REPÚBLICA DE COLOMBIA
Declaración de Importación Privada 500
1. Año 2019 4. Número de formulario
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
482019000238963-3
5. Número de Identificación Tributaria (NIT) 6. DV. 11. Apellidos y nombres o Razón Social
900641692 1 ECONTAINERS S.A.S
13. Dirección 15. Teléfono 12. Cód. Admón. 16. Cód. Dpto 17. Cód. Ciudad Municipio
CL 114 A 47 A 21 BRR ALHAMBRA 7462065 48 11 001
24. Número de Identificación Tributaria (NIT) 25. DV. 26. Razón social del declarante autorizado 27. Tipo usuario 28. Cód. usuario
811001259 7 AGENCIA DE ADUANAS ROLDAN S.A.S NIVEL 1 26 0105
29. Número documento de identificación 30. Apellidos y nombres
16500116 GALLO RUIZ JUAN CARLOS
31. Clase 32. Tipo declaración 33. Cod. 34. No.Formulario Anterior 35. Año - Mes - Día 36. Cod. Admón. 37. Declaración de Exportación 38. Año - Mes - Día 39. Cod. Admón.
Importador Anticipada 3 XXXXXXXXXXXXXX XXXX - XX - XX XX No. XXXXXXXXXXXXXXX XXXX - XX - XX XX
02
40. Cod. lugar ingreso 41. Cod. Depósito 42. Manifiesto de carga 43. Año - Mes - Día 44. Documento de transporte 45. Año - Mes - Día
de las mercancías 14004 No. 116575009844015 2019 - 04 - 01 No. CDM0131994 2019 - 03 - 28
CTG
46. Nombre exportador o proveedor en el exterior 47. Ciudad 48. Cod.País Exportador
SHIPTAINER LLC WINTER GARDEN 249
49. Dirección exportador o proveedor en el exterior 50. E-mail
14409 VASHONS WAY FLORIDA 34787
[email protected]51. No. de factura 52. Año - Mes - Día 53. Cod. país 54. Cod. Modo 55. Código de 56. Cod. Depto 57. Empresa transportadora 58. Tasa de cambio $ cvs.
10447 2019 - 03 - 28 procedencia Transporte Bandera destino FRONTIER AGENCIA MARITIMA
647 1 023 0 3,082.45
59. Subpartida arancelaria 60. Cod. 61. Cod. 62. Cod. Modalidad 63. No. cuotas 64. Valor cuota USD 65. Periodicidad del 66. Cod. país 67. Cod. Acuerdo
S 8609000000 Complementario
XX
Suplementario
XX
C100 o meses
XX
XXXX pago de la cuota
XX
de origen
215
XXX
68. Forma de pago 69. Tipo de 70. Cod. país 71. Peso bruto kgs. dcms. 72. Peso neto kgs. dcms. 73. Código 74. No. bultos 75. Subpartidas 76. Cod. unidad 77. Cantidad dcms.
de la importación importación compra 129,300.00 129,300.00 embalaje 58 1 comercial 58.00
01 01 249 YY U
78. Valor FOB 79. Valor fletes USD
USD 18,332.00
58,000.00 Total a pagar con esta
Concepto % Base Total Liquidado ($) Total Liquidado (USD)
declaración ($)
80. Valor 81. Valor Otros Gastos USD 92 93 94 95 96
Seguros 0.00 Arancel
0.00 236,004,702 0 0 0
USD
97 98 99 100 101
232.00 I.V.A.
82. 83. Ajuste valor USD 19.00 236,004,702 44,841,000 0 0
102 103 104 105 106
Sumatoria de 0.00 Salvaguardia
0.00 0 0 0 0
fletes,
seguros Derechos 107 108 109 110 111
y otros Compensatorios 0.00 0 0 0 0
gastos USD Derechos 112 113 114 115 116
18,564.00 Antidumping 0 0 0 0 0
84. Valor 85. Código registro 86. Número 117 118 119 120
aduana USD o licencia Sancion
0 0 0 0
L 40007826 121 122 123 124
76,564.00 Rescate 0 0 0 0
87. 88. 89. Programa No 90. Cód 125 126
Cod. Año XXXXXXXXXX Interno del Total 0
Producto
44,841,000
oficina 2019
3 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)
DO 1906816 DECLARACION(1-1) (ITEM 1) PRODUCTO: CONTENEDOR 20 PIES SECOS NO REFRIGERADOS, MARCA: CIMC, SERIAL: S1# SUDU1581320
, S2# ECMU1450123, S3# ECMU1452208, S4# SCZU7944184, S5# BSIU2040859, S6# XINU1081630, S7# CNCU1503455, S8# ECMU1845083, S9
# ECMU1859826, S10# ECMU1873948, S11# ECMU1875600, S12# ECMU1749120, S13# ECMU1749454, S14# ECMU1780038, S15# ECMU1791238,
S16# ECMU1816589, S17# ECMU1832804, S18# ECMU1860961, S19# ECMU1866450, S20# ECMU1763848, S21# ECMU1818771, S22# ECMU180449
0, S23# ECMU1805809, S24# ECMU1813825, S25# ECMU1885933, S26# ECMU1913505, S27# ECMU2023620, S28# ECMU2028196, S29# ECMU193
6500, S30# ECMU1937683, S31# ECMU1969042, S32# ECMU1985932, S33# ECMU1986707, S34# ECMU2020641, S35# FCIU2925735, S36# XINU
1208812, S37(continúa al respaldo)
127. Valor pagos anteriores: 0 129. Fecha: XXXX XX XX
128. Recibo oficial de pago anterior No.: XXXXXXXXXXXXXXX
130. Espacio reservado DIAN - Actuación aduanera 131. Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132. No. Aceptación declaración
Estado de levante: Levante automático 482019000238963
No hay declaración posterior
133. Feha: 2019 03 29
134. Levante No. 482019000185925 135. Fecha Firma funcionario responsable 136. Nombre
137. C.C. No.
2019 - 04 - 05
Firma declarante 997. Espacio exclusivo para el sello 980. Pago Total $
de la entidad recaudadora 0
(Fecha efectiva de la transacción)
996. Espacio para Número autoadhesivo
Coloque el timbre de la máquina
registradora al dorso de este formulario 91048013955613
Fecha de Impresión: 2019-04-05 10:31:00
20190331872978
Aceptación :
482019000238963-
Declaración 3
de Subpartida :
REPÚBLICA DE COLOMBIA Importación 8609000000
Página 1 de 1
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
# XINU1210867, S38# ECMU1961890, S39# ECMU2037921, S40# CMAU0072601, S41# CMAU1400557, S42# CMAU1442594, S43# CMAU1445124, S44# C
MAU1466662, S45# CMAU1483741, S46# JAYU1088005, S47# CMAU1423721, S48# CMAU1442510, S49# XINU1363871, S50# CMAU0018494, S51# CMAU
1400562, S52# CMAU1424013, S53# CMAU1435867, S54# CMAU1441140, S55# CMAU1446162, S56# CMAU1452967, S57# CMAU1466512, S58# CMAU148
7916, MERCANCIA USADA - AÑO DE FABRICACIÓN 2005, 2007, 2003, 2006, 2004, 2000 - VALOR CUANDO NUEVO 2200 USD CANT (58) U //XXXXXXX
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Espacio para uso exclusivo de la Entidad
Recaudadora
482019000238963-3
