Certainly! Below is a fully self-contained HTML file that includes CSS and JavaScript to create a "Town Comparison Widget" for Jorge Ramirez, a NJ Real Estate Agent. The widget includes a form to capture lead information and has a clean, modern UI matching a dark professional real estate brand.
```html
Town Comparison Widget
```
This HTML file includes a form to capture the lead's name, email, and phone number. The form submission is handled with JavaScript to provide feedback to the user. The UI is styled using CSS to match a dark, professional real estate theme. You can copy and paste this code into an HTML file and open it in a web browser to see the widget in action.