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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
032026000529612-1
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. 116575016900496
43 . Año – Mes – Día
2026 – 04 – 13
44 . Documento de transporte
No. HKL046468
45 . Año – Mes – Día
2026 – 04 – 09
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
6900423653
52 . Año – Mes – Día
2026 – 04 – 02
53 . Cod. país
procedencia
351
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.
3.660.10
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
215
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.
114.00
72 . Peso neto kgs. dcms.
83.30
73 . Código
embalaje
YY
74 . No. bultos
1
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
340.00
78 .Valor FOB
USD
19.649.66
79 . Valor fletes USD
947.34 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
75.389.569
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
75.389.569
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
0.68
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
948.02
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
20.597.68
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: 597198-DECL: 2021436-DO: 893108296261- 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: 3111914806. ID DELIVERY: 6088063621. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A075MZGGLTC, PRODU
CTO: TELEFONO CELULAR GALAXY 07 5G DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: VERDE, MO(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
032026000529612
133. Feha: 202604 11
134 . Levante No. 032026000501293 135 . Fecha
2026 – 04 – 14
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 92032607035117
Fecha presentación 2026-04-11 10:49:46
Valor pagado $0.00
Fecha de Impresión: 2026-04-14 11:37:43
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000529612-1
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
DELO: SM-A075M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A075M/DS,GREEN,LTC( QTY. 340,00 u )(340,00 PCE );
IMEIS: 357113743679193/359728853679192. 357113743679201/359728853679200. 357113743679219/359728853679218. 357113743679227/359728
853679226. 357113743679235/359728853679234. 357113743679243/359728853679242. 357113743679250/359728853679259. 357113743679268/359
728853679267. 357113743679276/359728853679275. 357113743679284/359728853679283. 357113743679292/359728853679291. 357113743679300/
359728853679309. 357113743679318/359728853679317. 357113743679326/359728853679325. 357113743679334/359728853679333. 3571137436793
42/359728853679341. 357113743679359/359728853679358. 357113743679367/359728853679366. 357113743679375/359728853679374. 3571137436
79383/359728853679382. 357113743679391/359728853679390. 357113743679409/359728853679408. 357113743679417/359728853679416. 3571137
43679425/359728853679424. 357113743679433/359728853679432. 357113743679441/359728853679440. 357113743679458/359728853679457. 3571
13743679466/359728853679465. 357113743679474/359728853679473. 357113743679482/359728853679481. 357113743679490/359728853679499. 3
57113743679508/359728853679507. 357113743679516/359728853679515. 357113743679524/359728853679523. 357113743679532/359728853679531
. 357113743679540/359728853679549. 357113743679557/359728853679556. 357113743679565/359728853679564. 357113743679573/359728853679
572. 357113743679581/359728853679580. 357113743679599/359728853679598. 357113743679607/359728853679606. 357113743679615/359728853
679614.357113743679623/359728853679622. 357113743679631/359728853679630. 357113743679649/359728853679648. 357113743679656/3597288
53679655. 357113743679664/359728853679663. 357113743679672/359728853679671. 357113743679771/359728853679770. 357113743679789/3597
28853679788. 357113743679888/359728853679887. 357113743679896/359728853679895. 357113743679979/359728853679978. 357113743680001/3
59728853680000. 357113743680027/359728853680026. 357113743680159/359728853680158. 357113743680183/359728853680182. 35711374368030
8/359728853680307. 357113743680381/359728853680380. 357113743680597/359728853680596. 357113743680696/359728853680695. 35711374368
0753/359728853680752. 357113743680845/359728853680844. 357113743681082/359728853681081. 357113743681165/359728853681164. 35711374
3681520/359728853681529. 357113743681637/359728853681636. 357113743681785/359728853681784. 357113743681850/359728853681859. 35711
3743682080/359728853682089. 357113743682296/359728853682295. 357113743682437/359728853682436. 357113743682486/359728853682485. 35
7113743682528/359728853682527. 357113743682643/359728853682642. 357113743682650/359728853682659. 357113743682668/359728853682667.
357113743682684/359728853682683. 357113743682726/359728853682725. 357113743682742/359728853682741. 357113743682767/3597288536827
66. 357113743682791/359728853682790. 357113743682817/359728853682816. 357113743682825/359728853682824. 357113743682833/3597288536
82832. 357113743682841/359728853682840. 357113743682882/359728853682881. 357113743682890/359728853682899. 357113743682908/3597288
53682907. 357113743682932/359728853682931. 357113743682957/359728853682956. 357113743682965/359728853682964. 357113743682981/3597
28853682980. 357113743683005/359728853683004. 357113743683021/359728853683020.357113743683070/359728853683079. 357113743683138/35
9728853683137. 357113743683161/359728853683160. 357113743683179/359728853683178. 357113743683187/359728853683186. 357113743683203
/359728853683202. 357113743683245/359728853683244. 357113743683252/359728853683251. 357113743683260/359728853683269. 357113743683
302/359728853683301. 357113743683336/359728853683335. 357113743683351/359728853683350. 357113743683385/359728853683384. 357113743
683492/359728853683491. 357113743683526/359728853683525. 357113743683575/359728853683574. 357113743683583/359728853683582.3571137
43683609/359728853683608. 357113743683807/359728853683806. 357113743684524/359728853684523. 357113743684722/359728853684721. 3571
13743684805/359728853684804. 357113743684813/359728853684812. 357113743684847/359728853684846. 357113743684920/359728853684929. 3
57113743684995/359728853684994. 357113743685497/359728853685496. 357113743685729/359728853685728. 357113743685828/359728853685827
. 357113743685919/359728853685918. 357113743685984/359728853685983. 357113743686404/359728853686403. 357113743686412/359728853686
411. 357113743686511/359728853686510. 357113743686826/359728853686825. 357113743686834/359728853686833. 357113743686842/359728853
686841. 357113743686867/359728853686866. 357113743686875/359728853686874. 357113743686883/359728853686882. 357113743686941/359728
853686940. 357113743686958/359728853686957. 357113743686966/359728853686965. 357113743686974/359728853686973. 357113743686990/359
728853686999. 357113743687022/359728853687021. 357113743687048/359728853687047. 357113743687055/359728853687054. 357113743687063/
359728853687062. 357113743687071/359728853687070. 357113743687089/359728853687088. 357113743687097/359728853687096. 3571137436871
05/359728853687104. 357113743687113/359728853687112. 357113743687121/359728853687120. 357113743687139/359728853687138. 3571137436
87147/359728853687146. 357113743687154/359728853687153. 357113743687170/359728853687179. 357113743687188/359728853687187. 3571137
43687196/359728853687195. 357113743687204/359728853687203. 357113743687212/359728853687211. 357113743687220/359728853687229. 3571
13743687246/359728853687245. 357113743687253/359728853687252. 357113743687261/359728853687260. 357113743687279/359728853687278. 3
57113743687287/359728853687286. 357113743687295/359728853687294.357113743687303/359728853687302. 357113743687311/359728853687310.
357113743687329/359728853687328. 357113743687337/359728853687336. 357113743687345/359728853687344. 357113743687352/3597288536873
51. 357113743687360/359728853687369. 357113743687378/359728853687377. 357113743687386/359728853687385. 357113743687394/3597288536
87393. 357113743687402/359728853687401. 357113743687410/359728853687419. 357113743687428/359728853687427. 357113743687436/3597288
53687435. 357113743687444/359728853687443. 357113743687451/359728853687450. 357113743687469/359728853687468.357113743687477/35972
8853687476. 357113743687485/359728853687484. 357113743687493/359728853687492. 357113743687519/359728853687518. 357113743687527/35
9728853687526. 357113743687535/359728853687534. 357113743687543/359728853687542. 357113743687550/359728853687559. 357113743687568
/359728853687567. 357113743687576/359728853687575. 357113743687584/359728853687583. 357113743687592/359728853687591. 357113743687
600/359728853687609. 357113743687618/359728853687617. 357113743687626/359728853687625. 357113743687634/359728853687633. 357113743
687642/359728853687641. 357113743687659/359728853687658. 357113743687667/359728853687666. 357113743687675/359728853687674. 357113
743687683/359728853687682. 357113743687691/359728853687690. 357113743687709/359728853687708. 357113743687717/359728853687716. 357
113743687725/359728853687724. 357113743687733/359728853687732. 357113743687741/359728853687740. 357113743687758/359728853687757.
357113743687766/359728853687765. 357113743687774/359728853687773. 357113743687782/359728853687781. 357113743687790/35972885368779
9. 357113743687808/359728853687807. 357113743687816/359728853687815. 357113743687824/359728853687823. 357113743687832/35972885368
7831. 357113743687840/359728853687849. 357113743687857/359728853687856. 357113743687865/359728853687864. 357113743687873/35972885
3687872. 357113743687881/359728853687880. 357113743687899/359728853687898. 357113743687907/359728853687906. 357113743687915/35972
8853687914. 357113743687923/359728853687922. 357113743687931/359728853687930. 357113743687949/359728853687948. 357113743687956/35
9728853687955. 357113743687964/359728853687963. 357113743687980/359728853687989. 357113743687998/359728853687997. 357113743688004
/359728853688003. 357113743688012/359728853688011.357113743688020/359728853688029. 357113743688046/359728853688045. 3571137436880
53/359728853688052. 357113743688061/359728853688060. 357113743688079/359728853688078. 357113743688087/359728853688086. 3571137436
88095/359728853688094. 357113743688103/359728853688102. 357113743688111/359728853688110. 357113743688129/359728853688128. 3571137
43688137/359728853688136. 357113743688145/359728853688144. 357113743688152/359728853688151. 357113743688160/359728853688169. 3571
13743688178/359728853688177. 357113743688186/359728853688185. 357113743688194/359728853688193.357113743688202/359728853688201. 35
7113743688210/359728853688219. 357113743688228/359728853688227. 357113743688236/359728853688235. 357113743688244/359728853688243.
357113743688251/359728853688250. 357113743688269/359728853688268. 357113743688277/359728853688276. 357113743688285/3597288536882
84. 357113743688293/359728853688292. 357113743688301/359728853688300. 357113743688319/359728853688318. 357113743688327/3597288536
88326. 357113743688335/359728853688334. 357113743688350/359728853688359. 357113743688368/359728853688367. 357113743688392/3597288
53688391. 357113743688434/359728853688433. 357113743688467/359728853688466. 357113743688483/359728853688482. 357113743688491/3597
28853688490. 357113743688566/359728853688565. 357113743688590/359728853688599. 357113743688616/359728853688615. 357113743688624/3
59728853688623. 357113743688665/359728853688664. 357113743688681/359728853688680. 357113743688699/359728853688698. 35711374368877
2/359728853688771. 357113743688848/359728853688847. 357113743688855/359728853688854. 357113743688863/359728853688862. 35711374368
8871/359728853688870. 357113743688897/359728853688896. 357113743688939/359728853688938. 357113743688947/359728853688946. 35711374
032026000529612-1
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000529612-1
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
3688954/359728853688953. 357113743688988/359728853688987. 357113743688996/359728853688995. 357113743689002/359728853689001. 35711
3743689010/359728853689019. 357113743689036/359728853689035. 357113743689044/359728853689043. 357113743689069/359728853689068. 35
7113743689077/359728853689076. 357113743689085/359728853689084. 357113743689093/359728853689092. 357113743689101/359728853689100.
357113743689135/359728853689134. 357113743689143/359728853689142. 357113743689168/359728853689167. 357113743689176/3597288536891
75. 357113743689184/359728853689183.357113743689200/359728853689209. 357113743689267/359728853689266. 357113743689275/35972885368
9274. 357113743689283/359728853689282. 357113743689291/359728853689290. 357113743689309/359728853689308. 357113743689317/35972885
3689316. 357113743689325/359728853689324. 357113743689333/359728853689332. 357113743689341/359728853689340. 357113743689358/35972
8853689357. 357113743689366/359728853689365. 357113743689374/359728853689373. 357113743689382/359728853689381. 357113743689390/35
9728853689399. 357113743689408/359728853689407. 357113743689416/359728853689415.357113743689424/359728853689423. 357113743689432/
359728853689431. 357113743689440/359728853689449. 357113743689457/359728853689456. 357113743689465/359728853689464. 3571137436894
73/359728853689472. 357113743689481/359728853689480. 357113743689499/359728853689498. 357113743689507/359728853689506. 3571137436
89515/359728853689514. 357113743689523/359728853689522. 357113743689531/359728853689530. 357113743689549/359728853689548. 3571137
43689556/359728853689555. 357113743689564/359728853689563. 357113743689572/359728853689571. 357113743689580/359728853689589XXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032026000529612-1
Espacio para uso exclusivo de la Entidad Recaudadora
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