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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
032026000612190-8
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. 023-02061533
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
9104294005
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.
158.00
72 . Peso neto kgs. dcms.
142.20
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
39.445.10
79 . Valor fletes USD
1.144.00 Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($) Total Liquidado (USD)
Arancel
92
0.00
93
146.738.500
94
0
95
0
96
0.00
I.V.A.
97
0.00
98
146.738.500
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
1.34
81 . Valor Otros Gastos USD
0
82 . Sumatoria de
fletes, seguros
y otros gastos USD
1.145.34
83 . Ajuste valor USD
0.00
84 . Valor aduana
USD
40.590.44
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: 598875-DECL: 2025957-DO: 893109400261- 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: 3112880084. ID DELIVERY: 6088219973. MERCANCIA MARCA: SAMSUNG REFERENCIA: SM-A175FZAFLTC, PRO
DUCTO: TELEFONO CELULAR GALAXY A17 LTE DUOS (CON ACCESORIOS PARA USO Y NORMAL FUNCIONAMIENTO), COLOR: GRIS,(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
032026000612190
133. Feha: 202604 24
134 . Levante No. 032026000564271 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 92032607456258
Fecha presentación 2026-04-24 17:50:33
Valor pagado $0.00
Fecha de Impresión: 2026-04-24 17:50:37
Page 1
SEC
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000612190-8
Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
MODELO: SM-A175F/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y AL DETAL./ /MOBILE,SM-A175F/DS,GRAY,LTC( QTY. 500,00 u )(500,00 PCE
); IMEIS: 350901806808387/351461266808384. 350901806808403/351461266808400. 350901806808437/351461266808434. 350901806808445/351
461266808442. 350901806808460/351461266808467. 350901806808478/351461266808475. 350901806808494/351461266808491. 350901806808510/
351461266808517. 350901806808528/351461266808525.350901806808536/351461266808533. 350901806808569/351461266808566. 35090180680857
7/351461266808574. 350901806808593/351461266808590. 350901806808601/351461266808608. 350901806808619/351461266808616. 35090180680
8627/351461266808624. 350901806808635/351461266808632. 350901806808650/351461266808657. 350901806808668/351461266808665. 35090180
6808700/351461266808707. 350901806808718/351461266808715. 350901806808791/351461266808798. 350901806808809/351461266808806. 35090
1806808957/351461266808954. 350901806808999/351461266808996. 350901806809039/351461266809036 . 350901806809047/351461266809044. 3
50901806809823/351461266809820. 350901806809831/351461266809838. 350901806809856/351461266809853. 350901806809898/351461266809895
. 350901806809930/351461266809937. 350901806809963/351461266809960. 350901806809989/351461266809986. 350901806810011/351461266810
018. 350901806810128/351461266810125. 350901806810144/351461266810141. 350901806810185/351461266810182. 350901806810243/351461266
810240. 350901806810334/351461266810331. 350901806810359/351461266810356. 350901806810375/351461266810372. 350901806810383/351461
266810380. 350901806810409/351461266810406. 350901806810425/351461266810422. 350901806810433/351461266810430. 350901806810458/351
461266810455. 350901806810466/351461266810463. 350901806810482/351461266810489. 350901806810508/351461266810505. 350901806810615/
351461266810612. 350901806810656/351461266810653. 350901806810664/351461266810661. 350901806810672/351461266810679. 3509018068107
06/351461266810703. 350901806810730/351461266810737. 350901806810763/351461266810760. 350901806810789/351461266810786. 3509018068
10797/351461266810794. 350901806810805/351461266810802. 350901806810813/351461266810810. 350901806811092/351461266811099.35090180
6811134/351461266811131. 350901806811209/351461266811206. 350901806811217/351461266811214. 350901806811233/351461266811230. 35090
1806811266/351461266811263. 350901806811290/351461266811297. 350901806811308/351461266811305. 350901806811340/351461266811347. 35
0901806811449/351461266811446. 350901806811506/351461266811503. 350901806811514/351461266811511. 350901806811522/351461266811529.
350901806811563/351461266811560. 350901806811571/351461266811578. 350901806811605/351461266811602. 350901806811613/3514612668116
10. 350901806811621/351461266811628.350901806811647/351461266811644. 350901806811654/351461266811651. 350901806811662/35146126681
1669. 350901806811688/351461266811685. 350901806811696/351461266811693. 350901806811704/351461266811701. 350901806811712/35146126
6811719. 350901806811720/351461266811727. 350901806811738/351461266811735. 350901806811746/351461266811743. 350901806811753/35146
1266811750. 350901806811761/351461266811768. 350901806811779/351461266811776. 350901806811787/351461266811784. 350901806811795/35
1461266811792. 350901806811803/351461266811800. 350901806811811/351461266811818. 350901806811829/351461266811826. 350901806811837
/351461266811834. 350901806811845/351461266811842. 350901806811878/351461266811875. 350901806811886/351461266811883. 350901806811
894/351461266811891. 350901806811902/351461266811909. 350901806811910/351461266811917. 350901806811928/351461266811925. 350901806
811936/351461266811933. 350901806811944/351461266811941. 350901806811951/351461266811958. 350901806811969/351461266811966. 350901
806811985/351461266811982. 350901806812017/351461266812014. 350901806812025/351461266812022. 350901806812033/351461266812030. 350
901806812041/351461266812048. 350901806812058/351461266812055. 350901806812066/351461266812063. 350901806812074/351461266812071.
350901806812082/351461266812089. 350901806812090/351461266812097. 350901806812108/351461266812105. 350901806812116/35146126681211
3. 350901806812124/351461266812121. 350901806812132/351461266812139. 350901806812140/351461266812147. 350901806812157/35146126681
2154. 350901806812173/351461266812170. 350901806812181/351461266812188. 350901806812199/351461266812196. 350901806812207/35146126
6812204. 350901806812223/351461266812220. 350901806812256/351461266812253. 350901806812280/351461266812287.350901806812363/351461
266812360. 350901806812462/351461266812469. 350901806812470/351461266812477. 350901806812504/351461266812501. 350901806812520/351
461266812527. 350901806812538/351461266812535. 350901806812561/351461266812568. 350901806812603/351461266812600. 350901806812652/
351461266812659. 350901806812660/351461266812667. 350901806812686/351461266812683. 350901806812702/351461266812709. 3509018068127
28/351461266812725. 350901806812744/351461266812741. 350901806812785/351461266812782. 350901806812793/351461266812790. 3509018068
12884/351461266812881.350901806812900/351461266812907. 350901806812934/351461266812931. 350901806812959/351461266812956. 35090180
6812967/351461266812964. 350901806812975/351461266812972. 350901806812991/351461266812998. 350901806813007/351461266813004. 35090
1806813031/351461266813038. 350901806813056/351461266813053. 350901806813098/351461266813095. 350901806813106/351461266813103. 35
0901806813122/351461266813129. 350901806813130/351461266813137. 350901806813163/351461266813160. 350901806813171/351461266813178.
350901806813189/351461266813186. 350901806813197/351461266813194. 350901806813205/351461266813202. 350901806813213/3514612668132
10. 350901806813239/351461266813236. 350901806813247/351461266813244. 350901806813262/351461266813269. 350901806813270/3514612668
13277. 350901806813288/351461266813285. 350901806813304/351461266813301. 350901806813312/351461266813319. 350901806813320/3514612
66813327. 350901806813338/351461266813335. 350901806813346/351461266813343. 350901806813353/351461266813350. 350901806813361/3514
61266813368. 350901806813379/351461266813376. 350901806813387/351461266813384. 350901806813395/351461266813392. 350901806813403/3
51461266813400. 350901806813411/351461266813418. 350901806813437/351461266813434. 350901806813445/351461266813442. 35090180681345
2/351461266813459. 350901806813460/351461266813467. 350901806813478/351461266813475. 350901806813486/351461266813483. 35090180681
3494/351461266813491. 350901806813502/351461266813509. 350901806813510/351461266813517. 350901806813528/351461266813525. 35090180
6813536/351461266813533. 350901806813544/351461266813541. 350901806813551/351461266813558. 350901806813585/351461266813582. 35090
1806813601/351461266813608. 350901806813668/351461266813665. 350901806813684/351461266813681.350901806813742/351461266813749. 350
901806813759/351461266813756. 350901806813767/351461266813764. 350901806813783/351461266813780. 350901806813791/351461266813798.
350901806813809/351461266813806. 350901806813817/351461266813814. 350901806813833/351461266813830. 350901806813841/35146126681384
8. 350901806813858/351461266813855. 350901806813866/351461266813863. 350901806813874/351461266813871. 350901806813882/35146126681
3889. 350901806813890/351461266813897. 350901806813908/351461266813905. 350901806813916/351461266813913. 350901806813924/35146126
6813921.350901806813932/351461266813939. 350901806813940/351461266813947. 350901806813957/351461266813954. 350901806813965/351461
266813962. 350901806813973/351461266813970. 350901806813999/351461266813996. 350901806814005/351461266814002. 350901806814013/351
461266814010. 350901806814021/351461266814028. 350901806814039/351461266814036. 350901806814047/351461266814044. 350901806814054/
351461266814051. 350901806814062/351461266814069. 350901806814088/351461266814085. 350901806814096/351461266814093. 3509018068141
04/351461266814101. 350901806814559/351461266814556. 350901806814567/351461266814564. 350901806814583/351461266814580. 3509018068
14625/351461266814622. 350901806814633/351461266814630. 350901806814666/351461266814663. 350901806814708/351461266814705. 3509018
06814724/351461266814721. 350901806814781/351461266814788. 350901806814807/351461266814804. 350901806814815/351461266814812. 3509
01806814823/351461266814820. 350901806814831/351461266814838. 350901806814856/351461266814853. 350901806814864/351461266814861. 3
50901806814872/351461266814879. 350901806814880/351461266814887. 350901806815036/351461266815033. 350901806815069/351461266815066
. 350901806815077/351461266815074. 350901806815085/351461266815082. 350901806815127/351461266815124. 350901806815135/351461266815
132. 350901806815424/351461266815421. 350901806815515/351461266815512. 350901806815549/351461266815546. 350901806815556/351461266
815553. 350901806815564/351461266815561. 350901806815580/351461266815587. 350901806815598/351461266815595. 350901806815606/351461
266815603. 350901806815648/351461266815645. 350901806815671/351461266815678. 350901806815689/351461266815686. 350901806815697/351
461266815694. 350901806815713/351461266815710. 350901806815739/351461266815736.350901806815747/351461266815744. 350901806815754/3
51461266815751. 350901806815804/351461266815801. 350901806815838/351461266815835. 350901806815846/351461266815843. 35090180681586
1/351461266815868. 350901806815895/351461266815892. 350901806815911/351461266815918. 350901806815929/351461266815926. 35090180681
5945/351461266815942. 350901806815952/351461266815959. 350901806815960/351461266815967. 350901806815978/351461266815975. 35090180
6815986/351461266815983. 350901806816034/351461266816031. 350901806816067/351461266816064. 350901806816091/351461266816098.350901
032026000612190-8
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032026000612190-8
Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
806816109/351461266816106. 350901806816158/351461266816155. 350901806816166/351461266816163. 350901806816174/351461266816171. 350
901806816182/351461266816189. 350901806816232/351461266816239. 350901806816257/351461266816254. 350901806816265/351461266816262.
350901806816273/351461266816270. 350901806816299/351461266816296. 350901806816331/351461266816338. 350901806816372/35146126681637
9. 350901806816406/351461266816403. 350901806816414/351461266816411. 350901806816430/351461266816437. 350901806816448/35146126681
6445. 350901806816455/351461266816452. 350901806816463/351461266816460. 350901806816489/351461266816486. 350901806816497/35146126
6816494. 350901806816505/351461266816502. 350901806816570/351461266816577. 350901806816588/351461266816585. 350901806816612/35146
1266816619. 350901806816638/351461266816635. 350901806816646/351461266816643. 350901806816653/351461266816650. 350901806816679/35
1461266816676. 350901806816687/351461266816684. 350901806816695/351461266816692. 350901806816737/351461266816734. 350901806816745
/351461266816742. 350901806816760/351461266816767. 350901806816778/351461266816775. 350901806817529/351461266817526. 350901806817
610/351461266817617. 350901806817636/351461266817633. 350901806817669/351461266817666. 350901806817677/351461266817674. 350901806
817685/351461266817682. 350901806817719/351461266817716. 350901806817727/351461266817724. 350901806817768/351461266817765. 350901
806817792/351461266817799. 350901806817800/351461266817807. 350901806817818/351461266817815. 350901806817842/351461266817849. 350
901806817859/351461266817856. 350901806817867/351461266817864. 350901806817875/351461266817872. 350901806817883/351461266817880.
350901806817891/351461266817898. 350901806817909/351461266817906.350901806817917/351461266817914. 350901806817933/351461266817930
. 350901806817941/351461266817948. 350901806817958/351461266817955. 350901806817966/351461266817963. 350901806818006/351461266818
003. 350901806818055/351461266818052. 350901806818139/351461266818136. 350901806818154/351461266818151. 350901806818188/351461266
818185. 350901806818204/351461266818201. 350901806818238/351461266818235. 350901806818253/351461266818250. 350901806818261/351461
266818268. 350901806818279/351461266818276. 350901806818287/351461266818284. 350901806818303/351461266818300.350901806818329/3514
61266818326. 350901806818337/351461266818334. 350901806818345/351461266818342. 350901806818352/351461266818359. 350901806818378/3
51461266818375. 350901806818394/351461266818391. 350901806818402/351461266818409. 350901806818410/351461266818417. 35090180681842
8/351461266818425. 350901806818436/351461266818433. 350901806818469/351461266818466. 350901806818485/351461266818482. 35090180681
8493/351461266818490. 350901806840869/351461266840866. 350901806840885/351461266840882. 350901806842717/351461266842714. 35090180
6842725/351461266842722. 350901806842733/351461266842730. 350901806842816/351461266842813. 350901806843145/351461266843142. 35090
1806843186/351461266843183. 350901806843228/351461266843225. 350901806843251/351461266843258. 350901806843566/351461266843563. 35
0901806843608/351461266843605. 350901806843632/351461266843639. 350901806843640/351461266843647. 350901806843665/351461266843662.
350901806843681/351461266843688. 350901806843699/351461266843696. 350901806843723/351461266843720. 350901806843731/3514612668437
38. 350901806843749/351461266843746. 350901806843756/351461266843753. 350901806843764/351461266843761. 350901806843798/3514612668
43795. 350901806843806/351461266843803. 350901806843814/351461266843811. 350901806843822/351461266843829. 350901806843830/3514612
66843837. 350901806843848/351461266843845. 350901806843855/351461266843852. 350901806843871/351461266843878. 350901806843889/3514
61266843886. 350901806843897/351461266843894. 350901806843913/351461266843910. 350901806843939/351461266843936. 350901806843947/3
51461266843944. 350901806843954/351461266843951. 350901806843962/351461266843969. 350901806843970/351461266843977. 35090180684398
8/351461266843985. 350901806844002/351461266844009.350901806844010/351461266844017. 350901806844028/351461266844025. 350901806844
036/351461266844033. 350901806845165/351461266845162. 350901806845199/351461266845196. 350901806845215/351461266845212. 350901806
845223/351461266845220. 350901806845264/351461266845261. 350901806845272/351461266845279. 350901806845298/351461266845295. 350901
806845348/351461266845345. 350901806845389/351461266845386. 350901806845397/351461266845394. 350901806845454/351461266845451. 350
901806845462/351461266845469. 350901806845470/351461266845477. 350901806845496/351461266845493.350901806845520/351461266845527. 3
50901806845579/351461266845576. 350901806845587/351461266845584. 350901806845603/351461266845600. 350901806845611/351461266845618
. 350901806845629/351461266845626. 350901806845835/351461266845832. 350901806845843/351461266845840. 350901806845892/351461266845
899. 350901806845975/351461266845972. 350901806846171/351461266846178. 350901806846247/351461266846244. 350901806846254/351461266
846251. 350901806846270/351461266846277. 350901806846288/351461266846285. 350901806846296/351461266846293. 350901806846312/351461
266846319. 350901806846320/351461266846327. 350901806846338/351461266846335. 350901806846361/351461266846368. 350901806846387/351
461266846384. 350901806846403/351461266846400. 350901806846411/351461266846418. 350901806846429/351461266846426. 350901806846437/
351461266846434. 350901806846445/351461266846442. 350901806846452/351461266846459. 350901806846478/351461266846475. 3509018068464
86/351461266846483. 350901806846494/351461266846491. 350901806846510/351461266846517. 350901806846536/351461266846533. 3509018068
46544/351461266846541. 350901806846551/351461266846558. 350901806846569/351461266846566. 350901806846577/351461266846574. 3509018
06846585/351461266846582. 350901806846593/351461266846590. 350901806846601/351461266846608. 350901806846635/351461266846632. 3509
01806846643/351461266846640. 350901806846668/351461266846665. 350901806846676/351461266846673. 350901806846684/351461266846681. 3
50901806846692/351461266846699. 350901806846700/351461266846707. 350901806846718/351461266846715. 350901806846734/351461266846731
. 350901806846742/351461266846749. 350901806846759/351461266846756. 350901806846775/351461266846772. 350901806846783/351461266846
780. 350901806846791/351461266846798.350901806846809/351461266846806. 350901806846817/351461266846814. 350901806846825/3514612668
46822. 350901806846833/351461266846830. 350901806846841/351461266846848. 350901806846858/351461266846855. 350901806846866/3514612
66846863. 350901806846874/351461266846871. 350901806846882/351461266846889. 350901806846890/351461266846897. 350901806846908/3514
61266846905. 350901806846916/351461266846913. 350901806846924/351461266846921. 350901806846932/351461266846939. 350901806846940/3
51461266846947. 350901806846957/351461266846954. 350901806846973/351461266846970.350901806846981/351461266846988XXXXXXXXXXXXXXXXX
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032026000612190-8
Espacio para uso exclusivo de la Entidad Recaudadora
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