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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
032026000587353-4
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. 116575016931925
43 . Año – Mes – Día
2026 – 04 – 20
44 . Documento de transporte
No. 023-01942043
45 . Año – Mes – Día
2026 – 04 – 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
9104277110
52 . Año – Mes – Día
2026 – 04 – 11
53 . Cod. país
procedencia
855
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
249
56 . Cod. Depto
destino
0
57 . Empresa transportadora
FEDERAL EXPRESS CORPORATION
58 . Tasa de cambio $ cvs.
3.615.10
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
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.
101.00
72 . Peso neto kgs. dcms.
92.92
73 . Código
embalaje
YY
74 . No. bultos
2
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
300.00
78 .Valor FOB
USD
37.383.82
79 . Valor fletes USD
681.00 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
137.612.686
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
137.612.686
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
1.26
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
682.26
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
38.066.08
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: 598610-DECL: 2025383-DO: 893108656261- 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
RESOLUCIÓN 5050 DEL 10 DE NOVIEMBRE DE 2016. EMITIDO POR LA COMISIÓN DE REGULACIÓN DE COMUNICACIONES (ANEXAMOS CERTIFICADO DE HOM
OLOGACIÓN) // NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION.SAMSUNG ELECTRONICS COLOMB
IA S.A. OEA COD. OE0001. . PEDIDOS: 3112356739. ID DELIVERY: 6088097181. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FLBHLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A17 LTE DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: AZUL (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
032026000587353
133. Feha: 202604 21
134 . Levante No. 032026000541609 135 . Fecha
2026 – 04 – 21
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 92032607329439
Fecha presentación 2026-04-21 18:08:47
Valor pagado $0.00
Fecha de Impresión: 2026-04-21 18:08:51
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000587353-4
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
CLARO, MODELO: SM-A175F/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL/ /MOBILE,SM-A175F/DS,LIGHT BLUE,LTC( QTY. 300,00 u )
(300,00 PCE ); IMEIS: 356487402576614/359371302576618. 356487402576622/359371302576626. 356487402580616/359371302580610. 35648740
2580624/359371302580628. 356487402580632/359371302580636. 356487402580640/359371302580644. 356487402580657/359371302580651. 35648
7402580665/359371302580669. 356487402580673/359371302580677. 356487402580681/359371302580685. 356487402580699/359371302580693. 35
6487402580715/359371302580719. 356487402580723/359371302580727. 356487402580731/359371302580735. 356487402580749/359371302580743.
356487402580756/359371302580750. 356487402580764/359371302580768. 356487402580772/359371302580776. 356487402580780/35937130258078
4. 356487402580798/359371302580792. 356487402580806/359371302580800. 356487402580814/359371302580818. 356487402580822/35937130258
0826. 356487402580830/359371302580834. 356487402580848/359371302580842. 356487402580855/3593 71302580859. 356487402580863/3593713
02580867. 356487402580871/359371302580875. 356487402580889/359371302580883. 356487402580897/359371302580891. 356487402580905/3593
71302580909. 356487402580913/359371302580917.356487402580921/359371302580925. 356487402580939/359371302580933. 356487402580947/35
9371302580941. 356487402580954/359371302580958. 356487402580962/359371302580966. 356487402580970/359371302580974. 356487402580988
/359371302580982. 356487402580996/359371302580990. 356487402581002/359371302581006. 356487402581010/359371302581014. 356487402581
028/359371302581022. 356487402581036/359371302581030. 356487402581044/359371302581048. 356487402581051/359371302581055. 356487402
581069/359371302581063. 356487402581077/359371302581071. 356487402581085/359371302581089. 356487402581093/359371302581097. 356487
402581101/359371302581105. 356487402581119/359371302581113. 356487402581127/359371302581121. 356487402581135/359371302581139. 356
487402581143/359371302581147. 356487402581150/359371302581154. 356487402581168/359371302581162. 356487402581176/359371302581170.
356487402581184/359371302581188. 356487402581192/359371302581196. 356487402581200/359371302581204. 356487402581218/35937130258121
2. 356487402581226/359371302581220. 356487402581234/359371302581238. 356487402581242/359371302581246. 356487402581259/35937130258
1253. 356487402581267/359371302581261. 356487402581275/359371302581279. 356487402581283/359371302581287. 356487402581291/35937130
2581295. 356487402581309/359371302581303. 356487402581317/359371302581311. 356487402581325/359371302581329. 356487402581333/35937
1302581337. 356487402581341/359371302581345. 356487402581358/359371302581352. 356487402581366/359371302581360. 356487402581374/35
9371302581378. 356487402581382/359371302581386. 356487402581390/359371302581394. 356487402581408/359371302581402. 356487402581416
/359371302581410. 356487402581424/359371302581428. 356487402581432/359371302581436. 356487402581457/359371302581451.3564874025814
65/359371302581469. 356487402581473/359371302581477. 356487402581481/359371302581485. 356487402581499/359371302581493. 3564874025
81507/359371302581501. 356487402581515/359371302581519. 356487402581523/359371302581527. 356487402581549/359371302581543. 3564874
02581556/359371302581550. 356487402581564/359371302581568. 356487402581572/359371302581576. 356487402581580/359371302581584. 3564
87402581598/359371302581592. 356487402581606/359371302581600. 356487402581614/359371302581618. 356487402595101/359371302595105. 3
56487402603434/359371302603438.356487402603442/359371302603446. 356487402603467/359371302603461. 356487402610926/359371302610920.
356487402610942/359371302610946. 356487402610975/359371302610979. 356487402611080/359371302611084. 356487402611106/3593713026111
00. 356487402611122/359371302611126. 356487402611130/359371302611134. 356487402611148/359371302611142. 356487402611155/3593713026
11159. 356487402611163/359371302611167. 356487402611171/359371302611175. 356487402611262/359371302611266. 356487402611288/3593713
02611282. 356487402611296/359371302611290. 356487402611304/359371302611308. 356487402611346/359371302611340. 356487402611361/3593
71302611365. 356487402611452/359371302611456. 356487402611502/359371302611506. 356487402611551/359371302611555. 356487402611627/3
59371302611621. 356487402611643/359371302611647. 356487402611650/359371302611654. 356487402611676/359371302611670. 35648740261169
2/359371302611696. 356487402611700/359371302611704. 356487402611783/359371302611787. 356487402611791/359371302611795. 35648740261
1817/359371302611811. 356487402611833/359371302611837. 356487402611866/359371302611860. 356487402611916/359371302611910. 35648740
2611957/359371302611951. 356487402611965/359371302611969. 356487402611999/359371302611993. 356487402612013/359371302612017. 35648
7402612021/359371302612025. 356487402612047/359371302612041. 356487402612096/359371302612090. 356487402612161/359371302612165. 35
6487402612229/359371302612223. 356487402612245/359371302612249. 356487402612286/359371302612280. 356487402612302/359371302612306.
356487402612393/359371302612397. 356487402612401/359371302612405. 356487402612419/359371302612413. 356487402612435/3593713026124
39. 356487402612468/359371302612462. 356487402612476/359371302612470. 356487402612500/359371302612504.356487402612526/35937130261
2520. 356487402612559/359371302612553. 356487402612567/359371302612561. 356487402612575/359371302612579. 356487402612633/35937130
2612637. 356487402612658/359371302612652. 356487402612666/359371302612660. 356487402612682/359371302612686. 356487402612716/35937
1302612710. 356487402612732/359371302612736. 356487402612773/359371302612777. 356487402612781/359371302612785. 356487402612799/35
9371302612793. 356487402612807/359371302612801. 356487402612823/359371302612827. 356487402612831/359371302612835. 356487402612849
/359371302612843.356487402612856/359371302612850. 356487402612914/359371302612918. 356487402612922/359371302612926. 3564874026129
30/359371302612934. 356487402612971/359371302612975. 356487402613011/359371302613015. 356487402613037/359371302613031. 3564874026
13045/359371302613049. 356487402613060/359371302613064. 356487402613102/359371302613106. 356487402613151/359371302613155. 3564874
02613201/359371302613205. 356487402613219/359371302613213. 356487402613243/359371302613247. 356487402613250/359371302613254. 3564
87402613318/359371302613312. 356487402613433/359371302613437. 356487402613458/359371302613452. 356487402613573/359371302613577. 3
56487402613581/359371302613585. 356487402613599/359371302613593. 356487402613615/359371302613619. 356487402613623/359371302613627
. 356487402613656/359371302613650. 356487402613664/359371302613668. 356487402613672/359371302613676. 356487402613680/359371302613
684. 356487402613722/359371302613726. 356487402613755/359371302613759. 356487402613805/359371302613809. 356487402613813/359371302
613817. 356487402613847/359371302613841. 356487402613862/359371302613866. 356487402614282/359371302614286. 356487402614290/359371
302614294. 356487402614332/359371302614336. 356487402614381/359371302614385. 356487402614449/359371302614443. 356487402614456/359
371302614450. 356487402614506/359371302614500. 356487402614548/359371302614542. 356487402614647/359371302614641. 356487402614886/
359371302614880. 356487402615016/359371302615010. 356487402615040/359371302615044. 356487402615586/359371302615580. 3564874026156
44/359371302615648. 356487402615677/359371302615671. 356487402615693/359371302615697. 356487402615727/359371302615721. 3564874026
15735/359371302615739. 356487402615743/359371302615747. 356487402615800/359371302615804.356487402615834/359371302615838. 35648740
2615842/359371302615846. 356487402615909/359371302615903. 356487402615974/359371302615978. 356487402616030/359371302616034. 35648
7402616097/359371302616091. 356487402616113/359371302616117. 356487402616170/359371302616174. 356487402616188/359371302616182. 35
6487402616196/359371302616190. 356487402616212/359371302616216. 356487402616220/359371302616224. 356487402616279/359371302616273.
356487402616303/359371302616307. 356487402616360/359371302616364. 356487402616378/359371302616372. 356487402616394/3593713026163
98.356487402616402/359371302616406. 356487402616436/359371302616430. 356487402616444/359371302616448. 356487402616451/35937130261
6455. 356487402616469/359371302616463. 356487402616485/359371302616489. 356487402616600/359371302616604. 356487402616725/35937130
2616729. 356487402616758/359371302616752. 356487402616790/359371302616794. 356487402616840/359371302616844. 356487402616857/35937
1302616851. 356487402616881/359371302616885. 356487402616931/359371302616935. 356487402616998/359371302616992. 356487402617004/35
9371302617008. 356487402617095/359371302617099. 356487402617178/359371302617172. 356487402617194/359371302617198. 356487402617202
/359371302617206. 356487402617210/359371302617214. 356487402617269/359371302617263. 356487402617277/359371302617271. 356487402617
319/359371302617313. 356487402617327/359371302617321. 356487402617335/359371302617339. 356487402617343/359371302617347. 356487402
617350/359371302617354. 356487402617368/359371302617362. 356487402617376/359371302617370. 356487402617392/359371302617396. 356487
402617426/359371302617420. 356487402617509/359371302617503. 356487402617525/359371302617529. 356487402617541/359371302617545. 356
487402617590/359371302617594. 356487402617640/359371302617644. 356487402617731/359371302617735. 356487402617897/359371302617891.
356487402617970/359371302617974. 356487402618200/359371302618204. 356487402618283/359371302618287. 356487402618291/35937130261829
5. 356487402618325/359371302618329. 356487402618333/359371302618337. 356487402618341/359371302618345. 356487402618358/35937130261
032026000587353-4
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000587353-4
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
8352. 356487402618374/359371302618378. 356487402618408/359371302618402. 356487402618416/359371302618410. 356487402618424/35937130
2618428. 356487402618564/359371302618568. 356487402618598/359371302618592.356487402618697/359371302618691. 356487402618705/359371
302618709. 356487402618739/359371302618733. 356487402618747/359371302618741. 356487402618770/359371302618774XXXXXXXXXXXXXXXXXXXXX
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032026000587353-4
Espacio para uso exclusivo de la Entidad Recaudadora
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