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FORM OF EXERCISE OF STOCK
OPTION
Granted Under the HNI Corporation
Stock-Based Compensation Plan
Date: _______________
HNI
Corporation
Attention:
Vice President, General Counsel and Secretary
The undersigned optionee (the " Optionee
") hereby exercises the right, granted as of __________, 20__
pursuant to that certain Stock Option Award Agreement between HNI
Corporation, an Iowa corporation (the " Corporation "), and
the Optionee, to purchase from the Corporation __________ shares of
common stock, $1.00 par value, of the Corporation (the " Common
Stock ") at an exercise price of $__________ per share ("
Option Price ") for a total purchase price of
$__________.
The Optionee wishes to make payment of the
Option Price as indicated below (check one or more
boxes):
____ Cash. Optionee's
check in the amount of $__________ is enclosed herewith.
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Previously
acquired shares of Common Stock. The surrender of
previously acquired shares of Common Stock held by the Optionee
having a Fair Market V
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