820288978. 356599700288989/356975820288986. 356599700288997/356975820288
994. 356599700289029/356975820289026. 356599700289037/356975820289034. 356599700289045/356975820289042. 356599700289060/356975820
289067. 356599700289078/356975820289075. 356599700289086/356975820289083. 356599700289094/356975820289091. 356599700289110/356975
820289117. 356599700289128/356975820289125. 356599700289151/356975820289158. 356599700289169/356975820289166. 356599700289177/356
975820289174. 356599700289185/356975820289182. 356599700289201/356975820289208. 356599700289227/356975820289224. 356599700289235/
356975820289232.356599700289243/356975820289240. 356599700289250/356975820289257. 356599700289268/356975820289265. 35659970028927
6/356975820289273. 356599700289284/356975820289281. 356599700289292/356975820289299. 356599700289300/356975820289307. 35659970028
9318/356975820289315. 356599700289334/356975820289331. 356599700289342/356975820289349. 356599700289359/356975820289356. 35659970
0289367/356975820289364. 356599700289383/356975820289380. 356599700289391/356975820289398. 356599700289417/356975820289414. 35659
9700289474/356975820289471. 356599700289516/356975820289513.356599700289698/356975820289695. 356599700289730/356975820289737. 356
599700289763/356975820289760. 356599700289797/356975820289794. 356599700289862/356975820289869. 356599700289870/356975820289877.
356599700289946/356975820289943. 356599700289953/356975820289950. 356599700289961/356975820289968. 356599700289979/35697582028997
6. 356599700289987/356975820289984. 356599700289995/356975820289992. 356599700290019/356975820290016. 356599700290027/35697582029
0024. 356599700290035/356975820290032. 356599700290043/356975820290040. 356599700290068/356975820290065. 356599700290084/35697582
0290081. 356599700290092/356975820290099. 356599700290100/356975820290107. 356599700290118/356975820290115. 356599700290126/35697
5820290123. 356599700290134/356975820290131. 356599700290142/356975820290149. 356599700290159/356975820290156. 356599700290167/35
6975820290164. 356599700290175/356975820290172. 356599700290183/356975820290180. 356599700290191/356975820290198. 356599700290209
/356975820290206. 356599700290217/356975820290214. 356599700290225/356975820290222. 356599700290233/356975820290230. 356599700290
266/356975820290263. 356599700290274/356975820290271. 356599700290308/356975820290305. 356599700290316/356975820290313. 356599700
290324/356975820290321. 356599700290332/356975820290339. 356599700290340/356975820290347. 356599700290357/356975820290354. 356599
700290365/356975820290362. 356599700290373/356975820290370. 356599700290381/356975820290388. 356599700290407/356975820290404. 356
599700290415/356975820290412. 356599700290423/356975820290420. 356599700290431/356975820290438. 356599700290449/356975820290446.
032026000374677-0
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000374677-0
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
356599700290456/356975820290453. 356599700290464/356975820290461. 356599700290472/356975820290479. 356599700290480/35697582029048
7.356599700290498/356975820290495. 356599700290506/356975820290503. 356599700290522/356975820290529. 356599700290530/356975820290
537. 356599700290555/356975820290552. 356599700290563/356975820290560. 356599700290571/356975820290578. 356599700290589/356975820
290586. 356599700290597/356975820290594. 356599700290605/356975820290602. 356599700290613/356975820290610. 356599700290621/356975
820290628. 356599700290639/356975820290636. 356599700290647/356975820290644. 356599700290662/356975820290669. 356599700290670/356
975820290677. 356599700290688/356975820290685.356599700290696/356975820290693. 356599700290704/356975820290701. 356599700290712/3
56975820290719. 356599700290720/356975820290727. 356599700290738/356975820290735. 356599700290746/356975820290743. 35659970029075
3/356975820290750. 356599700290761/356975820290768. 356599700290779/356975820290776. 356599700290787/356975820290784. 35659970029
0795/356975820290792. 356599700290811/356975820290818. 356599700290829/356975820290826. 356599700290837/356975820290834. 35659970
0290845/356975820290842. 356599700290852/356975820290859. 356599700290860/356975820290867. 356599700290878/356975820290875. 35659
9700290886/356975820290883. 356599700290894/356975820290891. 356599700290902/356975820290909. 356599700290910/356975820290917. 35
6599700290928/356975820290925. 356599700290936/356975820290933. 356599700290944/356975820290941. 356599700290951/356975820290958.
356599700290969/356975820290966. 356599700290977/356975820290974. 356599700290993/356975820290990. 356599700291009/3569758202910
06. 356599700291025/356975820291022. 356599700291041/356975820291048. 356599700291058/356975820291055. 356599700291066/3569758202
91063. 356599700291074/356975820291071. 356599700291082/356975820291089. 356599700291090/356975820291097. 356599700291116/3569758
20291113. 356599700291124/356975820291121. 356599700393482/356975820393489. 356599700393490/356975820393497. 356599700393532/3569
75820393539. 356599700393565/356975820393562. 356599700393581/356975820393588. 356599700393680/356975820393687. 356599700393771/3
56975820393778. 356599700393789/356975820393786. 356599700393813/356975820393810. 356599700393946/356975820393943. 35659970039397
9/356975820393976. 356599700394134/356975820394131. 356599700394159/356975820394156. 356599700394191/356975820394198.356599700394
241/356975820394248. 356599700394258/356975820394255. 356599700394274/356975820394271. 356599700394498/356975820394495. 356599700
394571/356975820394578. 356599700394639/356975820394636. 356599700394654/356975820394651. 356599700394696/356975820394693. 356599
700394704/356975820394701. 356599700394712/356975820394719. 356599700394779/356975820394776. 356599700394837/356975820394834. 356
599700394852/356975820394859. 356599700394936/356975820394933. 356599700394944/356975820394941. 356599700395040/356975820395047.
356599700395065/356975820395062.356599700395099/356975820395096. 356599700395115/356975820395112. 356599700395131/356975820395138
. 356599700395206/356975820395203. 356599700395214/356975820395211. 356599700395222/356975820395229. 356599700395263/356975820395
260. 356599700395271/356975820395278. 356599700395289/356975820395286. 356599700395305/356975820395302. 356599700395321/356975820
395328. 356599700395339/356975820395336. 356599700395552/356975820395559. 356599700395560/356975820395567. 356599700395578/356975
820395575. 356599700395594/356975820395591. 356599700395610/356975820395617. 356599700395628/356975820395625. 356599700395644/356
975820395641. 356599700395651/356975820395658. 356599700395685/356975820395682. 356599700395693/356975820395690. 356599700395701/
356975820395708. 356599700395719/356975820395716. 356599700395727/356975820395724. 356599700395735/356975820395732. 3565997003957
43/356975820395740. 356599700395750/356975820395757. 356599700395768/356975820395765. 356599700395776/356975820395773. 3565997003
95784/356975820395781. 356599700395800/356975820395807. 356599700395826/356975820395823. 356599700395834/356975820395831. 3565997
00395859/356975820395856. 356599700395875/356975820395872. 356599700395883/356975820395880. 356599700395891/356975820395898. 3565
99700395909/356975820395906. 356599700395917/356975820395914. 356599700395933/356975820395930. 356599700395958/356975820395955. 3
56599700395966/356975820395963. 356599700395974/356975820395971. 356599700395982/356975820395989. 356599700396006/356975820396003
. 356599700396014/356975820396011. 356599700396022/356975820396029. 356599700396030/356975820396037. 356599700396048/356975820396
045. 356599700396055/356975820396052. 356599700396063/356975820396060. 356599700396097/356975820396094.356599700396105/3569758203
96102. 356599700396113/356975820396110. 356599700396147/356975820396144. 356599700396154/356975820396151. 356599700396170/3569758
20396177. 356599700396188/356975820396185. 356599700396204/356975820396201. 356599700396212/356975820396219. 356599700396220/3569
75820396227. 356599700396246/356975820396243. 356599700396253/356975820396250. 356599700396279/356975820396276. 356599700396287/3
56975820396284. 356599700396295/356975820396292. 356599700396303/356975820396300. 356599700396329/356975820396326. 35659970039633
7/356975820396334.356599700396345/356975820396342. 356599700396352/356975820396359. 356599700396378/356975820396375. 356599700396
394/356975820396391. 356599700396402/356975820396409. 356599700396428/356975820396425. 356599700396485/356975820396482. 356599700
396501/356975820396508. 356599700396519/356975820396516. 356599700396543/356975820396540. 356599700396550/356975820396557. 356599
700396568/356975820396565. 356599700396576/356975820396573. 356599700396584/356975820396581. 356599700396618/356975820396615. 356
599700396626/356975820396623. 356599700396634/356975820396631. 356599700396659/356975820396656. 356599700396667/356975820396664.
356599700396675/356975820396672. 356599700396691/356975820396698. 356599700396709/356975820396706. 356599700439145/35697582043914
2. 356599700439152/356975820439159. 356599700439178/356975820439175. 356599700439194/356975820439191. 356599700439202/35697582043
9209. 356599700439210/356975820439217. 356599700439228/356975820439225. 356599700439244/356975820439241. 356599700439251/35697582
0439258. 356599700439277/356975820439274. 356599700439319/356975820439316. 356599700439327/356975820439324. 356599700439335/35697
5820439332. 356599700439343/356975820439340. 356599700439350/356975820439357. 356599700440143/356975820440140. 356599700440150/35
6975820440157. 356599700440168/356975820440165. 356599700440176/356975820440173. 356599700440184/356975820440181. 356599700440192
/356975820440199. 356599700440200/356975820440207. 356599700440234/356975820440231. 356599700440242/356975820440249. 356599700440
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032026000374677-0
Espacio para uso exclusivo de la Entidad Recaudadora
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