@php($a = $address ?? null)
@php($p = $idPrefix ?? 'addr_')
@php($f = $formId ?? null)

<div class="col-6">
    <label class="form-label small mb-1" for="{{ $p }}label">Label</label>
    <input type="text" class="form-control" id="{{ $p }}label" name="label" @if ($f) form="{{ $f }}" @endif
        value="{{ old('label', $a->label ?? 'Home') }}" required>
</div>
<div class="col-6">
    <label class="form-label small mb-1" for="{{ $p }}contact_name">Name</label>
    <input type="text" class="form-control" id="{{ $p }}contact_name" name="contact_name" @if ($f) form="{{ $f }}" @endif
        value="{{ old('contact_name', $a->contact_name ?? '') }}" placeholder="Contact person">
</div>
<div class="col-6">
    <label class="form-label small mb-1" for="{{ $p }}phone">Phone</label>
    <input type="text" class="form-control" id="{{ $p }}phone" name="phone" @if ($f) form="{{ $f }}" @endif
        value="{{ old('phone', $a->phone ?? '') }}" placeholder="Contact phone">
</div>
<div class="col-8">
    <label class="form-label small mb-1" for="{{ $p }}flat_no">Flat / House / Building no.</label>
    <input type="text" class="form-control" id="{{ $p }}flat_no" name="flat_no" @if ($f) form="{{ $f }}" @endif
        value="{{ old('flat_no', $a->flat_no ?? '') }}">
</div>
<div class="col-4">
    <label class="form-label small mb-1" for="{{ $p }}floor">Floor</label>
    <input type="text" class="form-control" id="{{ $p }}floor" name="floor" @if ($f) form="{{ $f }}" @endif
        value="{{ old('floor', $a->floor ?? '') }}">
</div>
<div class="col-12">
    <label class="form-label small mb-1" for="{{ $p }}address_line">Address</label>
    <input type="text" class="form-control" id="{{ $p }}address_line" name="address_line" @if ($f) form="{{ $f }}" @endif
        value="{{ old('address_line', $a->address_line ?? '') }}" required>
</div>
<div class="col-12">
    <label class="form-label small mb-1" for="{{ $p }}landmark">Nearby landmark</label>
    <input type="text" class="form-control" id="{{ $p }}landmark" name="landmark" @if ($f) form="{{ $f }}" @endif
        value="{{ old('landmark', $a->landmark ?? '') }}">
</div>
<div class="col-6 col-sm-3">
    <label class="form-label small mb-1" for="{{ $p }}city">City</label>
    <input type="text" class="form-control" id="{{ $p }}city" name="city" @if ($f) form="{{ $f }}" @endif
        value="{{ old('city', $a->city ?? '') }}" required>
</div>
<div class="col-6 col-sm-3">
    <label class="form-label small mb-1" for="{{ $p }}state">State</label>
    <input type="text" class="form-control" id="{{ $p }}state" name="state" @if ($f) form="{{ $f }}" @endif
        value="{{ old('state', $a->state ?? '') }}">
</div>
<div class="col-6 col-sm-3">
    <label class="form-label small mb-1" for="{{ $p }}country">Country</label>
    <input type="text" class="form-control" id="{{ $p }}country" name="country" @if ($f) form="{{ $f }}" @endif
        value="{{ old('country', $a->country ?? 'India') }}">
</div>
<div class="col-6 col-sm-3">
    <label class="form-label small mb-1" for="{{ $p }}pincode">Pincode</label>
    <input type="text" class="form-control" id="{{ $p }}pincode" name="pincode" @if ($f) form="{{ $f }}" @endif
        value="{{ old('pincode', $a->pincode ?? '') }}">
</div>