![
<div class="row"> <!-- First rwo -->
<div class="col-xs-6">
<div class="panel panel-primary">
<div class="panel-heading">
<h3 class="panel-title">Application Source</h3>
</div>
<div class="panel-body">
<div class="row">
<div class="col-lg-6">
<div class ="form-group">
<label for="text" >Application Source</label>
<select name="State" id="State"
class="validate[required] form-control">
<option value="">Choose a Source</option>
<option value="IP">IPipeline</option>
<option value="EX">NGLExpress</option>
<option value="OT">Mail/Fax</option>
</select>
</div><!-- end of from group -->
</div>
</div> <!-- row close -->
</div> <!-- End of panel Body -->
</div><!-- End of panel -->
</div> <!-- end col-xs-4 -->
<div id ="panel2" class="col-xs-6">
<div class="panel panel-primary">
<div class="panel-heading">
<h3 class="panel-title">Type Of Policy</h3>
</div>
<div class="panel-body">
<div class="row">
<div class="col-lg-6">
<div class ="form-group">
<label for="text" >Life: <input type="radio" name="PolType"
id="PolType" value="L"/>
</label>
<label for="text" >Annuity: <input type="radio" name="PolType"
id="PolType" value="A"/>
</label>
</div><!-- end of from group -->
</div> <!-- col-lg-4 col close -->
</div> <!-- row close -->
</div>
</div>
</div>
</div><!-- End of first row -->