[Date]

[Address]

Attention:
               Chairman of the Board of Directors of HNI Corporation
               Chairman of the Public Policy and Corporate Governance Committee
               Vice President, General Counsel and Secretary

Dear __________:

In accordance with the HNI Corporation Corporate Governance Guidelines, I hereby offer to submit my resignation as a director of HNI Corporation due to a substantial change in my professional status. Such change consists of

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[Despite this change, I would like to remain a director and continue to serve on HNI Corporation's Board of Directors.]