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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
032026000609702-8
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. 116575016945171
43 . Año – Mes – Día
2026 – 04 – 23
44 . Documento de transporte
No. 023-02061264
45 . Año – Mes – Día
2026 – 04 – 19
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
9104292478
52 . Año – Mes – Día
2026 – 04 – 18
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.
118.50
72 . Peso neto kgs. dcms.
106.65
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
42.087.14
79 . Valor fletes USD
1.053.00 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
155.961.054
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
155.961.054
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
1.42
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.054.42
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
43.141.56
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: 598554-DECL: 2025308-DO: 893109373261- 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, MERCAN
CIA QUE NO REQUIERE REGISTRO DEIMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3112795498. ID DELIVERY
: 6088221810. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FZKHLTC, PRODUCTO: TELEFONO CELULAR GALAXY A17 LTE DUOS (CON ACCESORIOS
PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: NEGRO, MODELO: SM-A175F/DS, USO O DESTINO: PARA LA VENTA AL MAYO(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
032026000609702
133. Feha: 202604 24
134 . Levante No. 032026000562294 135 . Fecha
2026 – 04 – 24
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 92032607445001
Fecha presentación 2026-04-24 15:15:24
Valor pagado $0.00
Fecha de Impresión: 2026-04-24 15:15:28
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000609702-8
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
R Y AL DETAL.//MOBILE,SM-A175F/DS,BLACK,LTC( QTY. 340,00 u )(340,00 PCE ); IMEIS: 356487405563924/359371305563928. 35648740556413
8/359371305564132. 356487405567925/359371305567929. 356487405569442/359371305569446. 356487405570481/359371305570485. 35648740560
2094/359371305602098. 356487405602102/359371305602106. 356487405602110/359371305602114. 356487405602128/359371305602122. 35648740
5602136/359371305602130. 356487405602144/359371305602148. 356487405602151/359371305602155. 356487405602169/359371305602163. 35648
7405602177/359371305602171. 356487405602185/359371305602189. 356487405602193/359371305602197. 356487405602201/359371305602205. 35
6487405602219/359371305602213. 356487405602227/359371305602221. 356487405602235/359371305602239. 356487405602243/359371305602247.
356487405602250/359371305602254. 356487405602268/359371305602262. 356487405602276/359371305602270. 356487405602284/3593713056022
88. 356487405602292/359371305602296. 356487405602300/359371305602304. 356487405602318/35937 1305602312. 356487405602326/359371305
602320. 356487405602334/359371305602338. 356487405602342/359371305602346. 356487405602359/359371305602353. 356487405602367/359371
305602361. 356487405602375/359371305602379.356487405602383/359371305602387. 356487405602391/359371305602395. 356487405602409/3593
71305602403. 356487405602417/359371305602411. 356487405602425/359371305602429. 356487405602433/359371305602437. 356487405602441/3
59371305602445. 356487405602458/359371305602452. 356487405602466/359371305602460. 356487405602474/359371305602478. 35648740560248
2/359371305602486. 356487405602490/359371305602494. 356487405602508/359371305602502. 356487405602516/359371305602510. 35648740560
2524/359371305602528. 356487405602532/359371305602536. 356487405602540/359371305602544.356487405602557/359371305602551. 356487405
602565/359371305602569. 356487405602573/359371305602577. 356487405602581/359371305602585. 356487405602599/359371305602593. 356487
405602607/359371305602601. 356487405602615/359371305602619. 356487405602623/359371305602627. 356487405602631/359371305602635. 356
487405602649/359371305602643. 356487405602656/359371305602650. 356487405602664/359371305602668. 356487405602672/359371305602676.
356487405602680/359371305602684. 356487405602698/359371305602692. 356487405602706/359371305602700. 356487405602714/35937130560271
8. 356487405602722/359371305602726. 356487405602730/359371305602734. 356487405602748/359371305602742. 356487405602755/35937130560
2759. 356487405602763/359371305602767. 356487405602771/359371305602775. 356487405602789/359371305602783. 356487405602813/35937130
5602817. 356487405602821/359371305602825. 356487405602839/359371305602833. 356487405602847/359371305602841. 356487405602854/35937
1305602858. 356487405602862/359371305602866. 356487405602870/359371305602874. 356487405602888/359371305602882. 356487405602896/35
9371305602890. 356487405602904/359371305602908. 356487405602912/359371305602916. 356487405602920/359371305602924. 356487405602938
/359371305602932. 356487405602946/359371305602940. 356487405602953/359371305602957. 356487405602961/359371305602965. 356487405602
979/359371305602973. 356487405602987/359371305602981. 356487405602995/359371305602999. 356487405603001/359371305603005. 356487405
603019/359371305603013. 356487405603027/359371305603021. 356487405603035/359371305603039. 356487405603043/359371305603047. 356487
405603050/359371305603054. 356487405603068/359371305603062. 356487405603076/359371305603070. 356487405603084/359371305603088. 356
487405603092/359371305603096.356487405603100/359371305603104. 356487405603118/359371305603112. 356487405603126/359371305603120. 3
56487405603134/359371305603138. 356487405603142/359371305603146. 356487405603159/359371305603153. 356487405603167/359371305603161
. 356487405603175/359371305603179. 356487405603183/359371305603187. 356487405603191/359371305603195. 356487405603209/359371305603
203. 356487405603217/359371305603211. 356487405603225/359371305603229. 356487405603233/359371305603237. 356487405603241/359371305
603245. 356487405603258/359371305603252. 356487405603266/359371305603260.356487405603274/359371305603278. 356487405603282/3593713
05603286. 356487405603308/359371305603302. 356487405603324/359371305603328. 356487405603332/359371305603336. 356487405603340/3593
71305603344. 356487405603357/359371305603351. 356487405603365/359371305603369. 356487405603373/359371305603377. 356487405603381/3
59371305603385. 356487405603399/359371305603393. 356487405603407/359371305603401. 356487405603415/359371305603419. 35648740560342
3/359371305603427. 356487405603431/359371305603435. 356487405603449/359371305603443. 356487405603456/359371305603450. 35648740560
3464/359371305603468. 356487405603472/359371305603476. 356487405603480/359371305603484. 356487405603498/359371305603492. 35648740
5603514/359371305603518. 356487405603522/359371305603526. 356487405603530/359371305603534. 356487405603548/359371305603542. 35648
7405603555/359371305603559. 356487405603563/359371305603567. 356487405603571/359371305603575. 356487405603589/359371305603583. 35
6487405603597/359371305603591. 356487405603605/359371305603609. 356487405603613/359371305603617. 356487405603621/359371305603625.
356487405603639/359371305603633. 356487405603647/359371305603641. 356487405603654/359371305603658. 356487405603662/3593713056036
66. 356487405603670/359371305603674. 356487405603688/359371305603682. 356487405603696/359371305603690. 356487405603704/3593713056
03708. 356487405603712/359371305603716. 356487405603720/359371305603724. 356487405603738/359371305603732. 356487405603746/3593713
05603740. 356487405603753/359371305603757. 356487405603761/359371305603765. 356487405603779/359371305603773. 356487405603787/3593
71305603781. 356487405603795/359371305603799. 356487405603803/359371305603807. 356487405603811/359371305603815. 356487405603829/3
59371305603823.356487405603837/359371305603831. 356487405603845/359371305603849. 356487405603852/359371305603856. 356487405603860
/359371305603864. 356487405603878/359371305603872. 356487405603886/359371305603880. 356487405603894/359371305603898. 356487405603
902/359371305603906. 356487405603910/359371305603914. 356487405603928/359371305603922. 356487405603944/359371305603948. 356487405
603951/359371305603955. 356487405603969/359371305603963. 356487405603977/359371305603971. 356487405603985/359371305603989. 356487
405603993/359371305603997. 356487405604009/359371305604003.356487405604017/359371305604011. 356487405604025/359371305604029. 3564
87405604033/359371305604037. 356487405604041/359371305604045. 356487405604058/359371305604052. 356487405604066/359371305604060. 3
56487405604074/359371305604078. 356487405604082/359371305604086. 356487405604090/359371305604094. 356487405604108/359371305604102
. 356487405604116/359371305604110. 356487405604124/359371305604128. 356487405604132/359371305604136. 356487405604140/359371305604
144. 356487405604157/359371305604151. 356487405604165/359371305604169. 356487405604173/359371305604177. 356487405604181/359371305
604185. 356487405604199/359371305604193. 356487405604207/359371305604201. 356487405604215/359371305604219. 356487405604223/359371
305604227. 356487405604231/359371305604235. 356487405604256/359371305604250. 356487405604264/359371305604268. 356487405604272/359
371305604276. 356487405604280/359371305604284. 356487405604298/359371305604292. 356487405604306/359371305604300. 356487405604314/
359371305604318. 356487405604322/359371305604326. 356487405604330/359371305604334. 356487405604348/359371305604342. 3564874056043
55/359371305604359. 356487405604363/359371305604367. 356487405604371/359371305604375. 356487405604389/359371305604383. 3564874056
04397/359371305604391. 356487405604405/359371305604409. 356487405604413/359371305604417. 356487405604421/359371305604425. 3564874
05604439/359371305604433. 356487405604447/359371305604441. 356487405604454/359371305604458. 356487405604462/359371305604466. 3564
87405604470/359371305604474. 356487405604488/359371305604482. 356487405604496/359371305604490. 356487405604504/359371305604508. 3
56487405604512/359371305604516. 356487405604520/359371305604524. 356487405604538/359371305604532. 356487405604546/359371305604540
.356487405604553/359371305604557. 356487405604561/359371305604565. 356487405604579/359371305604573. 356487405604587/3593713056045
81. 356487405604595/359371305604599. 356487405604603/359371305604607. 356487405604611/359371305604615. 356487405604629/3593713056
04623. 356487405604637/359371305604631. 356487405604645/359371305604649. 356487405604652/359371305604656. 356487405604660/3593713
05604664. 356487405604678/359371305604672. 356487405604686/359371305604680. 356487405604694/359371305604698. 356487405604702/3593
71305604706. 356487405604710/359371305604714.356487405604728/359371305604722. 356487405604736/359371305604730. 356487405604744/35
9371305604748. 356487405604751/359371305604755. 356487405604769/359371305604763. 356487405604777/359371305604771. 356487405604785
/359371305604789. 356487405604793/359371305604797. 356487405604801/359371305604805. 356487405604819/359371305604813. 356487405604
827/359371305604821. 356487405604835/359371305604839. 356487405604843/359371305604847. 356487405604850/359371305604854. 356487405
604868/359371305604862. 356487405604876/359371305604870. 356487405604892/359371305604896. 356487405604900/359371305604904. 356487
405604918/359371305604912. 356487405604926/359371305604920. 356487405604934/359371305604938. 356487405604959/359371305604953. 356
487405604975/359371305604979. 356487405604983/359371305604987. 356487405604991/359371305604995. 356487405605006/359371305605000.
356487405605014/359371305605018. 356487405605022/359371305605026. 356487405605030/359371305605034. 356487405605048/35937130560504
032026000609702-8
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000609702-8
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
2. 356487405605055/359371305605059. 356487405605063/359371305605067. 356487405605071/359371305605075. 356487405605089/35937130560
5083. 356487405605097/359371305605091. 356487405605105/359371305605109. 356487405605113/359371305605117. 356487405605121/35937130
5605125. 356487405605139/359371305605133. 356487405605147/359371305605141. 356487405605154/359371305605158. 356487405605188/35937
1305605182. 356487405605196/359371305605190. 356487405605204/359371305605208. 356487405605212/359371305605216. 356487405605220/35
9371305605224. 356487405605238/359371305605232. 356487405605246/359371305605240. 356487405605253/359371305605257. 356487405605261
/359371305605265. 356487405605279/359371305605273. 356487405605287/359371305605281. 356487405605295/359371305605299.3564874056053
03/359371305605307. 356487405605311/359371305605315. 356487405605329/359371305605323. 356487405605337/359371305605331. 3564874056
05345/359371305605349. 356487405605352/359371305605356. 356487405605360/359371305605364. 356487405605378/359371305605372. 3564874
05605386/359371305605380. 356487405605394/359371305605398. 356487405605402/359371305605406. 356487405605410/359371305605414. 3564
87405605428/359371305605422. 356487405605436/359371305605430. 356487405605444/359371305605448. 356487405605451/359371305605455. 3
56487405605469/359371305605463.356487405605485/359371305605489. 356487405605493/359371305605497. 356487405605584/359371305605588.
356487405608620/359371305608624. 356487405608638/359371305608632. 356487405608646/359371305608640. 356487405608653/3593713056086
57. 356487405608661/359371305608665. 356487405608679/359371305608673XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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032026000609702-8
Espacio para uso exclusivo de la Entidad Recaudadora
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