<div class="row"><div class="col-md-5"><label class="label-for-input" for="address-line1-input" id="address-label">Address</label></div><div class="col-md-7"><div class="field address1"><input aria-labelledby="address-label" aria-required="true" class="form-control" id="address-line1-input" maxlength="200" type="text" value=""/></div></div></div>