S 59. Subpartida arancelaria

(1)

REPÚBLICA DE COLOMBIA

Declaración de Importación

^Privada

500

1. Año

2022

Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)

4. Número de formulario

032022001051551-5

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

1075625444

30. Apellidos y nombres

JULIAN APONTE HERNANDEZ

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

XXXX - XX - XX

39. Cod. Admón.

XX

40. Cod. lugar ingreso de las mercancías

BOG

41. Cod. Depósito

99900

42. Manifiesto de carga

No. 116575012565100

2022 - 07 - 28

44. Documento de transporte

No. 1047143999

2022 - 07 - 16

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

9100976435

2022 - 06 - 22

53. Cod. país procedencia

855

54. Cod. Modo Transporte

4

55. Código de Bandera

245

56. Cod. Depto destino

0

57. Empresa transportadora

IBERIA

58. Tasa de cambio $ cvs.

4,410.14

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.

739.65

72. Peso neto kgs. dcms.

640.00

73. Código embalaje

YY

74. No. bultos

41

75. Subpartidas

1

76. Cod. unidad comercial

U

77. Cantidad dcms.

2,000.00

78.Valor FOB USD

202,188.58

79. Valor fletes USD

10,798.89 ^Concepto ^% ^Base Total Liquidado ($) Total a pagar con esta

declaración ($) Total Liquidado (USD)

Arancel ⁹² 0.00

93

939,350,029

94

0

95

0

96

0

I.V.A. ⁹⁷ 0.00

98

939,350,029

99

0

100

0

101

0

Salvaguardia ¹⁰² 0.00

103

0

104

0

105

0

106

0

Derechos Compensatorios

107

0.00

108

0

109

0

110

0

111

0

Derechos Antidumping

112

0.00

113

0

114

0

115

0

116

0

Sancion ¹¹⁷ 0

118

0

119

0

120

0

Rescate ¹²¹ 0

122

0

123

0

124

0 Total ¹²⁵

0

126

0

80. Valor Seguros USD

10.31

81. Valor Otros Gastos USD

0.00

82. Sumatoria de fletes, seguros y otros gastos USD

10,809.20

83. Ajuste valor USD

0.00

84. Valor aduana USD

212,997.78

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 446265-DECL 1555098-DO 893117217221- DECL 5 DE 12.- //NOS ACOGEMOS AL ARTICULO 424 DEL ESTATUTO TRIBUTARIO MODIFICADO POR LA LEY 1819DEL 29/12/2016 ARTÍCULO 175 NUMERAL 6 (EXCLUSIÓN DEL IVA).// NOS ACOGEMOS AL ARTÍCULO 1 DE LA RESOLUCIÓN 000102 DEL 06 DE MAYO DE 2014, EXPEDIDA POR LA DIAN. (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN)// NOS ACOGEMOS AL DECRETO 0925 DE 2013, MERCANCIA QUE NO REQUIERE REGISTRO DE IMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS3016323422. 3016312067. 301631.

ID 6064010591. MERCANCIA MARCA SAMSUNG REFERENCIA SM-A135MLBGLTC , PRODUCTO TELEFONO CELULAR GALAXY A13 DUOS (CON ACCESORIOS PAR A USO Y NORMAL FUNCIONAMIENTO), COLOR AZULCLARO,MODELO SM-A135M/DS,USO O DESTINO PARA LA VENTA AL MAYOR Y A(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

032022001051551

133. Feha: 2022 07 29

134. Levante No. 032022000960257 135. Fecha

2022 - 07 - 29

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)

980. Pago Total $

0

996. Espacio para autoadhesivo de la entidad recaudadora (Número del adhesivo)

SYGA

(2)

Página 1 de 7

105. Continuación descripción mercancías (Incluya marcas, seriales y otros)

L DETAL./ /MOBILE,SM-A135M/DS,LIGHT BLUE,LTC( QTY. 2000,00 u )(2000,00 PCE); IMEIS 350481563401429/351000703401427. 35048156340 1437/351000703401435. 350481563401445/351000703401443. 350481563401452/351000703401450. 350481563401460/351000703401468. 35048156 3401478/351000703401476.350481563401486/351000703401484. 350481563401494/351000703401492. 350481563401510/351000703401518. 350481 563401536/351000703401534. 350481563401544/351000703401542. 350481563401551/351000703401559. 350481563401585/351000703401583. 350 481563401593/351000703401591. 350481563401601/351000703401609. 350481563401619/351000703401617. 350481563401627/351000703401625.

350481563401635/351000703401633. 350481563401643/351000703401641. 350481563401668/351000703401666. 350481563401676/35100070340167 4. 350481563401684/351000703401682. 350481563401692/351000703401690. 350481563401700/351000703401708. 350481563401718/35100070340 1716. 350481563401726/351000703401724. 350481563401734/351000703401732. 350481 563401742/351000703401740. 350481563401759/3510007 03401757. 350481563401767/351000703401765. 350481563401775/351000703401773. 350481563401783/351000703401781. 350481563401791/3510 00703401799. 350481563401809/351000703401807. 350481563401817/351000703401815. 350481563401825/351000703401823. 350481563401833/3 51000703401831. 350481563401841/351000703401849. 350481563401858/351000703401856. 350481563401866/351000703401864. 35048156340187 4/351000703401872. 350481563401882/351000703401880. 350481563401890/351000703401898. 350481563401908/351000703401906. 35048156340 1916/351000703401914. 350481563401924/351000703401922. 350481563401932/351000703401930. 350481563401940/351000703401948. 35048156 3401957/351000703401955. 350481563401965/351000703401963. 350481563401973/351000703401971. 350481563401981/351000703401989. 35048 1563401999/351000703401997. 350481563402013/351000703402011. 350481563402021/351000703402029. 350481563402039/351000703402037. 35 0481563402047/351000703402045. 350481563402054/351000703402052. 350481563402070/351000703402078.350481563402088/351000703402086.

350481563402096/351000703402094. 350481563402112/351000703402110. 350481563402120/351000703402128. 350481563402138/35100070340213 6. 350481563402146/351000703402144. 350481563402153/351000703402151. 350481563402161/351000703402169. 350481563402179/35100070340 2177. 350481563402187/351000703402185. 350481563402203/351000703402201. 350481563402211/351000703402219. 350481563402229/35100070 3402227. 350481563402237/351000703402235. 350481563402245/351000703402243. 350481563402252/351000703402250. 350481563402260/35100 0703402268.350481563402286/351000703402284. 350481563402294/351000703402292. 350481563402302/351000703402300. 350481563402310/351 000703402318. 350481563402328/351000703402326. 350481563402344/351000703402342. 350481563402351/351000703402359. 350481563402377/

351000703402375. 350481563402385/351000703402383. 350481563402401/351000703402409. 350481563402419/351000703402417. 3504815634024 27/351000703402425. 350481563402435/351000703402433. 350481563402443/351000703402441. 350481563402450/351000703402458. 3504815634 02468/351000703402466. 350481563402476/351000703402474. 350481563402484/351000703402482. 350481563402492/351000703402490. 3504815 63402518/351000703402516. 350481563402526/351000703402524. 350481563402542/351000703402540. 350481563402559/351000703402557. 3504 81563402567/351000703402565. 350481563402575/351000703402573. 350481563402583/351000703402581. 350481563402609/351000703402607. 3 50481563402617/351000703402615. 350481563402625/351000703402623. 350481563402765/351000703402763. 350481563402815/351000703402813 . 350481563402823/351000703402821. 350481563402831/351000703402839. 350481563402849/351000703402847. 350481563402856/351000703402 854. 350481563402864/351000703402862. 350481563402872/351000703402870. 350481563402880/351000703402888. 350481563402898/351000703 402896. 350481563402906/351000703402904. 350481563402914/351000703402912. 350481563402922/351000703402920. 350481563402930/351000 703402938. 350481563402948/351000703402946. 350481563402963/351000703402961. 350481563402971/351000703402979. 350481563402989/351 000703402987. 350481563402997/351000703402995. 350481563403094/351000703403092. 350481563403300/351000703403308. 350481563403334/

351000703403332. 350481563403342/351000703403340. 350481563403367/351000703403365.350481563403409/351000703403407. 35048156340344 1/351000703403449. 350481563403466/351000703403464. 350481563403474/351000703403472. 350481563403581/351000703403589. 35048156340 3631/351000703403639. 350481563403698/351000703403696. 350481563403953/351000703403951. 350481563403987/351000703403985. 35048156 3404142/351000703404140. 350481563404621/351000703404629. 350481563404753/351000703404751. 350481563404985/351000703404983. 35048 1563404993/351000703404991. 350481563405008/351000703405006. 350481563405016/351000703405014. 350481563405040/351000703405048.350 481563405057/351000703405055. 350481563405073/351000703405071. 350481563405081/351000703405089. 350481563405107/351000703405105.

350481563405115/351000703405113. 350481563405131/351000703405139. 350481563405149/351000703405147. 350481563405156/35100070340515 4. 350481563405164/351000703405162. 350481563405172/351000703405170. 350481563405180/351000703405188. 350481563405198/35100070340 5196. 350481563405206/351000703405204. 350481563405289/351000703405287. 350481563405297/351000703405295. 350481563405305/35100070 3405303. 350481563405313/351000703405311. 350481563405321/351000703405329. 350481563405339/351000703405337. 350481563405347/35100 0703405345. 350481563405396/351000703405394. 350481563405404/351000703405402. 350481563405412/351000703405410. 350481563405420/35 1000703405428. 350481563405438/351000703405436. 350481563405446/351000703405444. 350481563405461/351000703405469. 350481563405479 /351000703405477. 350481563405487/351000703405485. 350481563405495/351000703405493. 350481563405537/351000703405535. 350481563405 552/351000703405550. 350481563405602/351000703405600. 350481563405610/351000703405618. 350481563405628/351000703405626. 350481563 405636/351000703405634. 350481563405644/351000703405642. 350481563405651/351000703405659. 350481563405669/351000703405667. 350481 563405685/351000703405683. 350481563408002/351000703408000. 350481563408028/351000703408026. 350481563408044/351000703408042. 350 481563408051/351000703408059. 350481563408069/351000703408067. 350481563408077/351000703408075. 350481563408085/351000703408083.

350481563408093/351000703408091. 350481563408101/351000703408109. 350481563408119/351000703408117. 350481563408127/35100070340812 5. 350481563408135/351000703408133. 350481563408143/351000703408141.350481563408150/351000703408158. 350481563408168/351000703408 166. 350481563408176/351000703408174. 350481563408184/351000703408182. 350481563408192/351000703408190. 350481563408200/351000703 408208. 350481563408218/351000703408216. 350481563408226/351000703408224. 350481563408234/351000703408232. 350481563408242/351000 703408240. 350481563408259/351000703408257. 350481563408275/351000703408273. 350481563408283/351000703408281. 350481563408291/351 000703408299. 350481563408309/351000703408307. 350481563408317/351000703408315. 350481563408325/351000703408323.350481563408333/3 51000703408331. 350481563408341/351000703408349. 350481563408358/351000703408356. 350481563408366/351000703408364. 35048156340837 4/351000703408372. 350481563408382/351000703408380. 350481563408390/351000703408398. 350481563408408/351000703408406. 35048156340 8416/351000703408414. 350481563408424/351000703408422. 350481563408432/351000703408430. 350481563408440/351000703408448. 35048156 3408457/351000703408455. 350481563408473/351000703408471. 350481563408481/351000703408489. 350481563408499/351000703408497. 35048 1563408507/351000703408505. 350481563408515/351000703408513. 350481563408523/351000703408521. 350481563408531/351000703408539. 35 0481563408549/351000703408547. 350481563408556/351000703408554. 350481563408564/351000703408562. 350481563408572/351000703408570.

350481563408580/351000703408588. 350481563408606/351000703408604. 350481563408614/351000703408612. 350481563408630/3510007034086 38. 350481563408648/351000703408646. 350481563408655/351000703408653. 350481563408747/351000703408745. 350481563409000/3510007034 09008. 350481563409653/351000703409651. 350481563410586/351000703410584. 350481563411246/351000703411244. 350481563411501/3510007 03411509. 350481563411543/351000703411541. 350481563411832/351000703411830. 350481563412988/351000703412986. 350481563417185/3510 00703417183. 350481563417193/351000703417191. 350481563417235/351000703417233. 350481563417250/351000703417258. 350481563417268/3 51000703417266. 350481563417284/351000703417282. 350481563417292/351000703417290. 350481563417300/351000703417308. 35048156341731 8/351000703417316. 350481563417326/351000703417324. 350481563417334/351000703417332. 350481563417342/351000703417340. 35048156341 7375/351000703417373. 350481563417391/351000703417399.350481563417409/351000703417407. 350481563417425/351000703417423. 350481563 417433/351000703417431. 350481563417441/351000703417449. 350481563417458/351000703417456. 350481563417466/351000703417464. 350481 563417482/351000703417480. 350481563417490/351000703417498. 350481563417508/351000703417506. 350481563417516/351000703417514. 350 481563417540/351000703417548. 350481563417557/351000703417555. 350481563417573/351000703417571. 350481563417581/351000703417589.

350481563417599/351000703417597. 350481563417607/351000703417605. 350481563417623/351000703417621.350481563417631/351000703417639 . 350481563417649/351000703417647. 350481563417656/351000703417654. 350481563417672/351000703417670. 350481563417698/351000703417

(3)

Declaración de Importación

Aceptación : 032022001051551-5 Subpartida : 8517130000

Página 2 de 7

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032022001051551-5

Espacio para uso exclusivo de la Entidad Recaudadora

(4)

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Declaración de Importación

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Declaración de Importación

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