ol" id="statement_form" rows="3" required></textarea>
                            </div>
                            <div style="display: flex; justify-content: space-between">
                                    <div style="display: flex">
                                        <div class="form-check" style="margin-right: 15px;">
                                            <input class="form-check-input" type="radio" name="colorAddressForm" id="flexRadioDefault1" value="yes">
                             