Edit in JSFiddle

<ul>
  <li>Instant-estimate widget </li>
  <li><b>Pre-filled address and basic property data</b></li>
  <li>Can by styled with your CSS</li>
</ul>

<script src="https://demo.steadilypartner.com/partner/v3.js" async defer></script>
<div class="steadily-instant-estimate"data-product="landlord-insurance"

     data-street_address="2212 S 101ST Dr"
     data-street_address_2=""
     data-city="Tolleson"
     data-state="AZ"
     data-postal_code="85353"
       
     data-year_built="2010"
     data-building_sqft="1561"
     data-replacement_cost_estimate="220100"
     data-rental_income_per_month="2000"

     data-contact_first_name=""
     data-contact_last_name=""
     data-contact_email_address=""
     data-contact_phone=""
     data-contact_street_address=""
     data-contact_street_address_2=""
     data-contact_city=""
     data-contact_state=""
     data-contact_postal_code=""
></div>